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Nurse case management: negotiating care together within a developing relationship.

Mineko Yamashita1, Cheryl Forchuk, Bronwyn Mound

  • 1Department of Nursing, School of Health and Social Services, Saitama Prefectural University, 820 San-Nomiya, , Saitama-ken, Japan. yamashita-mineko@spu.ac.jp

Perspectives in Psychiatric Care
|June 1, 2005
PubMed
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This summary is machine-generated.

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Building a trusting relationship is the core of effective nurse case management for individuals with chronic mental illness. This therapeutic connection is vital across various care settings.

Area of Science:

  • Psychiatric Nursing
  • Mental Health Services
  • Healthcare Management

Background:

  • Chronic mental illness presents complex care needs requiring specialized management.
  • Nurse case management plays a crucial role in coordinating care for these clients.
  • Understanding the nuances of this process is essential for improving patient outcomes.

Purpose of the Study:

  • To explicate the process of nurse case management.
  • Focus on clients with chronic mental illness.
  • Identify key elements and variations in different care settings.

Main Methods:

  • Grounded theory methodology was employed.
  • Interviews conducted with nurses.
  • Data collected from inpatient, transitional, and community settings in Southern Ontario, Canada.

Related Experiment Videos

Main Results:

  • Negotiating care within a developing relationship emerged as the fundamental social process.
  • "Building a trusting relationship" was identified as the cornerstone of effective case management.
  • While differences existed across settings, the core process remained consistent.

Conclusions:

  • The therapeutic relationship is foundational to psychiatric nurse case management.
  • Trust-building is essential regardless of the care setting.
  • Findings highlight the universal importance of the nurse-client relationship in managing chronic mental illness.