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A study of client-nurse interaction using the grounded theory method

P E Schubert, H J Lionberger

Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association

|June 1, 1995

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Holistic nursing emphasizes mutual connectedness between nurse and client, fostering healing through caring and trust. This emergent theory explains key interactional processes in private holistic nursing practice.

Area of Science:

Nursing
Psychology
Sociology

Background:

Holistic nursing integrates mind, body, and spirit in patient care.
Understanding the dynamics of client-nurse interactions is crucial for effective therapeutic outcomes.
Private holistic nursing practice offers a unique setting to study these interactions.

Purpose of the Study:

To explore the interactional stance of nurses and the experiential perspective of clients in holistic nursing.
To identify key elements that facilitate or hinder the healing process within holistic nursing practice.
To develop an emergent theory explaining client-nurse interactions in private holistic nursing.

Main Methods:

Grounded theory method was employed for data analysis.
Data were collected from taped interviews with 12 holistic nurses and 18 clients.

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Analysis focused on nurse's interactional stance and client's experiential perspective.

Main Results:

Mutual connectedness, characterized by intimacy, was identified as central to holistic therapy.
Nursing therapies were found to be strategies promoting healing processes.
Caring and trust were identified as conditions underlying mutual connectedness and nursing therapy.

Conclusions:

An emergent theory explains interactional processes facilitating and deterring healing in private holistic nursing.
Mutual connectedness is foundational to nursing therapy in holistic practice.
The findings suggest potential applications to other areas of nursing and healthcare settings.