Yamashita Mineko, Forchuk Cheryl, Mound Bronwyn
Department of Nursing, School of Health and Social Services, Saitama Prefectural University, 820 San-Nomiya, , Saitama-ken, Japan.
Perspect Psychiatr Care. 2005 Apr-Jun;41(2):62-70. doi: 10.1111/j.1744-6163.2005.00012.x.
TOPIC/PROBLEM: The purpose of this study was to explicate the process of nurse case management involving clients afflicted with chronic mental illness.
Grounded theory was the method of choice. Interviews were conducted with nurses in inpatient, transitional, and community settings in four cities in southern Ontario, Canada.
Negotiating care together within a developing relationship emerged as the basic social process. "Building a trusting relationship" was identified as the foundation of case management.
Salient differences were found between the three settings, yet the basic social process was consistent across settings. This underscores the therapeutic relationship as the basis for nurse psychiatric case management.
主题/问题：本研究旨在阐明针对患有慢性精神疾病患者的护士个案管理过程。
采用扎根理论作为研究方法。对加拿大安大略省南部四个城市的住院部、过渡性机构和社区机构的护士进行了访谈。
在不断发展的关系中共同协商护理成为基本的社会过程。“建立信任关系”被确定为个案管理的基础。
在三种机构环境中发现了显著差异，但基本的社会过程在各环境中是一致的。这突出了治疗关系作为护士精神科个案管理的基础。
