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Patients and nurses: building a relationship

The purposes of this study were to understand the nature of the interaction between nurses and cancer patients undergoing chemotherapy in a day hospital and to generate a nurse-patient relationship middle range theory. Grounded Theory methodology was used to guide data collection and analysis. Data collection strategies were: narrative interviews conducted with 5 nurses and 10 patients and relatives; a focus group with the nurses; 10 admission interviews carried out by the nurses; and a 60-day observation period. The findings describe the middle range theory that was built, whose nature is comprised of two components: "Process of diagnostic evaluation" - collection of new data, re-evaluation of the process and monitoring of caring procedures -; and "Process of nursing therapeutic intervention" - the simultaneous management of feelings and information. In the theory that was developed, the component of the relational dimension of the experience consists of a 3-phase sequential process: beginning, body and end of the relationship.

Nurse-patient relations; Helping behavior; Nursing care; Oncologic nursing


Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br