Knowing the patient: a process model for individualized interventions

Nurs Res. 1995 Nov-Dec;44(6):364-70.


A grounded theory method was used to study nurses' clinical decision making. Field notes, in-depth interviews, and documents were analyzed. The beginning process model contained the core concept, knowing the patient, a purposeful action whereby the nurse uses understanding of the patient's experiences, behaviors, feelings, and/or perceptions to select individualized interventions. Familiarity and intimacy were the properties of the core process; the patient-nurse interaction was the context. Three conditions included time, the nurse's experience, and other nurses' input. Four strategies facilitated the core process: empathizing, matching a pattern, developing a bigger picture, and balancing preferences with difficulties. Different strategies were used, as time and familiarity with the patient varied.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Clinical Competence
  • Decision Support Techniques*
  • Empathy
  • Female
  • Humans
  • Male
  • Models, Nursing*
  • Nurse-Patient Relations*
  • Nursing Methodology Research
  • Nursing Process*
  • Nursing Theory
  • Time Factors