Summary: | In nursing care, narrative emerges as mediation and a key element in the care process, which also determines an epistemological background, supported by scientific advances in the nursing sciences. Objective: To analyze the epistemological aspects: meaning, metaparadigm, nursing knowledge patterns and worldviews to a service narrative of a Renal Unit. Methodology: Hildegard Peplau's thought and the guide for the analysis of nursing situations, it were applied used at the University of Santander-UDES. Results: The "Situation of Nursing" analyzed is located in the vision of reciprocity. Patterns of nursing knowledge were identified, reflecting predominance of the aesthetic pattern. Conclusion: In the care of adults with peritoneal dialysis, and with the difficulties in accepting their recent terminal diagnosis, a humanized care is essential.
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