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  1. Potter, Teddie MS, RN
  2. Peden-McAlpine, Cynthia PhD, RN


This qualitative study examined the characteristics of early recognition of client status changes by expert home care nurses. A text comprised of transcribed interviews with expert nurses about their early recognition experiences was analyzed using a Phenomenological approach. A model of early recognition and three distinct themes are discussed: building a therapeutic relationship, knowing/sensing the moment of early recognition, and the temporal dimension of knowing. Implications for home care nursing practice and education are highlighted.