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To exhibit the factors that influence the Nursing care management in the face of death and the process of dying/death of hospitalized adults in the medical-surgical units for hospitalization.

The Grounded Theory was applied with the theorical support of the Complex Thinking Theory. Data have been collected through semi-structured interviews from May, 2015 to January, 2016 with three sample groups totaling 41 participants: nurses, assistant nurses and members of multidisciplinary group. Data analysis followed the steps of open coding, axial coding and selective coding.

The category “Pointing out the interfaces of care management to patients in process of death/dying and their families” and its respective subcategories show the complex interactions established by the nurse due to the Nursing care management.

Subjective, educational, sociocultural and institutional conditions influence the nurse interactions, causing order/disorder on care management.