A qualitative study, using grounded theory, was conducted to describe how nurse individualize self-management support. the study draws on the method of constructing theory on meaning and actions as described by charmaz[2006]and resulted in a theoretical model that represents the nurses ‘assessment and strategies in supporting self-management in chronically ill patients. To facilitate the analysis of data that represent a multifaceted complex situation, the qualitative analysis guide of Leuven( QUAHOG)was used (dierckx de casterle',gamstmans,bryon,&denier,2012).the QUAHOG is a comprehensive method to guide the qualitative analysis in grounded theory