Godkin J
University of Texas Medical Branch, Galveston, USA.
J Holist Nurs. 2001 Mar;19(1):5-21; quiz 22-6. doi: 10.1177/089801010101900102.
Since the introduction of presence as a concept in nursing literature in the early 1960s, nurse philosophers, theorists, and researchers have attempted to define and describe presence as it relates to nursing practice. Understanding of nursing presence and its link, if any, to nurse-patient interaction is basically subjective and intuitive. This article is based on the assumption that nursing presence fully understood may result in greater patient satisfaction and healing potential. A three-stage, hierarchical model culminating in healing presence is used to understand the nurse-patient dyad. The model is calibrated in terms of nursing maturity using Benner's novice nurse/expert nurse idea, Hanneman's expert nurse/nonexpert nurse view, Zaner's vivid-presence/copresence, and Doona, Chase, and Haggerty's nursing presence.
自20世纪60年代初“在场”这一概念被引入护理文献以来，护理哲学家、理论家及研究人员一直试图对与护理实践相关的“在场”进行定义和描述。对护理“在场”及其与护患互动之间联系（若存在联系）的理解基本上是主观且直观的。本文基于这样一种假设，即充分理解护理“在场”可能会带来更高的患者满意度和治愈潜力。一个以治愈“在场”为顶点的三阶段分层模型被用于理解护患二元关系。该模型依据护理成熟度，采用本纳的新手护士/专家护士理念、汉内曼的专家护士/非专家护士观点、扎纳的生动“在场”/共同“在场”以及杜纳、蔡斯和哈格蒂的护理“在场”进行校准。
