Mohammadipour Fatemeh, Atashzadeh-Shoorideh Foroozan, Parvizy Soroor, Hosseini Meimanat
School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Nursing Management, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Asian Nurs Res (Korean Soc Nurs Sci). 2017 Mar;11(1):19-29. doi: 10.1016/j.anr.2017.01.004. Epub 2017 Feb 16.
Although nursing presence is a foundation for professional nursing practice and has known positive outcomes such as patient satisfaction and recovery; it is not well known. The ambiguity surrounding how to define nursing presence has challenged its evaluation and education. Therefore, in an attempt to discover attributes of this underdeveloped concept and studying it in a new context, concept development is essential. The purpose of this study was to clarify the concept of nursing presence through concept development, to produce a tentative definition of this subjective concept in clinical practice.
Concept development was carried out using Schwartz-Barcott and Kim's hybrid model including, theoretical, fieldwork and final analysis phases. First, 29 related articles available on the databases from 1990-2015 were reviewed and analyzed. Then, 22 interviews were conducted with 19 participants, followed with inductive content analysis. At last, an overall definition was performed.
Nursing presence can be explained as co-constructed interaction identified by deliberate focus, task-oriented/patient-oriented relationship, accountability, clarification, and ubiquitous participation. Nursing presence requires clinical competence, self-actualization, reciprocating openness, and conducive working environment. Worthwhile communications, balance/recovery, and growth and transcendence are the main consequences of this concept.
Co-constructed interaction underscored the value of the nursing presence as an integral component of caring with humanistic and patient-centered approaches. The findings could help clinical nurses have a better understanding of the nursing presence. Findings also can improve educators' and managers' knowledge for developing and conducting appropriate education strategies and caring activities to facilitate the promotion of nursing presence.
尽管护理陪伴是专业护理实践的基础，且已知具有诸如患者满意度和康复等积极成果；但它并未广为人知。围绕如何定义护理陪伴的模糊性对其评估和教育构成了挑战。因此，为了发现这一未充分发展概念的属性并在新背景下对其进行研究，概念发展至关重要。本研究的目的是通过概念发展来阐明护理陪伴的概念，以给出这一临床实践中主观概念的初步定义。
采用施瓦茨 - 巴科特和金的混合模型进行概念发展，包括理论、实地调查和最终分析阶段。首先，对1990年至2015年数据库中可得的29篇相关文章进行回顾和分析。然后，对19名参与者进行了22次访谈，并进行归纳性内容分析。最后，给出总体定义。
护理陪伴可解释为通过刻意专注、任务导向/患者导向关系、问责、澄清和普遍参与所识别的共同构建的互动。护理陪伴需要临床能力、自我实现、相互开放和有利的工作环境。有价值的沟通、平衡/康复以及成长和超越是这一概念的主要结果。
共同构建的互动强调了护理陪伴作为人文和以患者为中心护理方法不可或缺组成部分的价值。研究结果有助于临床护士更好地理解护理陪伴。研究结果还可以提高教育工作者和管理者在制定和实施适当教育策略及护理活动以促进护理陪伴方面的知识。
