Faculty of Health Sciences, School of Nursing, Western University, London, Ontario, Canada.
Nurs Forum. 2021 Jan;56(1):151-159. doi: 10.1111/nuf.12506. Epub 2020 Sep 3.
This paper provides a critical analysis of the concept of professional intimacy in nursing practice.
Professional intimacy is a key attribute to the therapeutic nurse-patient relationship. However, there is a lack of clarity on the concept from a nursing perspective and little research has been done to explore the multiple dimensions of professional intimacy. Because of this, there is tentativeness in enacting and openly discussing this concept.
The concept analysis approach of Walker and Avant (2011) was used to guide this manuscript.
The eight steps described by Walker and Avant (2011) were implemented to identify antecedents, defining attributes, empirical referents, and consequences of professional intimacy using the literature published both historically and currently.
The review identified 11 articles and based on analysis of the included articles, professional intimacy is the therapeutic relationship between a nurse and a patient that fosters closeness, self-disclosure, reciprocity, and trust at physical, psychological, and/or spiritual levels.
This concept analysis shows that professional intimacy influences nursing satisfaction and promotes optimal patient outcomes. Nurses need to recognize that professional intimacy does not involve a crossing of professional boundaries and is vital to quality care.
本文对护理实践中专业亲密关系的概念进行了批判性分析。
专业亲密关系是治疗性护患关系的关键属性。然而，从护理角度来看，人们对这一概念并不清楚，也很少有研究探讨专业亲密关系的多个维度。正因为如此，实施和公开讨论这一概念还存在一些不确定性。
沃克和奥凡特（2011）的概念分析方法被用于指导本手稿。
采用沃克和奥凡特（2011）描述的八个步骤，利用历史和当前发表的文献，确定专业亲密关系的前因、定义属性、经验参考和后果。
综述共确定了 11 篇文章，通过对纳入文章的分析，专业亲密关系是护士与患者之间的治疗关系，在身体、心理和/或精神层面促进亲密、自我表露、互惠和信任。
本次概念分析表明，专业亲密关系影响护理满意度，并促进最佳的患者结局。护士需要认识到，专业亲密关系并不涉及专业界限的跨越，对优质护理至关重要。
