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Construct analysis of four modes of being present
1University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Summary
This study defines four distinct modes of nursing presence, differentiating them as a construct rather than a concept. Understanding these modes enhances the nurse-patient relationship.
Area of Science:
- Nursing
- Healthcare Communication
- Qualitative Research
Background:
- The term 'presence' in nursing is complex and multifaceted.
- Existing definitions may not fully capture the nuances of nurse-patient interaction.
- A clear framework is needed to understand how nurses are present with patients.
Purpose of the Study:
- To delineate the distinct modes or manners of presence used by nurses with their patients.
- To establish 'presence' as a construct, not merely a concept, to highlight its complexity.
- To differentiate four separate and distinct modes of being present.
Main Methods:
- Construct development utilizing components of the Wilsonian method.
- Application of an evolutionary view and the hybrid model for analysis.
- Extrapolation of model cases from personal nursing experiences.
Main Results:
- Identified and defined four distinct modes of nursing presence.
- Demonstrated the differences between these modes using a construct framework.
- Illustrated attributes and consequences for both patient and nurse within each mode.
Conclusions:
- The construct of presence in nursing encompasses four unique modes.
- These modes significantly impact the interpersonal relationship and patient outcomes.
- Further exploration of these modes can refine nursing practice and patient care.