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Attachment Between Nurses and Patients in Hospital Settings: Concept Analysis Using Walker and Avant's Method.
1College of Nursing, Catholic University of Pusan, Busan, South Korea.
Journal of Evaluation in Clinical Practice
|June 2, 2026
Summary
Nurse-patient attachment, defined as patients' emotional and clinical security during health crises, involves perceived safety and self-efficacy. This concept is crucial for understanding trust and health outcomes in clinical settings.
Area of Science:
- Nursing Science
- Psychology
- Healthcare Research
Background:
- Attachment theory is vital in human relationships but lacks clear definition in nurse-patient contexts.
- Understanding nurse-patient attachment is essential for effective clinical care.
Purpose of the Study:
- To define nurse-patient attachment from the patient's viewpoint.
- To identify key attributes, antecedents, and consequences of this attachment.
Main Methods:
- Utilized Walker and Avant's eight-step concept analysis framework.
- Conducted a systematic literature search (2000-2026) across major databases.
- Included 26 peer-reviewed studies focusing on patient-reported experiences.
Main Results:
- Defined nurse-patient attachment as patients' emotional and clinical security during health crises.
- Identified attributes: relational security, reliance on nurses, emotion regulation.
- Antecedents: patient vulnerability, nurse availability, responsiveness. Consequences: safety, self-efficacy, resilience, therapeutic alliance.
Conclusions:
- Clarified attributes, antecedents, and consequences of nurse-patient attachment.
- Provides a theoretical basis for exploring links between attachment, trust, and health outcomes.
- Emphasizes the need for empirical research in clinical practice.
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