An explanatory study on the concept of nursing presence from the perspective of patients admitted to hospitals

Mohammadipour, F. and Atashzadeh-Shoorideh, F. and Parvizy, S. and Hosseini, M. (2017) An explanatory study on the concept of nursing presence from the perspective of patients admitted to hospitals. Journal of Clinical Nursing, 26 (23-24). pp. 4313-4324.

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Aims and objectives: To clarify the concept of nursing presence through patients� perception. Background: The holistic caring process at the bedside must incorporate the concept of nursing presence. Most of the research about nursing presence is based on nurses� experiences, and research into patients� experiences is minimal. According to goals of patient centredness, the association between the patient satisfaction and nursing presence, and patients� ability to understand this concept, it is important to explore this concept from the patients� perspective. Design: A qualitative approach. Methods: Based on purposive sampling technique, 12 patients were recruited. After participant observation, 15 interviews were carried out with participants. Data were transcribed verbatim and analysed using conventional qualitative content analysis. Results: Five main categories were drawn from the data including informed concentration, task-centred/patient-centred relationship, clarification of meanings, comprehensive participation and accountable encounter. Data analysis alongside the authors� reflections resulted in the emergence of one overarching theme, �coconstructed interaction�, which shows the notion that effective nurse�patient interaction enhances cooperation, coordination and collaboration in caring and improves nursing outcomes. Conclusions: Accordingly, the nursing presence would be ideal for patient-centred caring. Relevance to clinical practice: Knowing the perspectives of patients is important as the evaluation of nursing care quality should rely on outcome indicators that are sensitive to patients. For instance, client satisfaction and health status acceptance, especially as it relates to coping, comfort level, hope, and participation in decision-making, are included in the nursing outcomes� classification system. Thus, the findings of this study may facilitate improvement in the quality of care by continuous improvement in knowledge, attitudes and abilities of nurses. It is therefore recommended that managers and clinical nurses, by relying on these findings, design the caring activities so that nurses� presence can act as a facilitating factor for improving quality assurance. © 2017 John Wiley & Sons Ltd

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: classification; clinical article; clinical practice; comfort; content analysis; coordination; data analysis; decision making; DNA transcription; doctor patient relation; health status; human; interview; manager; nurse; nursing care; nursing outcome; participant observation; patient satisfaction; perception; quality control; sampling; adult; empathy; female; health personnel attitude; hospitalization; male; middle aged; nurse patient relationship; nursing care; nursing staff; patient care; qualitative research; standards, Adult; Attitude of Health Personnel; Empathy; Female; Hospitalization; Humans; Male; Middle Aged; Nurse-Patient Relations; Nursing Care; Nursing Staff, Hospital; Patient-Centered Care; Qualitative Research
Subjects: WY Nursing
Depositing User: eprints admin
Date Deposited: 26 Dec 2018 12:50
Last Modified: 26 Dec 2018 12:50

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