Being Here and Now: An Evolutionary Concept Analysis of Nursing Presence in End-of-Life Care.

IF 1.6 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Holistic Nursing Practice Pub Date : 2025-04-04 DOI:10.1097/HNP.0000000000000730
Frank Bennett, Susan O'Conner-Von
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Abstract

Nursing presence is an important therapeutic and diagnostic modality in patient-centered care and decision-making during end-of-life (EOL) care. Nurses cultivate presence through intentional awareness and actions to support patients, yet there is a paucity of relevant literature regarding nursing presence in EOL care. An evolutionary concept analysis employing Rodger's techniques was conducted with 20 international research studies and nine analyses of nursing presence between 1992 and 2023. The attributes, antecedents, and consequences of nursing presence in EOL care were described, a theoretical definition was proffered, and suggestions for its clinical application and future research directions were offered. As evidenced by this concept analysis, nursing presence in EOL care is an intentional, temporal, spatial, and intrapersonal relationship. More research and analysis of this concept are needed, especially in long-term care settings given continued growth in the long-term care patient population and the prevalence of nurses leading EOL care in that setting.

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此时此地:临终关怀中护理存在的进化概念分析。
护理在场是一个重要的治疗和诊断模式,以病人为中心的护理和决策在临终关怀(EOL)。护士通过有意识的意识和行动来培养存在感,以支持患者,但缺乏有关EOL护理中的护理存在感的相关文献。采用罗杰的技术,对1992年至2023年间的20项国际研究和9项护理存在分析进行了进化概念分析。阐述了EOL护理中护理存在的属性、前因和后果,给出了护理存在的理论定义,并对其临床应用和未来的研究方向提出了建议。正如这一概念分析所证明的那样,护理存在于EOL护理中是一种有意的、时间的、空间的和人际的关系。需要对这一概念进行更多的研究和分析,特别是在长期护理环境中,鉴于长期护理患者人数的持续增长和护士在该环境中领导EOL护理的普遍存在。
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来源期刊
Holistic Nursing Practice
Holistic Nursing Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-NURSING
CiteScore
1.90
自引率
7.70%
发文量
120
期刊介绍: Holistic Nursing Practice (HNP), The Science of Health and Healing, is a peer-reviewed bimonthly journal that explores holistic models of nursing practice. Content emphasizes complementary traditional and holistic nursing and healthcare practices. Articles include theory-based interventions and their outcomes, including: innovations in holistic nursing practice; research related to holistic nursing practice, health care, and policy; and values and ethical-legal issues related to holistic nursing practices. The holistic approach is a worldview that emphasizes the potential for health and healing in human systems rather than on disease process and deficit.
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