Concept Analysis of True Presence in Nursing Practice Shawndra Tosh, RN BSN Maryville University Rosemarie Rizzo Parse 's theory of humanbecoming focuses on quality of life as well nurses providing "true presence" to patients. Merriam-Webster defines presence as "the fact or condition of being present; the part of space within one 's immediate vicinity; a noteworthy quality of poise and effectiveness (Presence, 2018). As technology continues to play a larger role in healthcare, to the point of some patients using telemedicine and "seeing" a physician via a video conference call, it becomes more important to define and examine how we as healthcare providers can still be present for our patients and provide them with the hands-on care on which nursing was founded. SEARCH METHODS Electronic searches were conducted using the terms "presence," "presence in nursing practice," "healing presence," and "therapeutic presence." Databases included Google Scholar, PubMed, and CINAHL.
As a nurse, maintaining a sense of professionalism is of utmost importance in order to gain respect from our peers, leaders, and most importantly or clients. As I have gone out into the field during our clinical rotations, I have experienced many professional nurses and a few nurses I would consider unprofessional. So, I have decided to touch on a few key characteristics that I think make the mold of a professional nurse. As I searched for information regarding the professional nurse, I repeatedly saw these words throughout all the literature; autonomy, accountability, advocate, caregiver, and communicator. All of those aspects are pivotal in order to maintain a healthy, therapeutic relationship with our clients and to provide the greatest, holistic care possible while maintaining a sense of respect.
It reflects the exploration of one's thoughts, beliefs, behaviours, approaches and values (Bibi, 2016). In healthcare, nurses are constantly interacting with individuals who may not share the same characteristics, therefore, it's very important to recognise these differences in order to successfully develop a therapeutic alliance which will lead to a healthy therapeutic relationship (Rasheed, 2015, p. 213 - 214). Nurses that don't take into consideration self-awareness tend to project personal opinions and beliefs onto those who may not share the same values. (Rasheed, 2015, Bibi, 2016) Therefore, being aware and staying neutral will allow nurses to be person-centred, participating in active listening and having mutual understanding. Reflection is an important aspect of self-awareness and allows health professionals to look back and analyse practices, identifying which aspects need further development (Rasheed, 2015, p. 214, Bibi 2016).
Expected Utility theory The expected utility theory is a body of evidence that provides strong foundation for critical thinking and the decision-making process (McKenna, Pajnkihar & Murphy 2014, p. 61). This theory allows for nurses to provide links between treatment guidelines and the evidence-based practice which supports the treatment to provide the best possible care for patients (McKenna, Pajnkihar & Murphy 2014, p. 61). The expected utility theory allows for nurses to be able to accurately and effective decisions, through ensuring that all information about the decision is being considered by the nurse (Scott et al. 2014, p. 232).This decision-making process is achieved by looking at the positives and negatives of the treatment to determine the risks and any possible treatment alternatives to determine which would be best for the patient’s outcome (Scott et al. 2014, p. 232).
For every women, labour and childbirth is a time of excitement and anticipation alongside uncertainty, anxiety, fear, and pain. It is a time for physiological adjustments for both the mother and her baby and a period of important social and physiological adjustments. Mbeinkong CN (2010)31 described that patient satisfaction has been strongly advocated by nursing professionals worldwide to be an important indicator of quality nursing care delivery. The purpose of measuring satisfaction here is to understand the patients ' experience of labour and childbirth and access intrapartum care in order to obtain information about the quality of nursing care and identify problem areas. Records K & Wilson LB (2010)32 described that when care providers support their personal worth, use caring communication, facilitate consumer participation in decision making female, patients feel that their dignity is respected.
Furthermore, my case analysis reveals that nurse leaders should appreciate individuality, and most importantly, regardless of the type of interaction, we as humans’ desire, feeling valued, especially by an organization, which can empower individuals. Therefore, applying The Quality-Caring Model© by Dr. Joanne R. Duffy effectively addresses the global issues of job satisfaction and nurse retention, which in turn, can have a significant impact the healthcare outcome for individuals, families, populations, and/or
Nursing is a dynamic profession and needs confident leaders at all levels, it is therefore vital that nurses develop leadership skills at an early stage in their career in order to fit into any position in the nursing profession. Management and leadership skills should be considered a priority for all healthcare professionals. NURSING MANAGEMENT Management is simply the process of decision making and control over the action of human being for the express purpose of attaining predetermined goal (Stanely Vancee 1959). Nursing service administration is a coordinated activity, which provides all of the facilities necessary for the rendering of nursing service to clients. Nursing service administration is the system of activities directed towards the nursing care of clients, and include the establishment of overall goals and policies within the aims of the health agency and provision of organization, personnel and facilities to accomplish this goals in the most effective and economical manner through cooperative efforts of all members of the staff, coordinating the service with other departments of the institution.
HEALTH INFORMATION TECHNOLOGY Health information technology makes it easy for the nurse to the treatment they carry out patient, patient’s response and progress toward the health care goal on coming in contact with the patient. It makes monitoring easy for the nurse and easily accessible by other team members. It improves the quality of health care the nurse gives to the patient, increases administrative efficiencies, and decreases the nurse’s paperwork. Reduces malpractices in nursing work. 4.
The author claims self-awareness starts with self-consciousness and the expectation of change that relies on constant effort. Because the nurse spends more time with the patient than any other healthcare provider, self-awareness is key in the building of nurse-patient relationship. Hildegard Peplau (Cited in Vandemark, 2006), The central task of the basic professional school of nursing is viewed as the fullest development of the nurse self-awareness seeing him/her as a person who is aware of how he/she functions in the situation” (p.606). Eckroth-Bucher (2010, explains “Self-Awareness involves the cerebral exercise of introspection e.g. what we think, our belies, values, and the way others see us” (p.297).
(Greenwood, 2000, as cited in Saintsing, Gibson & Pennington, 2011). This is a fact that novice nurses are learnt during their nursing academia but integration of novice nurse in the critical settings is challenging. Fresh graduates subsequently can bring change with their new knowledge as they have up to date information and strategies to manage the patient. They are familiar with new researches regarding patient care. Work in critical care area is very important for their professional growth and learning.