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PubMed · 11847713

Healing presence.

Abstract

Since the introduction of presence as a concept in nursing literature in the early 1960s, nurse philosophers, theorists, and researchers have attempted to define and describe presence as it relates to nursing practice. Understanding of nursing presence and its link, if any, to nurse-patient interaction is basically subjective and intuitive. This article is based on the assumption that nursing presence fully understood may result in greater patient satisfaction and healing potential. A three-stage, hierarchical model culminating in healing presence is used to understand the nurse-patient dyad. The model is calibrated in terms of nursing maturity using Benner's novice nurse/expert nurse idea, Hanneman's expert nurse/nonexpert nurse view, Zaner's vivid-presence/copresence, and Doona, Chase, and Haggerty's nursing presence.

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BibTeXRIS

J Godkin. 2001. Healing presence.. https://doi.org/10.1177/089801010101900102

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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