Qualitative convergence of three nursing concepts: art of nursing, presence and caring

Published on Sep 1, 2008in Journal of Advanced Nursing2.376
· DOI :10.1111/j.1365-2648.2008.04622.x
Deborah Finfgeld-Connett17
Estimated H-index: 17
(MU: University of Missouri)
Title. Qualitative convergence of three nursing concepts: art of nursing, presence and caring. Aim.  This paper is a report of the development of a theoretical framework of nursing practice based on the convergence of the concepts art of nursing, presence and caring. Background.  Convergence of similar concepts to form broad yet useful theories is a relatively unexplored area, despite the fact that systematically examining and integrating nursing concepts can help to build theory and leads to enhanced understanding of the discipline. Research results suggest that unarticulated similarities exist among the art of nursing, presence and caring; thus, qualitative convergence of these concepts is justified. Data sources.  Findings from qualitative studies of the art of nursing (published between 1993 and the third quarter of 2006) and meta-syntheses of presence and caring (published in 2006 and 2007 respectively) were inductively analysed and integrated. Results.  A theoretical framework of nursing practice was developed to illustrate the areas of convergence among the concepts art of nursing, presence and caring. Nursing involves an intimate relationship-centred partnership between the nurse and patient. Situation-specific nursing actions result from multiple forms of personal and professional knowledge and are based on a value system of holistic beneficence and patient empowerment. Nursing actions are promoted by a conducive work environment and result in enhanced well-being among patients and nurses. Conclusion.  Results of this concept convergence provide an enhanced understanding of nursing practice and offer insight into areas of nursing practice that are not encompassed within the concepts art of nursing, presence and caring. Further work is recommended to expand the proposed framework, especially in terms of the wide variety of nurse–patient relationships that exist.
  • References (24)
  • Citations (44)
📖 Papers frequently viewed together
85 Citations
173 Citations
5,432 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
22 CitationsSource
Title. Concept synthesis of the art of nursing. Aim. The aim of this paper is to add clarity to the concept art of nursing. Background. Nurses have attempted to explicate the art of nursing since the time of Florence Nightingale. Despite these efforts, the concept remains obscure. A clearer conceptualization of nursing art is needed to help guide practice and research. Method. Fifty-nine English-language narratives (e.g. editorials, letters, anecdotes, brief items, etc.) that discuss the art of ...
31 CitationsSource
173 CitationsSource
85 CitationsSource
#1Kathryn Louise Gramling (UMassD: University of Massachusetts Dartmouth)H-Index: 3
The purpose of this study was to describe nursing art from the perspective of patients who had been nursed in a critical care unit. The study pursued two objectives: (a) to generate stories of occasions in which nursing was considered art in a critical care setting and (b) to describe the meanings made manifest in those stories. Using a narrative inquiry, 10 persons were interviewed twice for the purpose of answering the research question. Stories were generated in open-ended interviews, tape re...
25 CitationsSource
#1Janice M. Morse (U of A: University of Alberta)H-Index: 65
Although concepts differ in scope, specificity, and function within qualitatively derived theory (QDT), and the organization and integration of concepts is essential for the attainment of theoretical integrity, this topic has not been discussed previously in the literature. In this presentation, the author discusses the derivation and the kinds of concepts that qualitative inquiry generates. She examines the various positioning of certain types of concepts in emerging theoretical schemes and how...
70 CitationsSource
The purpose of this investigation was to explore when nursing becomes an art, and to develop a theory/model of nursing as art. The overall design of the investigation was qualitative, and phenomenological-hermeneutic. The five substantial categories in the theory/model are: Invitation and confirmation, encounter, values, moral attitude and demeanor, the act of good will, and aesthetic communication. One main finding of this nursing investigation based on the caring perspective was that values an...
99 CitationsSource
#2Julie Barroso (UNC: University of North Carolina at Chapel Hill)H-Index: 27
A key task in conducting research integration studies is determining what features to account for in the research reports eligible for inclusion. In the course of a methodological project, the authors found a remarkable uniformity in the way findings were produced and presented, no matter what the stated or implied frame of reference or method. They describe a typology of findings, which they developed to bypass the discrepancy between method claims and the actual use of methods, and efforts to ...
429 CitationsSource
: This study contributes to an understanding of the art of nursing by defining and focusing on the nurse's experience in achieving the object of nursing art. Nursing art is conceptualized as a transition that the nurse helps facilitate with a patient who has become "stuck" in some way. The request posed to participants was: "Tell me of your experience in helping a patient turn a corner in his or her illness and come to see his or her situation in a new way." This research resulted in three sets ...
19 CitationsSource
#1Janice M. Morse (U of A: University of Alberta)H-Index: 65
#2Judith E. Hupcey (U of A: University of Alberta)H-Index: 26
Last. Carl Mitcham (U of A: University of Alberta)H-Index: 1
view all 4 authors...
: The development of qualitatively-derived theory (QDT) remains a challenge for researchers wishing to retain the complexity of reality. The techniques of concept integration provide a means to link concepts according to their shared attributes and logically according to their mutual interactions, reactions, and responses. While retaining all of the advantages of qualitative induction, integrating concepts in this manner places QDT theory at the upper end of mid-range theory, or disclosive theor...
31 CitationsSource
Cited By44
Aim: The aim of this study was to identify the nursing care perception of nurses working in emergency room. Material and Methods: The phenomenological method was used in this qualitative study. The study was conducted with 13 nurses working in the emergency room of a university hospital who agreed to participate in the study. The data were collected with semistructured in-depth individual interview questionnaire form using face-to-face interview technique. Results: Analysis of the research data ...
#1Natalie Pattison (Florence Nightingale Foundation)H-Index: 11
3 CitationsSource
#1Fiona W.K. Tang (CUHK: The Chinese University of Hong Kong)H-Index: 2
#2Gigi Cheuk Chi Ling (CUHK: The Chinese University of Hong Kong)
Last. Winnie K.W. So (CUHK: The Chinese University of Hong Kong)H-Index: 20
view all 5 authors...
: Caring seems to be undervalued in the technologically-advanced and fast-paced clinical environment. To improve nursing practice, it is important to understand the meanings of caring to nurses. The aim of the present study was to explore nurses' perspectives of caring in the contemporary clinical environment. A focus group exploration was employed. Multiple perspectives were elicited from 80 nurses with different backgrounds: nursing students, nurse educators, registered nurses, advanced clinic...
#1Martina Kelly (U of C: University of Calgary)H-Index: 10
#2Rachel Ellaway (U of C: University of Calgary)H-Index: 24
Last. Tim Dornan (Queen's University)H-Index: 28
view all 7 authors...
Qualitative evidence synthesis (QES) is a suite of methodologies that combine qualitative techniques with the synthesis of qualitative knowledge. They are particularly suited to medical education as these approaches pool findings from original qualitative studies, whilst paying attention to context and theoretical development. Although increasingly sophisticated use is being made of qualitative primary research methodologies in health professions education (HPE) the use of secondary qualitative ...
1 CitationsSource
There is wide agreement that nursing practice is a combination of art and science. While the science is easily found in nursing education, research, and practice, the art is overshadowed. Philosophical and theoretical discussions on the art of nursing are plentiful, but research demonstrating its importance to nursing practice is lacking. In this article, the nature of nursing is explored separate from science, and a comprehensive exploration of the literature on the art of nursing is presented....
2 CitationsSource
#1Robin Digby (Monash University)H-Index: 8
#2Susan Lee (Monash University)H-Index: 10
Last. Allison Williams (Monash University)H-Index: 15
view all 3 authors...
Aims and objectives The aim was to explore the experiences of people with dementia in subacute geriatric rehabilitation hospitals to critically evaluate the care received by such patients. Background Globally, the number of people with dementia is growing and is expected to impact progressively more on health systems. People with dementia can become deconditioned and deteriorate in cognitive function while in hospital. The unfamiliar environment and people can cause the person to become disorien...
#1Fatemeh Mohammadipour (Shahid Beheshti University of Medical Sciences and Health Services)H-Index: 2
#2Foroozan Atashzadeh-Shoorideh (Shahid Beheshti University of Medical Sciences and Health Services)H-Index: 6
Last. Meimanat Hosseini (Shahid Beheshti University of Medical Sciences and Health Services)H-Index: 5
view all 4 authors...
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 impo...
3 CitationsSource
#1Carole Rushton (La Trobe University)H-Index: 4
#2David Edvardsson (Umeå University)H-Index: 32
In this article, we sought reconciliation between the "body-as-representation" and the "body-as-experience," that is, how the body is represented in discourse and how the body of older people with ...
Evidence does not suggest but validates the very fact that an unsupportive patient care environment contributes to the development of what is called compassion fatigue in oncology nurses. This retrospective is an attempt to describe through personal story how compassion fatigue developed over time. The purpose of this article is to illustrate through personal narrative the manifestation of compassion fatigue in an individual oncology nurse and to hopefully allow readers to become aware of any pr...
5 CitationsSource