Professional intimacy in nursing practice: A concept analysis.
concept analysis
professional issues
role development
therapeutic relationships
Journal
Nursing forum
ISSN: 1744-6198
Titre abrégé: Nurs Forum
Pays: United States
ID NLM: 0401006
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
25
03
2020
revised:
18
08
2020
accepted:
19
08
2020
pubmed:
5
9
2020
medline:
11
8
2021
entrez:
5
9
2020
Statut:
ppublish
Résumé
This paper provides a critical analysis of the concept of professional intimacy in nursing practice. Professional intimacy is a key attribute to the therapeutic nurse-patient relationship. However, there is a lack of clarity on the concept from a nursing perspective and little research has been done to explore the multiple dimensions of professional intimacy. Because of this, there is tentativeness in enacting and openly discussing this concept. The concept analysis approach of Walker and Avant (2011) was used to guide this manuscript. The eight steps described by Walker and Avant (2011) were implemented to identify antecedents, defining attributes, empirical referents, and consequences of professional intimacy using the literature published both historically and currently. The review identified 11 articles and based on analysis of the included articles, professional intimacy is the therapeutic relationship between a nurse and a patient that fosters closeness, self-disclosure, reciprocity, and trust at physical, psychological, and/or spiritual levels. This concept analysis shows that professional intimacy influences nursing satisfaction and promotes optimal patient outcomes. Nurses need to recognize that professional intimacy does not involve a crossing of professional boundaries and is vital to quality care.
Sections du résumé
AIM
OBJECTIVE
This paper provides a critical analysis of the concept of professional intimacy in nursing practice.
BACKGROUND
BACKGROUND
Professional intimacy is a key attribute to the therapeutic nurse-patient relationship. However, there is a lack of clarity on the concept from a nursing perspective and little research has been done to explore the multiple dimensions of professional intimacy. Because of this, there is tentativeness in enacting and openly discussing this concept.
DESIGN
METHODS
The concept analysis approach of Walker and Avant (2011) was used to guide this manuscript.
REVIEW METHODS
METHODS
The eight steps described by Walker and Avant (2011) were implemented to identify antecedents, defining attributes, empirical referents, and consequences of professional intimacy using the literature published both historically and currently.
RESULTS
RESULTS
The review identified 11 articles and based on analysis of the included articles, professional intimacy is the therapeutic relationship between a nurse and a patient that fosters closeness, self-disclosure, reciprocity, and trust at physical, psychological, and/or spiritual levels.
CONCLUSION
CONCLUSIONS
This concept analysis shows that professional intimacy influences nursing satisfaction and promotes optimal patient outcomes. Nurses need to recognize that professional intimacy does not involve a crossing of professional boundaries and is vital to quality care.
Types de publication
Journal Article
Langues
eng
Pagination
151-159Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
College of Nurses of Ontario. Therapeutic nurse-client relationship, revised 2006. 2006. https://www.cno.org/globalassets/docs/prac/41033_therapeutic.pdf. Accessed July 2, 2020.
Stavropoulou A, Kaba E, Obamwonyi VA, Adeosun I, Rovithis M, Zidianakis Z. Defining nursing intimacy: nurses' perceptions of intimacy. Health Sci J. 2012;6(3):479-495.
Dowling M. The sociology of intimacy in the nurse-patient relationship. Nurs Stand (through 2013). 2006;20(23):48-54. https://doi.org/10.7748/ns2006.02.20.23.48.c4070
Williams A. A literature review on the concept of intimacy in nursing. J Adv Nurs. 2001;33(5):660. https://doi.org/10.1046/j.1365-2648.2001.01701.x
Dowling M. A concept analysis of intimacy in nursing. All Irel J Nurs Midwifery. 2003;2(11):40-46. https://doi.org/10.3109/01612849109058207
Walker LO, Avant KC. Strategies for Theory Construction in Nursing. 5 ed. Boston, MA: Prentice Hall; 2011.
Dowling M. Exploring the relationship between caring, love and intimacy in nursing. Br J Nurs. 2004;13(21):1289-1292. https://doi.org/10.12968/bjon.2004.13.21.17127
Duffy JR, Hoskins LM. The quality-caring model: blending dual paradigms. ANS Adv Nurs Sci. 2003;26(1):77-88.
Faugier J. Intimacy in nursing. Nurs Stand (through 2013). 2006;20(52):20-22. https://doi.org/10.7748/ns.20.52.20.s25
Lego S. The one-to-one nurse-patient relationship. Perspect Psychiatr Care. 1999;35(4):4-23. https://doi.org/10.1111/j.1744-6163.1999.tb00591.x
Muetzel PA. Therapeutic nursing. In: Pearson A, ed. Primary Nursing: Nursing in the Burford and Oxford Nursing Development Units. London, UK: Chapman & Hall; 1988:89-116.
Peplau HEInterpersonal Relations in Nursing. 1988. https://link.springer.com/content/pdf/bfm%3A978-1-349-10109-2%2F1.pdf
Timmerman GM. A concept analysis of intimacy. Issues Ment Health Nurs. 1991;12(1):19-30. https://doi.org/10.3109/01612849109058207
Hall CS, Lindzey G. Theories of personality. New York, NY: John Wiley; 1957.
Perlman D. The best of times, the worst of times: The place of close relationships in psychology and our daily lives. Can Psychol. 2007;48(1):7-18. https://doi.org/10.1037/cp2007003
Barnhart CL. The World Book Dictionary. Chicago, IL: Filed Enterprise Educational Corporation; 1969.
Oxford. Learners dictionary'. 2019. https://www.oxfordlearnersdictionaries.com/us/. Accessed July 2, 2020.
Aristotle (350 B.C.E.)Nicomachean ethics. https://www.loebclassics.com/view/aristotle-nicomachean_ethics/1926/pb_LCL073.457.xml?readMode=recto. Accessed July 2, 2020.
Vangelisti AL, Perlman D. The Cambridge Handbook of Personal Relationships. Cambridge University Press; 2006. https://doi.org/10.2277/0521826179
Darwin C. On the Origin of Species by Means of Natural Selection: Or the Preservation of the Favoured Races in the Struggle for Life. London, UK: John Murray; 1860. https://doi.org/10.1037/14088-000
Buss DM. Sexual strategies theory: historical origins and current status. J Sex Res. 1998;35(1):19-31. https://doi.org/10.1080/00224499809551914
Freud S. Die Traumdeutung. Leipzig & Vienna, Austria: Franz Deuticke; 1900.
Dunkel CS, Harbke C. A review of measures of Erikson's stages of psychosocial development: evidence for a general factor. J Adult Dev. 2017;24(1):58-76. https://doi.org/10.1007/s10804-016-9247-4
Erikson EH. Identity: Youth and Crisis. New York, NY: WW Norton & Company; 1968.
Peplau HE. Professional closeness: as a special kind of involvement with a patient, client, or family group. Nurs Forum. 1969;8:342-359. https://doi.org/10.1111/j.1744-6198.1969.tb01214.x
Bassett C. Nurses’ perceptions of care and caring. Int J Nurs Pract. 2002;8:8-15. https://doi.org/10.1046/j.1440-172x.2002.00325.x
Routasalo P, Isola A. The right to touch and be touched. Nurs Ethics. 1996;3(2):165-176. https://doi.org/10.1177/096973309600300209
Canadian Nurses Association. Code of ethics for registered nurses. 2017. https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/code-of-ethics-2017-edition-secure-interactive. Accessed July 2, 2020.
Kadner K. Therapeutic intimacy in nursing. J Adv Nurs. 1994;19:215-218. https://doi.org/10.1111/j.1365-2648.1994.tb01073.x
Meize-Grochowski R. An analysis of the concept of trust. J Adv Nurs. 1984;9:563-572. https://doi.org/10.1111/j.1365-2648.1984.tb00412.x
Malone TP, Malone PT. The Art of Intimacy. New York, NY: Prentice-Hall; 1987.
Haber J, Leach AM, Schudy SM, Sideleau BF. Comprehensive Psychiatric Nursing. New York, NY: McGraw-Hill; 1982.
Mercer RT, Ferketich S, May K, DeJoseph J, Sollid D. Further exploration of maternal and paternal fetal attachment. Res Nurs Health. 1988;11(2):83-95. https://doi.org/10.1002/nur.4770110204
Erikson EH. Childhood and Society. New York: Norton; 1963.
Orlofsky JL, Marcia JE, Lesser IM. Ego identity status and the intimacy versus isolation crisis of young adulthood. J Pers Soc Psychol. 1973;27(2):211-219. https://doi.org/10.1037/h0034787
Nadelson C, Notman MT. Boundaries in the doctor-patient relationship. Theor Med Bioeth. 2002;23(3):191-201. https://doi.org/10.1023/a:1020899425668
Rector C. Content in the initial therapist-patient interview. Perspective Psychiatric Care. 1965;3(3):33-35. https://doi.org/10.1111/j.1744-6163.1965.tb01466.x
Miller RS, Lefcourt HM. The assessment of social intimacy. J Pers Assess. 1982;46(5):514-518. https://doi.org/10.1207/s15327752jpa4605_12
Waring EM. Measurement of intimacy: conceptual and methodological issues of studying close relationships. Psychol Med. 1985;15(1):9-14. https://doi.org/10.1017/S0033291700020882
Weinert C. A social support measure: PRQ85. Nurs Res. 1987;36(5):273-277. https://doi.org/10.1097/00006199-198709000-00007