title: Concept Development of "Nursing Presence": Application of Schwartz-Barcott and Kim's Hybrid Model.
abstract: OBJECTIVE
  Although nursing presence is a foundation for professional nursing practice and has known positive outcomes such as patient satisfaction and recovery; it is not well known. The ambiguity surrounding how to define nursing presence has challenged its evaluation and education. Therefore, in an attempt to discover attributes of this underdeveloped concept and studying it in a new context, concept development is essential. The purpose of this study was to clarify the concept of nursing presence through concept development, to produce a tentative definition of this subjective concept in clinical practice.
  
  
  METHODS
  Concept development was carried out using Schwartz-Barcott and Kim's hybrid model including, theoretical, fieldwork and final analysis phases. First, 29 related articles available on the databases from 1990-2015 were reviewed and analyzed. Then, 22 interviews were conducted with 19 participants, followed with inductive content analysis. At last, an overall definition was performed.
  
  
  RESULTS
  Nursing presence can be explained as co-constructed interaction identified by deliberate focus, task-oriented/patient-oriented relationship, accountability, clarification, and ubiquitous participation. Nursing presence requires clinical competence, self-actualization, reciprocating openness, and conducive working environment. Worthwhile communications, balance/recovery, and growth and transcendence are the main consequences of this concept.
  
  
  CONCLUSIONS
  Co-constructed interaction underscored the value of the nursing presence as an integral component of caring with humanistic and patient-centered approaches. The findings could help clinical nurses have a better understanding of the nursing presence. Findings also can improve educators' and managers' knowledge for developing and conducting appropriate education strategies and caring activities to facilitate the promotion of nursing presence.
authors.affiliation: School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Lorestan University of Medical Sciences, Khorramabad, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Mohammadipour
authors.affiliation: Department of Nursing Management, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: f_atashzadeh@sbmu.ac.ir.
authors.forename: Foroozan
authors.initials: F
authors.lastname: Atashzadeh-Shoorideh
authors.affiliation: Nursing & Midwifery School, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Soroor
authors.initials: S
authors.lastname: Parvizy
authors.affiliation: Department of Community Health Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Meimanat
authors.initials: M
authors.lastname: Hosseini
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D017060:Patient Satisfaction
keywords: Humanism; Nurse-Patient Relations; Patient Satisfaction; Qualitative Research