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篇名
治療性臨在之概念分析
並列篇名
A Concept Analysis of Therapeutic Presence
作者 陳秋月洪瑞鎂何美欣
中文摘要

治療性臨在(therapeutic presence)為護理關係與人本照護之重要概念,強調護理師於臨床互動中以全然覺察、真誠與同理的態度的方式存在於護病關係中,透過專注在場與情緒共感,支持病人之心理安全與療癒歷程。但在既有文獻中常與同理心、關懷及治療性關係混用,導致概念界定不清與研究結果難以比較,亦限制臨床應用一致性。因此,本文依據Walker及Avant(2019)之概念分析方法,釐清治療性臨在之定義性特徵與概念邊界,並透過典型、邊緣、相關及相反案例說明。同時整理其前置因子、後果與實證測量指標,以提供操作化評估基礎。期望提升護理人員對治療性臨在之理解與應用,並作為臨床與教育及後續研究之參考,以強化護病關係品質與照護成效。

英文摘要

Therapeutic presence is a fundamental concept in relational nursing care and person-centered prac-tice. It emphasizes nurses’ intentional, authentic, and empathic engagement with patients through full attentiveness and mindful presence during clinical encounters. By fostering emotional attunement and genuine human connection, therapeutic presence supports patients’ psychological safety, promotes healing, and strengthens the nurse–patient relationship. However, the concept is frequently used inter-changeably with empathy, caring, and the therapeutic relationship in the literature, resulting in con-ceptual ambiguity, limited comparability across studies, and inconsistency in clinical application. This study employed Walker and Avant’s (2019) concept analysis method to clarify the defining attributes and conceptual boundaries of therapeutic presence. Model, borderline, related, and contrary cases were presented to illustrate the concept and distinguish it from closely related constructs. In addition, antecedents, consequences, and empirical referents are identified to facilitate conceptual operation-alization and future measurement. By clarifying the meaning and scope of therapeutic presence, this concept analysis provides a theoretical foundation for clinical practice, nursing education, and future research. It is anticipated that a clearer understanding of therapeutic presence will enhance nurses’ ability to establish therapeutic relationships, improve the quality of person-centered care, and ulti-mately contribute to better patient outcomes.

起訖頁 038-044
關鍵詞 治療性臨在護理臨在護病關係概念分析therapeutic presencenursing presencenurse–patient relationshipconcept analysis
刊名 台灣專科護理師學刊  
期數 202606 (13:1期)
出版單位 台灣專科護理師學會
該期刊-上一篇 急診護理人員運送空中後送患者停機坪至急診交接階段之教育需求分析
該期刊-下一篇 急診高齡多重慢性病之風險乘數模型與專科護理師整合角色
 

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