Beyond empathy: clinical intimacy in nursing practice

Kirk, Timothy W.

doi:10.1111/j.1466-769x.2007.00318.x

Cited by 42 publications

(49 citation statements)

References 18 publications

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“…In an interaction, intimacy derives from how revelation of the self is received, perceived, validated and considered by the other. This interaction does not require reciprocity of behavior to be considered as such; what is most important is how that revelation is received and understood (Kirk 2007).…”

Section: Assisted Personal Body Carementioning

confidence: 99%

RETRACTED ARTICLE: The encounter with the vulnerable body: applying the lens of caring practice

Laranjeira

2014

Med Health Care and Philos

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Humans can never escape their existential vulnerability and it is shown even in the example from holistic care, where health care providers really try to understand the complexities of care and life itself. Applying a integrated and humanistic approach, this theoretical paper analyses the ways and mechanisms of power that appear in a nurse-patient relationship as both a challenge and an imperative of contemporary caring practice. This will be demonstrated by one example from caring practice that illustrates the strategies of power that emerge in a body care interaction. Findings indicate the existence of power exercised by the nurse over and with the patient and concurrently another power exercised upon the nurse, that leads the nurse to control his/her participation in care, as well as that of the patient-the power of organization the nurse feels as regulator of time and obligation to render care. The control of participation in care is a mode of exercising power that frames and disciplines real time as a function of dividing activities in organized time. It is the responsibility of the nurse to be aware of the power imbalance, to recognize the potential for patients to feel intimidated and to create a therapeutic alliance. The right use of power in the nurse-patient interaction guarantees the patient's needs are foremost and the patient's vulnerability is sheltered.

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Section: Assisted Personal Body Carementioning

confidence: 99%

RETRACTED ARTICLE: The encounter with the vulnerable body: applying the lens of caring practice

Laranjeira

2014

Med Health Care and Philos

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“…Intimacy has been frequently reported in the nursing literature (Timmerman 1991; Williams 2001; Kirk 2007), however, it is relatively scarce in the haemodialysis literature. Intimacy in nursing has been described as simply being there (Muetzel 1988), involving the ‘self disclosure of personal information with the expectation of understanding and acceptance’ (Kadner 1994, 215) and accompanied by elements of trust, reciprocity and emotional closeness (Timmerman 1991; Reis 1995).…”

Section: Intimacymentioning

confidence: 99%

Technological Intimacy in Haemodialysis Nursing

Bennett¹

2011

Nursing Inquiry

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BENNETT PN. Nursing Inquiry 2011; 18: 247-252 Technological intimacy in haemodialysis nursing Technology plays a major role in nursing care. Among the challenges for nurses is being able to maintain a patient focus while surrounded by highly complex technology. The provision of high quality nursing care in technologically complex environments is particularly challenging when nurses develop relationships with their patients over an extended period of time. In these environments the potential for intimate relationships can increase. This potential for intimacy is evident in the haemodialysis context where dialysis technology, nurses and patients interface. As nurses and patients can spend up to 20 hours per week together intimate relationships can develop. This paper identifies the challenges these dialysis nurses face and introduces the concept of technological intimacy. Technological intimacy can be defined as physical touching and self disclosure, associated with closeness and knowing, that is undertaken in the full view of others in a healthcare environment dominated by technology. In the haemodialysis context technological intimacy has been scarcely acknowledged and rarely researched. Further research will assist in guiding haemodialysis nursing practice.

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“…Other emotions and attributes closely associated with empathy need not be neglected. Kirk, 6 for instance, discusses the distinction and importance of the two concepts ‘clinical empathy’ and ‘clinical intimacy’. In this study, we explore not only empathy, but attitudes towards different diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Levels of empathy in undergraduate nursing students

McKenna¹,

Boyle²,

Brown³

et al. 2012

Int J of Nursing Practice

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Empathy is a central component in effective healthcare provider-patient relationships, yet evidence exists that healthcare professions students lack empathy. A cross-sectional survey was completed to identify whether a relationship exists between empathy levels in baccalaureate nursing, psychology, pre-medical, pre-dental, pre-physical therapy, and pre-occupational therapy majors who have or have not identifi ed a projected specialty within their profession upon entry into practice, and compare these fi ndings. A 28-item questionnaire was completed by a convenience sample of202 students with declared majors in the healthcare professions of interest. There was no signifi cant difference in empathy levels between students of all majors who had or who had not indicated a proj ected specialty, validating findings in previous research (Ward et aI., 2009). Empathy levels in nursing students with a proj ected specialty were signifi cantly higher than those of students in all other majors with proj ected specialties. Gender and age signifi cantly infl uenced empathy levels between students of all maj ors with a proj ected specialty. These findings expand the current understanding of empathy and what may infl uence empathy levels in students planning to enter healthcare. Suggestions fo r future research are described.

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Beyond empathy: clinical intimacy in nursing practice

Cited by 42 publications

References 18 publications

RETRACTED ARTICLE: The encounter with the vulnerable body: applying the lens of caring practice

RETRACTED ARTICLE: The encounter with the vulnerable body: applying the lens of caring practice

Technological Intimacy in Haemodialysis Nursing

Levels of empathy in undergraduate nursing students

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