Technologies, Nursing & HealthOn Virtual PresenceGrumme, Valarie S. MSN, RN, CCRN; Barry, Charlotte D. PhD, RN, NCSN, FAAN; Gordon, Shirley C. PhD, RN, NCSN; Ray, Marilyn A. PhD, RN, CTN-A, FAANAuthor Information C. E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida. Correspondence: Valarie S. Grumme, MSN, RN, CCRN, 11480 SW 3rd Street, Plantation, FL 33325 (firstname.lastname@example.org). No financial or other support was received by the authors for this paper. The authors declare no conflict of interest. Advances in Nursing Science: January/March 2016 - Volume 39 - Issue 1 - p 48-59 doi: 10.1097/ANS.0000000000000103 Buy Metrics Abstract Advances in health care and communication technology have expanded nursing practice to nontraditional environments that preclude the physical presence of the nurse for a caring encounter. An increasing number of nurses are creating and maintaining nurse-patient relationships and practicing in a diverse range of specialties in virtual/distance environments. Can nursing presence as a caring modality be “real” in a virtual/distance environment? A new ontology of nursing presence is offered that transcends people, place, space, and time. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.