Characteristics of Caring
The first characteristic of caring deals with a healing interaction between the nurse and patient that leads to a therapeutic outcome. The outcome is therapeutic when a patient remains autonomous. Often times, this is hindered because a person seeks out healthcare when they can no longer manage their symptoms on their own (Lindberg, Fagerstrom, Sivberg, & Willman, 2014). In order for this healing interaction to take place, a nurse must recognize that the patient has rights to their own views, values, and beliefs. The nurse must remain open to the patient’s needs in order to accommodate them effectively. Caring for patients by healing interactions can also be considered complete according to Ranheim, Karner, &
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Examples of this include giving a patient an injection of heparin after breaking a hip or asking a co-worker to put a gown on in an isolation room. It is crucial that a nurse be competent and caring enough to explain the purpose of what we do in a respectful manner.
Antecedents and Consequences
Antecedents
According to Brilowski & Wendler (2005), the main antecedent of caring was the amount of time a nurse has to care. High patient to staff ratios make it hard to a nurse to care for a patient in a way that provides holistic healing. Consequently, dissatisfaction occurs for the patient and they may perceive this lack of attention as a lack of caring from the nurse.
Consequences
Consequences to caring are generally positive. The main consequence is increased health and healing for the patient (Brilowski & Wendler, 2005). Another positive consequence is a feeling of power and autonomy for patients. Finally, the patient’s perception of the nurse is positively influenced as they are now viewed as compassionate, competent, and respectful (Brilowski & Wendler, 2005).
Cases
Model Case #1 Mr. Smith, a 72 year old man has been admitted to an orthopedic floor following the surgical repair of a fractured femur. Ann, his nurse, knows that Mr. Smith is a type II diabetic, has a history of hypertension, DVT, a-fib, and two cardiac stents. At 9 a.m., Ann enters Mr. Smith’s room with his medications. These include lovenox, Norvasc, and novolog insulin. Mr.
Nursing is as much science as it is a study in the human condition. Combining caring and the notion of human flourishing allows the nurse sharpen her understanding of patients’ needs by observing and understanding herself (Husted & Husted, 2008). A nurse is able to better anticipate the needs of her patients by noting similarities and differences between the two of them. With caring in the nursing corner, even under less-than-ideal conditions, one can still create havens of hope, nourishment, and the possibility for flourishing (MacCulloh, 2011).
Human caring is what sets nursing apart from other professions. As Watson (1998) stated, “care and love are the most universal, the most tremendous and the most mysterious of cosmic forces: they comprise the primal universal psychic energy. Caring is the essence of nursing and the most central and unifying focus for nursing practice” (p. 32-33). It is important to establish a good nurse-patient relationship in order to create a healing environment that would meet patient’s needs on all levels including physical, mental/emotional and spiritual, promote recovery, maintain health, and create positive outcomes. Jean Watson emphasized the importance of human
Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.
My personal definition of nursing is taking care of my patient as a whole; using my knowledge, being compassionate and caring, respectful and honest. Taking care of the; spiritual, physical and emotional aspect of the patient, and taking into consideration their family and environment. Learning about the different theorists I associate myself the most with Hildegard Peplau. Peplau believed that the relationship between the patient and the nurse was focus of attention, rather than the patient only as the unit of attention. (Chitty & Black p.314-315). Using Peplau’s theory my relationship begins with my patients as strangers and I try to
The art of human caring is one of the most essential parts of the nursing profession. Caring is not something that you learn to do, but something that is within you. In nursing, it is important to know what kind of nurse you want to be as well as the care you intend to provide to your patients. The patient is the center of nursing, and it is your responsibility to make sure they are receiving the best care that they can receive. One of the most important things is to be able to set aside personal beliefs and morals in order to provide patient centered care. The way that you approach and care for a patient is either going to make or break the effect of the care you will be implementing to the patient.
A foundation built on the concept of caring offers the ethical framework necessary to improve staff and patient satisfaction levels including the overall delivery of care provided (Dudkiewicz, 2014). Watson’s Theory of Human Caring can be used to address particular problems noted with in practice as well as the manner in which care is delivered among healthcare organizations by concentrating on the concept of caring. Nursing based on a foundation of caring provides a healing environment that fosters and promotes the growth of the nurse-patient relationship which further leads to the promotion of healing (Quinn, 2009).
Caring can mean different things to different people, however, there are a few principles that are important to all such as empathy, compassion, respect and trust. The act of caring is shown initially by our exterior presence but our actions and personality is what portrays our caring ways. Growing up in a family with morals and beliefs, has taught me to be an approachable friendly person, having strong qualities of respect and compassion for others. Knowing one 's self, the acceptance of others comes naturally and eases formation of relationships. Understanding the caring needs of others, I will establish the nurse-patient relationship. Jean Watson, and many other nursing theorist, have defined caring as the central concept of nursing. Despite the unique and personal needs of each individual patient – there are key characteristics that the profession upholds. Throughout this paper, I will talk about what caring is and how it is different in the nursing industry.
Caring is central to the nursing profession, as it a way to earn a patient/clients trust and respect. What makes a good nurse stand out from a great nurse, is adding on to the attributes associated with caring and taking that extra step to ensure a patient is comfortable and does not feel judged while they are receiving care. It is the little things. Strengthening the relationship between patient/clients and the nurse/caregiver is shown through actions displaying concern and devotion. This ensures that the nurse/caregiver gains trust by the patient/client and family. Patients/clients who may be especially vulnerable, can be wary of the competency and caring demeanor of a caregiver.
A nursing career and caring for the sick intertwine inseparably. It requires a tremendous amount of compassion and empathy to care for those who are in need. My philosophy of care is to treat others with dignity, respect and compassion regardless of their race, ethnicity or cultural background. It’s about treating people the way you want to be treated and to understand that sometimes the best medicine of all is kindness. In addition, not only is it important to provide effective and competent care to all patients, it’s extremely crucial to provide care that is genuine and compassionate. All health care consumers should be receiving care that reflects their values and beliefs.
enhances the well being of your patient and allows a nurse to uphold the dignity of the people
Kristen M. Swanson’s Caring Theory is the solution in bridging the gap between nursing practice and theory. It offers an explanation of the links between patient well-being and the caring process (Tonges & Ray, 2011). Swanson explained that nurses should be able to demonstrate that they care about their patients, and that caring about their wellbeing is as important as their patients’ current medical problem (Tonges & Ray, 2011).
My approaches to caring include compassion, grace, service, presence, love, empowerment, partnership, justice and advocacy. I believe that an effective nurse thinks critically, communicates effectively, feels deeply, interacts meaningfully, assumes responsibility, acts morally, approaches clients within a partnering framework, understands that people’s needs vary with developmental stage and cultural background, and views people holistically, recognizing that health encompasses both wellness and illness. I believe that I believe the nature of nursing is rooted in commitment to public service and the undeniable desire to help those in need. Nursing is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to
Nursing is a profession that provides quality and culturally sensitive care to help a patient achieve the highest quality of life possible. A nurse utilizes skills (technical, cognitive, and interpersonal) that promote all aspects of health. There are many components to nursing. “The primary objectives of the nurse as caregiver are to promote health, to prevent illness, to restore health, and to facilitate coping with illness, disability, or death” (Taylor, Lillis, & Lynn, 2015, p. 43). A nurse recognizes the worth of all people and understands the importance of doing what is best for the patient. A competent nurse builds a relationship with the patient that is the perfect balance between professionalism and treating the patient like family. Nursing installs hope in a patient while at the same time being realistic about a patient’s condition. Another aspect of nursing includes empowering a patient to feel confident and comfortable in making
Nursing goes beyond caring for a patient during their illness and managing their disease process. Nursing includes adapting to a patient’s and their family’s physical, social, spiritual, environmental and psychological needs. I believe in treating the whole patient and being supportive of the family’s needs as well. Shelly & Miller (2006) asserts “while critical thinking, decision-making, and leadership skills are extremely important, the characteristics nurses need most are compassion, competence, faith, integrity and responsibility” (p. 291).
To summarize this theory in my own words I would say that as nurses we need to acknowledge that patients are shaped from their experiences and that they are more than just an illness. We need to accept people for whom they choose to be from what they were given. Sometimes a person’s image of wellness is not the