As suggested by Bungay (2005), the development of a strong nurse-patient relationship begins with nursing practices that demonstrate caring. The act of caring has been identified by Roach (1987) as involving five qualities that establish a caring nursing practice. Further, high quality nursing care must be competent and stem from various sources of knowledge such as empirical, ethical, personal, esthetic, and sociopolitical knowledge (Bungay, 2005). The context in which nursing care and knowledge are applied to patients in clinical settings also drastically influence the positive or negative direction of nurse-patient relationships. As in the case of Allison the nurse, caring using Roach’s caring qualities along with applying her nursing knowledge in specific contextual factors facilitate her ability to provide quality nursing care. In this paper, Allison’s scenario will be analyzed for her ability to care, apply ways of knowing, and how context hindered or facilitated nursing care.
The five qualities of caring identified by Roach (1987) were evident throughout the case study involving Allison the nurse. Allison demonstrated competence in her nursing practice in multiple ways in the case study. Firstly, she gathered notes for any necessary information from report in order to provide herself a good foundation to provide good nursing care. Further, she constantly drew from her past experiences in order to make sense of the current happenings and thus, determined how to react appropriately. For example, in the case of Mr. Nelson, Allison was able to make sense of his anger and recognize the significance of his hospitalization and his current disposition by being a competent communicator and having “several short talks” with him. Fu...
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...ine the best interventions for her patients. Lastly, Allison’s ability to form a positive nurse-patient relationship was analyzed with consideration of the context and environment. Hospitalization and personal attributes were shown to strongly influence the nurse-patient relationship. It is apparent from the analysis of Allison’s scenario that demonstrating care, ways of knowing and contextual factors have major roles in nursing care quality and nurse-patient relationships.
Works Cited
Bungay, V. (2005). Module 1 High Acuity Nursing Practice [PDF document]. J.L.
Dehaan, 2012, (Ed.). British Columbia Institute of Technology, School of Health
Sciences. Retrieved from
https://learn.bcit.ca/d2l/le/content/188743/viewContent/1059245/View
Roach, M.S. (1987). The human act of caring: A blueprint for health professionals.
Ottawa, ON: Canadian Hospital Association.
The phenomenon of interest has been identified as the expressions of caring by nurses on acute care general surgical wards (Enns, C., Gregory, D., 2007). This problem statement was addressed promptly and clearly in the article. The caring research that has been obtained in other studies has yielded inconsistent results due to the varying definitions of caring. Numerous research has been done on the phenomenon of caring by nurses specializing in several areas but the population of surgical nurses has been “relatively neglected in caring research” (Enns, 2007). Caring is a phenomenon that has been universal throughout nursing, it is a trend that will forever be current due to the ever changing scope of nursing. Increasing demands on nursing staff and the acuity of the patients causes stressors to the “surgical ward environment (and) affect nurses’ ability to provide ideal care” (Enns, 2007). The aim of this report is to answer the question “What are the expressions of caring from a surgical nurses’ perspective?” (Enns, 2007). An appropriate qualitative study has been chosen because “...
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