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.
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
In conclusion, Jean Watson’s theory of caring, a middle-range theory, provides essential framework and guidelines in nursing shortage problem. Nurses who exposed to caring theory have moral and ethical obligations to care for others during challenging situations. Patients, families and other professionals depend on nursing profession, their expertise and knowledge for best patient
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 “...
Nursing is a nurturing profession, and caring is an essential component of its practice. Caring for others, however, is stressful. The goal of nursing is to help people gain a higher degree of harmony within the mind, body and soul, which generates self-knowledge, self- reverence, self- healing and self-care processes while increasing diversity. This goal may be pursued through the implementation of ten carative factors, via the human-to-human caring process and caring transactions, or clinical caritas processes.
The Theory of Nursing as Caring: A Model for Transforming Practice by Boykin & Schoenhofer recognizes the importance of identifying caring between the nurse and the one nursed as an applicable knowledge that the nurse must pursue. It is best stated that caring is not exclusive to nursing, yet it is uniquely lived in nursing (Alligood 2014).
This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing) has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
Since the institution of nursing was first established, care has remained the primary component. Being able to provide care to patients on an emotional level is another example of the distinctive power that nurses uphold. Generally, the nurse is the predominant choice of the patient when he/she must determine who best to confer with or share personal thoughts or concerns with, as well as who the patient trusts most with management of their own well-being. This form of day-to-day, intimate patient-nurse relationship is a powerful component of
Persky, G., Nelson, J. W., Watson, J., & Bent, K. (2008). Creating a profile of a nurse effective in caring. Nursing Administration Quarterly, 32(1), 15-20.
This is demonstrated and practiced, caring is consists of curative factors promotes growth, a caring environment accepts a person as they are and looks to what the person many become, a caring environment offers development of potential, caring promotes health better than curing, prevention, and caring is central to nursing. Watson’s theory “ the goal of nursing is to help persons attain a higher level of harmony within the mind-body-spirit. Attainment of that goal can potentiate healing and health” (Masters, 2014, p.
I have soon come to realize how much more there is to nursing than just helping and healing. Nursing is not taking care of individuals it is caring for them. Caring is not only important when concerning nurse and patient relationships. It is important in every aspect of humanity. The culture of caring involves intervening programs that help to build caring behaviors among nurses. As nurses become stressed and become down on their life it has shown that caring for oneself before others is key in caring for patients. Also, throughout the years many theorists have proven that caring has come from many concepts and ideas that relate directly to ICU nursing. The knowledge I have gained from reading and reviewing these articles has and will help me to become a better nurse. It will help and provide the pathway for caring in my professional
With reference to the patient within my scenario: the patient is also a practicing ward nurse and has been so for the last eighteen years. On one occasion, the patient had removed her own IV leur believing that she had completed all of her IV medications. Unfortunately, I needed to administer Ferinject IV medication but was delayed in doing so until a new IV leur could be inserted several hours later. On a separate occasion, the patient had forcefully snatched her hospital notes out of my hands, stating that ‘I am a nurse, it is my right to see this’. Due to these two instances, I have decided to investigate the nurse-patient role and relationship in regards to power balance.
Nurses are an equally important part of each client’s life. Nurses provide stable care to each client, answers their questions, gives medications and treatments, and assists with medical procedures. They also have the responsibility to explain to clients and family members what they should and should not do as they go through treatment and recovery. Nurses must quickly respond to patients needs. Every individual nurse has his or her own unique way of caring. There are so many ways to show caring that the possibilities are never ending. Nurse’s support, comfort, and help allow the patients to recover to the best of their ability. Their experiences in dealing with different patients that have unique situations on a daily basis helps the nurses become better caregivers. Therefore, every nurse is capable of demonstrating care in their respective environments.
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person. The process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will