Caring in Nursing voiceover

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Caring in Nursing Practice : 

Caring in Nursing Practice

What is caring? : 

What is caring? Caring is a universal phenomenon that influences the way we think, feel, and behave

Caring : 

Caring

Theoretical Views on Caring : 

Theoretical Views on Caring Florence Nightingale studied caring. In the 1980s Patricia Benner with Judith Wrubel offered another definition of caring.

The Essence of Nursing and Health : 

The Essence of Nursing and Health Madeleine Leininger (1978) studied caring from a transcultural perspective. Caring is an essential human need. Caring helps an individual or group improve a human condition. Caring helps to protect, develop, nurture, and sustain people.

Transpersonal Caring : 

Transpersonal Caring Jean Watson’s Theory of Caring (1988, 1979) Holistic view of nursing that promotes healing and wholeness Rejects the disease orientation to health care; Places care before cure Emphasizes the nurse-client relationship

Swanson’s Theory of Caring : 

Swanson’s Theory of Caring Kristen Swanson (1991) A composite of three studies in a perinatal unit Defines caring as a nurturing way of relating to a valued other, toward whom one feels a personal sense of commitment and responsibility

Client’s Perception : 

Client’s Perception “Your are doing an OK job, but I can tell that every time you walk in that door you are walking out.”

Client’s Perspective of Caring : 

Client’s Perspective of Caring Clients value the affective dimension of nursing care. Reassuring presence Recognizing an individual as unique Keeping a close and attentive eye on the situation

Ethic of Care : 

Ethic of Care Concerned with the relationship between the client and nurse and the attitude of each toward the other Places the nurse as the client’s advocate who solves ethical dilemmas by creating a relationship Gives priority to each client as a unique being

Caring in Nursing Practice : 

Caring in Nursing Practice Behaviors include being present, providing a caring touch, and listening. Caring is a product of culture, values, experiences, and relationships with others.

Providing Presence : 

Providing Presence

Touch : 

Touch Provides comfort Creates a connection Contact touch Noncontact touch Protective touch Task-oriented touch

Listening : 

Listening Creates trust Opens lines of communication Creates a mutual relationship

Knowing the Client : 

Knowing the Client Develops over time The core process of clinical decision making Aspects of knowing include: Responses to therapy, routines, and habits Coping resources Physical capacities and endurance

Spiritual Care : 

Spiritual Care Spiritual health is achieved when a person can find a balance between their life values, goals and belief symptoms and those of others. Spirituality offers a sense of interpersonal and transpersonal connectedness.

Family Care : 

Family Care People experience life through relationship with others. Caring does not occur in isolation from a client’s family. Family is an integral resource.

The Challenge of Caring : 

The Challenge of Caring Task-oriented care Technology Improved nurse-to-client ratios

Critical Thinking : 

Critical Thinking Mrs. L. is a 52-year-old client being tx for lymphoma (cancer of lymph nodes) that occurred 6 years ago following a lung transplant. Mrs. L. is discouraged about her current health status and has a lot of what she describes as muscle pain. The unit where Mrs. L. is receiving care has a number of very sick clients and is short staffed. a. You enter her room to do a morning assessment & find Mrs. L. crying. How are you going to use caring practices to help Mrs. L., knowing that your day has just begun and you have many nursing interventions to complete? b. When you listened to Mrs. L., she explained that her muscle pain was very bothersome and it was particularly worse when she was alone. Both you and she determine that an injection for her pain would be beneficial. In what way can you show caring in the way you administer the injection to Mrs. L?

NCLEX Question : 

NCLEX Question Listening is not “taking in” what a client says, it also includes: Incorporating the views of the physician Correcting any errors in the client’s understanding Injecting the nurse’s personal views and statements Interpreting and understanding what the client means

NCLEX Question : 

NCLEX Question Presence involves a person-to-person encounter that: Enables clients to care for self Provides personal care to a client Conveys a closeness and a sense of caring Describes being in close contact with a client