CARING NURSING NOTES , NURSING THEORIES ON CARING

Caring = People, relationships, and things matter Caring practice = Connection, mutual recognition, and involvement between nurse and client Just as clients benefit from caring practices, the nurses involved in these situations experience caring through knowing they have made a difference in their clients’ lives The ability to give clients focused attention means leaving the egocentric self behind Caring as “Helping the Other Grow” – Milton Mayeroff proposed that to care for another person is to help him grow and actualize himself. Caring is a process that develops over time, resulting in a deepening and transformation of the relationship. Recognizing the other as having potential and the need to grow, the caregiver DOES NOT impose direction, but ALLOWS the direction of the other person’s growth to help determine how to respond 8 Components of Caring (KAPHTHHC): • Knowing = Understanding the other’s needs and how to respond to those needs • Alternating rhythms = Moving back and forth between the immediate and long-term meanings of behavior, considering the past • Patience = Enables the other to grow in his own way and time • Honesty = Awareness and openness to one’s own feelings and a genuineness in caring for the other • Trust = Letting go, to allow the other to grow in his own way and own time • Humility = Acknowledging that there is always more to learn, and that learning may come from any source • Hope = Belief in the possibilities of the other’s growth • Courage = Sense of going into the unknown, informed by insight from past experiences NURSING THEORIES ON CARING CULTURE CARE DIVERSITY AND UNIVERSALITY = LEININGER • Emphasizes care as the “essence and central dominant construct of nursing” • Nurses must understand different cultures in order to function effectively • CULTURALLY CONGRUENT CARE is provided in 3 major ways: o 1. Preserving the client’s familiar lifeways o 2. Making accommodations in care that are satisfying to clients o 3. By repattering nursing care to help the client move toward wellness • “Those assistive, supportive, and enabling experiences or ideas towards others with evident or anticipated needs, to ameliorate or improve a human condition or lifeway” THEORY OF BUREAURCRATIC CARING = RAY • Focuses on caring in organizations (e.g., hospitals) as cultures • Caring in nursing is contextual and is influenced by the organizational structure • Meaning of caring influenced by the role and position a person held • SPIRITUAL-ETHICAL CARING influences each aspect of the BUREAUCRATIC SYSTEM (technological, physical, legal, political, economic, social-cultural, and educational) • “Spiritual-ethical caring for nursing does not question whether or not to care in complex systems, but intimates how sincere deliberations and ultimately the facilitation of choices for the good of others can or should be accomplished” BUREAUCRATIC SYSTEM CONCEPT MAP CARING, THE HUMAN MODE OF BEING = ROACH • Caring is the human mode of being, or the “most common, authentic criterion of humanness” • All persons are caring, and develop their caring abilities by being true to self, being real, and being who they truly are • Caring is unique to nursing because caring is the center of all ATTRIBUTES used to describe nursing o Defines these ATTRIBUTES as the SIX Cs OF CARING:  Compassion = awareness of one’s relationship to others, sharing their joys, sorrows, pain, and accomplishments. Participation in the experience of another  Competence = having the knowledge, judgment, skills, energy, experience, and motivation to respond adequately to others within the demands of professional responsibilities  Confidence = the quality that fosters trusting relationships. Comfort with self, client, and family  Conscience = morals, ethics, and an informed sense of right and wrong. Awareness of personal responsibility  Commitment = convergence between one’s desire and obligations and the deliberate choice to act in accordance with them  Comportment = appropriate bearing, demeanor, dress, and language that are in harmony with a caring ………………………………………..CONTINUED……………………………………