This chapter addresses the multiplicity of issues facing health care organizations that prevent them from focusing on their primary service mission of caring and patient-centered care. Some of these issues include quality, safety, lack of coordination and collaboration among nurses, physicians, and other health care providers and units of care, stressful workplace environments, inefficiencies, hospital-physician alignment and reimbursement, and monetization/output/revenue imbalances. The chapter also addresses a historical perspective about the carative or caring and curative traditions in health care that have helped to define the current state of health care systems. It describes a framework for examining the challenges in today’s health care system, organized according to some initiatives proposed in 2003 by a leading health care system chief executive officer (CEO) and a chief medical officer (CMO), a proposal that calls for more accountable care rather than our current ineffective, inefficient, and costly system.
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- Go to article: The Caring Behaviors Inventory for Elders: Development and Psychometric Characteristics
The purpose of this study was to develop the Caring Behaviors Inventory for Elders (CBI-E) and to establish its psychometric characteristics further. The 28-item CBI-E was framed by Watson’s theory of human caring. Aconvenience sample (N = 215) of elders and their caregivers (N = 138) completed the instrument. Psychometric analysis included item analysis, test-retest reliability, internal consistency reliability with Cronbach’s alpha coefficients, contrasted groups construct validity, and factorial validity, using principal components analysis with varimax rotation. Preliminary construct validity was established. Five dimensions of the CBI-E were identified: attending to individual needs, showing respect, practicing knowledgeably and skillfully, respecting autonomy, and supporting religious/spiritual beliefs. Additional testing is warranted.
- Go to article: Guiding Principles for Transforming Curriculum Through Integration of Technology as Expression of Caring
Guiding Principles for Transforming Curriculum Through Integration of Technology as Expression of Caring
Challenged by a Summer Academy on humanoid caring robots, members of the Anne Boykin Institute for the Advancement of Caring in Nursing created guiding principles for transforming curricula by integrating technology into nursing education. The guidelines were oriented in academy dialogue on nursing as caring and robotic caring. Articles written for a special topics issue for the International Journal for Human Caring addressed robots in healthcare systems and perspectives on robots as providers of caring interventions. Themes in the articles informed the guidelines. The guidelines might incentivize faculty to integrate humanoid caring robots, a technology exemplar, into nursing curricula.