This study explored the patterning process between a client facing a chaotic experience at the end of life and a nurse. The framework was Newman's theory of health as expanding consciousness. A single case study was selected to allow for exploration of theoretical findings in the context of a caring relationship. The client and the nurse dialogued in a caring partnership. The dialogue transcripts were analyzed. The patterning process revealed four phases in manifesting the characteristics of the trajectory and the client's transformation into more of himself and part of the larger whole in meaningful relationship with the nurse. The findings may help nurses in similar situations.

This study focuses on identifying natural caring for the human being through creative writing. It offers increased understanding of creative writing through a case study. It illustrates caring in written texts created by one participant during 17 years and in an interview. The results of the study show three themes of natural caring in an analysis of creative writing materials: caring in relation to oneself, caring in relation to the world one lives in, and caring in relation to one's own time perspective in life. These findings may help to identify caring through creative writing within or outside clinical practice.

Nursing staff have been tried and convicted of murdering patients. This qualitative study described attributes of nurses who killed patients in healthcare institutions and characteristics of murder events. Data sources included news reports, books, and court records. Results revealed personality and behavioral indicators manifested by nurses who murdered or were accused of murdering patients, and details of murder events. Registered nurses were accused and convicted of murder most frequently; male nursing staff were disproportionately represented. Old and acutely ill patients were frequent victims and poisoning with medications, the usual murder method. Power/dominance ranked as the most frequent motive.

A longitudinal single case study was conducted to identify and describe in-depth the context bound experiences and needs of information, communication, and support during a 9-month hospital journey of a patient with a malignant brain tumor going through a standardized Integrated Brain Cancer Pathway. Patients suffering from malignant brain tumors often have a reduced ability to process information and communicate their needs. A qualitative analysis of 25 patient interviews and extensive ethnographic field notes revealed that the patient experienced being alone, although surrounded by healthcare providers, and had to develop strategies to manage the responsibility given in the pathway.

This study explores barriers and facilitators to cervical cancer screening among indigenous Maya women in Guatemala. Eight weeks of observation, active participation, informal interviews, and semistructured interviews with community organizers were analyzed using Leininger's 4-phase process to elucidate five themes: fear/shame, “machismo,” education/experience, cost, and self-love. Results suggest sustainable cervical cancer screening may be possible through cultural humility, collaboration, balance of power, and emancipatory praxis. Practicing these concepts may help to build knowledge and trust between providers and community, thereby lessening oppression, empowering women, and reducing cervical cancer health disparities and disease burden among Guatemalan Maya women.

Caring has been defined as a benevolent act, human trait, and moral necessity. This paper explores the caring concept from perspectives of nurses and patients receiving care. A case is made for nurses' caring behaviors and patients' perceptions of how they ought to be cared to be congruent. Theorists' formulations and studies on nurse caring and disasters are reviewed. The caring moment goes beyond clinical settings; it can be experienced during natural disasters. A narrative of the author's caring during a disaster response is described, together with a generated disaster response model inspired by nurse theorists and philosophers' viewpoints on caring phenomena.

This article reviewed 19 intervention studies based on Watson's Human Caring Theory between January 2005 and February 2018. The studies reviewed targeted on promoting patients', nurses', and nursing students' psychological health and patient care experiences. Most (15/19; 78.95%) of the studies in this review indicated that Watson's caring science-based interventions could decrease patients' emotional strains, increase patients' self-management confidence and emotional well-being, increase nurses' job satisfaction and engagement, and improve nursing students' confidence in the clinical performance and the awareness of caring behaviors. Nursing is a discipline that requires both scientific knowledge and the art of human caring.

The authors propose that the evolution of the role development for generalist and advanced practice nursing is increasingly at odds with the contemporary scholarship of the discipline and ultimately betrays the unique identity and autonomy of the nursing profession. The development of the evidence-based practice movement in medicine and nursing is explored as the predominant theoretical framework guiding nursing practice. Professional challenges and recommendations to reclaim the unique nature of nursing are discussed with attention to the implications for the educator, clinician, and scholar.

The purpose of this article is to examine ethico-legal issues and existing Japanese law addressing interpersonal relationships in healthcare situations involving Humanoid Caring Robots (HCRs) and older adult patients. Potential safety issues include environmental situations between older adults and HCRs; identification of potential “leakage” of personal information from stored data in the cloud server; and issues of access authority for HCRs' stored data. It is necessary to have accurate findings supporting the legislation about HCRs to provide safe and effective care for older adults, and to limit healthcare facilities to reasonable risk level.