Adolescent dating violence may lead to adverse health behaviors. We examined associations between sexual teen dating violence victimization (TDVV) and sexual risk behaviors among U.S. high school students using 2013 and 2015 National Youth Risk Behavior Survey data (combined n = 29,346). Sex-stratified logistic regression models were used to estimate these associations among students who had dated or gone out with someone during the past 12 months (n = 20,093). Among these students, 10.5% experienced sexual TDVV. Sexual TDVV was positively associated with sexual intercourse before age 13, four or more lifetime sexual partners, current sexual activity, alcohol or drug use before last sexual intercourse, and no pregnancy prevention during last sexual intercourse. Given significant findings among both sexes, it is valuable for dating violence prevention efforts to target both female and male students.

Authentic presence is generally understood to be an interaction between a nurse and a patient which utilizes behaviors such as a quiet tone of voice, carefully chosen words, physical closeness, eye contact, and therapeutic touch to come to know the patient as an individual, not as just a diagnosis. Through authentic presence, patients’ calls for nursing can be heard and answered, leading to improved outcomes for nurses and patients alike. The theoretical and philosophical origins of authentic presence are examined, and they are found to support the idea that authentic presence is a crucial component to the practice of nursing as an art and a profession.

The purpose of this article is to make connections between caring and the support that occurs among nurses who are making an educational journey and who are in practice. The authors believe that webs of caring and support are formed, which make a stressful journey in higher education and practice tolerable. As faculty members it is imperative that we encourage this support and caring in our students and in each other. Interpretive themes originating from doctoral dissertation studies and lived experiences of being in a writing circle form the foundation of this article.

This study was conducted to examine the nurse’s perception of being cared for in the hospital work environment. A survey design was used with a modified questionnaire based on Watson’s (2008) caring theory. Physical needs, spiritual needs, intellectual stimulation, and authentic relationships were domains measured. Results indicated an overall perception of caring (5.27 on a 7-point scale); however, there is significant variation in perception of caring among units within the hospital. Additional research is recommended for tool refinement and the development of a language of caring to help promote more meaningful communication among staff and patients.

It is interesting to examine the concept of family care when describing relatives’ experience. This article presents a model of caring from relatives’ perspectives; it was developed using an abductive design composed of induction, deduction, and abduction. Reaching the infinite through the abductive process, it is possible to describe a model of caring from relatives’ perspectives being in the atmosphere of community where someone who really knows how it is, is present. Amodel named Terra Caritatis, through which suffering is alleviated in an atmosphere of solidarity, is developed and is presented in this article.

Exposure to toxic chemicals contributes to lifelong health effects such as asthma, diabetes, and cancer. Children, one of the most vulnerable populations, are susceptible to the effects of toxic chemicals they may come in contact in the everyday environment. Children and their families are capable of promoting earth caring by simple activities every day. Teaching earth caring to children might instill habits for a lifetime that contribute to a healthier world and promote positive health for all.

Nurse caring in hospital settings may be demonstrated without direct intention and without the language to express caring actions. Therefore, nursing students educated in a curriculum grounded in caring may not recognize the transformation of theory to the practice environment. This manuscript describes the baccalaureate student perspective of caring behaviors of nurse preceptors. Athematic analysis of unstructured, qualitative interview data revealed six themes: welcoming presence, demonstrating empathy, encouraging growth, patience and time as compassionate care, building relationships, and communicating therapeutically. In addition, students as role models and caring for each other emerged as themes related to student-student caring behaviors.

There is limited research associated with faculty caring in online graduate nursing programs. A survey study of online graduate nursing students (N = 107) was conducted to explore their perspectives of faculty caring using an instrument developed by Sitzman. Five survey items rated extremely important were statistically significant and focused on timely responsiveness, clear instructions of course activities and due dates, length, and quality of online communication, and excellence in online content. Twelve relationships among demographic variables and four qualitative themes emerged and aligned with the survey items. Findings offer faculty practical strategies for online teaching and learning practices.

An interprofessional massive open online course in caring science and mindfulness was offered in summer 2015, emphasizing caring experiences through reflection and group discussions. The purpose of this study was to evaluate caring intentions of course participants upon course completion. Three researchers reviewed data from final discussion postings and reached consensus regarding themes and subthemes using an inductive qualitative analysis approach. Five primary themes were derived: the ripple effect from caring, self-care is imperative, validation of caring/mindfulness, infusing caring science into relationships, and course-concept application. Course participants discussed the transformative caring process through past experiences, course collegiality, and future goals.

Empathy is one of the most important skills necessary for human connectedness, is essential for the nurse–patient relationship, and improves patient outcomes. Despite its significance, schools of nursing find it difficult to include empathy in curricula that are already burdened with content required by licensing agencies. Additionally, the literature lacks a consistent definition for empathy. The Walker and Avant method of concept analysis is used to explore empathy and offers a working definition with implications for future research.

Using the Quality-Caring Model©, this correlational study explored the relationship between Phase II cardiac rehabilitation (CR) participants’ perception of nurse caring and participants’ depression, anxiety, and adherence. There were inverse relationships between participants’ perception of nurse caring and anxiety (p < .05) and participants’ perception of nurse caring and depression (p < .05). Depression was the most predictive indicator for nonadherence to the Phase II CR program. The three highest Caring Assessment Tool (CAT-IV) item scores identified Duffy’s factor Human Dignity. This study supported the CAT-IV as a reliable instrument in an outpatient CR program. Suggestions for future research are included.

Palliative and hospice services are underutilized as medical interventions. There is a stigma attached to these types of care. People synonymously use phrases such as “giving up” or “ending the fight” to describe palliative and hospice practices. However, research has proven many benefits to including these types of services in the care of those battling cancer regardless of how close they are to death. They can prolong life and increase quality of life at the end of life for both the patient and family. However, there are barriers to these practices that need to be addressed. Uncertain prognosis, misunderstanding of services, and difficulty initiating emotional conversations are just some of the obstacles that block the benefits of palliative and hospice care from being obtained. To increase services, the negative connotation associated with “palliative care” and “hospice care” must be overcome. Conversations about prognosis and treatment options must take place upon a cancer diagnosis. If palliative and hospice services become a standard of care initiated early on in the disease process, it will allow for the achievement of a “good death” by all.

The purpose of this article is to frame the development of humanoid healthcare robots (HHRs) within Caring Science. Efforts to introduce robot technologies in nursing practice and to use them in elderly and high-tech healthcare environments have begun in developed countries. HHRs can be used to assist nurses with tasks or to perform care-related tasks independently. HHRs need to be programmed to demonstrate respectful, compassionate, and person-centered care. In this article we suggest Caring Science-informed approaches based on five philosophies/theories that can be used in programming the responses and communication patterns of HHRs.

Working as a nurse’s aide provided an opportunity to observe loss and hope as experienced by patients with cancer. Although difficult to define, by using the analogy of the Chinese symbol of the yin and yang, loss and hope can better be described. Yin and yang are not unlike the concepts of loss and hope, especially when the two concepts are related to the four themes of yin and yang: opposition, togetherness, transformation, and balance. Like yin and yang, understanding the interactions that exist between loss and hope is fundamental to understanding the patient experiencing loss and hope.

This phenomenological study of the lived experience of professional nurse caring was informed by data from seven coronary care unit patients in Sydney, Australia. A number of themes emerged which indicate that professional nurse caring is primarily experienced as a response to the individual which is tailored to his or her unique needs. This response is mediated through a relationship that is professional in nature alnd cariing in character. In this highly technical environment the professional coronary care nurse enacts this caring response through technical competence, nurturing, and providing structure.

In this research brief, researchers used a quantitative method, descriptive design, and cross-sequential grouping to investigate changes in empathy of pre-professional healthcare students over the course of their degree programs. Changes in empathy occurred; however, changes did not measure as statistically significant. Empathy overall increased; it decreased for certain majors and increased for others. The importance of empathy in the healthcare arena points to a need for specific efforts by educators toward increasing student empathy throughout these programs of study. This study showed that empathy is being maintained, but only just barely, over the course of these programs.

The technological advancement in healthcare is shaking up the way nurses render care. From robotic surgeries, electronic medical records, data analytics, artificial intelligence, and humanoid healthcare robots, the continuity of nurse caring is further illuminated in situations of advancing technology that require a call for nursing. In this changing work environment, technological competence is undoubtedly imperative. However, it takes more than just being technologically competent to address the complex needs of patients. Understanding not only how, but why we need these technologies in patient care delivery is a requisite to nurse caring.

An educational intervention was developed based on Watson’s theory of human caring and dispensed to hemodialysis (HD) nurses in Nyon, Switzerland. HD patients point out that human contact with nurses can become therapeutic when characterized by caring. Research has documented the importance of the contribution of such caring practice to the rehabilitation of patients living with a chronic illness. This initiative supports the relevance of exploring humanistic caring practice in order to contribute to the rehabilitation of HD patients. The article presents the principal stages of the theoretical development of the educational intervention.

The Nyberg Caring Assessment Scale (NCA) and the National Database of Nursing Quality Indicators (NDNQI) were used to measure nurse caring and hospital acquired pressure ulcers. This is an exploratory, descriptive, single-site study conducted in a large academic, trauma center, twice Magnet® designated in the southeast United States. Caring theory, the mechanics of pressure ulcer development, and wound prevalence between medical-surgical and critical care units was explored. No statistically significant differences in caring scores were identified between nurse groups, although pressure ulcer prevalence differed. Existing high standards of care and the tool itself are noted as factors influencing the results.

Patients who are ill must often face difficult clinical decisions with uncertain outcomes. Spiritual practices have the ability to articulate this uncertainty by providing a context where anxieties may be faced, felt, and understood. These understandings may support increased clarity about factual and emotional content in clinical decisions. Key to spiritual practice is the inclusion of the “unknown” or “liminal space” within the clinical encounter. In healthcare encounters, we often deny we are standing at the threshold of the unknown. Steps for accessing an applied spirituality that allows practitioners to enter, stay, and leave a liminal space in clinical encounters are described.

Humanism’s tenets are rarely described in regard to the theories of our discipline. In this article, we outline the historical origins of the humanism movements along with its etymology in order to analyze the assumptions that were brought up by selected North American nursing scholars related to human caring. We then detail each perspective while linking their premises with the roots of humanism. While discussing humanistic caring theories in nursing, we clarify relational concepts such as mutuality, reciprocity, authenticity, and human potential. We finally conclude with a summary of the main tenets of humanism and its implications for nursing practice.

The words nurse or nursing as related to the profession of nursing today tend to be associated with the words care and caring. Care and caring have been discussed and researched by scholars from different disciplines. This paper provides an overview of care and caring from the historical, ethical, and theoretical viewpoints of scholars in the field, such as Reverby, Gilligan, Noddings, Watson, and Munhall, that form the foundation for a clinical case discussion. The role of the advanced practice registered nurse in teaching care and caring is discussed and future research opportunities explored.

The human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) pandemic has heightened recognition that nurses are the gatekeepers to healthcare in Africa. Building nursing capacity has been identified as critical. This study measured knowledge acquisition, attitude, and belief change regarding care in American nursing students of HIV patients and compared the effect of international travel and cultural immersion on the same criteria. A quasi-experimental, longitudinal study surveyed nursing students at three points in time. Statistically significant changes in scores demonstrated greater willingness to provide care and moderate knowledge improvement occurred. The study indicated that international travel contributes to greater changes in attitudes and beliefs and improved knowledge retention.

The aim was to deepen the understanding and the knowledge of the concepts and phenomena of power and authority from the standpoint of caring science. An ontological determination of the character of the concepts is carried out where a hermeneutic interpretation is made of texts in the Old and the New Testaments in the Bible. The findings show how a human being’s power is the authority to hold every living thing in trust, to tend to and care for life. Serving one’s fellow-being is the purpose for anyone using this authority.

To ensure effective management of Canadian healthcare system resources, increasing demands are placed on patients to become further engaged in their health. The registered nurse (RN) must understand the complex factors that influence the provision of meaningful care to successfully work in partnership with patients. ray’s (1989) theory of bureaucratic caring provides a valuable framework through which patient participation may be explored utilizing the social, ethical, and political variables from this theory. The importance of patient engagement with implications for the patient, RN, healthcare team, and larger healthcare system are examined.

Registered nurses (RNs) play a critical role in patient satisfaction. Affective support, health information, professional/technical competencies, and decisional control are imperative factors in ensuring satisfaction. However, bureaucratic organizational structure of hospitals is straining nurses’ ability to provide care that meets patients’ expectations. To overcome these challenges, Ray’s theory of bureaucratic caring provides a framework that integrates caring into complex hospital systems. This document will focus on the impact that social, economic, and legal elements have on patient satisfaction and the implications these trends have on RNs and their future practice.

Nursing faculty at Notre Dame of Maryland University and librarians at Loyola/Notre Dame Library have partnered to strengthen the caring science curriculum through the incorporation of information literacy instruction in the RN-to-BSN program. In this article, the authors explain how partnering to teach information literacy empowers students toward autonomy as they become active participants in the learning process. The authors’ reflections align with Hills and Watson’s (2011) 3 major elements of caring relationships–collaboration, power/empowerment, and participation–which are used as a framework to demonstrate this partnership.

Twenty-four nurse educators spontaneously provided rich narratives in response to an online survey that asked only for brief answers to 4 questions: Is it possible to demonstrate caring online? What cues prompt you to initiate caring interventions with students? What caring interventions do you initiate in response to those cues? How do students respond to your caring efforts? Themes encompassed within these remarkable narratives include sense, connect, and facilitate. These themes correspond to key elements in Watson’s human caring theory and provide a window into the philosophies and practices of 24 wise, intuitive, creative, and deeply caring nurse educators.

Compassion satisfaction is recognized as a potentially protective factor in reducing compassion fatigue or burnout among health care workers. This study examined whether nurses’ professional quality of life scores significantly improved after nurses learned and implemented massage techniques. Participating nurses in a U.S. hospital most often administered massage to relieve patients’ stress and pain. Nurses were able to incorporate massage into daily nursing care and perceived massage as relaxing for the patients and themselves. Burnout was significantly reduced over time for the study sample. Nurse-delivered massage should be further investigated for its ability to promote therapeutic nurse-patient relationships.

This paper examine the traditional values of nursing i.e. caring, maintaining dignity, and self-respect, and why it is difficult for nurses to flourish in the era of Technical Rationality and fast-paced evidence-based practice. “The moral construct of caring in nursing as communication action” offers the theory on which to investigate human flourishing and the vulnerable nurse. Technical rationality and evidence-based practice do not allow for the humanness of those who are required to deliver evidence-based care. Jurgen Habermas’s (1995) premise is that all humans are vulnerable and in need of “considerateness.” Vulnerability occurs because an individual can only mature through communication, which exposes the core of self. Evidence suggests that many nurses are not happy in a technical, rational, evidence-based practice where their humanness is ignored or overlooked. When unhappy, nurses cannot flourish and the implications are worrying.

This study described who the older patient undergoing surgery is as part of the perioperative dialogue and in order to understand their needs. The study used a hermeneutical design. Data were 54 transcribed stories from perioperative dialogues. The findings show that older patients undergoing surgery were persons: (a) with memories of the life they had lived, (b) whose body had betrayed them, (c) who were worried and afraid before the operation, and (d) who will need help from family and friends. The older patient is a unique human being, a wholeness with a past of their own and a life they have lived: the present – a time of change and the future – a time for recovery.

Structured self-reflective journaling has the potential to serve as a means of self-awareness and professional growth. The purpose of this study was to describe what graduate nursing students were coming to know about themselves via reflective journaling. The context was a graduate course in psychiatric nursing. Adescriptive exploratory design was conducted using qualitative methods. Content analysis was performed on journals of students enrolled in a graduate nursing course to identify prominent themes and patterns regarding the students’ perceptions of what they were coming to know about themselves as they worked in the psychiatric mental health area. Four themes emerged from the narrative content of the journals: becoming aware, feeling the pain, what I learned, and personal growth exists among colleagues. Caring is one way in which these relationships can be examined. In this study positive correlations were found between manager caring and peer caring and their relationship with RNs’ job satisfaction and intent to stay both in a position and the profession.

Guatemalan children have the highest rate of chronic malnutrition in Latin America. Mothers cook on open fires, and the smoke irritates eyes and lungs. Water is unsafe and difficult to obtain. Governmental corruption and lack of resources prevent access to health care. Graduate nursing students from Florida Atlantic University have had the opportunity to participate in a caring and cultural immersion experience in primary care in the rural indigenous villages of the Maya. Expressions of caring between the students and Maya families provided a new perspective of the spirit of caring. The students stated that they were ‘‘forever changed.’’

The Department of Nursing at the State University of West Georgia implemented Caring Groups as a teaching/learning strategy designed to teach caring. In Phase I of a research program, Caring Group participants reported being more aware of the meaning and importance of caring in their personal and professional lives. Phase II, reported in this paper, sought to understand the influence of participation in caring groups on nursing practice. The stories of the graduates during their first year of nursing practice include experiencing non-caring, transferring the caring learned in their educational program to nursing practice, and making efforts to transform nursing practice through action.

Building upon a previously published article, this article examines how nursing faculty face the challenge of working with nursing students who are in stressful circumstances and who may have come from dysfunctional family backgrounds. It has been documented that nursing students need support in their personal transformative and selfcare processes in order to create sustainable caring-healing nursing practices. Hence, nursing faculty need experience in supporting students through these processes. As a proposed solution to addressing these ongoing issues in nursing curricula, outcomes from a class entitled, Stress Management and Life Balance, are examined and the challenges for implementing such an integral course within the nursing curricula are elucidated.

The purpose of this study is to describe parents’ perceptions of the caring characteristics of physicians and nurses who take care of their children with CHD undergoing heart surgery. This is a qualitative descriptive study with interviews guided by Swanson Theory of Caring. According to parents’ descriptions, the top four caring characteristics of physicians and nurses are competence, altruism, responsibility, and empathy. Caring physicians and nurses not only treat patients’ physical illnesses with medical knowledge but also care for their psychological and emotional needs. Physicians’ and nurses’ caring characteristics facilitate the dissemination of professional expertise and make advanced technologies meaningful.

Caring is at the center of nursing. Nevertheless, nurses seek to learn more about the meanings and common practices of caring as well as how to teach and enhance these practices. This article describes undergraduate and graduate nursing courses in caring that the authors developed and taught for more than eight years. Course foundations, organizational themes, structural patterns, and teaching strategies are presented. A phenomenological worldview that is consistent with Diekelmann’s “Concernful Practices of Teaching and Learning” undergirds course design. Emphasis is given to personal, aesthetic, ethical, and spiritual patterns of knowing and being, although empirical patterns are included. The structure of the courses focuses sequentially on care of self, care of others, and the creation of caring communities. Each class session is organized to include opportunities for reflection, lecture, discussion, and experiential exercises. Various expressions and interpretations of caring such as story, play, meditation, music, literature, and other art forms are used as teaching strategies. Journal writing is done regularly to encourage the habit of reflective practice.

Women seeking pain relief for migraine headache from local healthcare agencies may have difficulty receiving adequate treatment. The purpose of this article is to present the concept of yearning to be recognized in relation to caring for women seeking pain relief from migraine headache. Computerized databases were searched using the key words migraine, women, nurse, suffering, communication, and acknowledgement. A synthesized definition of the concept was created and a gap in the literature was identified regarding the nursing care of patients who experience migraine headache. Acase study presenting one woman’s story, which informs the concept, will be described.

Child abuse, especially sexual abuse, is a harsh, common reality. Nurses are called upon to assist children who may become part of the justice system. The philosophy of Human Caring, by M. Simone Roach, is used as a lens to illuminate the importance of legal caring. Acaring non-traumatic nursing interview with a child that has undergone sexual abuse is presented. Acase study demonstrating the technique of skillful questioning of the child highlights how one U.S. state developed a statute and ordinance to protect the abused child from retraumatization and to maintain legal verbal evidence. Recommendations for successful approaches for legal caring in the initial stages of contact with the victim and family are outlined.

Mentoring is a recognized means of enlisting and retaining employees in a profession. Expert nursing clinicians often begin in an educator’s role as adjunct faculty, at remote clinical settings that could deprive them of information critical for a successful start. Their job satisfaction may be threatened by unclear expectations of administrators. Novice nursing faculty can benefit from being part of a well-thought-out mentoring program. This review of the literature on mentoring of clinical adjunct faculty reveals that there is a minimal amount of information on their specific needs. The literature available identifies the benefits and vital components of a mentoring program. Use of these strategic methods to initiate a mentoring program could facilitate new initiatives for clinical adjunct nursing faculty success.

Caring is a complex and multidimensional concept. The quality of interaction in patient care encounters is affected by philosophical beliefs that shape practice design, delivery, and structural aspects of the practice environment. Florida Atlantic University’s Christine E. Lynn College of Nursing operates two nurse-managed centers that address diabetes and Alzheimer’s disease care; these play a critical role in the reduction of cost of care. In this article, we demonstrate the impact of following a caring philosophy in our centers through intersubjective, interobjective, interior and exterior individual, and collective measures. A philosophy of caring in action allows these centers to become places where the beauty and mystery of the human life experience is lived, studied, and researched.

Learning how to respond to others’ suffering is a significant challenge for undergraduate students in caregiving professions. An interprofessional-directed interview project related to suffering was implemented. Students (N = 247) completed a post project survey. Descriptive statistics indicated that students rated their interview-based learning experiences highly. Narrative theme analyses generated 4 main themes: a) developing self-awareness, b) expanding views of suffering, c) grasping spiritual aspects of suffering, and d) learning compassionate and supportive presence. From these preliminary findings has emerged a potential pedagogical model of suffering to prepare students to compassionately support those who suffer.

Nursing presence has been a central focus for theorists, researchers, educators, and practicing professional nurses for over a half a century. Knowledge development and measurement of this experience is crucial at a time when human communication is becoming more impersonal, and nursing presence capability is potentially declining. A literature search was conducted using Cumulative Index to Nursing and Allied Health Literature and other discipline-specific databases. Extensive manual review of all relevant journals, reference lists, and additional publications were explored and synthesized. This article provides an updated state of the science report on nursing presence in regard to cross-discipline conceptual comparison, nursing theoretic model development, and instrument development.

This story is a reminiscence of a nurse's experiences with infectious disease. Childhood and nursing student memories are shared in the current context of coronavirus.

A review of the literature reveals that an inclusive examination of the Buddhist perspective is needed to explain the diversity in meaning and scope of caring in nursing practice. This article briefly explains various definitions of caring according to the six major conceptualizations of caring from the Buddhist perspective: caring as a human trait; caring as a moral imperative; caring as an affect; caring as an interpersonal interaction; caring as a therapeutic intervention; and caring as a spiritual intervention. Buddhists view caring as love, trust, commitment, and ensuring a good relationship between nurses, the patient, family, and community.

In this prospective, descriptive study, our organization applied the Watson Caritas Patient Score (WCPS) to a random sample of medical–surgical and rehabilitation patients. Over 2 years, mean WCPS ranged from 6.43 to 6.72 on a 7-point scale. A statistically significant improvement (p = .005) in mean caring scores occurred over the first year. In the second year, there was a statistically significant increase (p≤ .05) in the percentage of patients who gave the maximum score of 7. These results suggest that health care organizations that embed human caring philosophy into their culture can affect patient perceptions of caring.

The purpose of this study was to examine nurses' perceptions of caring based on the four dimensions of a CARE model—competence, altruism, responsibility, and empathy and provide practical strategies to improve nursing caring behaviors. The CARE model was developed based on parents' perceptions of healthcare providers' caring when their children were hospitalized due to critical medical conditions. In this study, a directed content analysis approach was used to analyze nurses' perceptions of caring using CARE as a guide. This study shows the consistency between nurses' and parents' perceptions of caring. Caring nurses are competent, altruistic, responsible, and empathetic.

Intense staff shortages and heavy workloads are common characteristics of Tehran educational hospitals. This may contribute to changes in patients’ perceptions of nurse caring and satisfaction with healthcare services. The time that nurses previously allotted to direct care has been reduced, possibly restricting the effects of nursing care. For this study, data were collected using the Persian versions of the revised Caring Behaviors Inventory and the Patient Satisfaction Instrument. Data were analyzed using SPSS for Windows. Findings support earlier western evidence that nurse caring is associated with patient satisfaction with nursing care. It is important to reflect on the impact of culture, religion, and current healthcare environment of Iran on nurse caring and patient satisfaction.

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.

Older people are at risk of losing their sense of dignity as a result of dependency corresponding to disability and frequent hospitalizations. Dignity-promoting care is a central aspect of nursing and essential for enabling people to thrive after the hospital period. Nurses and dependent older adults can cocreate the environments in which dignity is valued and well-being is enhanced. The purpose of this article is to present a model of dignity-enhancing caring for older adults using the theory of nursing as caring.

Nurses' clinical competence is crucial to ensure that elderly, frail patients in nursing homes are met with high-quality nursing care. Thus, this study aimed to disclose the essential meaning of registered nurses' experiences as related to their clinical competence when caring for elderly patients with complex health needs in nursing homes. Focus group interviews and a phenomenological hermeneutical analysis were conducted revealing that the nurses balanced between being and striving to be competent. The utterance “It's not for amateurs!” symbolized that if nurses are not clinically competent or hindered from acting competently, they may be at risk for moral distress.

Nurses have a history of providing compassionate care while caring for patients living with co-occurring medical and mental conditions. Therefore, it is reasonable to develop and implement nurse-led interprofessional (IP) models of care to address chronic illness. A nurse-led IP model of care was evaluated utilizing three selected patient outcomes. Results revealed an increase in mental health stability and access to care and successful completion of a treatment plan. Integrating caring theory and practice with social determinants of health and nurse-led IP models of care is a valuable approach to improving patient outcomes and addressing health disparity.

Recent studies have demonstrated that the prevalence of compassion fatigue is negatively impacting both the quality of caring for patients and nurses’ professional quality of life. Psychological Capital (PsyCap) has the potential to enable nurses to be resilient and flourishing in overwhelming situations. This cross-sectional study tested the correlations between Compassion Fatigue (CF) and PsyCap. Findings of this study suggested that PsyCap was moderately to strongly negatively correlated with CF. This suggested that improving PsyCap might be a good intervention for preventing CF. The findings from this study have implications related to caring in many of the service industries.

This study examined faculty violence in nursing academia by focusing on aspects of the social and cultural work environment. Factors contributing to violence in the academic setting were explored. The study was framed by concepts of violence, power, knowledge, difference, and resistance. Critical-ethnography strategies were used to identify assumptions, values, and benefits of the group and the hidden relations of power contributing to the existence and management of violence in nursing academia. Interviews with 29 participants resulted in identification of the themes of academic apparatus, experiencing academia, and coping mechanisms.

Transgender persons lead highly marginalized lives coupled with secondary social issues, making it challenging for them to receive respectful quality healthcare. The purpose of this study was to explore the lived experiences of transgender patients, so that nursing curricular changes may be instituted. The narrative inquiry allowed the exploration of patient perceptions with nursing care. Four themes emerged, including marginalization, uninformed nursing, system factors, and nursing role significance. Transgender persons suffer from discrimination and feelings of marginalization as a result of institutional culture, personal bias, and assumption. More research may support curricular and system advances for transgender patients.

The purpose of this qualitative study was to discover how the Nursing in the Native American Culture conceptual framework is utilized in nursing education. The conceptual framework describes how Native American nurses practice the profession of nursing. Using a focus group method, data were collected from 14 focus groups that were formed among 56 nurses and nursing student participants to discuss the experience and meaning of utilizing the Nursing in the Native American Culture conceptual framework in guiding nursing education. The findings revealed multifaceted and expansive aspects of how the conceptual framework is and can be used in relation to nursing education.

Nurses' exposure to suffering reduces professional quality of life, negatively impacting patient outcomes, decreasing retention, and weakening the workforce. Tell Well is a creative writing workshop designed to address Professional Quality of Life. Through improvisation, text analysis, writing, and peer-critique, nine registered nurses built a writing practice that can be a self-care tool. A survey measured the extent to which participants integrated writing into their life and their perception of how their relationship with work changed. Tell Well honored nurses' experiences, provided a forum for them to express themselves and their experiences, and encouraged nurses to engage in self-care and discovery.