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.
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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.
- Go to article: “Caring Between” the Nurse, the One Nursed, and the Healthcare Robot: An Interpreted Nursing Situation Using the Barry, Gordon, King Framework
“Caring Between” the Nurse, the One Nursed, and the Healthcare Robot: An Interpreted Nursing Situation Using the Barry, Gordon, King Framework
Healthcare robots will become integral to nursing practice in the future, and nursing must ensure the incorporation of caring practices in robotic design and development to safeguard the well-being of human beings. The authors propose one way to guide the development of healthcare robots is to illuminate caring theories and practices through the analysis and interpretation of nursing situations using the Barry, Gordon, King Framework (2015). Through the inclusion of caring concepts and practices in the programming of healthcare robots, nursing practice will be supported and the well-being of the one nursed enhanced.
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.
- Go to article: Designing Nursing Care Practices Complemented by Robots: Ethical Implications and Application of Caring Frameworks
Designing Nursing Care Practices Complemented by Robots: Ethical Implications and Application of Caring Frameworks
The nurse of today must be able to master a variety of technologies. This article will discuss the current state of robots, explore the ethical framework of the Care-Centered Value Sensitive Design (CCVSD) and the caring theory of Nursing As Caring theory as it relates to the sacred nurse-patient relationship. Integrating both an ethical and caring framework will serve the nursing profession as it wrestles with the role and function robots can and will be used in clinical practice in order to protect the nurse–patient relationship. As technology advances, we must remember some human experiences are not programmable.
Roach's (2002) six Cs (confidence, conscience, commitment, compassion, competence, and comportment) and relational ethics (Bergum, 2002; Bergum & Dossetor, 2005) are two distinct philosophical approaches which inform nursing practice. Although notable differences exist, it was through entanglement, an explicit conceptualization between the approaches, that synergy was conceived. This entanglement was conceptualized as relational comportment. Relational comportment is the embodiment of a contemplative journey of being and becoming persons of care by the nurse. Entangling enriches and provides the opportunity for the actualization and expression of caring.
- Go to article: Evaluation Properties of the Chinese Version of the Caring Factor Survey-Caring of Manager According to Classical Test Theory and Item Response Theory
Evaluation Properties of the Chinese Version of the Caring Factor Survey-Caring of Manager According to Classical Test Theory and Item Response Theory
The aim of the study is to evaluate psychometric properties of the Chinese version of Caring Factor Survey-Caring of Manager (CFS-CM), which evaluated by using with classical test theory (CTT) and item response theory (IRT). CTT analyses evaluate include internal consistence reliability, test–retest reliability and construct validity. IRT analyses were conducted to test the unidimensionality, item fit, item difficulty, the reliability, and rating scale analysis. CTT showed good psychometric properties of the CFS-CM. However, IRT revealed some problems of category level. Taking the above issue into consideration, it could be beneficial to perfect the CFS-CM in the future.
- Go to article: Nursing as Love: A Hermeneutical Phenomenological Study of Creative Thought Within Nursing
For 35 years, the researcher has observed nurses in practice: when caring for complete strangers and performing acts of caring in the most intimate way. Compassion, duty to act, caring, tenderness, and love are qualities associated with the loving care that nurses provide. The word, love, is seldomly used in nursing schools and in nursing practice. However, the love exhibited daily by nurses for patients may not be adequately described as love. This study describes love, its attributes, and its connection to nursing as compared to when nursing was a trained profession, based on the duty to care.
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.
Loss is a fundamental human experience, and with loss comes grief. Healthcare's fast-paced, high-tech, professional environment is juxtaposed to the human caring focus of the nursing profession. Providing nurses with a theoretical context for working with people dealing with loss and grief will help nurses to provide care to those in need. By employing the three major conceptual elements of Watson's Theory of Human Caring, the caritas processes, the transpersonal caring relationship, and the caring occasion/caring moment, a nurse can create a more holistically therapeutic experience for patients and families.