NR 500 Discussion Caring Concepts in Nursing

The concept of caring in contemporary nursing practice has evolved greatly in this postmodern era of nursing. Caring can be viewed in grammar as a noun, adjective, or verb. I prefer the verb because the action form of caring is the form that will produce results. Caring in nursing are the actions taken whether verbally or nonverbally by the nurse as caregiver that encourages the healing of a patient by conveying the value in the individual person and enhancing their whole well-being. Caring is exemplified in often the intangible, unseen, and unpaid works of nurses and advanced practice nurses (Hines, M., & Gaughan, J. 2017). Nursing by nature is a nurturing profession. The overwhelming majority of nurses entered into nursing school with an innate desire to care for others and in return contribute to something greater than themselves.

The act of caring by nurses involves establishing trust in often a short amount of time. Being present, incorporating family centered care with patient centered care, establishing a sense of normalcy in an abnormal environment are just some of the ways that nurses are able to display caring towards their patients and are what often sets apart this profession from others in the healthcare community (Hines, M., & Gaughan, J. 2017). Attention to basic needs and approach to patients and families in a non-judgmental, sincere way helps initiate the healing process both physically and mentally. Caring can at times be interrupted by the advancement of science, technology, work load, and a demanding environment often displayed in health care institutions of today. When a nurse is rushed to complete the assigned tasks of extensive documentation, rapid discharges so that the room can open for the next admission, heavy assignments in a department with staffing shortages, the nurse’s own ability to draw from his/her inner resources that allow the compassion to be authentically displayed to the individual in need becomes deterred. Enhancing the caring environment should be a forerunner in nurse education and leadership goals for the workplace for nurses and their patients.

My specialty track in this Master’s of Science in Nursing program is that of Nurse Educator. I chose this specialty after much consideration because I believe that by educating our ‘young’ whether it be those new to nursing or those new to a different specialty will benefit and maintain the future of the nursing profession for generations to come. As I have grown in my experiences as an RN from BSN graduation in 1998, NICU nursing for 10 years, followed by pediatric perioperative nursing for the last decade to present day, I have been blessed to have encountered mentors who have encouraged me so much along the way to achieve more than I ever dreamed of achieving in this profession. At the heart of my practice is caring and compassion. It is the empathy displayed for the scared child being taken into surgery and the separation from their parents. It is the gentle touch and reassurance to the post-partum mother who is told her baby will need specialized NICU care. My goal as a nurse educator is to pass on the necessity of providing authentic, person-centered care to my fellow nurses entering the pediatric perioperative nursing specialty. As a perioperative nurse, our interactions carry great weight in a short amount of time as pre-operative interviews and introductions are often efficient due to the nature of the surgical environment. It is those first few crucial moments where the establishment of trust from the patient and parent is crucial. As a nurse educator, I believe in supporting the team by offering in-services or continued education on the effectiveness of caring, keeping the concept front and center as a reminder of a core component to their nursing practice. Nurse educators are in a good position to partner with nurses in their caring endeavors (McClendon, P. 2017). Caring language and support in nursing workplaces should be modeled by nursing leadership. Nursing staff, feeling the support of their leadership, will be happier and more willing to share their caring consciousness with others.

NR 500 Discussion Caring Concepts in Nursing

References:

Hines, M., & Gaughan, J. (2017). Advanced holistic nursing practice narratives: A view

of caring praxis. Journal of Holistic Nursing. (35)4, 1-20.

doi:10.1177/0898010117715849

McClendon, P. (2017). Authentic caring: Rediscovering the essence of nursing.

Nursing Management. (48)10, 36-41.

doi:10.1097/01.NUMA.0000524813.18664.7c

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Caring is a human way of interacting with patients that demonstrates sincere care and concern for patients simply because they are human beings (Paulson DS 2004). Caring can be to make somebody entrusted to you feel happy. This is different from taking care of patient which is emphasizes objective, professional care, such as the medical and psychological aspects of nursing. According to Adams, caring reflects a high regard for them as a human being one worthy of utmost respect and dignity. Caring is perceived as a necessity in how nurses assist patients on the continuum of illness to wellness, it become woven together theme and even same with nursing itself (Adams 2016)

I will like to define holistic nursing as i have defined caring in nursing above before i continue. Holistic nursing is caring for the person as a whole not just the patient sickness. I will apply the principles of caring and holistic nursing in my future professional practice as FNP by dealing with my patients as human, without bias in cultural, race, social status, and gender.

I will like to address and apply physical pain and exhaustion of the condition and its treatment of my patient. does the patient have family member/friend who can provide emotional support and day-to-day help such as performing important task as cooking, shopping, bathing. Do they have transportation to medical appointments, pharmacies or other health services. Financial problems, from health insurance to payments for medications, or paying household bills, do they have a place to live when discharged. How are the loved ones and family are coping with the situation. Behavioural change to minimize the progression on the disease like exercise, proper diet, and smoking (Carolyn 2014).

Caring is a human way of interacting with patients that demonstrates sincere care and concern for patients simply because they are human beings. As an FNP, I will care for my patients by seeing them as human without bias. Approach my patients treating the whole body and not just the diagnosis.

Adams, L. Y. (2016). The conundrum of caring in nursing. International Journal of Caring Sciences, 9(1), 1-8.

Carolyn Thomas. (2014). Caring for the Whole Patient. http://www.cfah.org/blog/ 2014/caring-for-the-whole-patient.

Paulson DS. (2004). Taking care of patients and caring for patients are not the same. AORN J ;79(2):359-62, 365-6. PMID: 15002832.

The act of sincere caring in health care is unbias and takes into consideration the patient’s cultural and spiritualty needs. As a FNP when assessing a patient; it is important not to treat individuals differently or base an assessment on stereotypes. Discrimination may occur in the form of race, ethnic background, gender, sex, sexual orientation, and/or age. I a society where everyone looks to stand out and be different, being nonjudgmental and open to cultural diversity will allow your assessment to depict the patient’s true reason for seeking medical care and allow for patient teaching and outcomes to be effective. As a health care provider, it is also important to recognize your own bias views and work towards self-improvement. Patients can sense when health care delivery is done in an uncaring manner. Human and eye contact is not made; and the true sense of compassion, commitment to excellence, and achieving that “caring moment” is miss. In our reading Drahosova and Jarosova (2016) identified caring behaviors as attentiveness to patients, communicating openly and honestly, providing dignity, respect, and comfort; and connecting with patient and families. Chamberlain’s also recognizes the need to establish caring into practice by using the Person -Centred Care Nursing Framework. This framework places the person-centred outcomes in the center; and for the deliver of care to be effective, one must work from the outer to the core: work with patient’s beliefs and values, engagement, share decision making, having sympathetic presence, providing holistic care. Therefore, to effective provide care for a patient the patient’s holistic being most first be address.

In my perspective, the definition of caring means to meet ones entire needs. You listen to their needs and concerns while offering open communication. You provide your time and attention. You offer respect, dignity and empathy. You strive to meet the needs of the patient and family. Always include patient in the plan of care.

My selected program track is Education. I’m undecided if I will teach in a hospital or a college setting. In my future role as nurse educator, a major area of focus will be the environment in which I am teaching others. To succeed in providing holistic care to clients, the environment in which nurses practice needs to be holistic. To promote holistic care and practice, I will work to help my students and or nurses gain a sense of their own emotions and how they can influence others.

Nursing students and newer nurses are not equipped with the level of self-awareness, skills to manage resources, and the ability to lead others. Unequipped nurses entering intense working environments leads to frustration. This frustration can lead many to leave the profession.

As a future educator, I feel it is important to nurture students and or nurses. Nursing students and nurses need to feel a balance to provide holistic care. I will address the physical, emotional, and social needs within the environment. Meeting the needs of my future students and nurses within the teaching environment is a key component in them providing holistic and person-centered care to clients.

Weber, Janet. (2007). Creating a holistic environment for practicing nurses. Nursing

Clinics of North America, 42, 295-307. doi:10.1016/j.cnur.2007.03.003

I enjoyed reading your discussion on the concept of caring in nursing. Holistic care is the epitome of whole care of an individual’s mind, body, and soul. Nurses who deliver the best holistic care are the ones who are grounded in their own well-being and those who can find it within themselves to deliver authentic care that is in the present moment. Creating a trusting relationship with a patient upon initial encounter can be acquired through genuine interactions. As a pediatric OR nurse, establishing the trust of the patient and their parents at the start will lessen the fear that the child will inevitably feel upon transport into the OR suite and away from mom or dad. A few comments I like to make during these times are, “I will treat your child like my own” or “you are the star of our show tonight, everyone here wants to help you feel better.” Taking the time to explain what is happening on the level of understanding for the patient and family is also very important. It is through a calm, gentle demeanor and purposeful words and actions that often times sets an individual at ease, thus reflecting the beginnings of a therapeutic, caring relationship between nurse and patient.

I too am following the nurse educator track. An important component to the caring, healing environment is the ability for leadership to support the patient care goals and the time needed for the nursing staff to invest in them (Norman, V., Rossillo. K., & Skelton, K. 2016). As educators, we will be able to advance caring models through education, role modeling, and reinforcement of the art and science of caring in nursing to other nurses around us. Helping nurses grow and understand how important personalized, authentic care is to the whole healing of their patients will create a positive experience for the patient, nurse, and healthcare institution. As nurses are subjected to multiple stimuli, many times all at once, priority of care can sometimes lessen their ability to provide the quality of caring they desire (Norman, V., Rossillo. K., & Skelton, K. 2016). A nurse educator can be instrumental in teaching ways for the nurse to center his or herself, improve time management and multi-tasking, and be present in the moment for each and every individual patient.

Norman, V., Rossillo, K., & Skelton, K. (2016). Creating healing environments

through the theory of caring. AORN Journal. (104) 5, 401-409. doi:

10.1016/j.aorn.2016.09.006

Thank you for sharing! I like that you incorporated the importance of building a nurse patient relationship with having mutual cooperation between the nurse and patient. As we know a nurse-patient relationship that is therapeutic is defined as a relationship that’s built on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of not only your patient’s physical needs but also their, emotional, and spiritual needs with knowledge and skills learned. It is important to build up a good relationship with all patients this can all be accomplished through building trust, respect and good communication skills are all essential but the counselling relationship has to go that bit further because it tends to deal with deeper issues An article that I found online states that “Providing care in a manner that enables your patient to be an equal partner in achieving wellness. So that as the nurse you can help your patient achieve harmony in mind, body, and spirit with building a therapeutic relationship with the patient based on effective communication that incorporates caring behaviors” (Pullen, 2008).Great post

References

Pullen . (2010). Fostering therapeutic nurse-patient relationships. Retrieved from http://journals.lww.com/nursingmadeincrediblyeasy/pages/articleviewer.aspx?year=2010

NR 500 Discussion Caring Concepts in Nursing