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people,relationships, and things matter |
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Connection, mutual recognition, and involvement |
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Understanding the other's needs and how to respond to these needs. |
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Signifies moving back and forth between immediate and long-term meanings of behavior (considering the past) |
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Enabling the other to grow in his own way and time |
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Includes awareness and openness to one's own feelings and a genuiness in caring for another. |
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Involves letting go, to allow the other to grow in his own way and own time. |
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Acknowledging that there is always more to learn, and that learning may come from any source. |
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The belief in the possibilities of the other's growth. |
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The sense of going into the unknown, informed by insight from past experiences. |
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Caring, as nurturing behavior, has been present throughout history and is one of the most critical factors in helping people maintain or regain their health. "Caring is the essence of nursing, and the distinct, dominant, central, and unifying focus of nursing." |
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Culturally Congruent Care in three major ways: (Leininger) |
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1. By preserving the client's familiar lifeways. 2. By making accomodations in care that are satisfying to the clients. 3. By repattering nursing care to help the client move towards wellness. |
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Theory of Bureaucratic Caring (Ray): |
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Focuses on caring in organizations (e.g. hospitals) as cultures. Nursing care varies from each floor or unit but together make the whole bureaucratic system. |
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Caring, the Human mode of Being (Roach): |
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Focuses on caring as a philisophical concept and proposes that caring is the human mode of being, or the "most common, authentic criterion of humanness." |
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Roach's Six C's of Nursing: |
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Compassion, Competence, Confidence, Conscience, Commitment, Comportment |
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Awareness of one's relationship to others, sharing their joys, sorrows, pain and accomplishments. Paricipation in the experience of another. |
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Having the knowledge, judfment, skills, energy, experience, and motivation to respond adequately to others within the demands of professional responsibilities. |
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The quality that fosters trusting relationships. Comfort with self, client, and family. |
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Morals, ethics, and an informed sense of right and wrong. Awareness of personal responsibilties. |
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Convergence between one's desires and obligations and the deliberate choice to act in accordance with them. |
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Appropriate bearing, demeanor, dress, and language, that are in harmony with a caring presence. Presenting oneself as someone who respects others and demands respect. |
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Nursing as caring (Boykin and Schoenhofor): |
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Emphasizes on knowing self as a caring person, and respect for persons as caring individuals and respect for what matters to them are assumptions underlying the theory of nursing care. |
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Theory of Human Care (Watson): |
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Views caring as the essence and moral ideal of nursing, and the basis for nursing's role in society which goes beyond the realm of ethics. |
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Theory of Caring (Swanson): |
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A client's well being should be enhanced through the caring of a nurse who understands the common human responses to a specific health problem. |
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The Primacy of Caring (Benner and Wrubel): |
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Described as a relationship in which caring is primary because it sets up the possibility of giving and receiving help. The nurse needs to understand what is important to the patient, and uses that knowledge to make clinical judgements. |
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Empirical Knowing: The Science of Nursing |
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Ranges from factual, observable phenomena, (anatomy, physiology,chemistry) to theoretical analysis (developmental theory, adaptive theory). |
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Personal Knowing: The Therapeutic Use of Self |
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Personal knowledge promotes wholeness and integrity in the personal encounter, achieves engagement rather than detachment, and denies the manipulative or impersonal approach. |
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Ethical Knowing: The Moral Component |
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Focuses on matters of obligation or what ought to be done, and goes beyond simply following ethical codes of the discipline. |
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What is Nursing Presence? |
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being emotionally present to the client and family, the nurse conveys that they and their experiences matter. Physical Presence is combined with the promise of availability, especially during a time of need. |
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Four dimensions of client advocacy: |
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1. Being a client advocate 2. Following through or following up 3. Providing resources 4. Going above and beyond |
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The nurse aims to to know who the client is, in his or her uniqueness. The knwledge is gained by observing and talking with the client and family, using listening and communication skills. |
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How does a Nurse show compassion? |
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The nurse must be able to identify with the cllient, appreciating the pain and discomfort of illness, or imagining "walking in his shoes". |
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The nurse employs the necessary knowledge, judgment, skills, and motivation to respond adequately to the client's needs. |
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It is important to Care Take for yourself so that you can "grow", and be a better nurse. -Balanced diet -Regular Excercise -Adequate rest and sleep -Recreational activities -Meditation and prayer |
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Thinking from a critical point of view, analyzing why one acted in a certain way, and assessing the results of one's action. |
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