3. CARING - INTRODUCTION
Pressure, Time constraint – Health
care professional become cold and
uncaring to client needs.
Technological advances makes client
relationship as less important.
4. CARING - INTRODUCTION
• HAVE YOU EVER BEEN ILL?
OR
• EXPERIENCED A PROBLEM REQUIRING
HEALTH CARE INTERVENTION?
5. Scenario - 1
A nurse enters a client’s room greets the client warmly while
touching the client lightly on her shoulder, makes eye contact,
spend some minutes and asks about the client’s thoughts and
concerns, listens to the client’s story, looks at the IV solution
hanging in the room, briefly examines the client, and then checks
the vital signs and summary on the bedside computer screen before
departing the room.
6. Scenario - 2
•A second nurse enters a client’s room,
looks at the IV solution hanging in the
room, checks the vital signs and summary
on the bedside computer screen before
departing the room.
8. Interpretation
• Scenario 1: Nurse’s calm presence, parallel eye contact,
attention to the client’s concerns, and physical closeness
- Conveys a person-centered, comforting approach
• Scenario 2: Conveys sense of uncaring and uninterested,
only interested in the tasks of nursing care.
9. Interpretation
• During sickness, when a person seeks the professional nurses -
The guidance of a nurse - Caring is essential in reaching
positive outcomes.
10. Caring is Universal
• Influences the way people think, feel
and act
• Many nursing theorists have tried to
“define” caring – Nightingale was first.
• Caring is the heart of nursing
11. • No universally accepted definition
for caring in nursing.
• It can be prescribed from 4
perspectives.
13. Perspectives of Caring
• First Perspective: Sense of Caring
Common perspective for students to
appreciate.
It emphasizes compassion, or being
concerned about others.
May or may not require knowledge
expertise.
14. Perspectives of Caring
• Second Perspective: Doing for others
what they cannot do for themselves.
Nurse does this all the time.
It requires knowledge and expertise to
be effective.
15. Perspectives of Caring
Third Perspective: To care for medical
problems.
Require knowledge of the problems
interventions and expertise to provide
care.
Eg: Wound care, Administration of
medication.
16. Perspectives of Caring
Fourth Perspective: “Competence in
carrying out all the required
procedures, personal and technical,
with true concern for providing the
proper care at the proper time in the
proper way.
17. • Not all four types of caring aspects must be
used at one time to be described as caring.
18. Patient’s View - Caring
• Patients may not see the knowledge
and skills that nurses need,
BUT
• They can appreciate when a nurse is
there with them.
19. Patient’s View - Caring
• The nurse–patient relationship can
make a difference when the nurse uses
caring consciously (Schwein, 2004).
20. Characteristics of Nurse - Patient Relationship
Being physically present with the patient
Having a dialogue with the patient
Showing a willingness to share and hear - to use active listening
Avoiding assumptions
Maintaining confidentiality
Showing awareness and flexibility
Believing in confidence
23. Expressions of Care
oSpiritual
Being aware of & honoring patient’s beliefs
oPresence
Being there
Physically present
Demonstrating understanding
Being with
Sharing oneself
24. Expressions of Care
• Touch
Skin-to-skin
Eye contact (nonverbal)
Protective – to prevent injury
• Listening
Taking in patient information
Interpreting what has been taken in
