2. Introduction
• Nightingale believed that every woman, once in lifetime, she will
experience nursing, meaning taking care of a sick person.
• The intention, compassion, and interdependency attitude is a key factor in
nursing practice.
• Nursing is a caring profession
• Caring involves compassion, kindness, love and nurturance
(Alligood, 2014, Carper, 1978)
3. Purpose
• Applicable to acute and chronic healthcare facilities
• RNs, NPs, Physicians and other ancilliary health workers, parents and care givers
• Healthcare facilities such as hospitals, nursing homes
• Schools, universities, colleges
• This model can be utilized by nurses, physicians, health care workers, teachers
and parents.
Alligood, 2014
4. Compassion Assumptions and
Values
• Spirituality: Believing in interdependence in existence between self and
others in the whole universe, resonating the flow and fluidity.
• “Human being need continuous, purposeful responses to themselves and
their environments to remain alive and function in accordance with natural
human attribution (Alligood, 2014, p. 247).”
• Nurses mindful of inter-relationship and interdependence nature with self,
others, environment and the whole universe
• Compassion cannot be biased
• Compassion a cornerstone in practice of nursing to uplift well being of
people in suffering
Alligood, 2014
5. Assumptions and Values
• Sense of interdependency between people, environment, health and nursing
practice is key factor is delivery nursing care, uplifting client’s health in the
hospital, homes, clinics or other living spaces
• “Every action has equal and opposite reaction.”
• Interdependent nature binds us together as a human family
• Intent to help the others develop with compassion
Alligood, 2014
6. Concepts
• Nursing: Nursing consists of knowledge, thought, values, philosophy, commitment and
action.
• Nursing is way of performing nursing practice through a unique pattern of combination
knowledge, subjective approach and overall discovery of providing care through various
qualities such as caring, compassion, unconditional love and good intention.
• Nurses work in interdependence with other health care professionals
( Alligood, 2014,p. Carper, 1978)
7. Concepts
• Person: Each individual is unique, requiring unique individualized care
• Each person is holistic-Union of mind, body and spiritual nature
• Person in suffering is vulnerable and needs pure intent from nurse to help him get
better
• Diversity, cultural dimension and modernization
• Family and friends involved
• Health: Disease and illness are reparative
• Health can be maintained and improved with time
• Illness can be prevented, healed and adapted
8. Concepts
• Environment: External environment outside the client’s body.
• Immediate outside environment, community, nation, universe
• Natural resources availability
• Geo-Sociopolitical changes awareness
• World climate change and disease prevalence
• Epidemics and pandemics
Alligood, 2014
9. Practice Model
Nurse: Compassion
Intention,
interdependence
Unconditional love
.
Environment: Immediate
Surrounding,
neighborhood,
community, universe.
Geo-sociopolitical
changes,
Client:
Individual,
holistic being,
Unique unison
of mind, body
and spirits.
Zone of Harmony:
healing occurs and
equilibrium settles.
Intention of nurse
creates, positive
environment, which
helps in helping the client
experience better
recovery and positive
emotional growth.
Health: Illness is preventable
Reparative process, Personal
& Public health,
epidemiology.
10. Theoretical Statements
• Nursing intervention is dependent upon the idea that all things are inter-
dependent and nothing exists of its own
• Building a caring, compassionate and pure intention build the foundation for a
trusting relationship
• Maslow’s hierarchy of needs cannot be underestimated while caring for client
• Unconditional acceptance occurs with an altruistic mind and a pure compassion
for all beings
• Understand the client’s world, his or her environment with the health
Alligood, 2014
11. Conclusion
• Interdependency and interrelationship is a key factor in nursing practice
• Intention of nurses should be clear and therapeutic in nature
• Nursing compassionate care through sense of interdependence with a good
intention can bring harmony in patient with alleviating illness
• Zone of Harmony: The overlapping zone where, all nursing practice, health of
client, and the environment all come in uniformity and equilibrium towards a
positive recovery. Nursing cannot practice isolated compassion and intent
without the client, health and environment
• Alligood, 2014
12. References
• Alligood, M.(2014). Nursing theorists and Their work, 7th Ed. Missouri: Mosby
Elsevier
• Carper, B.A. (1978). Fudamental pattern of knowing in nursing. In advances in
nursing science. 1(1): p: 13-24. Aspen Publishers Inc.
• Potter, A., Perry, A., Stockert, A.,& Hall, A. (2013). In Fundamental of nursing. (8th
ed.). St. Louis. MO: Elsevier Mosby
• Richardson, C., Percy, M., & Hughes, J. (2015). Nursing therapeutics: Teaching
student nurses care, compassion and empathy. Nurse education today. 35 (p. e1-
e5). http://dx.doi.org/10.1016/j.nedt.2015.01.016
• Sturgeon, D. (2008). Measuring compassion in nursing. Nursing Standard, 22(46),
42-3. Retrieved from
http://search.proquest.com/docview/219871430?accountid=12415
My practice model with intention, interdependence and compassion are derived from the nursing theory of Erickson and Buddhist concept of interdependence and compassion. In order to generate compassion, we have too build an intent with a sense of interdependence nature of our existence. Nurse can never be able to practice to the fullest if she cannot develop unbiased compassion. Compassion is a sense of feeling of wishing someone free from suffering. In our daily life, practicing compassion is always possible with an intent with sense of interdependence.
Nursing is an act of performing care through good intention, compassion and with a sense of interdependence (Alligood, 2014). The universal love and compassion development create a sense of interdependency between each human being, their environment and the well being. Our practice is caring should be guided with the idea that we all desire happiness and not wanting suffering, where the seed of interdependency blooms to generate good intention and compassion about others and thus uplift others in suffering through our action (Sturgeon, 2008).
This model can be practiced by all involving some form of caring act of performance such as nurses, physicians, healthcare workers, psychologists, parents, teachers. This can be practiced at hospitals, nursing homes, transitional care, school, universities and home environment.
Compassion is a pre-requirement to be a caring nurse. Patients look for quality of care from nurses through how much compassionate they were in taking care of them (Sturgeon, 2008). “Spirituality is the pandimensional awareness of mutual human/environent field process as a manifestation of higher frequency associated with creative and diverse experience (Alligood, 2014, p. 27).”
Strong belief in interconnections and inter-dependency always guides us to provide the best possible care to a person in sickness ( Alligood, 2014). The strong sense of inter-dependency provides a solid foundation to take actions with full awareness of the system we are interacting as “every action has equal and opposite reactions” The importance of developing compassion brings the nature of caring others out to the surface that patients can feel it (Sturgeon, 2008).
Nursing is caring, nurturance and compassionate profession, where the care delivered is through unconditional acceptance. Nursing is an interactive, interdependent profession with other healthcare and the patient. Nursing practice is governed by many traits of humane nature such as compassion, caring, kindness, unconditional love, nurturance and with good intent to help and alleviate pain (Alligood, 2014)
Person concept of nursing meta-paradigm is considered as an individual with individualized care, nurtured by nurses with pure acceptance and with a good intent to positively impact the one in suffering. Person in illness a vulnerable being who needs to be respected, protected and advocated. The illness is preventable in the hospitals. Such as practice of removing foley catheter early on provides less risk for UTI for the hospitalized patients(Potter, Perry & Hall, 2013). Health is the the state of well being with equilibrium within the client and the external environment (Alligood, 2014).
Environment is anything outside the client’s body, such as the immediate environment, neighborhood, community, the universe at large. Also affected by how the geo-sociopolitical changes, climate changes around the globe and epidemics and pandemics associated with the client’s environment. The nurse would need to be mindful and be aware of the whole environment in order to support the client towards positive recovery and prevention of diseases (Alligood, 2014).
The four nursing metaparadigm meet at the center to create a zone of harmony, where the equilibrium prevails to stabilize the client and his environment. Nurses cannot work isolative without interacting compassionately with an intent to create a therapeutic relationship. Nurses have to be mindful of making an earnest effort to understand the client and his environment, such as geo-sociopolitical effects on clients without health insurance etc so that she can provide the best referral and resources to the client to prevent diseases (Alligood, 2014).
Nursing caring intention and compassionate care go hand in hand as they do not occur without each other. Client’s basic needs must be fulfilled prior to moving onto the next higher level of needs to stabilize the client. Unconditional acceptance cannot occur without a pure compassion in the nurse’s heart, hence, compassionate heart, good intention all are dependent on each other to bring health and wellness in the client and his world (Alligood, 2014).