Caring & Spirituality Study Guide.ADN-MGCCC
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Feeling & exhibiting concern & empathy for others
Feeling or showing care and compassion for other people
Of or relating to professional social or medical care: the caring professions
Like love, it is a primal concept known all over the world
What is Caring?
- Universal phenomena
- Influences the way people think, feel, behave
- Actualizes a cherished value in nursing
- Individualizes client care
- It is the heart of nursing
- Non-paternalistic approach to helping others grow, gain self knowledge, self control and self healing
- The process through which nurses help others in their healing and self growth
What is the consensus about caring among nurses?
Caring serves as nursing's central value, providing an organizing framework for professional research, education, and theory development
The therapeutic use of self in an intentional process that involves the awareness of another's need and the knowledge of how to respond to that need
Theories & Theorists of Nursing & Caring:
- All theories are based on the care of the patient/client
- Lydia E. Hall (1966) - Nurturing Care
- Madeline Leininger (1978) - Caring is the central theme of nursing care
- Jean Watson (1979) - Caring for the sick
Caring based on humanistic philosophy
Caring is important in all nursing roles
- Banner: Caring means that person, events, projects, and things matter to people "Caring creates possibilities"
- Clients are not all the same
- Through caring, nurses learn to listen to clients
- Therapeutic, client centered nursing
Nurse-patient relationship is central to this (Life Choices)
Promotion of the dignity & respect of patients as people
Attention to the particulars of individual patients
What are the challenges of caring?
- Nursing can be difficult & demanding
- Nurses are given less time to spend with clients
- Cost effective health care
- Clients can become a number
- Nurses can become frustrated
5 Caring Processes:
- BEING WITH
- DOING FOR
- MAINTAINING BELIEF
Define "knowing" in the caring process
Striving to understand an event as it has meaning in the life of the other
Define "Being with" in the caring process
Being emotionally present to another
Define "Doing for" in the caring process
Doing for the other as he or she would do for themselves if it were possible
Define "Enabling" in the caring process
Facilitating the other's passage through life transitions and unfamiliar events
Define "Maintaining belief" in the caring process
Sustaining faith in the other's capacity to get through an event or transition and face a future with meaning
How can we provide a presence of caring in the nursing practice?
- Being with:
- Non verbal and verbal messages
- Important during stressful events
- Help to ally fear or ansiey
- Give assurance
- The OTHER'S experience matters
- Contact Touch....skin to skin
- Non Contact....eye contac
- Task Oriented Touch....Performing a task
- Caring Touch....Holding a clients hand
- Protective Touch....Preventing an accident or fall.
- Provides emotional and physical calm
- Skillful and gentle performance of a nursing procedure
- Not simply "doing for"
- Meeting the client's needs
How does listening/knowing the client help?
- Nurse avoid assumptions
- Client is at the core of decisions
- Assess cures that client gives
- Ability to detect changes in the client
- Much, much more than simply knowing the client and gathering data
How do families percieve nursing care behavior?
- Being honest
- Giving clear explanation
- Keeping family members informed
- Trying to make the client comfortable
- Showing interest answering questions
- Providing necessary emergency care
- Assuring the client that nursing is available
- Answering questions honestly, openly, and willingly
- Allowing clients to do as much for themselves as possible, teaching the family how to keep the relative physically and emotionally comfortable
Paying attention to the spiritual dimension of health and well-being is integral to holistic care
What are the 3 Spiritual Needs?
Need for meaning and purpose
Need for love and relatedness
Need for forgiveness
Anything that pertains to a person's relationship with a nonmaterial life force or higher power
Spirituality may include religion, which refers to an organized system of beliefs about a higher power
What are common characteristics of religions?
- Basis of authority or source of power
- Portion of scripture or sacred word
- Ethical code defining right or wrong
- A psychology and identity
- Aspirations or expectations
- Some ideas about what follows death
Can be both positive and negative and can influence spirituality
Nursing Interventions in Caring
- Offering supportive presence
- Facilitating patient's practice of religion
- Nurturing spirituality
- Praying with a patient
- Praying for a patient
- Counseling the patient spiritually
- Contacting a spiritual counselor
- Resolving conflicts between treatment and spiritual activities
What do we do to prepare a room for spiritual counselor visit?
- Make sure room is orderly and free of unnecessary equipment
- Provide a seat for the counselor near patient's bed
- Clear the top of bedside table and cover with clean white cloth for sacraments
- Draw bed curtains if patient cannot be moved to private setting
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