Caring & Spirituality Study Guide.ADN-MGCCC

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

• 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

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

• 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

Watson (1985)

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

• Nursing can be difficult & demanding
• Nurses are given less time to spend with clients
• Technology
• Cost effective health care
• Clients can become a number
• Nurses can become frustrated

• KNOWING
• BEING WITH
• DOING FOR
• ENABLING
• MAINTAINING BELIEF

Striving to understand an event as it has meaning in the life of the other

Being emotionally present to another

Doing for the other as he or she would do for themselves if it were possible

Facilitating the other's passage through life transitions and unfamiliar events

Sustaining faith in the other's capacity to get through an event or transition and face a future with meaning

• 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

• 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
• BONDING

• 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

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

• 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

• 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

• 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