Ch. 7 Caring in Nursing Practice

Swanson's Theory of Caring

- Knowing - Being with - Doing for - Enabling - Maintaining belief

Watson's 10 Carative Factors

1) Forming a human-altruistic value system 2) Instilling faith-hope 3) Cultivating sensitivity to one's self and to others 4) Developing a helping, trusting, human caring relationship 5) Promoting/expressing positive/negative feelings 6) Using creative problem-solving, caring processes 7) Promoting transpersonal teaching-learning 8) Providing for a supportive, protective, and/or corrective mental, physical, societal and spiritual environment 9) Meeting human needs 10) Allowing for existential-phenomenological-spiritual forces

10) Allowing for existential-phenomenological-spiritual forces

Allow spiritual forces to provide a better understanding of yourself and your patient

Being emotionally present to the other

Being with

3) Cultivating sensitivity to one's self and to others

Learn to accept yourself and others for their full potential. A caring nurse matures into becoming a self-actualized nurse.

Which type of intervention is the best way to know the patient?

Active Listening

6) Using creative problem-solving, caring processes

Applying the nursing process for decision making

Intrapersonally

Connected with oneself

Interpersonally

Connected with others and the environment

Transpersonally

Connected with the unseen, God, or a higher power

8) Providing for a supportive, protective, and/or corrective mental, physical, societal and spiritual environment

Create a healing environment at all levels, physical and nonphysical. This promotes wholeness, beauty, comfort, dignity, and peace

The nurse is caring for a patient who is in the terminal stage of a fatal disease. This is taking a toll on the nurse's emotional well-being. Which action is an example of protective touch that nurses can employ for their own well-being?

Distance oneself from this patient.

Doing for the other as he or she would do for self if it were at all possible

Doing for

While inserting a catheter, the nurse drapes the patient with a cloth and instructs the patient to take deep breaths. Which caring process of Swanson's theory does the nurse address in this situation?

Doing for

Facilitating the other's passage through life transitions (e.g., birth, death) and unfamiliar events

Enabling

The nurse is caring for a patient who has lost her husband in an accident. The nurse is helping the patient cope with this loss in her life. Which caring process is the nurse applying?

Enabling Enabling is a process which helps the patient to deal with the various transitions in life. Helping the woman cope with her husband's death is an enabling process

4) Developing a helping, trusting, human caring relationship

Forming a caring relationship with the patient through effective communication

A devoutly religious Christian patient suffers from an anxiety disorder. Which type of information should the nurse avoid providing to the patient pertaining to the religious aspect of connectedness?

Impersonal

Which nursing intervention indicates that the nurse is providing family care for a patient who is in the last stage of cancer?

Involving the patient's family in treatment-related decisions When providing family-oriented care, the nurse involves the family in all decisions and treatments. The nurse assists the patient with activities of daily living as a part of patient care. The nurse interacts actively with the family members and assists them while providing care. Stepping back from care in the presence of family members is not effective patient care. The nurse is responsible for the patient's complete care. Therefore, the nurse should allow the assistance of the family for personal hygiene but should not instruct the family to take complete responsibility.

The nurse holds the hands of a patient when talking to the patient during rounds. Which is a likely impact of the nurse's behavior?

It enhances the self-esteem and mental health of the patient

A patient is undergoing treatment for lung cancer and is depressed due to the diagnosis. The nurse tries to understand the patient's feelings without making any assumptions. Which caring process is this, according to Swanson's theory?

Knowing

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

Knowing

7) Promoting transpersonal teaching-learning

Learn together while educating the patient to acquire self-care skills. The patient assumes responsibility for learning

A patient is admitted to a hospital after a miscarriage. The nurse offers the patient realistic optimism. Which process of care is this?

Maintaining belief

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

Maintaining belief

2) Instilling faith-hope

Provide a connection with the patient that offers purpose and direction when trying to find the meaning of an illness.

Which nursing action is an example of Watson's Carative Factor "creative problem-solving, caring processes"?

Recognizing a patient's discomfort and providing an assistant of the same gender.

The nurse is caring for a critically ill patient. Which intervention supports the formation of a human-altruistic value system, according to Watson's transpersonal caring theory?

Smiling at the patient and talking in polite language

5) Promoting and Expressing positive & negative feelings

Support and accept your patients' feelings. In connecting with your patients you show a willingness to take risks in sharing in the relationship

A patient is admitted to a hospital for cardiac a dysrhythmia. While attending to the patient, the nurse uses a caring touch. Which actions demonstrate a caring touch? Select all that apply.

The nurse positions the patient comfortably. The nurse comforts the patient and holds the patient's hands. The nurse engages in a conversation with the patient.

1) Forming a human-altruistic value system

Use loving kindness to extend yourself. Use self-disclosure appropriately to promote a therapeutic alliance with your patient (e.g., share a personal experience in common with your patient such as a childrearing experience, an illness, or an experience with a parent who needs assistance).

9) Meeting human needs

providing a hygienic environment, proper diet, and recreational facilities