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Fundamentals of Nursing Chapter 7: Caring in Nursing Practice

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30 Questions

What is the primary focus of Leininger's Transcultural Caring theory?

Emphasizing the importance of cultural competence in nursing care

What is a common theme among nursing caring theories?

Highly relational and context-dependent nature of caring

Which of the following is NOT a characteristic of caring in nursing practice?

Caring is primarily focused on medical treatment outcomes

What is the primary purpose of the Caring Assessment Tool?

To measure patients' perceptions of caring in healthcare settings

What is an essential aspect of building a nurse-patient relationship?

Assessing patients' expectations of care

What is the ethic of care concerned with?

The relationships between healthcare providers and patients

What is a characteristic of caring in nursing practice?

Caring is one of those human behaviors that we can give and receive

What is the significance of knowing the context of a patient's illness?

It enables nurses to choose individualized interventions

What is the result when patients sense that healthcare providers are sensitive, sympathetic, and compassionate?

They become active partners in the plan of care

What is a benefit of caring in nursing practice?

It enhances patient satisfaction and outcomes

What is the primary purpose of providing presence in a patient-nurse encounter?

To convey a sense of caring and closeness

What is the primary benefit of touch in patient care?

It conveys a sense of comfort and connection

What is the primary goal of active listening in patient care?

To understand a patient's values and concerns

What is essential for reducing symptoms and suffering in patients?

Conveying a quiet, caring presence and listening to the patient

What is the core of clinical decision making and patient-centered care?

Knowing the patient

What facilitates spiritual health in a patient?

A sense of intrapersonal, interpersonal, and transpersonal connectedness

What should nurses prioritize when caring for an individual?

Involving family caregivers in the care process

What is the primary purpose of self-care in patient care?

To recognize the importance of caring for oneself

What is a key challenge in providing compassionate care?

Task-oriented biomedical model and institutional demands

How can nurses provide comfort to patients?

By providing a listening, nonjudgmental, caring presence

What is the result of not using touch with discretion in patient care?

A patient may misinterpret the message

What is a factor that facilitates knowing a patient in patient care?

Time

What is the result of prioritizing task-oriented biomedical models and institutional demands?

Decreased patient comfort and dignity

What is the primary benefit of using caring behaviors to reach out to colleagues?

It conveys a sense of caring and support

Why is it essential to understand the stress of a patient's illness on family members?

To provide support and resources to family caregivers

What is the primary goal of establishing presence in patient care?

To strengthen a nurse's ability to provide effective patient-centered care

What is the ultimate goal of healthcare?

To provide compassionate care that makes a positive difference

How can nurses help family caregivers?

By helping them understand the patient's needs and providing support

What is the role of technology in providing compassionate care?

It is a tool that can be used to support compassionate care

What is the desired outcome of providing compassionate care?

Making a positive difference in patient's lives

Study Notes

Theoretical Views on Caring

  • Caring is primary and has common themes among nursing theories
  • Leininger's Transcultural Caring theory focuses on cultural aspects
  • Watson's Transpersonal Caring theory emphasizes the connection between nurse and patient
  • Swanson's Theory of Caring highlights the importance of knowing the patient's context

Patient's Perspective of Caring

  • Patients value the affective dimension of nursing care
  • The Caring Assessment Tool measures patients' perceptions of caring
  • When patients feel sensitive, sympathetic, and compassionate care, they become active partners in the plan of care
  • Assessing patient expectations and building a nurse-patient relationship are essential

Ethic of Care

  • Caring is an interaction of mutual respect and trust
  • The ethic of care is concerned with relationships between people and a nurse's character
  • Caring is an important aspect of a nurse's behavior

Caring in Nursing Practice

  • Caring is a skill that develops with practice and experience
  • Caring is a human behavior that can be given and received
  • Recognizing the importance of self-care and caring for colleagues is essential

Providing Presence

  • Providing presence is a person-to-person encounter that conveys closeness and caring
  • Presence involves "being there" and "being with" the patient
  • Nursing presence is the connectedness between a nurse and a patient
  • Establishing presence strengthens the ability to provide effective patient-centered care

Touch

  • Touch provides comfort and creates a connection
  • Types of touch include noncontact touch, contact touch, task-oriented touch, caring touch, protective touch, and therapeutic touch
  • Touch conveys many messages, so it should be used with discretion

Listening

  • Listening is necessary for meaningful interactions with patients
  • True listening leads to knowing and responding to what really matters to a patient and family
  • Effective listening requires silence and an open mind
  • Active listening helps to truly know patients and what is important to them

Knowing the Patient

  • Knowing the patient is the core of clinical decision making and patient-centered care
  • Factors that facilitate knowing include time, continuity of care, teamwork, trust, and experience
  • Clinical expertise is essential for knowing the patient

Spiritual Caring

  • Spiritual health is achieved when a person finds balance between their life values, goals, and beliefs
  • Spirituality offers a sense of intrapersonal, interpersonal, and transpersonal connectedness

Relieving Symptoms and Suffering

  • Reducing symptoms and suffering requires caring nursing actions that provide comfort, dignity, respect, and peace
  • A quiet, caring presence, touching, and listening can help assess and understand a patient's discomfort
  • Providing comfort through a listening, nonjudgmental, caring presence is essential

Family Care

  • Caring for an individual includes caring for their family
  • Nurses should help family caregivers be active participants
  • Understanding the stress a patient's illness places on family members is essential

The Challenge of Caring

  • Challenges to caring include the task-oriented biomedical model, institutional demands, time constraints, and reliance on technology
  • Health care must become more compassionate to make a positive difference

This quiz covers the theoretical views on caring in nursing practice, including Leininger's Transcultural Caring, Watson's Transpersonal Caring, and Swanson's Theory of Caring. It is based on Chapter 7 of the 11th Edition of Fundamentals of Nursing.

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