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Can Caring Be Taught???. Keith Rischer RN, MA, CEN, CCRN. Nursing’s Historical Legacy of Caring.
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Can Caring Be Taught??? Keith Rischer RN, MA, CEN, CCRN
Nursing’s Historical Legacy of Caring “The spirit in which she does her work makes all the difference. Invested as she should with the dignity of her profession and the cloak of love for suffering humanity, she can ennoble anything her hand may be called upon to do, and for work done in this spirit there will ever come to her a recompense far outweighing that of silver and gold….
Caring Defined… “Swanson defines…“Caring is a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility”
“Practicing in a caring manner leads to the nurse’s well being, both personally and professionally. Personal outcomes of caring include feeling important, accomplished, and whole. Professionally practicing caring leads to enhanced intuition, empathy, clinical judgment and work satisfaction.” Kristen Swanson RN, PhD, FAAN
How This Caring Theory Came to be… • I. 20 women who miscarried • “What constituted caring in the instance of miscarriage?” • II. 19 careproviders in the NICU • “What is it like to be provider of care in the NICU” • III. 8 high risk young mothers who received LT public health nursing intervention • “How did you recall and describe your nurse-patient relationship after intervention?”
Swanson’s Framework of Caring • Knowing (Empathetic Understanding) • Striving to understand an event as it has meaning in the life of the other • Avoiding assumptions • Centering on the one cared for • Assessing thoroughly • Seeking cues • Engaging the self
Swanson’s Framework of Caring • Being With (Emotionally Present) • Being emotionally present to the other • Being there • Conveying availability • Sharing feelings • Not burdening
Swanson’s Framework of Caring • Doing For (Enact For) • Doing for the other as he/she would do for oneself…but no more • Anticipating their needs • Performing competently/skillfully • Preserving dignity
Swanson’s Framework of Caring • Enabling (Empowering) • Facilitating the other’s passage through life transitions and face a future with meaning • Informing/explaining • patient education • Validating-giving feedback • Generating alternatives-thinking it through
Swanson’s Framework of Caring • Maintaining Belief (Esteem) • Sustaining faith in the other’s capacity to get through an event/transition and face a future with meaning • Believe in/holding in esteem • Maintaining a hope filled attitude • Offering realistic optimism
Application in Clinical Setting CLINICAL WEEK #1 I.Knowing(Empathetic Understanding) Striving to understand an event as it has meaning in the life of the other
Application in Clinical Setting II. Being With (Emotionally present) Being emotionally present to the other