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90 terms

NUR CHP 8

STUDY
PLAY
What is caring
a nurturing way of relating to a valued other towards whom one feels a personal sense of commitment and responsibility
Caring influences us how 3 ways
way we think, feel and behave
What did Florence Nightingale study
caring
Who said Caring is Primary
1980s Benner and Wrubel
What kind of nurses were Benner and Wrubel
Holisitic
What did Benner and Wrubel want people to do
Study nurses stories and analyze their meanings
Health is not simply..?
the absence of illness
Are illness and disease identical?
no
What is illness?
to lose or dysfunction
what is disease
is the manifestation of an abnormaility at the cell, tissue, or organ level
Health exists along a?
Continuum
What determines what matters to a person
caring
Who came up with the Transcultural perspective
Madeleine Leininger 1978
What is an essential human need
caring
What Distinguishes nursing from other disciplines
caring
What helps an individual or group improve a human condition
Caring
Who came up with Transpersonal Caring
Jean Watson 1988, 1979
What is Transpersonal Caring
High quality human interaction; spiritual in nature
What is it based model
holistic
What does it promote
Healing and wholeness
What does it reject
rejects disease orientation
What is its slogan transpersonal caring
Care before Cure
What theory is composed of three studies in a prenatal unit
Swanson's Theory of Caring
What does Swansons theory of caring define caring as
as a nurturing way of relating to a valued other, toward whom one feels a personal sense of commitment and responsibility
Define:Maintaining belief
sustaining faith in the others capacity to get through an event or transition and face a future with meaning
define: knowing
striving to understand an event as it as meaning in the life of the other
define:being with
being emotionally present to the other
define:doing for
doing for the other as he would do for the self if it were at all possible
define:enabling
facilitating the others passage through life transitions and unfamiliar events
What is at the center of decision making
Caring
Who is client advocate who solves ethical dilemmas by creating a relationship
Nurse
What behaviors are caring in nursing? 3
present, providing a caring touch, listening
Caring is a product of? 4
culture, values, experiences and relationships with others
Define: Presence
is a person to person encounter conveying a closeness and a sense of caring
What is "Being There"
is not only a physical presence, but also communcation and understanding
What is "Being with"
which means being available and at a clients disposal
Are Being there and being with interpersonal or extrapersonal
interpersonal
What 5 things happen when a nurse creates presence
eye contact, body language, voice tone, listening, having a positive and encouraging attitude
The use of touch is?
comforting
What is contact touch
involves obvious skin to skin contact
what is noncontact touch
eye contact
What three categories is touch descirgbed as
task orientated, caring and protective
What is protective touch
is a form of touch used to protect the nurse and or client
What is the most obvious form of protective touch
preventing an accident
What three things does listening include
Interpretation, understanding and giving back
When does knowing develop
over time
knowing the client lies in the ?
relationship that is established
What is the core process of clinical decision making
knowing the client
6 things knowing include are
response to therapy, routines, habits, coping, physical capacities and endurance
What is one of the biggest barriers related to?
nurse client ratios
When is spiritual care achieved
when a person can find a balance between tehir life values, goals and belief symptoms
What three things does spirituality offer
a sense of intrapersonal, interpersonal and transpersonal
It is important to know this as much as you know the client
the family
Can caring occur if a person is isolated from a family
no
Family is an __ resource
integral
What are the 8 clients perception of caring
Checking up on client
Give shot managing equipment skillfully
having a good attitude
being physicall present
returning voluntarily without being called
using soft gentle voice
What are some Nursing Behaviors as perceived by families 7
Being honest
giving clear explanations
Keeping family members informed
Trying to make the client comfortable
showing interest in answering questions
providing emergency care
teaching the family how to assist

Teaching the family ho
What two things makes it harder for nurses to spend itme with clients
technology and cost effective health care stragties
Caring is the heart of a nurse ability to work with people in a __ and __ way
respectful and therapeutic way
For caring to achieve cure, nurses need to learn?
that those culoturally specific behaviors and words that reflect human caring different cultures
Any treatment or intervention given without consideration of its meaning to the individual is likely to be?
worthless
Nurses demonstrate caring by helping family members become ?
actively participating in clients care
What describes knowing the client
establishing an enhanced understanding of the clients needs
Helping a new mother through the birthing experience demonstrates which of the five caring behaviors
Enabling
Mr kline is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the bible with jada, his nurse and she recommends a favorite bible verse. Another nurse tells jada that there is no place in nursing for Spiritual caring, Jada Replies
Spiritual, mind, and body connections can all affect health
A number of strategies have potential for creating work environments that enable nurses to demonstrate more caring behaviors. Some of these include
Flexibility, autonomy, and improved staffing
A nurse demonstrates caring by helping family members
become active participants in care
Listening is not only taking in what a client says it also includes
interpreting and understanding what the client means
Presence involves a person to person encounter that
conveys a closeness and a sense of caring
Clients perceptions are important because health care
is placing greater emphasis on client satisfaction
The nurse demonstrations knowing the client by
able to detect changes in the clients condition based on shared information and bonding
The nurse who knows the client can 3 things
predict response, capacity and endurance
the caring aspect of nursing may be negatively afected in clinical practice today primilary because of
Rise in Technology
According to Watsons Transpersonal Caring Theory, The nurse should understand that?
caring can increase healing and promote well being
because client and nurses differ in their perceptions of caring, it is important that the nurse
seek information on what is important to teh client
What would a nurses showing behavior that incidates that the nurse is providing presence in a caring relationship?
the nurse that stays with the patient when they are undergoing a surgery or procedure they do not know
The nurse can demonstrate listenin skills by
paying attention to the tone of the voice and the meaning of the words
The nurse can demonstrate caring to a client who has recently suffered a loss through miscarriage by
Sitting with them in silence
A nurse who normally uses toiuch when caring for clients might consider this inapproiprate
a client that is displaying fear or suspicioun
Considers the nurse as client advocate, senstivite to unequal relationships and attending to relationshipa
ethics of caring
Recognition of the cultural variances in expression, process and behaviors
transcultural perspective
Eye contact body language, listening are examples of
behaviors that communicate caring
a form of nonverbal communcation that can promote comfort and security and improve thru self esteem
caring touch
Caring is the heart of a nurse ability to work with people in a
respectful and therapeutic way
for caring to achieve cure
nurses need to learn those culturally specific behaviors and words that reflect human caring in different cultures
Because illness is the human experiecne of loss or dysfunction, any treatment or intervention given without consideration of its meaning to teh individual is likely to be
worthless
Swansons theory of caring includes five caring processes
knowing, beingw ith, doing for, enabling and maintaing belief
Listening is not only taking in what a client says, it also includes interpretation and understanding of waht the client is saying and giving back that?
understanding to the person talking
knowing the client is at the?
core of the process nurses use to make clinical decisions
nurses demonstrate caringg by helping family members become?
active participants in a clients care