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Discuss the meaning of caring.
Concepts for Lecture
1. There are a number of definitions of caring in the text. Caring means
2. Mayeroff (1990) has proposed that to care for another individual is
to help the individual grow and actualize himor herself. Caring is a
process that develops over time, resulting in a deepening and trans-
formation of the relationship.
er’s needs and how to respond to these needs); alternating rhythms
(moving back and forth between the immediate and long-term mean-
ing of behavior, considering the past); patience (enabling the other to
grow in his or her own way and time); honesty (having an awareness
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2
Identify nursing theories focusing on caring.
Concepts for Lecture
2. Leininger’s theory of culture care diversity and universality is based
3. Ray’s theory of bureaucratic caring focuses on caring in organiza-
4. Roach focuses on caring as a philosophical concept and proposes
that caring is the human mode of being. All individuals are caring
and develop their caring abilities by being true to self, being real,
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HAPTER
25
CARING
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UGGESTIONS FOR
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Have each student select a definition of caring
that most reflects his or her understanding of this
concept. Ask the students to write several
paragraphs explaining the rationale for their
selections.
Provide examples of the major ingredients of
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and contrast findings.
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If a specific theory of caring is used in the school
of nursing, explore this theory in greater detail,
including how to apply concepts from this theory
to nursing care.
Divide students into groups and assign a theo-
theory books and resources available for stu-
Discuss Ray’s theory of bureaucratic car-
5. Boykin and Schoenhofer propose the theory of nursing as caring.
They suggest that the purpose of the discipline and profession of
6. Watson’s theory of human care views caring as the essence and the
7. Swanson defines caring as a nurturing way of relating to a valued
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3
Analyze the importance of different types of knowledge in nursing.
Concepts for Lecture
1. Nursing involves different types of knowledge that are integrated to
guide nursing practice. Nurses require scientific knowledge (empiri-
cal knowledge), therapeutic use of self (personal knowledge), mor-
al/ethical knowledge (ethical knowing), and creative action
phenomenon to theoretical analysis.
Aesthetic knowing is the art of nursing and is expressed by the
individual nurse through his or her creativity and style in meeting the
needs of the client. Empathy, compassion, holism, and sensitivity are
important modes in the aesthetic pattern of knowing.
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Provide examples of the types of knowledge
and ask students to supply additional exam-
ples. Discuss the importance of these various
types of knowledge to nursing practice, using
the examples generated to illustrate this im-
portance.
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4
Describe how nurses demonstrate caring in practice.
Concepts for Lecture
1. Nurse theorists and researchers have studied the question of “how
Caring in practice is demonstrated by knowing the client, nurs-
ing presence, empowering the client, compassion, and competence.
Knowing the client:
Caring attends to the totality of the client’s
experience. The nurse aims to know who the client is, in his or her
uniqueness. The nurse’s knowing the client ultimately increases
the possibilities for therapeutic interventions to be perceived as
relevant.
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5
Evaluate the importance of self-care for the professional nurse.
Concepts for Lecture
1. As nurses take on multiple commitments to family, work, school,
and community, they risk exhaustion, burnout, and stress.
Mayeroff (1990) describes caring for self as helping oneself
grow and actualize one’s possibilities.
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Share specific examples from your practice of
caring in nursing practice.
Invite a panel of nurses who work with clients
of varying ages in various types of settings,
including intensive care, emergency
department, home care, hospice, and other
observed other nurses demonstrating caring
attributes and behavior.
Have students share situations where they
failed to show caring in practice (e.g., a situa-
tion in which personal needs were prioritized
over the client’s needs). Help students analyze
these situations and develop another possible
approach to these situations.
Ask the students to complete the Twelve
Things You Would Love to Do (see Box 253
in the text) activity and post this in a visible
place in their rooms.
Ask the students to repeat the Positive Affir-
mations (see Box 254 in the text) every
morning on arising for 1 week. Discuss
whether they felt any difference in their ap-
proach to the day.
144 CHAPTER 25 / Caring
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Identify the value of reflective practice in nursing.
Concepts for Lecture
1. Critical thinking, self-analysis, and reflection are required in order to
learn from one’s experience. The student matures as a practitioner by
thinking about how values and standards guide practical experience.
Reflection is thinking from a critical point of view, analyzing why
one acted in a certain way, and assessing the results of one’s actions.
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Ask the students to complete the Nursing Student
Reflection Checkpoint (see Box 257 in the
text). Discuss their responses in clinical
conference.
Using the Guidelines for Reflective Journaling
(see Box 256 in the text), have the
students maintain a reflective journal. Have
them submit the journal at regular intervals for
your input.