PPN201 week 2

1. Formation of a humanistic-altruistic system of values

-a system that relates to satisfaction through giving and extending oneself
-a starting point and attitude that becomes a will, an intention, a commitment, and conscious judgement that manifests itself
-"extending ourselves, ignored verbal assaults"
-formation of an altruistic system takes place through values clarification: nurse develops a caring consciousness

2. Instillation of faith-hope

-deep belief system of hope
-hope comes when pts know that others care
-built on acknowledging new activities
-"this is a new beginning"
-current thought patterns can be used to instill faith-hope in the potential outcome
-cognitive restructuring: challenges pts thought patterns and view self/world realistically

3. Cultivation of sensitivity to one's self and to other

-nurses need to develop a recognition and acknowledgement of one's own feelings and others
-this shows empathy, compassion, understanding

What is "bearing witness"

-associated with curative factor #3
-enacting one's moral responsibility
-turning towards the patient's need and attesting to the authenticity of the individual's experience through the unconditional presence and therapeutic listening
-confirms authenticity of a circumstance and validates what the patient is going through

4. Development of a helping-trusting relationship

-the nurse must first know the person, their life space, and phenomenological view of their world
-nurse brings openness, holistic regard, empathy, and warmth to the relationship
-trust and hope in the nurse will unfold when a patient feels the nurse truly cares for them and recognizes their needs and concerns
-"the nurse saw that the patient was isolated and intervened using therapeutic presence"

5. Promotion and acceptance of the expression of positive and negative feelings

-incorporates actions of being open to and non-judgemental of, and supportive of the expression of positive and negative feelings from the patient
-nurses then must remember that everyone is entitled to their feelings, no matter how irrational
-support of the nurse promotes coping by allowing the expression of negative and positive feelings
-active listening lets the speaker know "I understand your problem and I am interested and not judging"

6. Systemic use of a creative problem-solving process

-implemented as nurses engage in the artistry of caring-healing practices
-involves generating fresh ideas rather than relying on learned ways to solve problems
-

7. Promotion of interpersonal teaching-learning

-teaching-learning is interpersonal with the critical aspect being the way the nurse approaches patient learning rather than the mere act of providing information
-transpersonal teaching-learning engages the patient and the nurse requires awareness of the readiness to learn

8. Provision for supportive , protective, and/or corrective mental, physical, societal, and spiritual environment

-in each of the mental, physical, social, and spiritual environments, actions are called for which potentiate beauty, comfort, dignity and peace
-internal environments: mental and spiritual well-being of the patient (values, attitudes, beliefs about way of life)
-external environments: physical and social surroundings of patient
-in tending to the physical environment, the nurse provides a sacred place that soothes and heals the body, mind, and spirit
-"nurse created a supportive, protective and corrective environment through the mind-body connection"

9. Assistance with the gratification of human needs

-gratification of lower order (physiological and safety) and higher-order (belonging, self-esteem" is essential to the "protection, maintenance and enhancement of self"
-nursing interventions to assist with the gratification of human needs can also align the mind-body-spirit to potentiate wholeness and unity
-patients entrust nurses with their physical, psychological, and emotional well-being
-"connecting to patient energy field"
-"nursing tasks are transformed into caring occasions that assist the patient to transcend suffering and move toward energy field harmony

10. Allowing for existential-phenomenological-spiritual dimensions of caring

-addresses the identity of each person, pulling out personal meaning in each situation
-nursing practice supports the subjective appreciation of the patient's inner world
-meaning is sometimes found in spiritual belief systems
-cultivating the spiritual dimension shows acceptance and support of the patient's spiritual beliefs and enhance the possibility of healing
-brings focus and meaning to the nurse
-honour the meaning of cultural practice
-sensitivity of the nurse to individual's spiritual-phenemonological beliefs is necessary to preserve integrity

Bramley & Matiti's 3 overarching themes

1. what is compassion: knowing me and giving me your time
2. understanding the impact of compassion: how it feels in my shoes
3. being more compassionate: communication and essence of nursing

what is compassion: knowing me and giving me your time

-compassion was described as nurses caring for patients as individual human beings and the presence of their touch within 1-1 interactions
-giving time to care or seen as not making time was instrumental in compassion
-patients expected nurses to have time for patients and listen to them

understanding the impact of compassion: how would I feel in their shoes?

-implies being empathetic
-this viewpoint of caring resonates with compassion in which a deep awareness of others suffering and a wish to relieve suffering are common

being more compassionate: the essence of nursing and communication

-relates to what could help nurses be more compassionate
-some felt individuals were responsible for their own behaviour while others felt it went deeper and was more fundamental in that it was a learned behaviour
-deep-rooted problem in "just getting the job done" where compassion is not seen as important
-all participants felt that communication was a large part of compassion
-key challenge for nurses in this context: be compassionate and communicate with patients, even when difficult situations arise.