caring/holism

How does caring affect the nurse- patient relationship

It

• Builds trust

• Fosters open communication

• Makes patens feel valued

• Turns relationship into therapeutic partnership

Watsons Caring science

• Focus: Holistic Care and Human Connection

• Key Points: caring is central, emphasizes presence compassion and transfer personal relationships

Patients Perceptions of Caring

• Feeling listened to

• Respected

• Supported emotionally

• Improves satisfaction and outcomes

Lack of caring

Leads to feelings of isolation or dehumanization

What is ethics of care in clinical judgement?

Moral sensitivity and responsibility; it prioritizes patient centered decisions and balances skill with compassion

Caring practices

Involve actions reflecting concern (e.g. listening and comforting)

Compassion

Is emotional drive motivating caring behaviors

Caring Practices and Compassion

Create therapeutic environment where patient feels safe and supported

Role of caring in nurse patient relationship

• Acts as a foundation for healing and recovery

• Helps alleviate anxiety, fear, and loneliness

• Encourages patient engagement and empowerment

• Supports ethical practice and respect for human dignity

Presence and Touch

Reduce stress and promote trust

Presence

Being fully attentive and engaged with the patient (Mindful, silence, and eye contact)

Touch

Coveys comfort, reassurance, and connection (holding a hand)

Therapeutic benefit of listening

• Validates feelings

• Enables nurses to understand patient concerns deeply

• Encourages patients to express fears or needs; enhancing assessment accuracy

• Builds rapport and supports emotional healing

Knowing the patient patient and clinical decision making

• Allows personalized Care

• Improves accuracy

• Prevents complications

• Strengthens trust

Spiritual Caring Benefits

• Offers comfort

• Reduces anxiety

• Supports coping

• Promotes holistic healing

How do caring interventions relive suffering

• Reduce pain

• Provide emotional relief

• Help patients find peace

Impact of caring behaviors on family caregivers

• Supports family emotional well being

• Provides reassurance and reduces caregiver burden

• Encourages collaboration and shared understanding of patient needs

Influence of Spirituality on Patients Health Practices

• Spiritual beliefs guide health decisions and coping mechanisms

• Can affect adherence to treatments and openness to certain interventions

• Spirituality often linked to hope and resilience

Faith

Provides trust in a higher power or belief system

Hope

Fuels motivation to endure illness and recovery

Spiritual well-being

Encompasses peace, purpose, connection

Religion

Organized system of beliefs and practices

Spirituality

Broader personal search for meaning and condition

Signs of spiritual distress

Hopelessness, anger at higher power, guilt, withdrawal, requests for spiritual help

Why are caring relationships important for spiritual care?

Foster trust, allow spiritual expression, and support chaplain referrals

Clinical judgement in spiritual care

Assess sensitively, plan with spiritual goals, support through presence and listening

How to establish presence with patients?

• Be mindful

• Avoid distractions

• Use silence

• Show open open body language

Evaluating spiritual

• Looking for improved coping, meaning, reduced anxiety, and hopefulness

Summary of Watsons caring science

• Caring is the moral ideal nursing

• Focuses holistic; transpersonal connections

• Encourages prioritization of human dignity in care

Central tenets

• Compassions

• Caring

• Presence