NRSG138 Lecture 4: Transition into Nursing: Caring, 6 'C's, Person Centred Care
Caring
● People are caring by the very nature of our humanness
● Caring is being authentic
● Caring is living in the context of responsibility to self and others
● Caring is foundational to relationships
● Caring is an essential expression of humanity
● We all have capacity to grow in the expression of caring
Caring and nursing
Nursing is both an art and a science. It has a practical expression of caring and a
psychological expression of caring. It requires knowledge AND skill AND heart
What does it mean to care?
Developing a therapeutic relationship
○ Openness
○ Attentiveness
○ Forming a bond
○ Active listening
● Conveys empathy and the significance of the illness event for the other person
● Often rated most highly by patients and family as the most important part of caring
Psychological care
Level 1: Awareness
● Awareness of psychological issues
● Person centred listening
● Person centred communication
● Awareness of the person’s psychological State relevant action
Level 2: Intervention
● Monitoring the person’s psychological state records
● Informational and educational care
● Emotional care
● Counselling care
● Support/advocacy/referral
Level 3: Psychological therapy
Physical or Instrumental care
● Maintaining the person's physical safety and promoting wellness
● Instrumental care are the activities beyond those of daily living that enable a person
to live ‘well’
● For nurses Practical care includes the activities of assessment and provision of care
● Caring to Cure
Holistic care
Recognises that a person is more than the disease that they present with. A holistic caring
view of a person prevents them being divided into segments and recognises that health and
wellness is impacted by all elements of a person’s life
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The following factors of the Roper Logan Tierney model are representative of the aspects
that should be considered in a holistic view of health and wellness
● Biological - overall health, illness or injury and the scope of the individual’s anatomy
and physiology
● Psychological - influence of emotional and spiritual impacts as well as cognition
upon health and wellness
● Sociocultural - Impact of society and culture as experienced by the individual. This
includes social expectations and values relating to diet, living arrangements,
education, ageing and infirmity
● Environmental - Consideration of the interdependence of the environment and the
individual. So the impact of the environment upon the wellness of the individual and
the impact of the individual on the environment
● Politico Economic - The impact of government, politics and the economy on health;
includes government stability, funding for health programs, government priorities,
presence of war and conflict etc
Person Centred Care
Person centred care is the current focus of health delivery in Australian Health facilities
Person centred care is health care that is respectful of, and responsive to the preferences,
needs and values of people and those who care for them
The key principles of person centred care are:
● Valuing people - Treating people with dignity and respect and seeking input from the
person receiving care
● Autonomy - The provision of choice and subsequent respect for choices made
● Life experience - Seeking to understand the person’s life experience and
expectations to promote a sense of self
● Understanding relationships - Collaborative relationships between; staff of the
healthcare facility, the person who is needing care and their carers to promote social
connectedness, seamless delivery of care and opportunities to engage in meaningful
activities
● Environment - Culture Policy and practice that promotes person centred care at an
individual and organisational level
Family Centred Care
Family Centred Care (FCC) is a partnership approach to health care decision making
between the family and health care provider. FCC is considered the standard of pediatric
health care by many clinical practices, hospitals and health care groups
FCC uses principles of informed choice, collaborative decision-making and the inclusion of
families and carers as partners in the delivery of care, as well as the provision of a patient
and family centred environment and facilities
What is Quality Care?
● Safe: Provision of health care that reduces or removes risks to those receiving health
care for e.g minimise iatrogenic injury; such as medication errors or procedural errors
● Effective: Providing services based on scientific knowledge which meet evidence-
based guidelines
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
People are caring by the very nature of our humanness. Caring is living in the context of responsibility to self and others. Caring is an essential expression of humanity. We all have capacity to grow in the expression of caring. Nursing is both an art and a science. It has a practical expression of caring and a psychological expression of caring. Conveys empathy and the significance of the illness event for the other person. Often rated most highly by patients and family as the most important part of caring. Awareness of the person"s psychological state relevant action. Maintaining the person"s physical safety and promoting wellness. Instrumental care are the activities beyond those of daily living that enable a person to live well". For nurses practical care includes the activities of assessment and provision of care. Recognises that a person is more than the disease that they present with.
