Main Tenets of The Nursing Theorist
Main Tenets of The Nursing Theorist
Main Tenets of The Nursing Theorist
Leininger’s Culture Care Theory attempts to provide culturally congruent nursing care
through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that
are mostly tailor-made to fit with individual, group’s, or institution’s cultural values, beliefs, and
lifeways.”
The intent of the care is to fit with or have beneficial meaning and health outcomes for
people of different or similar culture backgrounds.
Culture Care is the multiple aspects of culture that influence and help a
person or group to improve their human condition or deal with illness or
death.
Culture Care Diversity refers to the differences in meanings, values, or
acceptable forms of care in or between groups of people.
Culture Care Universality refers to common care or similar meanings that
are evident among many cultures.
Cultural and Social Structure Dimensions include factors related to
spirituality, social structure, political concerns, economics, educational
patterns, technology, cultural values, and ethnohistory that influence
cultural responses of people within a cultural context.
Health refers to a state of well-being that is culturally defined and valued by
a designated culture.
Cultural Care Preservation or Maintenance refers to nursing care activities
that help people from particular cultures to retain and use core cultural care
values related to healthcare concerns or conditions.
Cultural Care Accommodation or Negotiation refers to creative nursing
actions that help people of a particular culture adapt or negotiate with
others in the healthcare community in an effort to attain the shared goal of
an optimal health outcome for patients of a designated culture.
Roach
COMPASSION Awareness of one’s relationship to others, sharing their joys, sorrows, pain, and
accomplishments. Participation in the experience of another.
COMPETENCE Having the “knowledge, judgment, skills, energy, experience and motivation
required to respond adequately to the demands of one’s professional responsibilities” (Roach,
2013, p. 172). CONFIDENCE Comfort with self, client, and others that allows one to build
trusting relationships. CONSCIENCE Morals, ethics, and an informed sense of right and wrong.
Awareness of personal responsibility.
COMMITMENT The deliberate choice to act in accordance with one’s desires as well as
obligations, resulting in investment of self in a task or cause.
COMPORTMENT Appropriate bearing, demeanor, dress, and language that are in harmony
with a caring presence. Presenting oneself as someone who respects others and demands respect
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Kristen swanson
Maintaining belief- having faith or sustained belief in the person being able to get through an
event or transition and face the future with meaning,
Belief in the capacity of the person being cared for
Offering realistic optimism
Maintaining a hope filled attitude
Knowing- Striving to understand an event as it has meaning to the other person. It involves not
making assumptions, focusing on the person being cared for and assessing all aspects of the
condition and reality of the patient.
Being with- to be with can be simply giving of yourself and doing so in a way that the one being
cared for realizes the commitment concern and the attentiveness of the one caring. Being
emotionally present with the other, It conveys to the client that they and their experiences matter
to the nurse. Being there in person
Conveying availability and ability
Sharing feelings without burdening the one being cared for
Comforting
Doing for - doing for the other as he or she would if they could do so. Anticipating the patient’s
need, performing them skillfully and competent, protect the person being cared for, protect the
dignity
Enabling- this is facilitating the others passage through life transitions and unfamiliar events.
This assures the other’s long term well-being.
Jean Watson
Transpersonal caring relationships
Caring moments
The caritas processes
1. Define nursing documentation according to the College of Registered Nurses of
Nova Scotia, 2017.
Documentation is a nursing action that produces a written account of pertinent client data
(A) nursing decisions and intervention and the client’s response (E)
2. Discuss the reasons for nursing documentation.
1.Communication and Continuity of Care-
Documentation supports the exchange of information between the
interprofessional team.
Nurses are also able to document their assessment data, plan of care along with
interventions and how the client responded to the care.
All members of the healthcare team need accurate information so that they can
plan patient care.
Inaccurate or incomplete documentation can lead to inconsistent or fragmented
care, lead to repetition of task and omission or delay in therapies.
2.Quality improvement
Through chart audits documentation is used to evaluate the quality of services and
appropriateness of care.
auditors meet to determine what is to be evaluated and determine a standard.
charts are selected randomly to determine if they meet the standard.
3. To meet and maintain professional standards
Accountability means being answerable for one’s own actions.
This strengthens the support for nursing as a profession because we can prove that
we have practiced evidence-based care.
demonstrate that they have applied nursing knowledge and skills and utilized
sound clinical judgement while providing care.
4.Expanding nursing science- Accurate nursing documentation is a rich source of data for
clinical research. Documentation leads to information for research which leads more EBP
Data obtained from health records is used in health research to assess nursing
interventions, to evaluate client outcomes and to determine the efficiency and
effectiveness of care.
Can generate information on evidence-based practice which in turn can improve
professional decision-making and the profession.
5. Education
nursing students and students in other healthcare disciplines can learn about the
clinical manifestations, investigation, and management of health problems.
nursing documentation will also demonstrate which interventions have been used
successfully to address a health problem.
nursing students learn HOW to document
6. Resource planning
Health records can identify the type and amount of client care required, services
provided, and the efficiency and effectiveness of those services.
It also can be used by third party insurers for the approval of client insurance
claims.
Workload measurement and/or client classification systems, derived as a
consequence of nursing documentation, can be used to help determine the
allocation of staff, skill mix, and/or funding
7. Legal purposes
nursing documentation can be used in court as evidence to establish whether the
standards of care have been met.