The Francis Report, the result of a UK public inquiry into ongoing mistreatment of patients at a large teaching hospital, revealed deep-rooted flaws in care delivery and professional performance. It led to regulatory review, policy initiatives and public outcry. To this point, it has not led to any extended or focused discussion on the sustenance or well-being of nurses so that we might avoid it happening again. This paper emerges from the writing and publication of a novel called Stranger Than Kindness and a subsequent PhD.
The expectation that individuals have when admitted to hospital, and their perception of the care they receive while in hospital, are aspects that define their level of satisfaction. Thus, the concept of responsiveness arose in the field of health evaluation. The objective of this study is to measure the responsiveness of nursing care from the client's point of view at a medical-surgical unit of a public university hospital, by means of an instrument that examines two categories, Expectations and Perceptions. This quantitative study was performed utilizing participant interviews.
Insight (American Society of Ophthalmic Registered Nurses)
On September 18, 2001, ASORN sent an ophthalmic nursing delegation to the People's Republic of China. Planning for the trip occurred during a tumultuous year. However, our warm reception in China made us feel safe, cared for, and overwhelmed by the generosity of a people we had just come to know. This article describes the process of preparing for this experience of a lifetime, what we learned from the ophthalmic nurses and doctors we met, and what we learned about ourselves along the way.
With the advent of the palliative care defined as "active care delivered in a global approach of the person reached affected by a serious, evolutionary or terminal illness" (SFAP, 1996), the accompaniment found its just place in the approach of care. The physical, psychic, moral, social and spiritual dimensions are collectively considered in the cultural context of the well-kept person. Afterward the concept to take care was developed and found its relevant place in a more and more technical world.
This study is to explore the womanhood and caring. To explore the meaning of caring for nursing, it is necessary to identify the terms of the relationship between caring and womanhood as these bonds have been formed over the last century. Historically, nurses were expected to act out of on obligation to care, taking on Caring more as an identity than as work, and expressing altruism without, thought of autonomy either at the bedside of in their profession.
The growing importance of research and development in the NHS presents a major challenge to nurses. They are not centrally involved in influencing the R&D agenda, while nursing research, despite its recent boom, is not seen as integral to evidence-based practice. This paper suggests that the R&D initiative, like most policy developments, mixes altruism and pragmatism. Its aims include cost containment and control of the professions, alongside its more overtly expressed commitment to improving the quality of care.
Human caring, while instinctive, can also be taught, learned, and measured through the nursing education system. For decades information has been obtained that suggests people enter nursing because they value interpersonal relationships, altruism, and a desire to help others. Building on this "caring ethic," nursing students can be professionally trained so that the very best in nursing comes through in their practice. By using nursing theory, students realize their potential while gaining all requisite skills and competencies of today's practicing nurse.
Nursing Philosophy: An International Journal for Healthcare Professionals
Compassion unites people during times of suffering and distress. Unfortunately, compassion cannot take away suffering. Why then, is compassion important for people who suffer? Nurses work in a domain where human suffering is evidently present. In order to give meaning to compassion in the domain of professional care, it is necessary to describe what compassion is. The purpose of this paper is to explore questions and contradictions in the debate on compassion related to nursing care.
The values of nursing arise from a concern with human flourishing. If the desire to become a nurse is a reflection of an aspiration to care for others in need then we should anticipate that those who choose to nurse have a tendency towards the values we would normally associate with a caring profession (care, compassion, perhaps altruism, and so on). However, these values require a secure base if they are not to succumb to the corrupting pressures of the increasingly instrumental nature of the values of the institutions in which healthcare in general and nursing in particular takes place.
INTRODUCTION: We discuss Carol Gilligan's original concept of mature care in the light of the altruistic approach to caring and good clinical judgment. DISCUSSION: In particular, we highlight how the concept of mature care can capture important challenges in today's nursing. Further, we illuminate how mature care might differ normatively from an altruistic approach to caring and the traditional prudential virtues in nursing. We also discuss similarities between mature care and virtue ethics.