Abstract
The article is a personal story about my grandmother and how she experienced care in her old age. By sharing my grandmother’s life story about caring and reflecting on it, I inductively ...develop a thesis on caring and argue that caring is an asymmetrical phenomenon, and we can do better. The discussion includes the role of caring in social work practice and how to inculcate a focus on caring among workers so that they may contribute to creating caring communities. First, it exposes the complex phenomenon of dispossession at both personal and political levels and its implications for caring for elderly people. Secondly, it suggests the need for basic technology transfer. Thirdly, it points out the significance of emotional and material care and commitment to caring and challenges to sustaining it, and the need for innovations to enhance human caring. Fourthly, it emphasises the best interests of elderly people when choosing the place and space for caring arrangements. Finally, to creating caring communities, it suggests implications for integrating reason and emotion, and altering the professional values-base and policies. Social workers and similar professionals can contribute to caring communities to meet the challenging needs of growing ageing populations in the world.
In this article, by sharing his lived experiences of caring for his grandmother and by reflecting on them, the author exposes the serious issues of abuse and neglect of elderly people, the need for the transfer of caring technology at the local level and the necessity of commitment to sustaining caring and of innovations in human caring. It suggests implications for the best interests of elderly people and integrates reason and emotion in caring. It argues that caring is an asymmetrical phenomenon in our societies, and we can do better. If we do not create opportunities and incentives to develop caring practices and do not contribute to creating caring communities, we shall not only allow our practice to leave much to be desired, but also may find a deep sense of emptiness in social work and social workers’ hearts.
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2.
A caring model for nursing education Hayne, Arlene N.; Schlosser, Sharron P.; McDaniel, Gretchen S.
International journal of nursing education scholarship,
11/2020, Volume:
17, Issue:
1
Journal Article
Peer reviewed
With the many changes occurring within the health system and nursing education, ongoing shortages in the number of nurses and nursing faculty, increased incidences of incivility, and the charge to ...transform nursing education while upholding and transmitting the core professional values, a better understanding of the climate within nursing education is warranted. Caring is a core value of the profession of nursing and has received much attention and study, primarily in the practice setting. In nursing education much of this work has centered on the structure and processes of nursing education and the nursing student’s development of caring behaviors. This article proposes a caring model for nursing education that integrates the key concepts of organizational climate, leadership, and caring theories. The intent of the model is to provide a framework that can be used for professional nursing education that incorporates the core value of caring and develops graduates prepared to provide relationship-based, patient-centered care.
Towards a theory of communion‐in‐caring Tuppal, Cyruz P.; Vega, Paolo D.; Tuppal, Shanine Mae P.
Scandinavian journal of caring sciences,
June 2022, Volume:
36, Issue:
2
Journal Article
Peer reviewed
Background
When nursing practice assumes a fix‐it view model, it limits the growing capacity of practice. The theory of communion‐in‐caring emerged as a hopeful response to the call to offer a new ...vista. This theory unifies caring and the endless potential of human care.
Aim
The aim of the paper is to describe the theory of communion‐in‐caring grounded in the human science philosophical perspective. Generated from a focused review of scholarly literature from classical caring theories in nursing to contemporary theoretical viewpoints in nursing published within the last decade guided by a creative theory‐building process. This paper presents the theory of communion‐in‐caring with theoretical concepts and theoretical assumptions illuminating and supporting the contextual design and epistemological viewpoints of a caring‐based theory of nursing.
Findings
Communion‐in‐caring is defined as a deliberate and a momentary occurrence of a nursing‐caring encounter in which the nurse and person nursed, together, design and express unique practice processes toward affirming and celebrating being human in a unitary‐transformative world. The theory further illuminates the foundational acts (i.e. love, hope, faith and charity) emulated into the embodied processes of communion‐in‐caring (i.e., caring‐nurturing encounter, caring‐nurturing inquiry and caring‐nurturing capacity). Such cyclical, rhythmical and moving processes yield a nurtured caring environment with ethical standpoints, resonate the meaning‐essence of caring through participation‐in‐being and offer culturally congruent care.
Conclusion
This theory also realises that the discipline is overly influenced by technological advancements, digitalisation of care, the medicalisation of practice and a mechanistic lens of care. Thus, this theory calls for moral enrichment towards an identity that embodies participation‐in‐being, seeing self‐in‐others and communion‐of‐being.
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BFBNIB, DOBA, FZAB, GIS, IJS, IZUM, KILJ, NLZOH, NUK, OILJ, PILJ, PNG, SAZU, SBCE, SBMB, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
InThe Ethics of Care, Fiona Robinson demonstrates how the responsibilities of sustaining life are central to the struggle for basic human security. She takes a unique approach, using a feminist lens ...to challenge gender biases in rights-based, individualist approaches.Robinson's thorough and impassioned consideration of care in both ethical and practical terms provides a starting point for understanding and addressing the material, emotional and psychological conditions that create insecurity for people.The Ethics of Careexamines "care ethics" and "security" at the theoretical level and explores the practical implications of care relations for security in a variety of contexts: women's labor in the global economy, humanitarian intervention and peace building, healthcare, and childcare.
Theoretically-innovative and policy-relevant, this critical analysis demonstrates the need to understand the obstacles and inequalities that obstruct the equitable and adequate delivery of care around the world.
Aim
To illuminate the meaning of newly graduated registered nurses' experiences of caring for patients in emergency departments during the COVID‐19 pandemic.
Design
A phenomenological hermeneutical ...study guided by Lindseth and Norberg.
Methods
In‐depth one‐on‐one interviews with 14 nurses from five hospitals were conducted from March to November 2020 and analysed using thematic analysis. The consolidated criteria for reporting qualitative research (COREQ) were used as the reporting guideline.
Results
The findings comprise one main theme Caring through barriers and three themes with sub‐themes. In the first theme, having intention to care, participants revealed their dedication to care for patients during the pandemic despite extensive stress, little experience and skills. The second theme, with tied hands in human suffering, illuminates experiences of being disconnected from the patient, overwhelmed by responsibility and unable to relieve suffering. The third theme, feeling inadequate, reveals experiences of lack of support and doubts meaning less space to develop into the nurse one wants to be.
Conclusion
Findings reveal a new understanding of new nurses' experiences during times of crisis. The essence of caring in the emergency department during the pandemic can be explained as mediated through spatial, temporal and emotional barriers preventing new nurses from providing holistic care.
Impact
The results may be used as anticipatory guidance for new nurses and inform targeted support interventions to support new nurses entering the profession in crisis conditions.
Public Contribution
This study involved new nurses in semi‐structured interviews.
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Aims and Objectives
To further develop and validate the Mealtime instrument, an observational instrument for assessing mealtime environments in nursing homes originating from the theoretical ...framework: Five Aspects Meal Model (FAMM).
Methodological Design and Justification
A mealtime experience is significant for a sense of well-being. In nursing homes, residents' personal preferences, combined with their diagnoses and different stages of illness, influence their mealtime experience and provide a complexity that has been found difficult to assess. Using FAMM, a theoretical framework as its base, this study, attempts to look at different parts of the mealtime environment. FAMM structures the mealtime environment in to five aspects: room, meeting, product, management control system and atmosphere.
This study's design includes instrument development and validation.
Ethical Issues and Approval
This study has been approved by the Swedish Ethical Review Authority (dnr 2019–05477).
Design
Methodological study.
Research Method
An existing instrument, the Mealtime instrument with FAMM as a theoretical framework, was used as a foundation for the development of the Five Aspects Mealtime Environment Observation Instrument (FAME-OI). Content validity index (CVI) was used to validate FAME-OI.
Results
FAME-OI's item-CVI, scale-CVI and modified Kappa displayed high validity. Changes were made in its structure and phrasing. These developments resulted in having a distinct structure in FAME-OI, in reference to FAMM.
Conclusion
FAME-OI is applicable for clinical use in nursing homes and in research; however, adjustments may be needed before its use in other health care facilities.
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BFBNIB, DOBA, FZAB, GIS, IJS, IZUM, KILJ, NLZOH, NUK, OILJ, PILJ, PNG, SAZU, SBCE, SBMB, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
7.
Caring Science or Science of Caring Turkel, Marian C.; Watson, Jean; Giovannoni, Joseph
Nursing science quarterly,
01/2018, Volume:
31, Issue:
1
Journal Article
Peer reviewed
Open access
The concepts caring science and science of caring have different meanings; however, they are often used interchangeably. The purpose of this paper is to present an overview of the synthesis of the ...scholarly literature on the definitions of the science of caring and caring science and to affirm the authors’ perspective relating to the language of caring science. Caring science advances the epistemology and ontology of caring. Ideas related to caring science inquiry are presented, and the authors acknowledge the future of caring science as unitary caring science.
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8.
Landscapes of care Milligan, Christine; Wiles, Janine
Progress in human geography,
12/2010, Volume:
34, Issue:
6
Journal Article
Peer reviewed
The term ‘landscapes of care’ has increasingly taken hold in the lexicon of health geography. As the complex social, embodied and organizational spatialities that emerge from and through ...relationships of care, landscapes of care open up spaces that enable us to unpack how differing bodies of geographical work might be thought of in relationship to each other. Specifically, we explore the relation between ‘proximity’ and ‘distance’ and caring for and about. In doing so, we seek to disrupt notions of proximity as straightforward geographical closeness, maintaining that even at a physical distance care can be socially and emotionally proximate.
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CEKLJ, DOBA, IZUM, KILJ, NUK, ODKLJ, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
IntroductionCaring thinking is the third category of thinking based on Lipman’s classification that integrates human emotions in intellectual affairs. Caring thinking conjugates 3H; Head, Heart, and ...Hand as symbols of contemplation, kindness, and behavior. Research QuestionThis new category of thinking has not been effectively considered, especially in philosophical view. Therefore, the pros and cons of caring thinking and its implementation should be assessed and identified from a philosophical perspective. So the goal of this research is the analysis of caring thinking’s quiddity based on its dimensions, types, and nature and responding to challenges in these areas. MethodIn this paper, we elaborate quiddity of caring thinking by applying the concept analysis method. The basic purpose of our methodology is to consider concepts of different types of caring thinking that results in distinguishing characteristics of each type. Discussion and ResultsWe investigate: (1) The interference and differentiation of 5 types of caring thinking (Appreciative / Valuational, Emotional, Active, Normative, Empathetic ), the interaction between these types, their relations to Bloom’s taxonomy of educational approaches, and their individual and social effectiveness scope,(2) Dimensions of caring thinking based on how it affects the thinker (subject), the target (object), and the target’s manner of thinking, (3) The nature of caring thinking that shows emotional thinking as the start point which consequently results in ethical values, motivations, and actions. Finally, we introduce a four steps implementation of caring thinking that demonstrates its life cycle in a dynamic and self-rectifying society:(1) To pay attention and care to others including living and inanimate creatures as a result of Valuational, Empathetic, and Emotional thinking types,(2) To accredit and respect the rights of others, because of being involved in Emotional and Normative thinking,(3) To apply social, ethical, and biological rights of others in personal decision making and activities as a consequence of the usage of Active thinking,(4) Re-evaluate and revision the previous steps by assessing conditions using the Valuational and Normative thinking types.
Exercise during cancer treatment improves cancer-related fatigue (CRF), but the importance of exercise intensity for CRF is unclear. We compared the effects of high- vs low-to-moderate-intensity ...exercise with or without additional behavior change support (BCS) on CRF in patients undergoing (neo-)adjuvant cancer treatment. This was a multicenter, 2x2 factorial design randomized controlled trial (Clinical Trials NCT02473003) in Sweden. Participants recently diagnosed with breast (n = 457), prostate (n = 97) or colorectal (n = 23) cancer undergoing (neo-)adjuvant treatment were randomized to high intensity (n = 144), low-to-moderate intensity (n = 144), high intensity with BCS (n = 144) or low-to-moderate intensity with BCS (n = 145). The 6-month exercise intervention included supervised resistance training and home-based endurance training. CRF was assessed by Multidimensional Fatigue Inventory (MFI, five subscales score range 4-20), and Functional Assessment of Chronic Illness Therapy-Fatigue scale (FACIT-F, score range 0-52). Multiple linear regression for main factorial effects was performed according to intention-to-treat, with post-intervention CRF as primary endpoint. Overall, 577 participants (mean age 58.7 years) were randomized. Participants randomized to high- vs low-to-moderate-intensity exercise had lower physical fatigue (MFI Physical Fatigue subscale; mean difference -1.05 95% CI: -1.85, -0.25), but the difference was not clinically important (ie <2). We found no differences in other CRF dimensions and no effect of additional BCS. There were few minor adverse events. For CRF, patients undergoing (neo-)adjuvant treatment for breast, prostate or colorectal cancer can safely exercise at high- or low-to-moderate intensity, according to their own preferences. Additional BCS does not provide extra benefit for CRF in supervised, well-controlled exercise interventions.
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