bluuebunny/crossref_metadata_2025 huggingface dataset:
DEKONTAMINASI DAN PEMBERSIHAN AKHIR (TERMINAL CLEANING) DI LINGKUNGAN ICU (Intensive Care Unit)
Authors: Cucunawangsih Cucunawangsih
Published: September 2018

Patogen MDRO, seperti vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), Acinetobacter spp., extended spectrum beta-lactamase (ESBL)-producing bacteria, dan Clostridium defficile seringkali menyebabkan kolonisasi/healthcare-associated infection (HAI) di lingkungan ICU. Sejumlah penelitian membuktikan bahwa petugas kesehatan menularkan pathogen ini melalui kontak langsung dengan tangan atau sarung tangan setelah menyentuh permukaan yang terkontaminasi atau pasien. Lingkungan berperan penting pada penyebaran hospital-acquired pathogens (HAP) dan terjadinya HAI. Metode pembersihan dan dekontaminasi rutin yang telah diterapkan dan dilakukan di lingkungan rumah sakit seringkali gagal ataupun tidak efektif dalam menggurangi penyebaran patogen MDRO. Kegagalan ini disebabkan tidak seluruh permukaan medis dan rumahtangga yang seringkali tersentuh tidak terdekontaminasi dengan sempurna. Untuk itu diperlukan tindakan lanjutan berupa pembersihan terminal menggunakan metode baru, seperti (1) hydrogen peroxide vapor (HPV) dan (2) sinar UV yang telah terbukti efektif secara mikrobiologi, aman dan mudah digunakan.
Aspek Histopatologik Adenokarsinoma Prostat
Authors: Kristiani Erna
Published: September 2018

Introduction: Prostate carcinoma is the second most common tumor in male, 95% in which made up from adenocarcinoma. The diagnosis of prostate adenocarcinoma through a needle biopsy specimen plus the determination of tumor staging are paramount in selecting the therapy and management. This study is done to know the morphologic variation of prostate adenocarcinoma in the needle biopsy as well as to measure the grading compatibility between the needle biopsy and prostatectomy using Gleason scoring system.

Materials and Method: This retrospective study is conducted through form and specimen slides compilement. The specimens, consisting of prostate adenocarcinoma’s needle biopsy and prostatectomy, were gathered from the archives of Pathological Anatomy Departement, Faculty of Medicine, University of Indonesia in the year of 2008-2013. The slides were re-read and the morphologic appearance’s variation was valued. Gleason scoring was also executed from the pairing specimen according to International Society of Urological Pathology (ISUP) 2010.

Result: Out of 114 needle biopsy cases, the morphologic variation was found to be perineural invation (n=38), mucinous fibroplasia (n=1), glomerulation (n=1), mucinous basophilic (n=25), and eosinophilic crystal (n=5). The amount of patient that was performed both specimen is 11, and there is a compatibility between biopsy score and prostatectomy as much as 63.63% and the median is 7.

Conclusion: It is requisite to know the morphological variation in prostate adenocarcinoma in the biopsy needle specimen to get an accurate diagnosis. Undergrading in biopsy specimen is as much as 36.36%, owing to the fact that prostate carcinoma can be manifested as mutifocal lesion, thus the higher grading can only be found in prostatectomy specimen, for the needle biopsy was inadequately taken.

Keywords: prostate adenocarcinoma, morphological view, Gleason score
Multidiscpinary Approach in Nasopharyngeal Cancer
Authors: Kodrat Henry
Published: September 2018

Nasopharyngeal cancer (NPC) is endemic in Indonesia. The purpose of the review is to describe the risk factors, clinical symptoms, diagnostic procedures and staging, management and treatment options, and follow-up. Multi-disciplinary approach to the NPC not only for treatment, but also has been started from the diagnosis proccess. The multidisciplinary approach also plays role after treatment, especially for the follow-up and rehabilitation of post-treatment toxicity.

Keywords: cancer, nasopharynx, radiotherapy.
Hubungan Rasio Lingkar Pinggang Bagi Tinggi Badan (Lp/Tb) Terhadap Beratnya Penyakit Arteri Koroner
Authors: Damay Vito Anggarino , Fathini Fathy
Published: September 2018

Adiposity assessment is a part of the evaluation in coronary artery disease (CAD) prevention. Waist to height ratio (WHtR) is one of adiposity parameter in CAD management guidelines. This cross sectional study enrolled 30 subject with stable CAD undergone elective coronary angiography. Eightyfive subjects has abnormal WHtR (≥0,5). Median WHtR is 0,54 with 0,471-0,706 range, and Duke CAD prognostic index with median 37 (range 19-82). Analysis using spearman’s rank correlation show a significant moderate positive correlation (r=0,425; p=0,019) between WHtR and Duke CAD prognostic index. Waist to height ratio could be one of valuable indicator for coronary artery stenosis severity. We conclude that there is a relationship between WHtR and Duke CAD prognostic index.
Heart Involvement in Systemic Lupus Erythematosus
Authors: Kurniawan Andree , Lugito Nata Pratama Hardjo
Published: September 2018

Pericardial effusion is considered as one of criteria to diagnose systemic lupus erythematosus (SLE) based on American Rheumatism Association (ARA) criteria. There is limited data about the incidence and characteristic pericardial effusion in SLE patients in our country. The aim of this study is to report and assess the incidence of and characteristic heart involvement in SLE. This is cross-sectional study conducted in secondary referral hospital in Tangerang county, west part of Jakarta, capital city of Indonesia. We evaluated from medical record and echocardiogram data from 2013-2015 patients diagnosed with SLE according to ARA criteria. From 33 SLE medical records reviewed, we found 13 patients (40%) with pericardial effusions. All patients were in active stage. Clinical assessment and transthoracic echocardiogram were used to diagnose pericardial effusions. Eighty percent pericardial effusion positive patients had minimal effusion. The others had moderate effusion. No tamponade patients were recorded. Ninety six percent patients were female with median age 24(13-51) years old. Three patients were reported having pulmonary arterial hypertension. One patient had thrombus in left ventricle. All patients had clinical symptoms of cardiac such as heart failure and chest pain. For the conclusion, the incidence of pericardial effusion in SLE patient was 40 percent. Eighty percent patients had minimal effusion. All patients had cardiac symptoms related.
Tropical silviculture in dense African forest (Part 4)
Authors: Catinot René , Bossanyi Ilona
Published: September 2018

L’article présente la quatrième partie de l’étude sur la sylviculture en forêt dense africaine. Dans cet article, l’auteur compare les différentes méthodes employées dans les forêts tropicales humides à la lumière des résultats de recherche exposés dans le précédent article. Il conclut que, excepté pour les méthodes « Limba » et « Okoumé », le principal facteur limitant le succès des plantations semble être le manque de lumière arrivant jusqu’au niveau du sol. Sur la base de cette observation fondamentale et d’autres considérations techniques, il propose des changements aux méthodes conventionnelles, avec la perspective d’améliorer leurs chances de succès.
Making the Connection During Home Visits: Narratives of Expert Nurses
Authors: Zenvekh, Joyce V.
Published: September 2018

Making interpersonal connections during nursing visits in the home is the foundation for effectively influencing health behavior and helping people take charge of their own lives. Consider a young vulnerable public health client describing the outcome of her connection with a public health nurse expert:

I think I’ve always known, all along, how to take care of mysev I think she’s given me the comfort to feel good enough about myself to use those tools again; to take care of myselfwithout feeling degraded or less than anybody else ... she has empowered me that way, letting me actually be who I am and its okay to make these mistakes... Does that make sense? (Marie, 1994).

Developing this kind of connection makes great sense as the means strengthening caring relationships. This paper describes the dimensions of the interpersonal process used by expert community health nurses to develop connectedness during home visits with family clients.
Using Visual Descriptions to Explore Nursing Values Over Time
Authors: Gordon, Shirley
Published: September 2018

The day-to-day practice of nursing reflects underlying value orientations of individual nurses. These value orientations are thought to be universally held over time. The purpose of this study is to explore the physical and social objects in the environment that make up the components of value orientation through historical and current visual descriptions of nursing.

Community hospital nurses in the study submitted photographs containing fewer images of people, patients and nurses, decreased eye and body contact along with more images of indirect care and technology than systematically selected historical descriptions of nursing. The study concludes nurses participating in the study chose an orientation of detachment over the historical nursing orientation of human attachment. (nursing values, photography, visual descriptions, self theory, technology, caring).
Caring For Persons in Pain: Constructing The Experience
Authors: Ebener M. Kathleen
Published: September 2018

Pain is a frequently encountered human problem, but it also an intensely personal experience. A social constructionist perspective suggests that persons experiencing pain create uniquely individualized meanings and interpretations of reality. The interaction of common past and present experiences are examined, along with the impact of collective perceptions among others.

Strategies for caring for persons in pain are presented so that clinicians can support individual meaning making activity. When individually constructed realities become barriers to optimal pain management, clinicians are encouraged to guide the person experiencing pain in building alternate realities that promote comfort and ease suffering.
Caring-Ethical Phronetic Research: Epistemological Considerations
Authors: Delmar Charlotte
Published: September 2018

The purpose of this article is to open discussion about the traditional health science research view of what constitutes valid knowledge and theory. Using an approach from the philosophy of science, this article breaks with the paradigm of “science as usual.” It argues that scholars who study values, caring ethical practice, and power relations experience difficulties if the knowledge generated by their research is judged on the basis of “science as usual.” In order to elucidate this problem, the Socratic epistemological theory is discussed, particularly in light of Flyvbjerg’s (2001) theory of time, space, and the significance of context in research design. The article concludes with an appeal to further refine and apply Flyvbjerg’s methodological insights to the health sciences.
Bringing Bodies Back In: Embodiment and Caring Science
Authors: Sakalys Jurate A.
Published: September 2018

Despite the centrality of the body in patients’ experiences and in nursing practice, the constructs of the body and embodiment are underdeveloped in nursing science. If the accepted focus of nursing is the person and embodiment is a fundamental condition of personhood, then embodiment merits nursing’s theoretical attention. Developing knowledge of health-illness experiences as encompassing both subject body and object body, and the dialectic between them is a fitting endeavor for caring science. This article surveys “the problem of the body” in nursing, meanings of embodiment, embodiment in illness, and associated implications for caring practice and caring science.
An Integral Nursing Education: Exploration of the Wilber Quadrant Model
Authors: Clark Carey S.
Published: September 2018

This paper addresses the need for a transformative shift in undergraduate nursing curricula. By examining typical Bachelor of Science in Nursing (BSN) curriculum, via Ken Wilber’s integral quadrant model, it becomes apparent that nursing students are highly prepared to address the medical-technical needs of their patients. However, it is also evident that students are under-prepared to address the complex emotional, social, and spiritual challenges that their patients face on a daily basis. A proposed shift in nursing curricula would utilize Wilber’s model to address nursing students’ integral educational needs in an effort to create nurses who are capable of caring deeply for patients, acting as agents of change, and who experience the art of nursing as a potentially transformative experience.
Compassion: An Investigation into the Experience of Nursing Faculty
Authors: Peters Mary Anne
Published: September 2018

The aim of this study was to explore baccalaureate nurse educators’ experience of compassion within the context of nursing education. Van Manen’s phenomenological method was used for data analysis. Eleven nurse faculty participated in the open-ended interviews that were recorded and transcribed. Thematic analysis revealed seven essential themes and two incidental themes. This study contributes to the understandings of compassion within the context of nursing education and sheds light on the everyday experiences of nursing faculty. Implications for nurse educators are discussed.
Design and Structure as an Expression of Caring
Authors: Boykin, Anne , Raines, Deborah A.
Published: September 2018

One of the fundamental roles of nursing is to create and foster healing environments. This paper describes how the design and structure of our new College of Nursing is an expression of our caring-based philosophy. The vision was to create an environment where students would come to understand and appreciate the interconnectedness of health, healing, and environment. Using the values evident in the college’s philosophy and the traditional teaching of Feng Shui and the Green Guidelines of Leadership in Energy and Environmental Design (LEED), the college now has a home to nurture the study, practice, and scholarly pursuit of nursing.
Student Paper
Authors: Smith Diane C.
Published: September 2018

Families and patients struggle with making end-of-life decisions for themselves or for loved ones. Some of these struggles include whether life-sustaining treatments are to be implemented. Knowing when to shift from curative, life-extending interventions to providing comfort measures is challenging for patients and families. Healthcare providers must find ways to assist patients and families in coming to these difficult decisions. Planning for this time in life, through advance directives, can prove to be cost effective, provide better care, and allow families fewer conflicts and fewer decisions to be made. This paper makes nurses aware of concepts and principles that can be directly linked to a hospital chaplain’s use of autonomy, divine command, and natural law.
Empathetic Understanding as Caring in Nursing Using Electroencephalographic Data as Evidence
Authors: Osaka, Kyoko , Tanioka, Tetsuya , Ueno, Shu-ichi , Kawanishi, Chiemi , Tada, Toshiko , Kuroiwa, Shingo , Ren, Fuji , Locsin, Rozzano C.
Published: September 2018

Technological competency is an expression of caring in nursing. Nurses need to understand patients’ emotions and understand patients’ worlds as if these were their own. This is “empathic understanding.” Electroencephalograms (EEGs) were performed on five healthy participants while viewing an emotionally charged “sentimental” movie. EEG changes were collected and compared with data during a less emotionally charged situation. Apower map and spectrogram analyses of EEGs showed that alpha bands at the occipital region were specifically pronounced during the emotionally charged state. This study suggests that expressions of empathic understanding exists and are evidenced by EEG data, and that technological competency as caring in nursing is an expression of caring in nursing.
A Spiritual Perspective on Loss and Bereavement
Authors: Lees John
Published: September 2018

This article investigates the experience of loss and bereavement from the point of view of a spiritual perspective on the phenomenon. It also looks at the experience of holding a marginalized viewpoint within an academic and professional community and adopts an autoethnographic approach to the inquiry. Some conclusions are drawn from the study in terms of its implications for theory and professional life.
Professional Love in Palliative Nursing: An Exceptional Quality or An Occupational Burden?
Authors: Rollings, Jane Catherine
Published: September 2018

Loving relationships can lead to a great quality of care and also to a sense of personal and professional fulfilment. The burden to nurses that loving creates should be acknowledged. Self-care, understanding, and support of nurses are essential. We should listen to our hearts and learn how to show our love and care to those dying. The exceptional quality that palliative care nurses possess is to be celebrated and outweighs the burden of care that can arise from professional love.
Care in Japanese Residential Aged Care Facilities: Residents’ and Caregivers’ Perspectives
Authors: Nagy-Tanaka, Edit , Maekawa, Yoshifumi , Takahashi, Ryutaro , Yasunaga, Sachiko
Published: September 2018

This study examined residents’ and caregivers’ conceptualization of quality of life (QOL) and quality of care (QOC). Resident interviews and caregiver questionnaire surveys were conducted based on the facet approach. Data were analyzed by multidimensional scaling. Apart from domains of QOL and QOC identified in western sudies, a new aspect, bathing, was distinguished. Residents perceived bathing as a pleasant activity, while caregivers perceived it as nursing. Residents also distinguished between emotional, perceptual, and cognitive elements of psychological responses to care but caregivers did not. Differences in basic conceptualization might explain perception gaps and difficulties in providing suitable care for residents.
The Relationships Between Manager and Peer Caring to Registered Nurses’ Job Satisfaction and Intent to Stay
Authors: Longo Joy
Published: September 2018

The purpose of this study was to examine the relationships between manager caring and peer caring on registered nurses’ (RNs) job satisfaction and intent to stay in a position and the profession. Though many components of job satisfaction have been identified, one factor that has been neglected is that of the interpersonal relationships that exist among colleagues. Caring is one way in which these relationships can be examined. In this study positive correlations were found between manager caring and peer caring and their relationship with RNs’ job satisfaction and intent to stay both in a position and the profession.
Suggestions for Creating a Welcoming Nursing Community: Ubuntu, Cultural Diplomacy, and Mentoring
Authors: Mulaudzi, Fhumulani Mavis , Libster, Martha M. , Phiri, Salaminah
Published: September 2018

Although there is historical evidence that nursing has been a profession that nurtures and affirms young nurses, some have observed recently that senior nurses “eat their young” and that there is a lack of student nurse socialization, creating poor role identification. Some young nurses are leaving the profession. This paper suggests that senior nurses consider the implementation of the African community-building philosophy of ubuntu to guide their interactions with young nurses. Cultural diplomacy and mentoring are discussed as means of implementing ubuntu philosophy in the creation of a welcoming nursing community.
Patient Autonomy: Patient Voices and Perspectives in Illness Narratives
Authors: Sakalys, Jurate A.
Published: September 2018

As the ethical imperative of patient autonomy has become prevalent in Western nursing and healthcare, important issues surrounding this ideal have been obscured. The purpose of this paper was to illuminate conceptual and clinical issues that surround this essentialist imperative and to describe perceptions and perspectives of patients themselves. Data from autobiographical illness narratives were used to illustrate patient voices and nuances of autonomy in the illness experience. Foci for concept clarification are suggested.
Theory Development and the Logic of Discovery
Authors: Riholm, Maj-Britt
Published: September 2018

The aim of this article is to discuss the importance of theory development within caring science and whether abduction, as a distinctive type of inference, can contribute to this. We need to understand the role of theory in our discipline, the strategies used to develop it, the criteria used to critique it, and the possibilities for abductive reasoning to enhance theory development within caring science. Abduction paves the way for a deeper knowledge of understanding and is closely connected to the ontological questions
Ethical Dilemmas in Conducting Research with Children
Authors: Buchwald Dorte
Published: September 2018

Conducting research where children act as informants is a field that presents the researcher with ethical obligations. In this article the authors present four ethical issues that must be taken into account when research involves children: informed consent, power relations, confidentiality, and the reflective processes that can be triggered by the child’s involvement in the research project. All four areas are explored, discussed, and exemplified in the article.
Spirituality and the Clinical Encounter
Authors: Yuen Elaine
Published: September 2018

Patients who are ill must often face difficult clinical decisions with uncertain outcomes. Spiritual practices have the ability to articulate this uncertainty by providing a context where anxieties may be faced, felt, and understood. These understandings may support increased clarity about factual and emotional content in clinical decisions. Key to spiritual practice is the inclusion of the “unknown” or “liminal space” within the clinical encounter. In healthcare encounters, we often deny we are standing at the threshold of the unknown. Steps for accessing an applied spirituality that allows practitioners to enter, stay, and leave a liminal space in clinical encounters are described.
32nd Internatonal Association for Human Caring Conference
Authors: Evans Michael L.
Published: September 2018

The purpose of the study was to develop an institutional care model that reflected staff nurses’ perceptions of what nursing means to them. Swanson’s (1991) care theory concepts were compared to the nurses’ responses to evaluate if this middle-range theory could support a theoretically based institutional care model. It was discovered that the theoretical concepts of knowing, being with, enabling, doing for, and maintaining belief found in Swanson’s (1991) care theory were expressed by the nurses. A care model was created that provided a visual display and guided nursing practice at this institution.
Communication as Moral Caring in Nursing: The Moral Construct of Caring in Nursing as Communicative Action
Authors: Sumner, Jane
Published: September 2018

Sumner’s complete theory of caring in nursing as moral bi-directional communication is explicated, including the components of the nurse’s personal self and professional self, which includes theoretical knowledge, practice or skills knowledge, and experiential knowledge with both emotion and cognitive aspects, and the patient’s personal self and illness self with both emotion and cognitive aspects. The bi-directional communication that occurs in this unique interaction, delimited by the healthcare world, is explained on a moral maturity continuum. The interactive discourse is between two equal human beings: Nurse and patient. The underlying premise is that all humans are innately vulnerable because they are exposed in communication and this demands “considerateness,” which is the moral component.
Is It Evident That Evidence Shall Govern the Health System?
Authors: Delmar, Charlotte
Published: September 2018

For some nurses the demand for documentation, development, and research has been interpreted in a way that evidence is becoming a kind of “religious” fundamentalism. If evidence-based nursing derives from evidence-based medicine, it seems to be a problem for researchers, whose objects are values, interpersonal relationships, ethical problems, and power issues. The article questions the concept of knowledge and illuminates the development of the concept of theory. The view of what counts as evidence-based nursing will have implications for clinical nursing practice, as well for research and theory development.
Team Walking Hearts: A Pilgrimage of Being
Authors: Shields, Deborah A.
Published: September 2018

A pilgrimage invites one to be present in stillness and solitude, meeting the unknown and gazing with new eyes. The experience can be challenging and unsettling as questions and truths are revealed. It is a time of deep contemplation where the pilgrim feels “very much apart from the rest of the world...You are an observer” (Watson, 2006, p. 289). this narrative essay shares the transformation that I experienced when I undertook an intentional walk in honor of a friend. The lessons of the journey are transformative and have deepened my life as a woman and holistic nurse.
Caring as a Standard of Nursing When Deployed Military Nurses Provide Services to Enemy Insurgents
Authors: Thompson, Sharon , Mastel-Smith, Beth
Published: September 2018

Deployed U.S. military nurses in combat situations describe a variety of experiences and responses. These examples suggest caring characteristics and adherence to nursing standards. However, variables, such as care for enemy insurgents, might interfere with forming nurse-patient relationships and nurses’ self-care. Opportunities for research into insurgent care, an understudied and little understood phenomena, exist. Research into insurgent care needs to be expeditious because military nurses continue to be deployed to areas of conflict. Findings might be generalized to civilian nurses faced with caring for societal enemies, such as prisoners, drug addicts, drunk drivers, gang members, and others.
The Ethics of Presence When Bathing Patients in a Nursing Home
Authors: Råholm, Maj-Britt
Published: September 2018

The purpose of this quasi-experimental study was to examine the effects of viewing the feature film Wit on the empathy ratings of nursing students. The Jefferson Scale of empathy (JSE) was used to measure nursing students’ empathy levels. Findings suggest a statistically significant increase in empathy scores in the experimental group from pre-test to post-test #1 (t = 2.60; p = 0.0133) and also from pre-test to post-test #2 (t = 2.10; p = 0.0424). In this study, the experience of viewing the film, as opposed to classroom teaching alone, enhanced student empathy ratings.
Caring for the Nurse in the Hospital Environment
Authors: Clerico, Elizabeth , Harley, Christi
Published: September 2018

This study was conducted to examine nurses’ perception of being cared for in the hospital work environment. a survey design was used with a modified questionnaire based on Watson’s caring theory. Physical needs, spiritual needs, intellectual stimulation, and authentic relationships were domains measured. Results indicated an overall perception of caring (5.27 on a 7-point scale). However, there is significant variation in perception of caring among units within the hospital. Additional research is recommended for tool refinement and the development of a language of caring to help promote more meaningful communication among staff and patients.
Assessing Trustworthiness in Hermeneutical Studies – A Discussion
Authors: brielsen, Elisabeth Ga , Lindström, Unni Å. , Nåden, Dagfinn
Published: September 2018

Trustworthiness in hermeneutical studies is the subject we employ in this article. The discussion has focus on trustworthiness and data collected through conversations, the different participants’ contribution in conversations, and the importance of having the subject matter in focus in the conversations. Gadamer’s hermeneutical philosophy of fusions of horizon, his emphasis on the subject matter, and the research goal of generating knowledge on the level of universality are topics to be examined. We discuss, through examples, one way of pointing at universal knowledge or ontological evidence in research
Caring, Connecting, and Communicating: Reflections on Developing a Patient-Centered Bedside Handoff
Authors: Herbst, Anna M. , Friesen, Mary Ann , Speroni, Karen Gabel
Published: September 2018

A multihospital health system improved the nursing change of shift report process by bringing it to the bedside using a new process and tool referred to as ISHAPED (Introduction, Story, History, assessment, Plan, error Prevention, and Dialogue). Using a caring-science perspective, the process was optimized by gaining input from hospitalized patients and parents, and the Parent and the Patient & Family Advisory Councils. This input facilitated development of a more caring-focused nursing education on change of shift report through ISHAPED bedside handoffs, thus promoting more patient-centered care.
Using Digital Storytelling as Voice for Adolescent Females Who Self-Injure
Authors: Goodman, Rhonda
Published: September 2018

Adolescent females who self-injure may use their skin as a canvas to tell their stories. Storytelling provides adolescents an opportunity to express those stories in a different venue. This research included the use of digital storytelling. The intent of the research was to discover the efficacy of using digital storytelling to provide voice to adolescent females who self-injure. A common theme throughout the stories was their desire to continue self-injury, although most had ceased the behavior. Digital storytelling may be an effective way to provide voice and to help adolescent females who self-injure to articulate their experiences to others, providing an outlet for their emotions.
Trained to Nurse – Called to Care A Southern Woman Enters Nursing and Discovers a Calling
Authors: Wilson, Mary H.
Published: September 2018

This is an oral history interview (OHI) conducted with Sister Edna, a native Southerner, who was trained to be a nurse in the early 1950s and later found herself called to the religious life of a Catholic nun. Edna’s life as a nurse and subsequently as a Catholic sister of the Daughters of Wisdom is full of historical significance as she speaks of caring for individuals from all socio-economical and racial backgrounds during times of polio epidemics and racial discrimination in the United States. Sister Edna’s story unveils the unique contributions she has made to the profession of nursing through her life of being called to care.
Transforming Compassion Satisfaction
Authors: Dunn, Dorothy J. , Rivas Dawn
Published: September 2018

Compassion in caregiving is a quality which nurses are expected to possess. Little is known in the professional literature that addresses the essences of compassion as experienced by nurses. The purpose of this study was to explore the meaning of compassion in nursing practice. In this exploratory, qualitative secondary analysis study, grounded in hermeneutic phenomenology, textual data were obtained from an original study that revealed that intentional compassion energy (ICE) is what keeps nurses in nursing. This research study examined the archival data and de-identified anonymous text to understand the experience of compassion in nursing practice, and describes the usefulness, experience, and meaning of compassion in nursing practice through the lens of the theory of compassion energy. The findings revealed the emotional connection of caring for another who is suffering with the intention to care compassionately as the grounding of nursing practice. Compassion becomes the energy for caring and supports the relational process in connection between the nurse (caregiver) and patient (care recipient). The overall meaning of how nurses experience compassion was interpreted from 3 relational themes: Compassion as Emotion, Transforming the Compassion Occasion, and Connecting with Grace.
Climate Change: An Ecocentric Values-Based Caring Approach
Authors: Anderko Laura
Published: September 2018

There is a delicate balance between the health of the Earth and the health of the human race. Human activities are contributing to global environmental changes, namely climate change. What is needed to mitigate climate change and its resultant health impacts is different from what has been expected from nursing in any other era. A shift from traditional caring models that are human-centered is needed. The ecocentric values-based caring model provides a broader context for caring by nurses that will help to heal the Earth and ultimately, humanity.
FIT to Care: An Action Research Study Exploring the Use of Communication Theory to Strengthen Caring Relationships between Teachers and Students
Authors: Lake, Pamela K. , Haas, Barbara K. , Matthews, Marsha
Published: September 2018

A caring-trusting relationship between teacher and student is foundational in caring educational environments. This relationship can be threatened when negative feedback to students is required. Instructional feedback based on feedback intervention theory (FIT) has been effective in communication studies. The purpose of this action research study was to explore the use of FIT-based communication techniques as a tool for nursing faculty to provide instructional feedback while protecting the caring-trusting relationship between teacher and student. Study participants reported positive changes in the instructional feedback communications with students that enabled a culture of caring to be maintained.
Kierkegaard’s Works of Love Reflected through the Lens of Caring
Authors: Thorkildsen, Kari Marie , Eriksson, Katie , Råholm, Maj-Britt
Published: September 2018

This article proposes a conception of love based on a hermeneutical reading of the first part of Søren Kierkegaard’s Works of Love. The reading unveiled some fragments of love that were reflected through the lens of caring science. In love’s motion of duty, it is possible to form an ethos of love. In the communion formed by love’s motion, human equality is created. Faith is a loving act that implies helping the neighbor to believe in love. Debt involves staying in love’s motion, infinitely returning to the core of one’s heart which responds that one can never give enough love.
Toward a New Leadership Model: To Serve in Responsibility and Love
Authors: Manley Becky
Published: September 2018

The purpose of this study was to develop knowledge about what responsible leadership is as well as develop a theoretical model for responsible leadership in the perspective of caring science. Instrumental and economic discourses can result in a technological and artificial understanding of being. Therefore, present is a basic research study exploring core ontological questions pertaining to what leadership is. The study shows that leadership is part of the human existence and entails giving the human substance movement and direction. Leadership becomes responsible leadership by assuming responsibility for the other and by understanding responsibility for caring as the subject matter. Responsible leadership is to give one’s own and others’ responsibility impetus and direction toward others’ vulnerability and suffering. This is to serve in humility and proxy.
Gender Equality and the Empowerment of Women in Arab Countries: A Transcultural Caring Perspective
Authors: Martin, Mary Brigid
Published: September 2018

The United Nations Millennium Development Goals aim to improve an array of global social circumstances by the year 2015. Islam, one of the world’s fastest growing religions, is the faith practiced in many of the countries with the poorest progress of this goal. One of the Millennium Development Goals, number three, which pertains to gender equality and female empowerment, is explained herein, within the context of countries in the Arab world where Islam is the major religion. Ray’s (2010) Transcultural Caring Dynamics in Nursing and Health Care model provides a means to consider the complexities of this phenomenon, with emphasis in its value as a human rights model.
A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care
Authors: Karlsson, Margareta , Berggren, Ingela , Kasén, Anne , Söderlund, Maud
Published: September 2018

This metasynthesis aimed to translate, interpret, and present a synthesis of qualitative studies from nurses’ perspectives dealing with ethical dilemmas and ethical problems in end-of-life care and to gain a deeper understanding of the phenomena. Nurses and other care professionals need to gain a deeper understanding and alleviate the suffering of patients through evidence-based practice end-of-life care. The metasynthesis, inspired by Noblit and Hare, generated an overarching metaphor, The Loving Eye. The Loving Eye illustrates how nurses are deeply involved with patients as human beings and connotes an inner responsibility to struggle for patients’ best interests and wishes at the end of life. With The Loving Eye, nurses can see and feel patients’ need to be confirmed, comforted, and healed approaching the end of life.
A Model to Create a Caring and Healing Environment for Nurses in Child and Family Nursing
Authors: Emoto, Rina , Tsutsui, Mayumi , Kawana, Ruri
Published: September 2018

The aim of this research was a) to describe the improvement process that allows for the creation of a caring and healing environment that brings changes in nurses, and b) to construct model to create a caring and healing environment for nurses. Participatory action research was conducted in 6 clinical settings of East Japan. The caring and healing environment for nurses was created by redefining the existing problem, disclosing the hidden problems, developing improvement measures, such as opportunity to obtain a new point of view, sharing the experience and thoughts with coworkers, and appraising care.
Coming To Know Caring: A Teaching-Learning Journey
Authors: Lebold, Mary Me , Douglas, Margaret Re
Published: September 2018

Caring is at the center of nursing. Nevertheless, nurses seek to learn more about the meanings and common practices of caring as well as how to teach and enhance these practices. This article describes undergraduate and graduate nursing courses in caring that the authors developed and taught for more than eight years. Course foundations, organizational themes, structural patterns, and teaching strategies are presented. A phenomenological worldview that is consistent with Diekelmann’s “Concernful Practices of Teaching and Learning” undergirds course design. Emphasis is given to personal, aesthetic, ethical, and spiritual patterns of knowing and being, although empirical patterns are included. The structure of the courses focuses sequentially on care of self, care of others, and the creation of caring communities. Each class session is organized to include opportunities for reflection, lecture, discussion, and experiential exercises. Various expressions and interpretations of caring such as story, play, meditation, music, literature, and other art forms are used as teaching strategies. Journal writing is done regularly to encourage the habit of reflective practice.
Giving of Oneself on Another’s Behalf: The Phenomenology of Everyday Caring
Authors: Schoenhofer, Savina O. , Bingham, Vicki , Hutchins, Georgia C.
Published: September 2018

A foundational understanding of everyday caring is important to the continued development of caring as the central construct of nursing. Based on a research innovation of group phenomenology, this paper describes essential themes of the lived experience of everyday caring, including: caring is evidenced by empathetic understanding, actions and patience on another’s behalf; caring for one another by actions, words, and being there leads to happiness and touches the heart; and, caring is a fulfilling giving of self while preserving the importance of self. Theoretical connectedness is addressed in relation to concepts of action, altruistic presence, mutuality and empathy.
Nurses’ Process of “Becoming” When Working in the Context of Death and Dying
Authors: Ueland Venke , Ramvie Ellen
Published: September 2018

This study aims to establish a deeper understanding of how working closely with suffering and dying patients existentially affects nurses and impacts on their process ofbecoming. The theoretical basis iscaring sciencein the tradition of Eriksson with a hermeneutical methodological approach. We used focus-group interviews to collect qualitative data from 22 nurses. Witnessing terminal suffering causes nurses existential suffering. According to Kierkegaard (1849), the process ofbecomingdepends on self-understanding. Nursing leaders should provide for conditions that allow nurses to be confirmed as persons, and giving opportunities for the processes ofbecoming.
Inequities Within Indigenous Maternal Health: A Prevailing Issue
Authors: Waschuk Kennedy
Published: September 2018

Addressing maternal health inequities experienced by indigenous peoples is crucial for further development and improvement of Canada’s health-care system. Ray’s (1989) Theory of Bureaucratic Caring provides a theoretical framework which offers guidance for registered nurses (RNs) to implement intentional and deliberate caring within complex health-care organizations. The significance and influence of the educational and social domains of caring from this theory are utilized as a lens to explore their impact on indigenous maternal health. Broad, systemic and individual changes to an RN’s personal caring are examined as ways to create a lasting and prominent influence on this issue.
Eight-Step Concept Analysis: Spirituality in Nursing
Authors: Yeşilçınar İlknur , Acavut Gamze , İyigün Emine , Taştan Sevinç
Published: September 2018

Spiritual care is an important part of nursing care. Spiritual care has a therapeutic effect on patients’ recovery, so it is important to know exactly what spiritual care is. It is aimed to clarify spirituality concept and to determine the scope of use in nursing literature. Antecedents of spirituality are determined as trust, hope, love, values, and need to find purpose for life. Consequences are motivation, improved life quality, and coping with difficulties. Ensuring that the meaning of this concept is handled in all dimensions will be a guide for giving holistic nursing care and can help to prevent misconceptions.
The Meaning of Nursing Practice in the Stories and Poems of Nurses Working in Hospitals: A Phenomenological Study
Authors: Wolf, Zane Robinson , Langner, Suzanne R.
Published: September 2018

This study explored the experience of being a nurse working in a hospital. Using an interpretive phenomenological approach (M. van Manen, 1990), investigators employed text-based analysis to understand and elucidate the themes inherent in the experience. For 4 years, nurses working in 2 urban hospitals contributed stories and poems. These narratives bring to the fore the familiar but infrequently articulated caring work of hospital nurses.
AESTHETIC EXPRESSION: Florence Nightingale
Authors: Morton, A. Michel
Published: September 2018

As nurses enter the 21st century, they are challenged to rediscover the essence of their profession, to be strengthened as wise, authentic, committed healers. Nurses are called to reconsider the work of the soul. Sophia is a sacred, feminine archetype of wisdom that can inspire nursing practice, education, and research. She is an archetype of a powerful woman possessing critical truths. Asignificant link exists between Sophia and Florence Nightingale. Knowing this link can help nurses further ground the spirituality of their practices.
Unfolding Transpersonal Caring-Healing Through Story
Authors: Wardell, Diane Wind
Published: September 2018

Story can be used to depict principles of a caring practice. In Romania there is a lack of supportive health care services and supplies compounded by a high incidence of HIV in the institutionalized population of children. Amethod of providing care using Healing Touch, a hands-on healing practice, was taught to health care and social care workers in Constanta, Romania. Apersonal story and others’ reflections about teaching Healing Touch in this country are used to highlight the principles of providing a caring practice from Jean Watson’s postmodern perspective.
Aesthetic Expression
Authors: Brodersen, Lisa D.
Published: September 2018

This article reviews how poetry is used in nursing as an educational tool, a therapeutic intervention, an expression of professional experience, and a research method. Poetry may be able to express the aspects of human-caring experiences that traditional research methods cannot quantify or describe. Though poetry may surpass scientific methods in capturing the elusive essence of human caring, the scientific approach produces verifiable empiric evidence, while methods to verify knowledge from poetry are currently underdeveloped. This article explores the way knowledge is created through the process of writing poetry and examines the critical approaches that could be applied to verify and validate poetry as a way of knowing in nursing. Lists of nursing-poetry publications and Internet sites are included. The author uses one of her poems to explain how the poetry-writing process is a way of knowing in nursing.
In Another World: Five Years Later – A Phenomenological Nursing Inquiry Into Meanings, “Essences” of Mothers’ Lived Experience With Perinatal Death of a Wished-For Baby Unfolding Over Time
Authors: Lauterbach Sarah Steen
Published: September 2018

This article discusses the author’s qualitative nursing research, which used M. van Manen’s and P. Munhall’s method of phenomenology to investigate mothers’ experience with the death of a wished-for baby. The findings from the original doctoral inquiry are discussed, along with the findings from the 5-year followup with participants from the original research. Further, this paper articulates the first use of a longitudinal perspective to phenomenology and proposes its use when looking at meanings in human experience over time. In addition, there is a discussion of the balancing of therapeutic and research imperatives and the emergence in qualitative research of a caring imperative into sensitive human phenomena.
Being Encouraged and Discouraged: Baccalaureate Nursing Students’ Experiences of Effective and Ineffective Clinical Faculty Teaching Behaviors
Authors: Brewer M. Kathleen
Published: September 2018

A qualitative study was conducted to investigate baccalaureate nursing students’ identification of and experiences with effective and ineffective clinical faculty teaching behaviors. The 272 participants were asked to identify and write a narrative statement about 1 effective and 1 ineffective clinical faculty behavior they had experienced as a student in the clinical setting. The data were analyzed for emergence of common themes. Identification of the themes provided a meaningful way to capture the essences of the students’ experiences of faculty teaching behaviors that fostered and hindered their nursing education in the clinical setting. The themes common to the responses of the participants were that effective faculty behavior was encouraging, and that ineffective faculty behavior was discouraging. Information from this study may help nursing educators engaged in clinical teaching to positively influence the clinical educational experience for nursing students.
Storytelling: Both Art and Therapeutic Practice
Authors: Restrepo, Elizabeth , Davis, Lisa
Published: September 2018

Storytelling has long been recognized as an art form and as a means of conveying and recreating culture through the generations. From a nursing standpoint, storytelling is also an important mode of conveying knowledge and insight to clients, nursing students, and peers. Storytelling can provide a means of bonding, a mechanism for validating experiences, and an avenue for the mutual sharing of information and emotion. Significantly, storytelling allows the teller to impart information that otherwise may not be elicited through verbal or written questions. Surely the art of caring can be enhanced by the art of storytelling.