bluuebunny/crossref_metadata_2025 huggingface dataset:
Does Mode Matter? Measuring the Effects of Different Types of Online Political Engagement on Offline Participation
Authors: Gibson Rachel , Cantijoch Cunill Marta , Cutts David
Published: September 2018

Recent studies have shown that online participation is a multi-dimensional phenomenon that replicates and extends existing forms of political engagement. What is less clear is the mobilizing potential of these different types of activity and particularly whether they trigger offline participation. This paper addresses these questions in an analysis of citizens online and offline behaviour in the context of a UK General Election. Specifically we identify three different modes of online engagement in the campaign, profile the individuals most likely to engage in them, and examine whether they affected individuals’ likelihood of voting. Our findings show that while newer social media based ‘e-expressive’ activities are most likely to appeal to those individuals who are not already engaged in politics they do not necessarily increase the likelihood of voting. By contrast higher consumption of news and information online during an election does appear to significantly boost individuals’ chances of turning out to vote.
Biological Property of Fritillaria imperialis L. Extract
Authors: Aydın Ali , Dede Emine , Elmastaş Mahfuz , Tekin Şaban
Published: September 2018

A preliminary in vitro screening revealed the therapeutic status of extracts of Fritillaria imperialis L. that belongs to the Liliaceae family. Its tendrilled bulbs are consumed fresh or prepared in a powdered form and used as a home remedy for cough and phlegm, high fever, hemorrhage, lack of milk, treatment of abscesses, asthma, rheumatism, and eye disease. Herein, we investigated the antiproliferative, cytotoxic effects and antibacterial activities of Fritillaria imperialis L. extracts on three cancer cell lines (HeLa, HT29, and C6), and a non-cancer cells (Vero). The potential antiproliferative and cytotoxic impact of Fritillaria imperialis L. extracts were investigated in vitro through MTT and LDH measurement techniques, and its antimicrobial effects were studied with MIC and disc-zone test. The extracts of Fritillaria imperialis L. have been shown to exhibit poor antiproliferative effects and antibacterial activities on some cancer cell lines and bacteria, respectively, at even high concentration. These data suggest that Fritillaria imperialis L. extracts are low cytotoxic to cancer cell lines and Staphylococcus aureus (ATCC 25923) and Escherichia coli (ATCC 25922). Our results indicate that clinic consideration of Fritillaria imperialis extracts for the treatment of malignant and bacterial disease needs to be re-evaluated due to its different extraction and isolation methods.
Prevalensi Infeksi Clostridium difficile Pada Pasien Neutropenia dengan Kanker
Authors: Kurniawan Andree
Published: September 2018

Clostridium difficile (C. difficile) infection mostly found in immunocompromised patient. Most of the patients with neutropenia had hematologic malignancy and come with multiple risk factors for C. difficile infection. The aim of this study is to know the prevalence and characteristic of C. difficile infections in cancer neutropenia patients. This cross-sectional study was done in secondary referral hospital in suburban Karawaci, Tangerang, Banten, Indonesia from June 2014 until Mei 2015. Adult cancer patients hospitalized with neutrophil count less than 1500 106 cell/L were included. All patients were checked for antigen and toxin C. difficile in faeces. From 25 patients were evaluated for C. difficile infection in neutropenia. C. difficile antigen only found in one patient or 4% sample.

Key words: C. difficile, cancer, neutropenia
Patogenesa Dan Pemilihan Terapi Hemorrhoid
Authors: Sudirman Taufik
Published: September 2018

Therapy of hemorrhoids ranges from dietary and lifestyle modification to  surgery, depending on degree and severity of symtoms. While debate continues as to which is the best surgical method for the therapy of hemorrhoids, none of the currently available surgical methods approach the ideal surgical option, which is one that effective while being safe and painless. In reality, the less painful the procedure, the more likely it is to be associated with recurrence post-op. A fuller understanding of the pathophysiology will help to make choices.

Keywords: hemorrhoids, pathophysiology, therapy.
Poor Sleep Quality of Hospitalized Geriatric Patients in General Hospital in Karawaci, Tangerang, Banten Province, Indonesia
Authors: Hardjo Lugito Nata Pratama , Yanto Theo Audi , Kurniawan Andree , Wijaya Indra , Tjiang Margaret Merlyn , Setiadinata Resa , Sumantri Stevent , Seto Euphemia
Published: September 2018

Background: In Indonesia, geriatric population in the year 2005 was 15.8 million (7.2 % population), and expected to reach 11.34% in the year 2020. There was growing evidence for poor sleep as an independent risk factor for poor physical and mental health. Geriatric population may be particularly vulnerable to effects of sleep disturbance due to significant age-related changes in both sleep and inflammatory regulation
Objective: To study the epidemiological (gender, age group) and health status (co-morbidities), sleep quality according to Pittsburgh Sleep Quality Index (PSQI) and its associations in geriatric population hospitalized in General Hospital in Karawaci, Tangerang, Banten Province, Indonesia.
Materials and Methods: A hospital based cross sectional study was conducted from January to June 2014. A total of 92 subjects aged 60 years and above were selected consecutively from hospitalized geriatric patients for this study. The data was analyzed by means and proportions.
Results: The male and female subjects were 51.1% and 48.9%. Mean age was 66.79 + 5.448 years. The age group of 60 – 75 years and above 75 years was 92.4% and 7.6% consecutively. Subjects with diabetes, hypertension, allergy, asthma, cardiac failure and chronic kidney disease were 30.4%, 62.0%, 18.5%, 21.7%, 21.7%, 20.7% consecutively and 63.0% with more than 2 co-morbidities. According to PSQI 72.8% subjects have poor sleep quality. Associations between poor sleep quality to epidemiological and health status were not significant except for diabetes (RR= 3.208 [95% CI: 1.045 – 9.848], p = 0.022) and chronic kidney disease (RR= 6.247 [95% CI: 0.902 – 43.279], p = 0.017)
Conclusions: Seventy two percents of subjects have poor sleep quality, and associations between poor sleep quality to epidemiological and health status were not significant except for diabetes.
The Controversy of Hydatidiform Mole Treatment In Women age ≥ 40 year-old
Authors: Farah Gabriella , Nainggolan Julita D.L
Published: September 2018

Background: Hydatidiform mole or commonly known as molar pregnancy is one of the gestational trophoblastic disease (GTD) caused by an abnormal trophoblast proliferation. About 50% of gestational trophoblast neoplasm (GTN) arises from molar pregnancy. Higher risk of GTN was found in older patient, especially women age ≥40 years old. Management of hydatidiform mole is often faced come challenges, especially in developing country like Indonesia. Although, suction curettage is the most recommended treatment for the evacuation of molar pregnancy, hysterectomy is considerable for women who have completed childbirth and do not wish to preserve their fertility.
Case: Here we present case of 48 years old women with hydatidiform mole. Considering the age of the patient and the completion of her childbearing, we decided to do a laparotomy total abdominal hysterectomy for the evacuation of the mole instead of suction curettage. Turned out that this patient had an invasive mole, one of the types of gestational trophoblastic neoplasia.
Conclusion: Although suction curettage is the most frequent technique for molar evacuation, hysterectomy is a reasonable option as primary treatment to be performed in older patients and for those who do not wish to preserve their fertility. The other important points such as socio-economic status, education level, and geographical issues should be considered also on managing older patients with hydatidiform mole in developing countries
The Key role of MRI modalities in En Plaque Meningioma
Authors: Tirtaprawita Novita , Wiradharma Wiradharma , July Julius
Published: September 2018

En plaque meningioma is at frontal region is difficult to be differentiated from osteoma, based on CT scan only. En plaque meningioma represents in 2-9% of all meningioma cases. Usually en plaque meningioma grows on the sphenoid wing, whereas only 1 % grows on the frontal and temporal bone. This case is female 37 year- old who presents with chronic headache and huge lump on her right forehead that she believes it slowly enlarges for the last 5 years. The Computerized Tomography scan (CT scan) shows thickening of the right fronto-temporal bone (3-4 cm) with the diameter of 12 cm and bony hard. Initial impression suggests it could be osteoma or fibrous dysplasia. After the MRI (Magnetic Resonance Imaging) with contrast, it shows a carpet like tumor underline the thickening bone, and it suggest an en plaque meningioma. For en plaque meningioma, we have to remove the abnormal duramater. We suggest that for a case with a wide thickening calvarian bone, it’s better to get the MRI of the head with contrast.
Disseminated Intravascular Coagulation
Authors: Lorens Jane Olivia , Kurniawan Andree
Published: September 2018

Disseminated Intravascular Coagulation (DIC) is an acquired pathological syndrome, featured by a hypercoagulable state, bleeding symptoms, and multiple organ failure. Based by these very distinct features, DIC is classified into four types namely Bleeding type, Organ failure type, Massive bleeding type, and Asymptomatic type. Diagnosing DIC is a challenge to the health practitioner, considering that DIC is a multifactorial syndrome, which always is a complication of some underlying diseases. To diagnose DIC, it is necessary to do a comprehensive evaluation of clinical symptoms and laboratory results. The necessary laboratory results include platelets count, fibrin degradation products (FDPs), fibrinogen, and PT-aPTT.
Is sustainable logging possible in Africa’s dense forest?
Authors: Karsenty Alain
Published: September 2018

René Catinot, qui fut directeur des recherches forestières au CTFT (Centre Technique Forestier Tropical, qui deviendra le département Forêt du Cirad) et figure historique de la foresterie tropicale française, se posait cette question au début des années 1960. Dès leur arrivée en Afrique Tropicale, nous dit Catinot, « les Forestiers chargés de la gestion de la forêt dense ont cherché à la régénérer ». Les connaissances forestières de milieux tempérés sont insuffisantes face à des forêts qui comportent 200 à 300 espèces, mais qui contiennent nettement moins de bois qu’une forêt aménagée en zone tempérée. Un débat oppose alors les tenants d’une régénération naturelle à ceux de la régénération artificielle. Le problème de l’exploitation sélective tropicale, particulièrement en Afrique, est le faible taux de prélèvement qui limite l’arrivée de lumière au sol et empêche la germination nécessaire au renouvellement des espèces les plus appréciées commercialement, lesquelles sont souvent à tendance héliophile. Catinot est affirmatif « il ne faut pas compter sur la Nature seule pour la régénérer ». Les techniques sylvicoles s’emploient, dès lors, à favoriser ces espèces commerciales, soit en « stimulant la croissance des plants préexistants » (sylviculture utilisant la régénération naturelle), soit en « transplantant dans les forêts épuisées par l’exploitation des plants d’essences nobles préalablement produits en pépinière » (régénération artificielle). Le langage sur la « noblesse » des essences trahit les conceptions de l’époque. Le terme de « diversité biologique » n’apparaitra qu’en 1968 et il faudra encore quelques années pour comprendre que la biodiversité ne se limite pas à la somme des espèces, mais représente l'ensemble des interactions entre les êtres vivants. Que nous dit Catinot, qui exprime bien la pensée des forestiers tropicaux de l’époque ? La sylviculture utilisant la régénération naturelle, « c’est avant tout une destruction lente et prudente du couvert » en utilisant délianage, dégagement et empoisonnement des « espèces gênantes ». Quant à la régénération artificielle, « il faut bien détruire la forêt préexistante pour donner aux plants la lumière indispensable à leur croissance ». Ce langage serait inaudible aujourd’hui, à l’heure où l’on cherche à promouvoir « l’exploitation à faible impact » et où la certification Forest Stewardship Council « de bonne gestion forestière » (FSC) s’interroge sur la compatibilité de l’exploitation, même à faible impact, avec le maintien de « paysages forestiers intacts »...
Reflections on Knowledge, Power, and Professional Privilege: A Healthcare Professional as a Healthcare Patient
Authors: Duke Jan
Published: September 2018

This essay, based on my personal reflections as a cancer patient, examines the impact that knowledge and power associated with professional position has on the care given to healthcare providers when they become patients. Lessons learned through this experience, which can enhance future professional practice, include never underestimating a patient’s personal knowing, taking notice when a patient says that enough is enough, and never using coercion and allowing caring to become oppressive and disempowering.
Aesthetic Expression
Authors: Ressler Alexis B.
Published: September 2018

The author discusses a new paradigm for working with terminally ill patients that focuses on each individual’s unique human experience rather than on the more abstract principles of biomedical ethics. This paradigm is based on a four-part framework developed by existential psychoanalyst, Irving Yalom. The author examined each portion of Yalom’s framework and focused the discussion on the relational ways in which clinicians might address their dying patients’ inevitable existential concerns.
Concept Analysis: The Moral Construct of Caring in Nursing as Communicative Action
Authors: Sumner Jane
Published: September 2018

A theoretical framework of caring in nursing proposes nurses and patients have underlying vulnerabilities and needs with emotional and cognitive responses. These characteristics suffuse and influence the assumed roles of nurse and patient, which are manifest within the healthcare specific context. The aim—to develop conceptual and operational clarity of this framework for instrument development. The qualitative researcher’s techniques of concept analysis are utilized. The probabilistic view is used. Concept identification is prototypical. The components of the personal and professional self of the nurse and the personal and illness self of the patient are identified as is the communicative relationship posited within Habermas’ (1995) moral maturity framework. This has resulted in the development of an operational definition of caring in nursing for instrumentation.
Nurse Midwives with Women: Ways of Knowing in Nurse Midwives
Authors: Callister Lynn Clark
Published: September 2018

Certified nurse midwives (CNMs) make significant contributions to the care of women and newborns. This descriptive phenomenological study documents ways of knowing in CNMs practicing in Utah. Participants described their roles in the provision of direct care (micro-level) and as advocates for women (macro-level). Clinical expertise coupled with a sense of intuition guide their practice. For study participants, knowing the woman is pivotal in skilled clinical judgment, knowing the woman creates the potential for advocacy, and knowing the woman provides a framework for knowing all women.
Bearing Witness to Suffering: Participating in Cotranscendence
Authors: Cody William K.
Published: September 2018

In this article, the phenomena of bearing witness – not bearing witness, a paradoxical rhythm, and of having another bear witness to one’s experience are explored in relation to suffering and healing. The burgeoning interest of nurses in bearing witness, in theory, research, and practice is noted. Ethical dimensions of bearing witness – not bearing witness are adduced for consideration. It is suggested that what happens when nurses truly bear witness to the lived experiences of those to whom they provide care, processes associated with transcendence of suffering are enhanced.
Suffering in Silence: Managing the Fear Trajectory of Genital Herpes
Authors: Gordon Shirley C.
Published: September 2018

Genital herpes is an incurable, highly stigmatized, sexually transmitted disease. The purpose of this article, which represents a portion of a larger study by Gordon (1998), is to describe pervasive fear as the basic social psychological problem identified by low income women with genital herpes. Categories included fear of pain, passing the disease, and telling others. When nurses recognize the individual variability of pervasive fear associated with living with genital herpes, they validate suffering. Knowing what matters most to low income women as they suffer in silence with genital herpes encourages the nurse to develop meaningful responses to their cries for caring.
When Nurses Mourn: Layered Suffering
Authors: Mead Lucy J.
Published: September 2018

Human suffering as a phenomenon for inquiry invokes a sense of quiet anguish. In nursing, studies of suffering are most often focused on the experiences of persons with life-threatening or terminal illnesses and are characterized by efforts to describe qualities, types, and dimensions of suffering. While these studies contribute a wellspring of understanding, suffering becomes infinitely more complex when the effects of suffering on the patient’s circle of relationships are considered. The purpose of this paper is to illuminate the suffering of nurses when they experience the loss of a loved one and continue to work with suffering from personal bereavement intermingled with the suffering they share with patients. This unrelieved, invisible grieving is called layered suffering.
The Suffering Experiences of Buddhist Tsunami Survivors
Authors: Hatthakit Urai
Published: September 2018

This paper discusses the lived experiences of 10 Buddhist survivors who were seriously affected by the tsunami of 2004 in Thailand. The purpose of this study was to explore the meaning of suffering from a Buddhist perspective. Buddhism, with its main focus on concept of suffering and ways to end suffering, helps strengthening coping skills of the survivors. Van Manen’s (1990) hermeneutic phenomenology provided the methodological framework for this study. Themes that reflect the meaning of their suffering experiences, response to the suffering, and Buddhist concepts that influence the meaning of suffering are presented. The implications of these findings to the nursing practice are outlined.
Student Paper: Entering the Between
Authors: Tyler-Ball Suzette
Published: September 2018

Each day of a nurse’s life presents opportunities for courage, growth, and caring. Although some opportunities are subtle and some are extraordinary, they all have their strongest impact on those who dare to enter into them with a heart open to the experience. The essence of this special and humbling moment that occurs when nurses risk entering “the between”—the empty spaces in the human heart caused by suffering, courage, and commitment—to answer calls for nursing. This paper presents a comparative analysis of caring from the perspectives of Mayeroff, Roach, and Paterson and Zderad and concludes that the intention of assisting the other to grow results in personal growth for the caring giver.
Caring Scholar Response To: Honors Programs as a Way to Grow the Discipline
Authors: Liehr Patricia
Published: September 2018

This paper considers the honors program described by Schumann and McNeill through the caring lens of story. It affirms the underlying caring nature of honors program principles and pushes the edges of these principles—student-centered focus, experiential learning, and research-practice reciprocity—to expand thinking about caring educational approaches.
Caring as the Central Domain in Nursing Education
Authors: Touhy Theris
Published: September 2018

The purpose of this article is to illustrate how caring guides the study of nursing at both undergraduate and graduate levels. It is the belief of the authors that if caring is an essential concept of the discipline of nursing, then the substantive nature of this concept must be studied. It is the intent of this article to provide a clear and descriptive approach as to how to intentionally focus on the study of nursing through the lens of caring.
Promoting the Integration of Therapeutic Touch in Nursing Practice on an Inpatient Oncology and Bone Marrow Transplant Unit
Authors: Barron Anne-Marie
Published: September 2018

The purpose of this descriptive qualitative research was to explore experiences of nurses and patients on an inpatient oncology unit when nurses had time preserved for the exclusive offering of therapeutic touch (TT). Nine nurses participated in an educational program to learn the process of TT, but later identified busyness, difficulty centering, and lack of comfort asking colleagues for coverage as significant obstacles to integrating TT in practice. With dedicated time for TT three key findings emerged: TT as a vehicle for comfort, caring, and presence; a shift to the personhood of the patient and reawakening of the essence of nursing; and illumination of the power of linking practice, theory, and research.
The Experience of Movement Meditation: A Dance of Rhythmic Paradox and Time
Authors: Cohen, Judith A. , Laskowski, Cheryl , Rambur, Betty A.
Published: September 2018

There has been a growing interest in non-Western approaches to attention, consciousness, health, and healing. One largely unexplored tradition stems from the teachings of Gurdjieff, which focus on movement meditation. The purpose of this qualitative study was to explore the experience of movement meditation as a first step toward determining potential for health and healing. Phenomenology was selected to explore the experience of movement meditation. The essential structure of the experience of movement meditation reflected three elements: (a) an in-the-moment experience of movement meditation, (b) outcomes of movement meditation, and (c) metathemes that surround the whole experience of movement meditation.
Women Living with Fibromyalgia: “Do No Harm”
Authors: France, Nancey E.M. , Farrell, Kathleen , Kearney, Barbara , Myatt, Sharon
Published: September 2018

The phenomenon of interest of this study was the woman’s perspective on what it was like to live with fibromyalgia (FMS). Aphenomenological study was conducted utilizing participant interviews, focus groups, and observations of FMS support groups. The participants portrayed the unending struggle of living with FMS with progressive disability further complicated by lack of trust and not feeling safe with the healthcare provider and system. Clinical Nurse Specialists (CNS) are crucial in educating healthcare providers on FMS, individualizing care to slow disability and promote quality of life, and influencing policy-making bodies to improve healthcare services.
The Concept of Yearning to be Recognized: Caring for Women Who Suffer from Migraine
Authors: Ramsey, Anthony R.
Published: September 2018

Women seeking pain relief for migraine headache from local healthcare agencies may have difficulty receiving adequate treatment. The purpose of this article is to present the concept of yearning to be recognized in relation to caring for women seeking pain relief from migraine headache. Computerized databases were searched using the key words migraine, women, nurse, suffering, communication, and acknowledgement. A synthesized definition of the concept was created and a gap in the literature was identified regarding the nursing care of patients who experience migraine headache. Acase study presenting one woman’s story, which informs the concept, will be described.
Caring Defined: A Comparison and Analysis
Authors: Bailey, Denise Nagle
Published: September 2018

This paper explores and examines how caring is defined. Acentral emphasis is placed upon theoretical frameworks of human caring developed by a number of scholars in the field of nursing and the social sciences. In particular, the espoused theories of Milton Mayeroff, Jean Watson, Kristin Swanson, Sr. Simone Roach, Madeleine Leininger, Anne Boykin and Savinia Schoenhofer, Virginia Knowlden, Sigridur Halldorsdottir, Marilyn Ray, and Delores Gaut are compared and analyzed. Within this exploration to define caring, the lens or perspective through which each theorist views the concept of caring will become more evident, providing the nurse with a greater depth and breadth of knowledge that can be directly applied to practice.
Inequalities Affecting Access to Healthcare: A Philosophical Reflection
Authors: Coursen, Cristi Campbell
Published: September 2018

There is overwhelming evidence that social inequalities affect health outcomes. Health deprivation as a consequence of poverty is a moral concern. Inequitable access to healthcare may be considered a subject of social justice inquiry. Concepts within John Rawls’ (2001) theory of justice as fairness are used as a philosophical template to identify inequalities in healthcare delivery within the complexity of the Medicaid system. From a caring perspective, Medicaid can be fair if the individuals responsible for its policies and their implementation believe that health equity is a moral imperative and they act with intent to provide health equity
Student Paper: Reawakening the Caring Spirit
Authors: Reida, Lou E.
Published: September 2018

This reflection on the 30th Annual Caring Conference discusses the role of caring in nursing and nursing leadership. Questions have emerged regarding nursing leadership’s role in fostering the caring spirit of the clinical nurse along with nurturing the caring spirit of the leader themselves.
Annemieke’s “Blue Sky Story: The One That Got Away”
Authors: Esterhuizen, Philip
Published: September 2018

Sometimes we have to look into the shadows to see the light. This paper is part of my doctoral research and focuses on “the one that got away.” Annemieke is a mature student who left the nursing program after 18 months and who agreed to meet me annually to reflect back on her experience of nursing. In this way, Annemieke formed a “deviant case” for my research and provided valuable information for both the ethnomethodological approach to my research and insight into what attrition means to a mature student. We agreed to meet for the length of what would have been the program she was enrolled in. This is our story.
Mindful Leadership as Healing Practice: Nurturing Self to Serve Others
Authors: Pipe, Teri Britt , Bortz, Jennifer J.
Published: September 2018

Leaders benefit from focusing on self-nurturing behaviors and ways of being in order to have sustained energy to care for others. Leaders have a large role in caring for each other and modeling courage for self-care. The science of caring (Watson, 2008) guides exploration of the importance of self-nurture for leaders. Caritas-based leadership practices of lovingkindness/equanimity toward self and cultivating one’s own spiritual practices frame this discussion. Mindfulness is presented in the context of leadership practice. An applied example of research involving mindfulness-based stress reduction in nursing leaders is included. Practical resources for incorporating self-nurturing behaviors are provided.
Caring for Nursing Staff Among Proficient First-Line Nurse Leaders
Authors: Uhrenfeldt, Lisbeth , Hall, Elisabeth O.C.
Published: September 2018

The aim of this qualitative study was to investigate proficient first-line nurse leaders’ caring for the nursing staff. The study was undertaken in Benner and Wrubel’s caring framework. Ten leaders were interviewed and data were analyzed following a hermeneutic approach. Caring for the nursing staff was imperative for the leaders; it was a moral agency linked to an ambition to perform high-quality care. The ambition could be assistance in bedside care, dialoguing with the staff, or planning for staff development. Further studies are needed and proficient nurse leaders need opportunities to discuss their ways of caring for the staff.
A Retrospective Analysis of “Being With” Angela Using Halldorsdottir’s Model
Authors: Sethares, Kristen A. , Gramling, Kathryn L.
Published: September 2018

Nurse-patient encounters are rarely witnessed, resulting in minimal opportunities for reflexive practice or thoughtful dialogue. This study used Halldorsdottir’s (1991) “five basic modes of being with another” to guide reflection on the relationship between a nurse and a woman with heart failure during a series of teaching interventions in her home. The overall goal was to test the usefulness of the model for making visible the relational work of nursing. Researchers found using a rubric for organizing thinking about how we are with our patients both challenging and insightful. Suggestions for further use and refinement are made.
To Witness the Patient’s Call: Nurses’ Perceptions of the Phenomenon of Confirmation in a Cancer Context
Authors: Nåden Dagfinn
Published: September 2018

The purpose of this article is to obtain knowledge about confirmation of cancer patients from the nurse perspective. The study was conducted on four cancer wards comprised of eight nurses. Qualitative research interviews were conducted. Confirmation is described in one main theme: To witness the importance of something. It consists of two invariant and one variant subtheme: (a) See and understand the whole – Be attentive, (b) Respect – Meet the patient on his/her own terms, and (c) Consolation – Reinforcing hope. The theme “Consolation resulting in strengthening the patient’s hope” is a result not found in other studies exploring confirmation. This finding is articulated and argued for in this article as a new, important component in theory generation on confirmation. It could be assistance in bedside care by dialoguing with the staff or planning for staff development. Further studies are needed and proficient nurse leaders need opportunities to discuss their ways of caring for the staff.
Do Nurse Preceptors Care?
Authors: Raines Deborah A.
Published: September 2018

Caring is a concept foundational to person-to-person interaction. Mayeroff (1971) described three components of a caring relationship. This qualitative study uses stories written by nurse preceptors to explore the relationship between the preceptor and the new hire/preceptee. The analysis searched for evidence of the components of a caring relationship from the perspective of the nurse preceptor. This study fills a gap by describing the caring components of the preceptor’s behaviors. Enhancing our understanding of nurse preceptors’ behaviors to create a caring relationship with newly hired nurses is important for the profession and to the retention of nurses.
The Common World–A Model of the Perioperative Dialog, Its Ethos, and Characteristic Structural Caring Principles
Authors: Rudolfsson, Gudrun
Published: September 2018

The purpose for this paper was to explore, on the basis of a previous research program, the foundations of caring associated with the ethos in the common world of the perioperative dialog. A hermeneutic approach grounded in caring science was employed, in which ethos represents the ultimate meaning of caring. This approach resulted in a model comprising the caring properties and characteristic structural caring principles. As a guiding principle of the common world, ethos revealed a deeper principle of order, the responsibility of the face—“Here I am.”
Being Cared For and Not Being Cared For–A Hermeneutical Interpretation of An Autobiography
Authors: Karlsson, Maud , Post, Irene von , Bergborn, Ingegerd
Published: September 2018

A patient’s autobiographical account of being cared for and not being cared for was elucidated by hermeneutical text interpretation. Two assumptions were made. Being cared for means a present carer who listens to their heart, has love in their hands, and speaks with a warm voice, which is understood as an ethos with an inner combination of head, hand, and heart. Caritas becomes evident and visible in praxis. Not being cared for means an absent carer who is not totally there, has insensitive hands, and does not listen.
Measuring the Caritas Processes: Caring Factor Survey
Authors: DiNapoli, Pamela P. , Nelson, John , Turkel, Marian , Watson, Jean
Published: September 2018

The purpose of this quantitative study was to develop a 10-item suwey to measure the caritas processes. By using exploratory factor analysis to examine the underlying structure of the 20-item Caring Factor Survey it was discovered that taken together the caritas processes are a measure of the single concept of caring that can be reliably measured by a 10-item scale. The results of the factor analysis and item reduction, resulting in a 10-item Caring Factor Suwey are presented. The 10-item Caring Factor Suwey can be used by registered nurses in the practice setting to measure caring when practice is guided by Watson’s (1979) theory of human caring.
Student Paper: My Nursing Story
Authors: Eneh, Ann Ogorchukwu
Published: September 2018

Caring for the elderly has opened my eyes to a whole new world of possibilities. Nurses have a great role to play in the lives of older adults through the love and caring that nursing truly represents. My story illuminates caring energy that transcends from a nurse to bring about healing in a patient.
Sources of Caring in Professional Nursing – A Review of Current Nursing Literature
Authors: Rundqvist, Ewa , Sivonen, Kerstin , Delmar, Charlotte
Published: September 2018

The ultimate aim of caring is to preserve a person’s dignity, his/her absolute value as a human being, and the right of self-determination. Caregivers experience a sense of impotence when, for various reasons, they are unable to provide care that preserves the patient’s dignity. This may lead to burnout and drop-out from the profession. This paper discusses shared humanity, moral behavior, and responsive relationships as sources of caring as described in the literature.
The Lived Experience of Discontinuing Hormonal Contraception Among Women in Rural Uganda
Authors: Mwizerwa, Joseph , Locsin, Rozzano C.
Published: September 2018

The purpose of the study was to describe the experience of discontinuing hormonal contraceptive use among women in rural Uganda. Asignificant number of women in Uganda discontinue hormonal contraception even though such method has been effective. Consequently, these women have unprotected sex, although not wanting to conceive. Narrative descriptions of the experiences by eight women were analyzed using content analysis. The findings describe the experience as Frustration and Helplessness, Living in Fear of Uncertainty, Ingenuity of using other methods of contraception, thus fostering the Accomplishments of being a wife, mother, and woman. Implications for nursing practice, research, and education are described.
An Exploration of the Concepts of Bearing Witness as a Constituent of Caring Practice
Authors: Campbell Michelle E. , Davis, Lisa
Published: September 2018

This paper explores the topic of bearing witness as it relates to presence, ethics, the nurse-patient relationship, and healing in nursing practice. This paper highlights the importance of bearing witness for healing as well as the potential negative effect that not bearing witness has on the nurse-patient relationship. Bearing witness is described as a nursing intervention necessary to a caring nursing practice that promotes healing.
Newly Registered Nurses’ Experience in the First Year of Practice: A Phenomenological Study
Authors: Martin Kenzie
Published: September 2018

The novice nurse’s first year of nursing practice focuses on socialization into the culture of nursing and on growth toward competent practice. Aqualitative study examined the lived experience of newly licensed registered nurses in their first year of practice in a hospital setting. Findings, described based on Kramer’s (1974) Reality Shock and Benner’s (1984) Novice to Expert, indicate that adaptation to the culture of nursing and movement from novice to competent nurse may sometimes be a treacherous journey. This journey may be influenced in a positive way through caring relationships with colleagues. Further research is needed to explore the relationship between caring supportive work environments, and recruitment and retention of new graduates.
Choosing to Make Caring Explicit in a Mental Health Facility
Authors: Linette Donna
Published: September 2018

This article presents the journey that was taken by a nursing department in a 335-bed state mental health treatment facility. The journey was the decision to choose Nursing as Caring as the practice model. While other models were discussed, Nursing as Caring was chosen. This model supports recovery-oriented treatment and the organization’s philosophy, and it speaks to the value of interpersonal relationships so important to mental health nursing. Finally, nursing as caring has helped us define our practice.
Caring Model: Putting Research into Practice
Authors: Amendolair Darlene
Published: September 2018

During the 1970s the discipline of nursing deliberately blended with the field of anthropology to create the field of transcultural nursing. The major goal of this blending was to transform anthropological concepts into the nursing process in order to render culturally congruent nursing care. This article suggests a further blending of transcultural nursing with transcultural medicine, cross-cultural psychology, theology, social workl/child welfare, and hospital administration to create a culturally conscious practice model of healthcare delivery.
Caring Science: Reflections of a Nurse’s Past Student Experiences
Authors: Taylor, Lillian M.
Published: September 2018

This article explores the topic of Caring Science. It serves as an example and reflection of how Jean Watson’s theory of caring is essential to the formation d a therapeutic nurse-patient relationship. Intentional mindfulness and acceptance are key elements to a nurse’s role in a caring relationship (Watson, 208). The formation of a caring relationship can be a catalyst for healing and growth to take place
Exploring the Theory of Integral Nursing with Implications for Pain Management Practice
Authors: Tracy, Susanne M. , DiNapoli, Pamela P.
Published: September 2018

Inadequate attention is paid to the role of theory in guiding practice. Three main factors affect the use of theory to guide clinical practice: insufficient theory knowledge, insufficient administrative support to encourage the development of theory-based interventions, and the busy task-oriented climate of many nursing settings. Pain management is a vexing problem confronting clients and healthcare professionals. The primary purpose of this paper is to introduce scholars and clinicians to the basic tenets of Dossey’s (2008) theory of integral nursing to aid nurses in designing client-centered pain management interventions grounded in the theory’s main constructs of holism and healing.
A Transtheoretical Evolution of Caring Science within Complex Systems
Authors: Ray, Marilyn A. , Turkel, Marian C.
Published: September 2018

This article illustrates the transtheoretical evolution of caring science within complex systems from the discovery of the theory of bureaucratic caring, in 1981, to the emergence of the metatheory relational caring complexity in 2011. The theory of bureaucratic caring, derived from research, is the sentinel grounded theory in the area of caring and economics, and complex healthcare systems in general. Its tenets remain applicable to contemporary nursing practice. Other grounded theories advanced from the original theory, including struggling to find a balance, the paradox between caring and economics, relational complexity, and relational self-organization in workforce redevelopment, as well as professional and patient relational caring questionnaires are presented and discussed.
Nursing as Compassionate Competence: A Theory on Professional Nursing Care Based on the Patient’s Perspective
Authors: Halldorsdottir, Sigridur
Published: September 2018

This paper introduces a theory, synthesized from studies about professional nursing care from the perspective of patients’ perceptions of caring and uncaring encounters with nurses and other health professionals. The theory’s major tenets are: Nursing is compassionate competence and caring is the core of nursing according to the patient. the other aspects are: Competence, which must always have primacy in nursing according to the patient; wisdom, postulated to develop through the interplay of the nurse’s knowledge and experience; attentiveness, evidenced by a nurse’s undivided attention to the patient while with the patient; empowering communication and connection between nurse and patient, key to good nursing care according to the patient; and self-knowledge and self-development of the nurse, without which it is unlikely that the nurse can keep on being caring and empowering in communication with clients of nursing.
Systematic Review of Effect of a Caring Protocol Provided by Nursing Staff on Patient Satisfaction of Adult Hospitalized Patients
Authors: Wolf, Zane Robinson
Published: September 2018

This review aimed to identify methodologically sound studies that evaluated the effect of nurse caring on the satisfaction of hospitalized, adult patients. Quantitative studies were located from electronic databases, with a search strategy that focused on titles, key words, index terms, abstracts, and full text published documents on nurse caring or nursing staff caring, patient satisfaction, and hospitalized adults. The initial search identified 2,709 references. Fifty-two full text citations remained for the next step of critical appraisal; 16 documents were included in the final review. Most of the citations were Level VI in a hierarchy of evidence with low quality. Nurse caring protocols need to be developed and linked causally to the outcome of patient satisfaction with hospitalization.
Essay: God Doesn’t Treat His Children That Way
Authors: Upadhaya, Ramesh C. , Kautz, Donald D.
Published: September 2018

This article provides guidance for nurses when a person’s faith is at odds with expected rehabilitation outcomes. This article explores how nurses can assist patients and their families who believe that the reason for the disability is that god is punishing them. The first strategy is always encouraging the patient and family to express their feelings, as this may be healing. Nurses can work with the patient or family’s spiritual leader to assist them to resolve these feelings. Guidance is provided for nurses to meet the spiritual needs of patients by helping patients to see God as “friend, companion, and guide.” When nurses address spiritual needs of our rehabilitation patients and their families, nurses are truly providing holistic care.
Using the Six Cs as a Caring Tool to Evaluate the Simulation Experience
Authors: Winland-Brown, Jill E. , Garnett, Susan , Weiss, Josie , Newman, David
Published: September 2018

Incorporating caring behaviors into clinical experiences is essential and measuring this can be challenging. Simulated clinical experiences (SCEs) provide an ideal opportunity. The purpose of this research was to develop and pilot test a Caring tool© to assess roach’s six caring behaviors during simulation experiences with advanced practice nursing (APN) students in a family nurse practitioner program. This tool was pilot tested using repeated measures during four SCEs involving 26 to 57 students each time. The internal consistency reliability of this instrument over time was .91. Better evaluation of SCEs using instruments, such as the one described in this study, can promote caring behaviors, as well as strong clinical skills.
Becoming Whole: Kari Martinsen’s Philosophy of Care – Selected Concepts and Impact on Clinical Nursing
Authors: Delmar, Charlotte
Published: September 2018

There seems to be a schism between philosophical descriptions of care ethics and nurses’ concrete experiences with nurse-patient collaboration. The article uses the Norwegian doctor of philosophy Kari Martinsen’s phenomenological philosophy of care as a framework to reflect on and connect to the impact on nursing. Nursing as a relationship-based moral practice is understood in the light of the philosophy of connected relations, the source of morality, and the concrete practical situation. Love, trust and power reflect the ethical demand in the concrete and asymmetrical nurse-patient relationship. Becoming whole; nursing practice and a philosophy of care are to be understood as intertwined.
Human Flourishing and the Vulnerable Nurse
Authors: Sumner, Jane
Published: September 2018

This paper examine the traditional values of nursing i.e. caring, maintaining dignity, and self-respect, and why it is difficult for nurses to flourish in the era of Technical Rationality and fast-paced evidence-based practice. “The moral construct of caring in nursing as communication action” offers the theory on which to investigate human flourishing and the vulnerable nurse. Technical rationality and evidence-based practice do not allow for the humanness of those who are required to deliver evidence-based care. Jurgen Habermas’s (1995) premise is that all humans are vulnerable and in need of “considerateness.” Vulnerability occurs because an individual can only mature through communication, which exposes the core of self. Evidence suggests that many nurses are not happy in a technical, rational, evidence-based practice where their humanness is ignored or overlooked. When unhappy, nurses cannot flourish and the implications are worrying.
STUDENT PAPER: Authentic Presence in Nursing
Authors: Hickman, Candice
Published: September 2018

Authentic presence is generally understood to be an interaction between a nurse and a patient which utilizes behaviors such as a quiet tone of voice, carefully chosen words, physical closeness, eye contact, and therapeutic touch to come to know the patient as an individual, not as just a diagnosis. Through authentic presence, patients’ calls for nursing can be heard and answered, leading to improved outcomes for nurses and patients alike. The theoretical and philosophical origins of authentic presence are examined, and they are found to support the idea that authentic presence is a crucial component to the practice of nursing as an art and a profession.
Evaluation of Duffy’s Quality Caring Model© on Patients’ Perceptions of Nurse Caring in a Community Hospital
Authors: O’Nan, Cathy L. , Jenkins, Kelly , Morgan, Lois A. , Adams, Tina , Davis, Barbara A.
Published: September 2018

The purpose of this evaluation study was to examine the longitudinal impact of implementation of Duffy’s Quality Caring Model© on patients’ perceptions of nurse caring on medical, surgical, and telemetry units in a community hospital. Data collection points included pre implementation, and 6 months, 10 months, and 22 months post implementation. After each data collection point, nurse leaders developed interventions based on Duffy’s Quality Caring Model© to improve scores. Findings demonstrated higher patient perception of nurse caring scores at each data collection point and on each nursing unit.