compassionate care - Recognize the pain and suffering of others and take actions to help alleviate them.
It requires the nurse to focus on the humanizing factors in the art of nursing and recognize the human
aspect of the client rather than the disease or illness they have.
providing comfort - Can take many forms and can help alleviate distress, anxiety, pain, and loneliness in
clients.
EX: Placing clean, wrinkle-free sheets on a client's bed, assisting the client to take a drink of water,
holding a client's hand during a procedure that can be frightening, and backrubs.
listening - Active process that requires the nurse to not only ask questions and provide information, but
also to be attentive to the verbal and nonverbal messages of the client. Active listening focuses on what
and how the client says things.
Allow appropriate pauses
Be comfortable with silence
being present - Spending time with a client without performing assessment or other treatments can help
alleviate some of the clients loneliness and feelings of isolation (this is considered a form of being
present).
Other forms of being present include active listening to both verbal and nonverbal responses from the
client
touch - Expressive touching, including touching the client's hand, forearm, or shoulder, relays caring
behaviors and compassion on the part of the nurse. Nurses take into consideration the clients cultural
and religious practices because some cultures/religions only use expressive touching between family
members only.
Must obtain permission from the client before touching or else it is considered battery
cultural competent care - "the application of evidence-based nursing that is congruent to the preferred
cultural values, beliefs, worldviews, and practices" of the client
, Nurses must develop knowledge, skills, and attitudes in relation to the clients culture to be able to
provide patient-centered care. This can help reduce racial and ethnic disparities. Model below is used as
a guide.
cultural awareness - self-assessment of one's own culture and biases about individuals of other cultures
cultural knowledge - being willing to learn about another person's cultural values, beliefs, and activities
cultural skill - ability to accurately assess client's cultural beliefs, values, and lifestyles
cultural encounters - interactions with clients from cultures different from one's own
cultural desire - commitment to become connected with clients' cultures
silent generation (1928-1945) - prefer face-to face, formal and written communication. They value
loyalty and expect it in return from others. Expect nursing care to exhibit these characteristics
Avoid typing, looking at computer screens, and interrupting while talking with clients because can be
seen as disrespectful
Baby Boomer generation (1945-1964) - Comfortable with meetings and in-person communication. Value
sincere communication but expect it to be less formal.
Avoid typing, looking at computer screens, and interrupting while talking with clients because can be
seen as disrespectful
Generation X (1965-1980) - Comfortable with technology, somewhat cynical and pragmatic, and
generally independent. Prefer quick direct, and to-the-point communication and instruction. This
generation will question nurses/providers and expect timely and actionable communication. Nurses
should prepare beforehand and be aware that clients aren't trying to be rude.
Generation Y (1981-1997) - aka Millennials
Comfortable with technology and are more educated, diverse, and flexible than previous generations.
They like frequent feedback. Nurses should focus care and teaching efforts on using technology as
appropriate and provide frequent positive reinforcement.
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