Introduction: Caring is universal. It influences the way people think, feel and act. Many nursing theorists have tried to define caring. Ms. Florence Nightingale was first among them. Caring is the heart of nursing. Benner (holistic theory) o Caring means connectedness or involvement. o Caring helps patients understand and adjust to illness. o She defined health as a state of being individualized by ones values, personality, and lifestyle. o She believes, treatment for illness is worthless if not applied to individual. Leininger (trans-cultural theory) o Caring is nurturing. It depends on needs of individual and must reflect the patients own culture. Watson (trans-personal theory) o She focused on care and not cure o Caring leads to internal healing will ultimately results in increase in health. Swansons theory o Caring has 5 dimensions: Knowing Being with Doing for Enabling Maintaining Ethics of caring: the principles of ethics are applied even in caring. Ultimate goal is to protect human dignity. Expressions of care:
In caring expression of care is very important. Nurse has to develop skills in expressing care in various ways. Those are as follows: o Spiritual: Being aware of and honoring patients beliefs. o Presence: Being with o Touch: Skin to skin Eye contacts (non-verbal) Protective - to prevent injury. o Listening: Collecting and interpreting patients information. o Knowing: understanding client and avoid making assumptions. Health care and nursing care: Introduction: Health and nursing care aim at fulfilling health needs of human being. Health is defined as a state of complete physical, mental, social and spiritual wellbeing and not any absence of disease or infirmity. Difference between health care and nursing care: Sr. no. Criteria Health care Nursing care 1 Definition It is defined as magnitude of services rendered to individuals, families and communities by the agent of health services or professionals for the purpose of promoting, maintaining, monitoring or restoring health. Nursing care is arts and science to deliver care artfully with compassion caring and respect for each client, dignity and personhood. 2 Approach Broad approach for providing health care. It is a part of total health care. 3 Provided through Agencies, govt. and NGOs. Personalized care and nurses. 4 Health team Comprises of medical personnel, nursing personnel and paramedics. Nurses of various levels of education as a part of health team. 5 Focus Improve health status of people through group efforts. Improve health status through comprehensive family health care focus.
6 Level Provided at community level Provided at family and individual level. 7 Care focus Only health related aspects are covered. Mainly the focus is on physical illness. Care focus on complete care to family. 8 Planning Care provision is planned through planning of N. health programmes. Care provision is planned through family nursing care plan.
Similarities between health care and nursing care: 1. Both are services to mankind for betterment of his health and thus life. 2. Nursing care is a part and partial of health care. 3. Both believe in philosophy every human has right to be healthy. 4. All the activities in both are based on scientific principles. 5. Universal precautions are followed in both to prevent cross infection. Conclusion: Though nursing care is a part and partial of health care it is a backbone of whole health care system.