Roach's Caring Theory

This paper explores Roach's Caring Theory and its components of compassion, competence, and confidence. It discusses how these attributes are reflected in nursing practice and their relationship with the NMBA Code of Conduct. The paper highlights the importance of providing safe and responsive care to vulnerable individuals.

Running head: ROACH’S CARING THEORY
Name of the Student
Name of the University
Author Note

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ROACH’S CARING THEORY
Introduction:
Sister roach stated that caring is the mode of connection between human being. Caring
is an action that nurtures and fosters growth to vulnerable individuals. Roaches highlighted six
crucial aspects of caring which enable nurses to provide responsive and safe care. These aspects
include Compassion, Competence, Conscience, Confidence, Commitment, and Comportment
(Baillie, 2017). These attributes enable the nurse to provide high quality, safe and responsive
care for promoting the wellbeing of the individuals. This paper will illustrate three attributes of
care in a relationship with the NMBA Code of Conduct in the following paragraph.
Competence:
Competence is highlighted as one of the crucial attributes of care which enables nurses to
provide the safe and responsive high quality of care to the person who is using services. The
competence is acquiring and using evidence-based scientific and humanistic knowledge as well
as skills in the nursing practice for designing therapeutic interventions (Villeneuve et al., 2016).
Competence is reflected in the cognitive and psychomotor domain of learning which further
represented through her skills, judgment, energy, experience and also motivation. A competent
nurse is free from the anxiety of what is required to do in order to provide the best therapeutic
interventions (Adams, 2016). Therefore, the competency remains associated with the skills of the
nurse in correctly assessing conditions of the patients, recognizing the requirements of the patient
and responses to the patient.
NMBA has developed a code of conduct enable nurses to develop competencies in a
number of domains. The NMBA code of conduct Lawful behavior highlighted the importance of
ethical behavior of nurses where nurses are required to competent to “relevant poisons

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legislation, authorization, local policy and own scope of practice, including to safely use,
administer, obtain, possess, prescribe, sell, supply and store medications and other therapeutic
products.” The code of conduct Decision-making suggested to “take a person-centered approach
to managing a person’s care and concerns, supporting the person in a manner consistent with
that person’s values and preferences” which further enables nurses to be competent enough to
support the patient, incorporate the family members in the interventions and treatment process
to ensure safe and quality care (Bryce, Foley & Reeves, 2017). According to code of conduct
Culturally safe and respectful practice ,nurses should be competent enough to provide culturally
competent care by incorporating “cultural values and beliefs of the patient to comply with
respect diverse cultures, beliefs, gender identities, sexualities and experiences of people,
including among team members” and also “create a positive, culturally safe work environment
through role modeling, and supporting the rights, dignity and safety of others, including people
and colleagues”( Ingham-Broomfield, 2017).
Compassion:
Another crucial component of care is compassion which reflects the empathy sensitivity
to human pain and joy. As discussed by Lyons and Bliss (2018), compassion is extremely
important for the nurses to ensure the positive experience for the patient. Compassion enables
the nurses to prioritize patients not only on the bio-psycho-social level but also on the spiritual
level. Therefore, nurses can exhibit compassion through therapeutic communication which
further helped to build the therapeutic relationship with the patient (Cusack, 2017). According to
code of conduct Effective communication , nurses can be compassionate by being “non-
judgmental and not refer to people in a non-professional manner verbally or in correspondence/
records, including refraining from behavior that may be interpreted as bullying or harassment

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and/or culturally unsafe”. The code of conduct Confidentiality and privacy enables nurses to be
compassionate by being kind and honest to the patient, showing respect and empathy to the
patient by respecting the confidentiality and privacy of people by seeking informed consent
before disclosing information, including formally documenting such consent where possible”.
The nurses are required to be compassionate towards their colleagues which further enable
nurses to promote collaborative practice by following code your and your colleagues’ health
which highlighted the importance of encouraging and supporting colleagues through health care
services Support if they have health issues which is potentially affecting their services (Parry &
Grant, 2016).
Confidence:
Confidence is the third attribute of care which is required to display by nurses to ensure
that every patient gets the best responsive and safe health care services. It helps nurses to create
caring environments serves as a catalyst for change and empower people to establish their goals.
Confidence enables nurses to reduce the anxiety of the patient and family members and fostering
trust amongst the patient and health professionals which is crucial for building a therapeutic
relationship with the patient (De Gagne et al., 2019). The confident nurse ensures and
guaranteed the family members that the patient is in the safe hand and would receive the best
quality of care which help to empower patients and family members (Forrester, 2018).
According to code of conduct End-of-life care, the nurses can show confidence while handling
patient who requires end of life care by designing advance care plan and maintaining the
professional boundaries and supporting the patient even when it is not possible for to ensure the
wellbeing of patient to comply with “facilitate advance care planning and provision of end-of-
life care where relevant and in accordance with local policy and legislation” (Forrester, 2018).

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According to code of conduct Professional boundaries, nurses are required to. “Actively manage
the person’s expectations, and be clear about professional boundaries that must exist in
professional relationships for objectivity in care and prepare the person for when the episode of
care ends”.
Conclusion:
On a concluding note, it can be concluded that Caring is the action that nurtures and
foster growth to vulnerable individuals. Roaches highlighted six crucial aspects of caring which
enable nurses to provide responsive and safe care. Roaches highlighted six crucial aspects of
caring which enable nurses to provide responsive and safe care. Compassion, Competence, and
Confidence are three main components which are explored in this paper with the help of NMBA
codes. Competence is reflected in the cognitive and psychomotor domain of learning which
further represented through her skills, judgment, energy, experience and also motivation. On the
other hand, compassion enables the nurses to prioritize patients only on the bio-psycho-social
level but also on the spiritual level. Lastly, the confidence enables nurses to ensure and guarantee
the family members that the patient is in the safe hand and would receive the best quality of care
which help to empower patients and family members.

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References:
Adams, L. Y. (2016). The conundrum of caring in nursing. International Journal of Caring
Sciences, 9(1), 1.
Baillie, L. (2017). An exploration of the 6Cs as a set of values for nursing practice. British
Journal of Nursing, 26(10), 558-563.
Bradshaw, A. (2016). An analysis of E ngland's nursing policy on compassion and the 6 C s: the
hidden presence of M. S imone R oach's model of caring. Nursing inquiry, 23(1), 78-85.
Bryce, J., Foley, E., & Reeves, J. (2017). Conduct most becoming. Australian Nursing and
Midwifery Journal, 25(6), 25.
Cusack, L. (2017). Get to know your code before it takes effect on 1 March 2018. Australian
Midwifery News, 17(4), 18.
De Gagne, J. C., Hall, K., Conklin, J. L., Yamane, S. S., Roth, N. W., Chang, J., & Kim, S. S.
(2019). Uncovering cyberincivility among nurses and nursing students on Twitter: A data
mining study. International journal of nursing studies, 89, 24-31.
Forrester, K. (2018). Codes of Conduct-A New Era for Nursing and Midwifery in
Australia. Journal of law and medicine, 25(4), 929-933.
Ingham-Broomfield, R. (2017). A nurses' guide to ethical considerations and the process for
ethical approval of nursing research. Australian Journal of Advanced Nursing,
The, 35(1), 40.
Lyons, J., & Bliss, S. (2018). Nursing as a profession. The Road to Nursing, 183.

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Parry, Y., & Grant, J. (2016). Nursing in Australia. Understanding the Australian Health Care
System, 245-255.
Villeneuve, M. J., Tschudin, V., Storch, J., Fowler, M. D., & Peter, E. (2016). A very human
being: Sister Marie Simone Roach, 1922–2016. Nursing inquiry, 23(4), 283-289.