NUR1100 Assignment: Concept of Care and Nursing Practice in Detail

This report delves into the multifaceted concept of care within nursing, integrating personal experiences, theoretical frameworks, and professional standards. The author reflects on a personal encounter with a caring nurse, highlighting the impact of compassionate care during a challenging period of recovery following a car accident. The report then explores Watson's theory of caring, emphasizing the moral ideal of preserving human dignity and the importance of actions aligned with ethical and legal standards. It discusses standards of care, including patient autonomy and cultural sensitivity, as essential components of nursing practice. The report also addresses the significance of mental health, advocating for a holistic approach that considers the patient's overall well-being. Through personal reflection and literature review, the author aims to understand the patient's needs and provide care that is culturally acceptable. The report concludes by emphasizing the crucial role of interpersonal relations and a comprehensive understanding of the patient's background in delivering effective care.

Concept of care and links to nursing practice 1
Concepts of caring and links with nursing practice.
Authors name
Institutional affiliation

Concept of care and links to nursing practice 2
My personal experience.
In my life, I have had an opportunity to appreciate the concept of care demonstrated to
me by a nurse. It has become my motivation to join nursing school. In my final year in college, I
was involved in a car accident while we were heading home from a friend’s party. I was seated
on the passenger’s side while my friend Jenny drove us home. A drunk driver hit our car head on
and unfortunately my friend passed away instantly. I was just lucky to have survived the
accident. I was admitted in hospital for about six months, with among others, a fractured femur. I
was badly bruised and had bled profusely. All the healthcare providers did their best to save my
life. In my stay at the hospital, there was a nurse that caught my attention while I was recovering.
In as much as I was doing well, my mind was disturbed by the scenes of the accident. I
could not take away the picture of the body of mind lying dead beside me eyes completely open.
I really struggled with it trying to forget until one of the nurses took keen interest on my
behaviour. I refused to respond to her all day when she asked. She worked during the day shift.
She never gave up on her quest to find out that the problem was. She even went out of her way to
watch me sleep during the night shift and discovered I was having nightmares. She identified that
I was experiencing post traumatic disorders. She invited a counsellor to help me out. This act
made me understand that she was committed to taking care of me even if I did not want to open
up to her. In as much as my physical health as improving, she noticed my mental health was not.
She took an action that helped me recover
Concept of caring.
In Watsons theory of nursing (Smith & Parker, 2015), Watson describes care as the most
crucial aspect of nursing. She defined caring as the moral ideal whereby the end goal is

Concept of care and links to nursing practice 3
protection, enhancement, and a preservation of human dignity. It involves a commitment to care,
knowledge, caring actions and consequences. She also emphasizes on the need for actions. Care
just perceived in theory is considered futile if there are no actions that can be seen from it. The
actions of a nurse are considered ethically and legally binding (Wolf & France, 2017). The law
and the ideals of the nursing profession must be upheld at all times. Caring requires a sense of
dedication and commitment to the achievement of the highest level of health. It requires the
nurse to have the interest of the patient prioritised. Nursing has been founded on the virtue of
caring, which has been passed down generations.
Standards of care refers to what is considered prudent and reasonable to do to a similar
patient under the same circumstances. Care takes into account all the factors that influence the
interpersonal relationships between the nurses and the patients. The standards promote patient
safety and ensure clinical competency in practice (Fisher, 2017). One standard of care is
maintaining patient autonomy. This refers to the act of allowing the patient to make their own
decision concerning the quality of care (Clement, 2018). After the patient has been informed
about all the facts surrounding their illness and the viable treatment options, they are allowed to
make decisions free of coercion. The nurses are mandated by both the law and professional
standards to honor the patient’s decision. In some cases, the best course of treatment may not be
the patient’s choice. This standard provides a solution in case there is such a dilemma on the
decision to take. This standard is essential especially since empathy may drive the patient to
providing the best treatment which may contravene the patient wishes.

Concept of care and links to nursing practice 4
Another standards of care requires that the nurses engage in a therapeutic and
professional relationship demonstrating cultural sensitivity. The nurse has no control over
patients who seek their services. The patients are from diverse backgrounds and cultures. They
have diverse processes and patterns. This standard was emphasized by Madeleine Leininger
(Jeffreys & Zoucha, 2018). The Leininger theory of nursing puts into perspective the
transcultural aspect in nursing. She draws a distinction between professional and generic nursing
care. She describes professional care as one that incorporates the cognitive and culturally learned
behaviors and patterns that helps the individuals or family to improve or maintain healthy
standards (McFarland & Wehbe-Alamah, 2017). Caring is a universal phenomenon but the
expressions processes and patterns vary depending on the culture (Leininger, 2015). A nurse is
expected to provide culturally acceptable care. The instructions on how to promote health should
be customized to fit in the culture of the patient.

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Articulate Learning
How to become a palliative nurse by Maria Curie. Published 4 May 2018. Retrieved
from:https://www.mariecurie.org.uk/blog/how-to-become-a-palliative-care-nurse/193232
Caring involves a more complex process of understanding the patient and working
towards promoting their health. In many cases we fail to offer it in a holistic manner. We leave
out the issue of mental health and its impact on the health of patients and the recovery outcomes.
The main emphasis is made on the physical wellness because it is easily identifiable. However,
we leave out the subtle aspect of mental wellness. Most of the patients suffer from mental
illnesses silently. It is only the severe cases which are identified. These are some of the aspects
that can be identified by a caring nurse. A caring nurse is more concerned about all the needs of
the patient and finds out ways to meet them. Patients need a nurse who shows empathy and

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concern on their wellbeing (Edvardsson, Watt & Pearce, 2017). They are more likely to disclose
their concerns. This makes the process of patient care smooth. In the picture above (How to
become a palliative nurse, Marie, 2018) the nurse is keenly listening to the patient.
Communication can give ideas of the state of mental health of a patient. One can assess the
attitudes and motivations. This will be an integral step in ensuring that they receive quality care.
My new understanding of care is one that incorporates the diversity of culture. The
diversity of culture makes medical interventions be customized to make them more acceptable to
the patient. In practice, I will take time to understand the culture and aim at making the care
culturally acceptable. From the various literatures, it is evident that the culture will be well
understood if the nurse makes a deliberate effort to learn and act. According to Watson, it is
futile if one has the knowledge but fails to act. Care will be more meaningful to the patient when
actions are incorporated. Incorporating the culture aspect will take care of the attitude of the
patient towards the intervention (Wolf & France, 2017). If it is about patient education, the
patient can identify with the examples given. This will be a better way to teach and provide care
The issue of mental health is worth taking note of. According to research the state of
mental health of patients has a bearing on the outcome expected (Tektaş & Çam, 2017). In this
way, to ensure a better outcome, assessing the mental health will be necessary. Addressing this
may include just listening to them and giving them assurance. A professional may also be
involved. Including the friends and family members may also help address the issue of mental
health. In my case, I identified with the nurse who picked out my signs of anxiety and addressed
them early enough.

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What I have learnt from my personal and professional perspective is that care involves
interpersonal relations between the nurse and the patient. Understanding the needs of the patient
comprehensively requires a deliberate process of understanding their complaints and the
environment they come from. Care can only be properly provided when all aspects are integrated
effectively to understand the patient.

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References.
Clement, G. (2018). Care, autonomy, and justice: Feminism and the ethic of care. Routledge.
Edvardsson, D., Watt, E., & Pearce, F. (2017). Patient experiences of caring and person‐
centredness are associated with perceived nursing care quality. Journal of advanced
nursing, 73(1), 217-227.
Fisher, M. (2017). Professional standards for nursing practice: How do they shape contemporary
rehabilitation nursing practice?. Journal of the Australasian Rehabilitation Nurses
Association, 20(1), 4.
Jeffreys, M. R., & Zoucha, R. (2018). CULTURAL CONGRUENCE IN THE WORKPLACE,
HEALTH CARE, AND ACADEMIC SETTINGS FOR MULTIRACIAL AND
MULTIHERITAGE INDIVIDUALS. Journal of Cultural Diversity, 25(4).
Leininger, M. (2015). Leininger’s father protective care. Leininger’s culture care diversity and
universality: A worldwide nursing theory, 119-136.
Marie, C (2018, may 4). Care and support through terminal illness [digital image]. Retrieved
from https://www.mariecurie.org.uk/blog/how-to-become-a-palliative-care-nurse/193232
McFarland, M. R., & Wehbe-Alamah, H. B. (2017). Theory of Culture Care Diversity and
Universality. Nursing Theorists and Their Work, 339.
Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice. FA Davis.
Tektaş, P., & Çam, O. (2017). The Effects of nursing care based on watson's theory of human
caring on the mental health of pregnant women after a pregnancy loss. Archives of
psychiatric nursing, 31(5), 440-446.
Wolf, Z. R., & France, N. E. (2017). Caring in Nursing Theory. International Journal of Human
Caring, 21(2), 95-108.

Concept of care and links to nursing practice 9
Wolf, Z. R., & France, N. E. (2017). Caring in Nursing Theory. International Journal of Human
Caring, 21(2), 95-108.