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Licensed Unlicensed Requires Authentication Published by De Gruyter June 8, 2013

How does the Nurse Educator Measure Caring?

  • Caroline Porr EMAIL logo and Rylan Egan

Abstract

The purpose of this article is to advance worldwide scholarship of nursing education by introducing a novel approach to evaluate nursing students’ level of human caring. We propose an innovative tool that can be used by nurse educators to measure the construct of caring. Caring encompasses three dimensions: intentionality, relationality, and responsivity. The dimensions are drawn from theoretical, practice, and education literatures. The innovative tool, named the Caring Interaction Inventory, exposes nursing students to audio–video recordings of complex real-life healthcare encounters. Nursing students are required to choose from several options, caring behaviors that would best address holistic patient needs. Caring behaviors chosen for a given healthcare encounter and the rationale provided by the student, enable the nurse educator to evaluate the student’s caring in terms of intentionality, relationality, and responsivity. The sum total of the student’s performance within each dimension constitutes the student’s overall caring grade.

References

Adriaansen, M., Van Achterberg, T., & Borm, G. (2008). The usefulness of the staff–patient interaction response scale for palliative care nursing for measuring the empathetic capacity of nursing students. Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, 24(5), 315323. doi:10.1016/j.profnurs.2007.10.003Search in Google Scholar

Beck, C. T. (1996). Nursing students’ experiences caring for cognitively impaired elderly people. Journal of Advanced Nursing, 23(5), 992998.10.1046/j.1365-2648.1996.09819.xSearch in Google Scholar

Becker, H., & Sands, D. (1988). The relationship of empathy to clinical experience among male and female nursing students. The Journal of Nursing Education, 27(5), 198203.10.3928/0148-4834-19880501-04Search in Google Scholar

Benner, P., Sutphen, M., Leonard-Kahn, V., & Day, L. (2009). Educating nurses: A call for radical transformation. San Francisco, CA: John Wiley & Sons.Search in Google Scholar

Benner, P., & Wrubel, J. (1989). The primacy of caring: Stress and coping in health and illness. Menlo Park, CA: Addison-Wesley.Search in Google Scholar

Bergum, V., & Dosseter, J. (2005). Relational ethics: The full meaning of respect. Hagerstown, MD: University Publishing Group.Search in Google Scholar

BoykinA., & SchoenhoferS. (1993) Nursing as caring: A model for transforming practice. New York, NY: National League for Nursing.Search in Google Scholar

Brilowski, G. A., & Wendler, M. C. (2005). An evolutional concept analysis of caring. Journal of Advanced Nursing, 50(6), 641650.10.1111/j.1365-2648.2005.03449.xSearch in Google Scholar

Brown, L. (1986). The experiences of care: Patient perspectives. Topics in Clinical Nursing, 8, 5662.Search in Google Scholar

Burtson, P. L., & Stichler, J. F. (2010). Nursing work environment and nurse caring: Relationship among motivational factors. Journal of Advanced Nursing, 66(8), 1819.10.1111/j.1365-2648.2010.05336.xSearch in Google Scholar

Canadian Nurses Association. (2008). Code of ethics for registered nurses. [2008 Centennial Edition.]. Ottawa, ON: Author. Retrieved from http://www2.cna-aiic.ca/CNA/documents/pdf/publications/Code_of_Ethics_2008_e.pdfSearch in Google Scholar

Childers, L. (2006). Nursing excellence winner uses care lab to encourage compassion. NurseWeek California, 19(6), 1617. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2009132208&site=ehost-live&scope=siteSearch in Google Scholar

Cutcliffe, J. R., & Cassedy, P. (1999). The development of empathy in students on a short, skills based counselling course: A pilot study. Nurse Education Today, 19(3), 250257.10.1016/S0260-6917(99)80011-2Search in Google Scholar

Davidson, N., & Williams, K. (2009). Compassion in nursing. 2: Factors that influence compassionate care in clinical practice. Nursing Times, 105, 1819.Search in Google Scholar

Doane, G. H., & Varcoe, C. (2005). Family nursing as relational inquiry: Developing health-promoting practice. Philadelphia, PA: Lippincott Williams & Wilkins.Search in Google Scholar

Domrose, C. (2010). Show the love: Theory of human caring offers framework for hospital cultures. Nurseweek West, 23, 5859.Search in Google Scholar

Donius, M. (1994). Instrumental caring inventory: The development of an instrument measuring caring as a three-dimensional construct. (Doctoral dissertation). Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=1998051389&site=ehost-live&scope=site (UMI Order PUZ9511036).Search in Google Scholar

Drenkard, K. N. (2012). Integrating human caring science into a professional nursing practice model. In J. Nelson & J. Watson (Eds.), Measuring caring: International research on caritas as healing (pp. 153171). New York, NY: Springer.Search in Google Scholar

Dyess, S., Boykin, A., & Rigg, C. (2010). Integrating caring theory with nursing practice and education: Connecting with what matters. Journal of Nursing Administration, 40, 498503.10.1097/NNA.0b013e3181f88b96Search in Google Scholar PubMed

Ericsson, K. A., & Simon, H. A. (1993). Verbal reports as data. Psychological Review, 87, 215251.10.1037/0033-295X.87.3.215Search in Google Scholar

Fosbinder, D. (1994). Patient perceptions of nursing care: An emerging theory of interpersonal competence. Journal of Advanced Nursing, 20, 10851093.10.1046/j.1365-2648.1994.20061085.xSearch in Google Scholar PubMed

Gaut, D. A. (1986). Evaluating caring competencies on nursing. Topics in Clinical Nursing, 8, 7783.Search in Google Scholar

Goleman, D. (2006). Social intelligence: The new science of human relationships. New York, NY: Bantam Dell.Search in Google Scholar

Hegedus, K. S. (1999). Providers and consumers: Perspectives of nurses’ caring behaviors. Journal of Advanced Nursing, 30(5), 10901096.10.1046/j.1365-2648.1999.01198.xSearch in Google Scholar PubMed

Henderson, A. (2001). Emotional labor and nursing: An under-appreciated aspect of caring work. Nursing Inquiry, 8(2), 130138.10.1046/j.1440-1800.2001.00097.xSearch in Google Scholar PubMed

Hodges, S. A. (1991). An experiment in the development of empathy in student nurses. Journal of Advanced Nursing, 16(11), 12961300.10.1111/j.1365-2648.1991.tb01557.xSearch in Google Scholar PubMed

Jarrett, N., & Payne, S. (1995). A selective review of the literature on?nurse-patient communication: Has the patient’s contribution been neglected?Journal of Advanced Nursing, 22(1), 7278.10.1046/j.1365-2648.1995.22010072.xSearch in Google Scholar PubMed

Jasmine, T. (2009). Art, science, or both? Keeping the care in nursing. Nursing Clinics of North America, 44, 415421.10.1016/j.cnur.2009.07.003Search in Google Scholar PubMed

Kalisch, B. J. (1971). An experiment in the development of empathy in nursing students. Nursing Research, 20(3), 202211.10.1097/00006199-197105000-00003Search in Google Scholar

Karlowicz, K. A., & Palmer, K. L. (2006). Engendering student empathy for disabled clients with urinary incontinence through experiential learning. Urologic Nursing, 26(5), 373379. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2009306468&site=ehost-live&scope=siteSearch in Google Scholar

Larocco, S. A. (2010). Assisting nursing students to develop empathy using a writing assignment. Nurse Educator, 35(1), 1011. doi:10.1097/NNE.0b013e3181c41fb9Search in Google Scholar PubMed

Layton, J. M. (1979). The use of modeling to teach empathy to nursing students. Research in Nursing & Health, 2(4), 163176.10.1002/nur.4770020405Search in Google Scholar PubMed

lee-Hsieh, J., Kuo, C., & Tseng, H. (2005). Application and evaluation of a caring code in clinical nursing education. Journal of Nursing Education, 44(4), 177184. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2005094443&site=ehost-live&scope=site10.3928/01484834-20050401-07Search in Google Scholar PubMed

May, C. (1990). Research on nurse-patient relationships: Problems of theory, problems of practice. Journal of Advanced Nursing, 15, 307315.10.1111/j.1365-2648.1990.tb01818.xSearch in Google Scholar PubMed

McFarlane, J. (1976). A charter for caring. Journal of Advanced Nursing, 1, 187196.10.1111/j.1365-2648.1976.tb00955.xSearch in Google Scholar PubMed

Moody, R. C., & Pesut, D. J. (2006). The motivation to care: Application and extension of motivation theory to professional nursing work. Journal of Health Organization and Management, 20, 1548.10.1108/14777260610656543Search in Google Scholar

Morse, J. M., Bottorff, J. L., Neander, W., & Solberg, W. (1992) Comparative analysis of conceptualizations and theories of caring. In J. M.Morse (Ed.), Qualitative health research (pp. 6990). London: Sage.Search in Google Scholar

Murphy, M., Hinch, B., Llewellyn, J., Dillon, P. J., & Carlson, E. (2011). Promoting professional nursing practice: Linking a professional practice model to performance expectations. Nursing Clinics of North America, 46, 6779. doi:10.1016/j.cnur.2010.10.009Search in Google Scholar

Nelson, J., Watson, J., & Inova Health, (2009). Caring factor survey. In J.Watson (Ed.), Assessing and measuring caring in nursing and health sciences (2nd ed., pp. 253260). New York, NY: Springer.Search in Google Scholar

Noddings, N. (1984). Caring. Berkeley, CA: University of California Press.Search in Google Scholar

Noddings, N. (1995). Teaching themes of care. Phi Delta Kappan, 76(3), 675679.Search in Google Scholar

Noddings, N. (1996). The cared-for. In S.Gordon, P.Benner, & N.Noddings (Eds.), Caregiving: Readings in knowledge, practice, ethics, and politics (pp. 2139). Philadelphia, PA: University of Pennsylvania Press.Search in Google Scholar

Noddings, N. (2010). Moral education and caring. Theory and Research in Education, 8(2), 145151. doi:10.1177/1477878510368617Search in Google Scholar

Nyberg, J. (2009). Nyberg caring assessment scale. In J.Watson (Ed.), Assessing and measuring caring in nursing and health sciences (2nd ed., pp. 113116). New York, NY: Springer.Search in Google Scholar

Orem, D. E. (1985). Nursing: Concepts of practice.Chevy Chase, MD: McGraw-Hill.Search in Google Scholar

Panosky, D., & Diaz, D. (2009). Teaching caring and empathy through simulation. International Journal for Human Caring, 13(3), 4446. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2010414192&site=ehost-live&scope=site10.20467/1091-5710.13.3.44Search in Google Scholar

Peplau, H. (1989). Interpersonal relationships: The purpose and characteristics of professional nursing. In A. W.O’Toole & S. R.Welt (Eds.), Interpersonal theory in nursing practice: Selected works of Hildegard E. Peplau (pp. 4255). New York, NY: Springer.Search in Google Scholar

Reynolds, W. J., & Presly, A. S. (1988). A study of empathy in student nurses. Nurse Education Today, 8(3), 123130. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=1989085658&site=ehost-live&scope=site10.1016/0260-6917(88)90029-9Search in Google Scholar

Roach, M. S. (1987). The human act of caring: A blueprint for the health professions. Ottawa, ON: Canadian Hospital Association.Search in Google Scholar

Rogers, I. A. (1986). The effects of undergraduate nursing education on empathy. Western Journal of Nursing Research, 8(3), 329342.10.1177/019394598600800306Search in Google Scholar PubMed

Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 6878.10.1037/0003-066X.55.1.68Search in Google Scholar

Salmon, G., & Perkins, D. N. (1989). Rocky roads to transfer: Rethinking mechanism of a neglected phenomenon. Educational Psychology, 24, 113142.10.1207/s15326985ep2402_1Search in Google Scholar

Singer, T., & Lamm, C. (2009). The social neuroscience of empathy. Annals of the New York Academy of Sciences, 1156, 8196. doi:10.1111/j.1749–6632.2009.04418.xSearch in Google Scholar

Skeat, W. (1963). A concise etymological dictionary of the English language. New York: Capricorn.Search in Google Scholar

Smith, M. S., & Walker, W. J. (1984). Empathy training for nursing students. The Journal of the New York State Nurses’ Association, 15(1), 1725.Search in Google Scholar

Stover, C. M. (2010). Use of a confluent education strategy to develop empathy in nursing students. The Journal of Nursing Education, 49(12), 719720. doi:10.3928/01484834-20101117-04; 10.3928/01484834-20101117-04Search in Google Scholar

Swanson, K. M. (1999). What is known about caring in nursing science. In A. S.Hinsaw, S. L.Feetham, & J. J. FShaver (Eds.), Handbook of clinical nursing research (pp. 3160). Thousand Oaks, CA: Sage.Search in Google Scholar

Watson, J. (1979). Nursing: The philosophy and science of caring. Boston, MA: Little Boasis:rown.Search in Google Scholar

Watson, J. (2007). Watson’s theory of human caring and subjective living experiences: Carative factors/carative processes as a disciplinary guide to the professional nursing practice. Texto Contexto Enferm, Florianopolis, 16(1), 129135.10.1590/S0104-07072007000100016Search in Google Scholar

Watson, J. (2008). Nursing: The philosophy and science of caring (Rev. ed.). Boulder, CO: University Press of Colorado.Search in Google Scholar

Watson, J. (2009). Assessing and measuring caring in nursing and health sciences (2nd ed.). New York, NY: Springer.Search in Google Scholar

WebbC. (1996). Caring, curing, coping: Towards an integrated model. Journal of Advanced Nursing, 23, 960968.10.1046/j.1365-2648.1996.09715.xSearch in Google Scholar PubMed

Wiman, E., & Wikblad, K. (2004). Caring and uncaring encounters in nursing in an emergency department. Journal of Clinical Nursing, 13, 422429.10.1111/j.1365-2702.2004.00902.xSearch in Google Scholar PubMed

Published Online: 2013-06-08

©2013 by Walter de Gruyter Berlin / Boston

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