What is relationship based care?
It is a philosophy of care that puts the patient and family experience as the core value
The primary focus is on the nurse patient relationship
**What are the 2 essential elements of Relationship-Based Care?
- Continuity of care throughout the hospital experience
- Clarity of the RN’s acceptance of responsibility for decision making regarding nursing care the patient receives during assigned hours of care
What are the 4 crucial concepts in nursing?
Caring, Client, Health, and Environment
What is Jean Watson’s theory called?
Theory of Human Caring or the Caring Model
What is the basic premise of Watson’s theory?
It emphasizes the humanistic aspects of nursing in combination with scientific knowledge
She’s all about relationships-relationships between the nurse, patient, patient’s family, and other members of the healthcare team
Marie Manthey is the originator of what?
Primary Nursing
What is Primary Nursing?
It is health care delivery which emphasizes continuity of care and responsibility acceptance by having ONE RN often teamed with a LPN and a NA who together provide complete care for a group of pts throughout their hospital stay
What are the benefits of Primary Nursing?
Typically, it decreases cost and increases patient satisfaction and safety
What are the 4 core elements of Primary Nursing?
- Decision-making
- Work allocation
- Communication
- Management
All focus on the patient experience during their hospital stay
What is Katharine Kolcaba’s theory?
*Kahler’s favorite theorist!
The Comfort Theory
What is so special about the Comfort Theory?
It allows for comfort to be measured
What are the 3 states that the human need for comfort is experienced in according to Kolcaba?
- Relief: the state of having a discomfort alleviated
- Ease: the absence of specific discomfort
- Transcendence: the ability to rise above discomforts when they cannot be eradicated or avoided
What are the 4 contexts that the human need for comfort is experienced in according to Kolcaba?
- Physical
- Psychospiritual
- Sociocultural
- Environmental
What are the Physical aspects of comfort?
Pertaining to bodily sensations and homeostasis such as:
- pain relief
- regular bowel function
- fluid/electrolyte balance
- adequate oxygen saturation
- turning
- positioning
What are the Psychospiritual aspects of comfort?
Pertaining to internal awareness of self, esteem, sexuality, meaning of one’s life
- Increasing relaxation
- Enhancing independence
- Maintaining or improving self-esteem
- Accommodating religious practices
What are the Sociocultural aspects of comfort?
Pertaining to family, interpersonal, and societal relationships, family traditions, and rituals such as:
- Caring attitude
- Continuity of care
- Information and education
- Enhancing family and friend support
- Cultural customs
What are the Environmental aspects of comfort?
Pertaining to the external background of human experience such as:
- Temperature
- Noise
- Color
- Light
- Views from the window
- Access to nature and outdoors
Environment is absolutely essential to healing!
