Caring is important to human kind and in our daily experiences. Although caring is fundamental, knowledge about it and its application is not one of the serious academic concerns. Caring as a topic can raise various descriptions. In nursing as a discipline of concern, caring relates to the ability and desire to help someone grow or overcome a depressing situation. Caring is the moral ideal in nursing practice. It involves ones will to care, and mind about the situation of others. In nursing practice, Caring is a process that nurtures itself from a person's moral responsibility to meet a society's mandate. According to Watson (1985), nurses are the caretakers of care for other helping professions. Nursing is the epitome of care and a nurse has to guard and develop the concept. Caring is not only required in nursing but also in various disciplines. Caring can develop from different motivational factors. The motivation to develop caring can be a necessity to save a situation or self-obligation. The relationship between one caring and one being cared for defines caring.
A caring occasion occurs when two people come together each with a unique history and experiences in a humanitarian operation. Caring develops from a transpersonal relationship. Transpersonal relationship helps to convey a concern to the internal life of the other who is fully embodied. The transpersonal relationship may go beyond the ego self of an individual and even beyond that moment to the deeper connection to spirit (Watson, 1985). Moral commitment and consciousness by a nurse may enhance and give potential to the human wholeness and healing. Through caring, one caring and the one being cared connect through a caring-healing process with the other people in the entire universe. The feeling of love, and care from the nurse connects to the patient through consciousness and this may dominate over physical dimensions. Caring is a crucial aspect and necessary for nurses and medical discipline.
Assessment tools that evaluate on physical measures
Daily hassles scale
Daily hassles tool is a measure the day-to-day activities of workers/employees or people working in stressful jobs. Nurses use this to evaluate factors that bring stress to these individuals. The factors may include pressure from the management, high demand and expectations from an individual, huge workload or lack of assistance. In order for this tool to work effectively, the concerned group of individuals takes a work off and fills questionnaires. A daily hassle is a useful tool as it gives nurses useful information on the major stress factors of their clients. The tool provides information at the early stages of the problems facing the patients (Wright, Creed, & Zimmer-Gembeck, 2010). In relation to Watson's nurse caring process, this tool enables bonding of the nurse patient relationship and understanding.
Length and Ease in using this tool
A patient easily provides information on the questionnaire that could otherwise be hard to explain to a nurse. Once information is obtained, it becomes easy for the nurse to provide and facilitate the right prescription and medication for patients concerned. A Medical hospital can improvise a room a separate room or department for special care of such patients and increase attention on a personal level to each patient. A daily hassle helps to identify the unique characteristics of a patient. It tells how nurses can administer their services to a patient. It is not a lengthy procedure. The tool saves time for both patient and nurse. Patients take a day off from work and fill questionnaires that will provide full information to nurses. This is important for a nurse to serve many patients in a short time.
Cost and validity of data
It is an inexpensive way of attending to patients problems and tackles the main issues around the work of patients. Problem solving through this tool is also easy for both patient and nurse. It does not require more facilities than just a questionnaire and dialogue between a patient and a nurse. Data obtained through questionnaires is supplemented by a dialogue/interview between a nurse and a patient. This enables a nurse to clarify the data about a patient easily.
This tool is suitable to use in the urban population. A suitable population for application of this tool is the working class. It is also suitable for people with no definite employment and tends to hassle from one occupation to another. People tend to suffer from stress due to work, traffic in the roads and pressure from the desire to achieve success in the job place.
Beck depression inventory
Beck depression inventory usually referred to as BDI, is an assessment tool used to determine the presence and magnitude/degree of depression from a patient. This tool uses questionnaires to obtain information about a patient. Questionnaires are design in questions that tell the symptoms of depression such as loss of appetite, backache, frequent constipation and headache.
Length and ease of application
It is an easy way of obtaining the required information from a patient. It uses questionnaires that are self-reporting. The questionnaires contain simple multiple-choice questions that are straightforward. It contain 21 items test which can either be self-administered or verbally by a medical officer. It is a time saving tool of assessment as it only takes 5 minutes in administration. Cost and validity of data
It is a low cost tool of assessment. Beck depression inventory has been used for a long time to identify depression symptoms and has proved to be a reliable tool. It is highly reliable to distinguish depressed from non-depressed patients. There is an improved version of the tool (BDI-II) which shows a higher clinical sensitivity than the other version (BDI-1).
This tool is design to be used to assess depression in adolescents from the age of 13 and adult people. It is also generally used in clinical researches, and clinical settings to measure and find solutions to depression.
Calgary family assessment model
This model of assessment focuses on the ability of nurses in promoting strength, resilience and hope of a family. The ability to influence the belief and hope about an illness is an important factor in how a patient experiences illness. A nurse uses the tool to focus on how a patient's family manage themselves with the patient (Srivastava, 2007). It tells the hopefulness or hopelessness of a family regarding the condition of their patient. Through this tool, a nurse intervention in the family depends with their levels of skills and resources available. Intervention also depends with how the family handles the matter at hand.
Length and ease of application
It is an easy tool to apply but takes a longer period than beck depression and daily hassle. Effective application of the model depends with the skills of the trained officer. This model relies on a framework of communication and change of theoretical foundations (Srivastava, 2007). The tool also teaches a patient and assists them accept the realities of the illness and its treatments. Cost and validity of data
This is a low cost method of obtaining information about a patient, and his/her family. Application of the model is cheap as it only requires an interview between family and a trained interviewer. Validity of data depends with the level of honesty of the interviewee. Although the model is useful, cost of application is higher than beck depression and daily hassle assessment tools.
Calgary family model is applicable in obtaining information from a client's family. It is design to obtain information about the relationship between a client and their family. It explains the importance of family cohesion when handling their patient. It explains the importance of unity of both the inner family and the outer family.
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