Measuring Caring

John Nelson, RN, MS, PhDc, is President for Healthcare Environment, Inc., an international data management/ consultation company.Jean Watson, PhD, RN, AHN-BC, FAAN, is distinguished professor emerita and dean emerita of the School of Nursing at the University of Colorado. She is the founder of the Center for Human Caring in Colorado, a Fellow of the American Academy of Nursing, and a past president of the National League for Nursing. Dr. Watson is a widely published author and recipient of several awards and honors, including an international Kellogg Fellowship in Australia, a Fulbright Research Award in Sweden, and five honorary doctoral degrees, including Honorary International Doctor of Science awards from Goteborg University, Sweden, and Luton University, London. Dr. Watson's caring philosophy is used to guide new models of caring and healing practices in diverse settings worldwide. At the University of Colorado, Dr. Watson holds the title of distinguished professor of nursing, the highest honor accorded its faculty for scholarly work.

• Contributors Foreword by Daniel J. Pesut Preface Acknowledgments SECTION I: THEORETICAL BACKGROUND OF CARITAS1. Concepts of Caring as Construct of Caritas Hierarchy in Nursing Knowledge: Conceptual-Theoretical-Empirical (CTE) 2. Caring Science as Metaparadigm3. The Caritas Process of Hope as a Midrange Theory 4. Caring Factor Survey and Adaptations SECTION II: MEASUREMENT AND METHODS FOR CONNECTING NURSE TO PATIENT5. Measuring Caring in Primary Nursing 6. Patient and Nurse Perception of the Individual Caring Relationship 7. Profile of a Nurse Effective in Caring 8. Making the "Quantum Leap": Biochemical Markers of Human Caring Science SECTION III: MEASUREMENT AND INTERVENTIONS TO FACILITATE CARITAS9. Measurement of Caring in a Relationship-Based Care Model of Nursing 10. Integrating Human Caring Science Into a Professional Nursing Practice Model 11. Impact of Intentional Caring Behaviors on Nurses' Perceptions of Caring in the Workplace, Nurses' Intent to Stay, and Patients' Perceptions of Being Cared For 12. Caring at the Core: Maximizing the Likelihood That a Caring Moment Will Occur 13. "Partners in Care": Patient and Staff Responses to a New Model of Care Delivery 14. The Caring Moment and Participative Action Research (PAR) in Outcomes Management 15. Therapeutic Music Pilot in the Context of Human Caring Theory 16. CaritasHeartMathTM in the Emergency Department Setting: The Impact of Self-Care on Practitioners SECTION IV: INTERNATIONAL MEASUREMENT OF CARITAS: EXEMPLARS FROM THE FIELD17. First Measurement of Caritas in Italy 18. Utilization of the Clinical Caritas Process in a Selected Tertiary Hospital in the Philippines 19. Reflection as a Process to Understand Caring Behaviors During Implementation of Relationship-Based Care in a Community Health Service in England 20. A Chinese Cultural Perspective of Nursing Care in Macao, China SECTION V: INTERNATIONAL COMPARISON OF CARITAS21. Comparison of Caritas in Health Care Facilities in Macao, China, the Philippines, and the United States as Perceived by Patients 22. Nurses' Caring for Self, a Four Country Descriptive Study (England, Israel, New Zealand, and the United States) APPENDICES: EXEMPLARS OF CARITAS FROM SPECIFIC POPULATIONSA. The Holistic Perspective of Nursing: The Caring Factor Survey in a Hospice in Italy B. Caring Behaviors of Community Health Nurses in a Barangay Health Center in Makati City, the Philippines C. Extent of Utilization of the Clinical Caritas Process as Perceived by Nurses in the Philippines D. The Presence of Caring Among Long-Term Care Nurses in the United States E. Caring Attitudes of Nurses From the United States Toward Medical-Surgical Patients Who Have a Diagnosis of Drug Addition F. Caring for Patients With Breast Cancer in the Philippines G. A U.S. Study of Nurses' Self-Care and Compassion Fatigue Using Watson's Concepts of Caritas H. Caring in the Context of Curing: What are Patients' Perceptions of Nurse Caring When Receiving ECT in the PACU?