Caritas--caring as an ethical conduct.
ABSTRACT The aim of this theoretical study is to describe and analyze caritas by seeking the primary source for this phenomenon, which is used as a central motive in Eriksson's Caritative Theory. The search for the origin and the essence of caritas by critical analysis will create an opportunity to assimilate new meaning into the practice of caring science. This new meaning, based on interpretation, will also act as a solid base for the creation of future theories within caring science. Although this study does not intend to create a new theory for this domain, an attempt is made to shed light on new understandings to establish a deeper foundation for further discussion. Therefore, the methodological basis used is the hermeneutics phenomenology described by Nygren. The starting points refer to three basic assumptions, the former two of which present the core of caring science as an academic discipline; the latter borrows from philosophical creation theology. Therefore, the path for analyzing caritas and the significance of developing a deeper and meaningful understanding are based on the writing of Eriksson as well as through historical and philosophical sources from Judaism, such as the Bible and the Talmud. The results of this study have introduced a new meaning and created a 'space' for caritas. These results are related to the notion of attitudes, being driven by curiosity and questioning, that link faith and scientific investigation. Above all, these attitudes form a central motive profoundly linked to love. Hence, caritas as an attitude turns the concept of care into a more ethical act. However, these new understandings have given rise to ethical questions that obligate consideration towards further study.
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ABSTRACT: Aims and objectives. The aim of this study was to test whether nurse-patient interaction affects cognitively intact nursing home patients' interpersonal and intrapersonal self-transcendence, as well as testing the psychometric properties of the Nurse-Patient Interaction Scale (NPIS). Background. Self-transcendence is considered a spiritual developmental process of maturity in adulthood, and a vital resource of well-being at the end of life. The concept of self-transcendence has previously been explored in various populations, yet the nurse-patient interactions' potential influence on self-transcendence in nursing home patients has not been published previously. Design and methods. A cross-sectional design employing the Self-Transcendence Scale and the NPIS was adopted. A sample of 202 cognitively well-functioning nursing home patients in Norway was selected. The statistical analyses were carried out using lisrel 8.8 and structural equation modelling. Results. Structural equation modelling-analysis indicates statistical significant effect of nurse-patient interaction on the patients' self-transcendence. Direct influence on the intrapersonal and indirect influence on the interpersonal self-transcendence aspects was disclosed. Conclusion. Nurse-patient interaction significantly affected both interpersonal and intrapersonal self-transcendence among cognitively intact nursing home patients. Hence, facilitating caring interventions can be significantly beneficial to older patients' self-transcendence and thereby well-being, both emotional and physical. Relevance to clinical practice. Caring behaviour signifies the vital and ultimate qualitative nursing behaviour, which promotes self-transcendence and thereby well-being. These findings are important for clinical nursing that intends to increase patients' well-being.Journal of Clinical Nursing 12/2012; 21(23-24):3429-3441. · 1.32 Impact Factor
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ABSTRACT: Injured workers' perceived injustice can contribute to retaliatory, aggressive actions. Research also shows a relationship between persistent pain, anger and aggressive, maladaptive coping. We took the unique opportunity afforded by a workers compensation board (WCB) hostage taking incident to address four questions: (i) What contemporary values, beliefs, and potential behaviours about the WCB system are reflected in the online postings of other claimants (or family members of claimants) in response to the hostage taking incident? (ii) To what degree do the narratives of people who posted online (PWP) in response to this incident, demonstrate the theme of perceived injustice and support retaliatory actions? (iii) How accurate is the information relayed by PWP about the WCB system where the hostage taking occurred? (iv) What is the quality and the public utility of the information this WCB makes available to the public through on-line posting? We thematically analysed comments posted on a national news website in response to the hostage-taking. We focused on posted narratives from people who stated that they had personal involvement with WCB. We also assessed the accuracy of the comments about WCB made in these narratives against the information available on the WCB website. A standardized assessment tool was used to determine the readability and accessibility of the WCB website. Emergent themes were: retribution, perceived systemic mistreatment, justice/injustice, empathy, disbelief, and loss. There were many inaccurate beliefs about the Workers' Compensation Board. The overall quality of readability and accessibility of the website was low. Narratives indicated perceived procedural injustice attributed to a flawed and uncaring compensation system. Inaccurate beliefs about WCB and poor quality of the public website may have contributed to suffering, miscommunication and perceptions of unjust, systemic mistreatment. Findings support a relationship between perceived injustice and aggressive retaliatory action.Scandinavian Journal of Caring Sciences 01/2012; 26(3):569-78. · 0.89 Impact Factor
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ABSTRACT: AIM: To investigate the associations between nurse-patient interaction and meaning-in-life in a nursing home population. BACKGROUND: Meaning has been found to be a strong individual predictor of successful ageing and life satisfaction as well as an important psychological variable that promotes well-being. Meaning seems to serve as a mediating variable in both psychological and physical health. Connecting and communicating with others have been seen to facilitate meaning-in-life among older individuals. DESIGN: Cross-sectional descriptive study. METHODS: The data were collected in 2008-2009 using the Nurse-Patient Interaction Scale and the Purpose-in-Life test. A total of 250 cognitively intact nursing home patients met the inclusion criteria and 202 (81%) participated. A structural equation model of the hypothesized relationship between nurse-patient interaction and meaning was tested by means of LISREL 8.8. FINDINGS: The structural equation model fit well with the data. A significant direct relationship between nurse-patient interaction and meaning-in-life in cognitively intact nursing home patients was displayed. CONCLUSION: Nurse-patient interaction significantly relates to meaning and purpose-in-life among cognitively intact nursing home patients and might be an important resource in relation to the patient's mental health and global well-being. High-quality nurse-patient interaction and in-house activities aiming to increase patients' meaning might increase psychological and physical health, well-being and psycho-spiritual functioning in this vulnerable population.Journal of Advanced Nursing 06/2013; · 1.53 Impact Factor