Swanson's Theory of Caring was empirically derived through phenomenological inquiry. Swanson defines caring as 'a nurturing way of relating to a...
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Swanson's Theory of Caring was empirically derived through phenomenological

inquiry. Swanson defines caring as "a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility". According to Swanson, a fundamental and universal component of good nursing is caring for the client's biopsychosocial and spiritual well-being. Swanson asserts that caring is grounded in maintenance of a basic belief in human beings, supported by knowing the client's reality, conveyed by being emotionally and physically present, and enacted by doing for and enabling the client. The caring processes overlap and may not exist in separation. Each is an integral component of the overarching structure of caring (Figure 23-1). Swanson has noted that the repertoire of caring therapeutics of novice nurses might be limited and restricted by inexperience. Yet, Swanson asserts that, regardless of the years of nursing experience, caring is delivered as a set of sequential processes (sub-concepts) created by the nurse's own philosophical attitude (maintaining belief), understanding (knowing), verbal and nonverbal messages conveyed to the client (being with), therapeutic actions (doing for and enabling), and the consequences of caring (intended client outcome) (Swanson, 2001). 


SUMMARY
Swanson's Theory of Caring describes nurse-client relationships that promote wholeness and healing. The theory offers a framework for enhancing contemporary nursing practice, education, and research while bringing the discipline to its traditional values and caring-healing roots. Swanson's Theory of Caring has been applied to interdisciplinary caring relationships beyond nurseclient encounters. 
CASE STUDIES
1. The birth of a child is one of the most memorable experiences in a woman's life. You are a birth unit nurse, and at the change of a shift you are assigned to care for a teen mother who came to hospital alone and is now in active labor. When you arrive in her room, you notice that she is teary and appears frightened. Describe how you would apply Swanson's theory to connect emotionally and deliver caring in your practice with this young mother.
2. A 56 year old obese man presents in the outpatient clinic. He is experiencing polydipsia and polyuria for over a week. He also reports a weight loss of 5 kg in the past few weeks. He delayed his clinic visit for as long as possible because he feared he may have diabetes like his father and was afraid to face the reality. You check his sugar level and it is 430. The man bursts into tears. Describe how you would apply Swanson's theory to help the client face the diagnosis of chronic disease, cope with the disease. process, and promote well-being?


CRITICAL THINKING ACTIVITIES
1. Consider Swanson's Theory of Caring as a framework for your own nursing practice and research. How is it applicable?

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