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Joanne Duffy Final

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Stephanie Walker

on 27 November 2012

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Transcript of Joanne Duffy Final

Quality Caring Model Joanne Duffy First to explore
link between nurses caring behavior and patient outcomes.

Best known for her leadership in maximizing patient outcomes.

Designed the
Caring Assessment Tool (CAT) Education Caring Factors Mutual Problem Solving
Attentive Reassurance
Human Respect
Encouraging Manner
Appreciation of Unique Meanings
Healing environment
Affiliation needs
Basic Human Needs Stephanie Walker Graduated from St. Joseph's Hospital School of Nursing in Providence, RI

BSN from
Salve Regina College
in Newport R.I.

MSN & PhD from the Catholic University of America Professor at Indiana University
School of Nursing Assumptions
about caring relationships Caring Relationships essential for well-being and growth.
Interaction is necessary for caring groups
Caring relationships are grounded in beliefs about individuals
Caring relationships consist of factors or processes
Caring relationships can be measured
Caring relationships are essential to the practice of nursing
Caring relationships require knowledge, self-awareness, and skill Some assumptions about health: Health is dynamic
Health is a state of physical, emotional, and spiritual integration
Health is contextual Designed as a middle range theory to support understanding of the connections between quality health care and caring. Quality care model evolved over time and was built on the work of others.

Grounded in the works of:
Avedis Donabedian (Theory of Quality Healthcare)
and Jean Watson (The Caring Model). The major proposition of the Quality Caring Model is that caring relationships influence attainment of positive health outcomes for patients/families, health care providers, and health care systems. THE QUALITY CARE MODEL Participants Providers


System Structure Process Relationship
Centered Independent
Collaborative Relationships Outcomes caring relationships Terminal
Outcomes Future Provider


System casual past <---> <---> <---> <---> <---------> <-----> Intermediate Outcomes Feel "cared for" Joanne Duffy DNSc, RN, CCRN Contributions to Nursing Expert leadership to the
NLN's NUrsing Education
Minimum Data Set and the
Nursing Education Research
Advisory Committee Quality - Caring Model Mutual Problem Solving Largest factor and includes nursing behaviors that help patients and families understand how to confront, learn, and think about their health and illness. Using this knowledge both parties work together to decide how to approach and solve problems provide information
brainstorm together
explore alternatives
validate knowledge of illness
accept feedback Assumptions about feeling cared for: Feeling cared for is a positive concept
Feeling cared for occurs as a result of caring interactions
Feeling cared for is desired by recipients of
the health care process Hannibal Regional Hospital use my name when talking to me
listen to me
anticipates my needs Developed the Quality Caring Model refers to attention and reassurance

ATTENTION- refers to availability of the nurse, described at taking time to notice, actively listen, and focus.

REASSURANCE-refers to a hopeful outlook, described as using gentle touch, perhaps sitting with someone who is ill, clarifying misperceptions, and appropriate use of humor. Human Respect refers to honoring the worth of humans

RESPECT- careful and kind handling of the human body, unconditional acceptance, recognition of rights and responsibilities. Calling the patient by their preferred name demonstrates that they matter. Attentive Reassurance Encouraging Manner refers to the demeanor or attitude of the nurse.

An encouraging approach suggests enthusiasm, support, belief in the system, and empowerment. Appreciation of Unique Meaning refers to knowing what is important to patients, including their distinctive sociocultural connections.
Acknowledging in a positive way the subjective inner value attached to a situation, person, or event. Healing Environment refers to surroundings, spaces, stressors, and structures for maintaining patient privacy, safety, and control. Basic Human Needs refers to physical needs, safety, and security needs, social and relational needs, self-esteem needs, and self-actualization. Affiliation Needs refers to the persons' needs for
belonging and membership in
families or other social contexts. Link to Nursing The Quality Caring Model

1. Guides professional practice.
2. Reaffirms and exposes the hidden work of nursing.
3. Describes the linkage between quality of care and human caring.
4. Proposes a research agenda that will provide evidence of the value of nursing. Patient-Nurse relationships provide the foundation for nursing services and are linked to patient outcomes. Measuring the quality of these relationships is important for ongoing practice changes. Critique PRO's CON's Easy to understand, no confusing terms or concepts.
Applies easily to all nursing situations.
Can be applied to any situation where interaction is necessary, not just in patient care situations.
Links the "caring" aspect of nursing to positive outcomes.
Can provide method to evaluate the quality of care provided.
As nurses spend more time "being with" their patients job satisfaction and retention may improve. Time demands on nursing staff do not allow for the true quality caring the model is aiming to provide.
May experience difficulty getting "buy-in" References Clarke, K. A. (2004, March). Maslow: hierarchy of needs--or reflective framework. Nurse 2 Nurse, 4(4), 27-28.

Duffy, J. R. (2003). Caring relationships and evidence-based practice Can they coexist. International Journal for Human Caring, 7(3).

Duffy, J. R. (2005, January). Implementing the quality-caring model in acute care. Journal of Nursing Administration, 35(1).

Duffy, J. R. (2009). Quality caring in nursing Applying theory to clinical practice, education, and leadership. New York, NY: Springer Publishing Company LLC.

Duffy, J. R., & Brewer, B. B. (2011, February). Feasibility of a multi-institution collaborative to improve patient-nurse relationship quality. The Journal of Nursing Administration, 41(2), 78-83.

Duffy, J. R., & Hoskins, L. M. (2003, January-March). The quality-caring model Blending dual paradigms. Advances in Nursing Science, 26(1), 77-88.

Hoenig, H., Lee, J., & Stineman, M. (2010, July-August). Conceptual overview of frameworks for measuring quality in rehabilitation. Topics in Stroke Rehabilitation, 17, 239-251.

Jonsdottir, H., Litchfield, M., & Pharris, M. D. (2004, February). The relational core of nursing practice as partnership. Journal of Advanced Nursing, 47, 241-250.

Meleis, A. I. (2012). Theoretical nursing development & progress (5th ed.). Philadelphia, Pennsylvania: Lippincott Williams & Wilkins.

School of Nursing: Indiana University. (2008). New Faculty Members at IU School of Nursing. Retreived from http://nursing.iupui.edu/news/newfaculty08.shtml.
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