Nurse Theory:
The theory was from her study, the “Categorization of Nursing Activities as Observed in
Medical-Surgical Ward Units in Selected Government and Private Hospitals in Metro Manila”,
which was conducted from January to June in the year 1987. The theory talks about the
effects of nurse’s caring behavior on the anxiety of patients in the emergency room
Background of her theory:
Communication is the key when getting nurses to engage patients and families in their care.
Research develops the guide found that communication gaps between patients and
caregivers can occur when hospitals do not address the issues that patients think are most
important. Another factor is the availability at few tools are to give health providers insight to
patient’s needs and concerns.
As a result, efforts by patients, families, and health providers communicate more effectively
with each other can fall short to their goal. Each strategy includes educational tools and
resources for patients training materials for health care professionals and real- world
examples that show how strategies are being implemented in hospital settings.
Strategies describe how patient and families, working with hospital staff, can: be advisors:
promote better communication at the bedside to improve quality; participate in bedside shift
reports; and prepare to leave the hospital.
Anxiety
A mental state of fear or nervousness about what might happen.
Nurse’s Caring Behaviors That Affect Patient’s Anxiety:
Presence - Person to person contact between the client and the nurses.
Sometimes we see this in our pediatric patients wherein they see a nurse coming in to their
room and the nurse is in white uniform, they get to be anxious. That is why most of nurses in
pediatric ward usually do not wear white uniform, instead they wear scrub suit.
Concern - Development in the time through mutual trust nurse and the patient.
In the long run, we get to give our care to our patients whenever they stay in the ward for how
many days. So, this concern now develops in time through mutual trust between the patients
and the nurses.
Stimulation - Nurse stimulation through words tops the powerful resources of energy of
person for healing.
This stimulation usually gives strength to our clients. Most especially if we tell or encourage
them to be strong for them to look forward so that they can improve and reach their goal to be
discharged in the hospital.
Predisposing Factors:
Factors that exert their effects prior to a behavior occurring, by increasing or decreasing a
person or populations motivation to undertake that particular behavior.
 Age
 Sex
 Civil status
 Educational background
 Length of work
 Experience
Enhancing Factors:
These are strategies which describe how patient and family work with the hospitals staff.
One’s caring experience, beliefs and attitude.
This exemplified the enhancing factors of how the nurse take care of the client.
Feeling good about your work.
When you feel good and love you work, everything follows.
Learning caring at school
When you were still a student nurse, you were taught to care for other people and different
nursing procedures.
What patients tell about the nurse
It is very important that we learn to appreciate what our patient tell us regardless of their
status in life.
Coping mechanism to problems encountered
In every duty, there will always be something or problem that come out. In regardless of what
nurses do, they get to cope up with it positively.
Communication
Communication is important especially if you try to communicate the information to the
patient. This is how we get to describe to the patient and family the information. We also talk
about the working relationship with the hospital staff.
Theoretical model
This is the theoretical model of Cecilia Laurente’s Theory. We can observe that the
predisposing factors and enhancing factors when combined becomes the caring behavior of
the nurses, becomes their presence, concern, and stimulation, and the end result is
decreased anxiety