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Message from the President

Heart and Science of Caring - 
Adopting a Caring, Compassionate, and Open Heart

September/October 2022

Connie Hardy Tabet MSN RN CPAN CAPA FASPAN
ASPAN President 2022-2023

Care and Caring
Have you considered the difference between the commonly used words care and caring? The word care is associated with attentiveness, focus or concern.1 The noun ‘care’ has been spoken since 1550. The adjective ‘caring’ has been shared since 1966.2 There are many synonyms for caring. A few standing above the others are understanding, selfless, kind, or open-hearted.3 Collaboratively, we each are obliged to engage in caring behaviors and actions. Perianesthesia nurses deliver quality care as a basic need to ensure patients' well-being. How nurses demonstrate the heart and science of caring is an art of excellence that captures the attention of our patients and their caregivers.

Compassionate Care
It is assumed all healthcare workers exhibit compassion through their vocational calling. As it is often said, never assume. Compassionate care may disappear and become a victim due to stress, burden of care, or burnout.4 The collaboration of Drs. Stephen Trzeciak and Anthony Mazzarelli’s work pioneered as a hypothesis, in which they followed healthcare providers to identify compassionate interactions. These interactions were measured in a mere 40 seconds between healthcare provider and patient and they observed the actions favorably impacting patients’ lives.5 The effects of compassionate care were found to have positive boomerang effects for healthcare providers, and were a remedy for compassion fatigue and burnout.4,5,6,7 This clinical inquiry related to compassion behaviors has shown significantly amplified patient outcomes, and reduced healthcare costs evident from powerful caring actions.4,5,6,7

Open Heart, Open Mind, and Open Soul
Compassionate communication is an excellent and effective manner to foster a culture of caring. Even if you are not a yogi practicing open heart poses daily, everyone can embrace a caring, open heart and mind. These qualities can influence a change of heart, or state of mind, even if we take just a few short, mindful breaths. It may come across as an easy skill set. Transforming heartfelt intentions into actions can still be challenging if not adopted as a purposeful habit. I challenge each of you, myself included, to start all future interactions or communications with an open heart and open mind. Being sincere and genuine, and closely listening to all sides of a story are essential. Intentional understanding and deep empathy create significant ripple effects to feel the power of compassion for one another. 

I was recently reminded of two eloquent Japanese words: kaizen and shoshin, each of which has a valuable meaning. A kaizen mindset encompasses an open soul, encouraging personal betterment, harmonic actions, and regular ongoing improvement for oneself or organizational processes.8 Shoshin, a Zen Buddhist term, means having a fresh or beginner's mind.9 John Perricone, keynote speaker at the 41st ASPAN National Conference, shared an inspiring and uplifting presentation. He imparted his daily shoshin practice and philosophy in action by maintaining a fresh, beginner's mind and attitude.10 Every day offers a blank slate and a fresh start. Each day we are graced with micro-opportunities to adopt novel ideas, such as communicating and practicing integration of an open heart, mindset, spirit, and soul.

Body Language
It is no secret: facial expressions and body language speak loud and clear. Our nonverbal interpersonal messaging and cues certainly do not require words to communicate a caring heart. A slightly tilted head elicits more open and compassionate interactions. Share a smile with your kind eyes, even while sporting your facial mask. With a real smile, we have Duchenne eyes, engaging the orbicularis oculi muscle at the eyelid by squinting eyes, wrinkled skin at the eye corner or crow's feet, and elevated cheeks. A joyous smile promotes the release of “happy” endorphins.11 When people share a mere 30% of intentional mutual eye contact, it authenticates trust and credibility.11 The literature on communications shows that a range of 60-90% of our interactions are nonverbal.12 

Nurses can offer daily understanding, and be impactful with empathy, effective communication, and compassionate touch to our patients. Compassionate nurses value bonding with patients through eye contact, therapeutic touch to provide comfort, establishing rapport, and by demonstrating genuine caring. Matching our verbal and nonverbal body language is essential to establish trust and respect. When the two behaviors do not mimic each other, a non-therapeutic barrier is created. Nurses are encouraged to develop a better understanding and self-awareness of their own, patients', and colleagues’ nonverbal communications, cues, or gestures.12

As caring professional nurses, we can be reminded to share our servant and heart-centered legacy through a compassionate open heart, mind, and soul. Liberally give away your smile, with a head tilt and through squinting eyes. Each of us can offer a diverse, caring manner and meaningful purpose to those we touch daily. Caring and compassion matter to us all as a person, ASPAN member, and an excellent perianesthesia nurse! 

For those readers who enjoy a powerful visual experience of understanding the difference between care and caring, review the video links in the last two references listed.13,14
 

REFERENCES

  1. Merriam-Webster. (n.d.). Care. In Merriam-Webster.com dictionary. Accessed April 27, 2022. https://www.merriam-webster.com/dictionary/care
  2. Harper D. (n.d.). Etymology of caring. Online etymology dictionary. Accessed April 27, 2022. https://www.etymonline.com/word/caring
  3. Merriam-Webster. (n.d.). Caring. In Merriam-Webster.com dictionary. Accessed April 27, 2022. https://www.merriam-webster.com/dictionary/caring 
  4. Trzeciak S, Roberts BW, Mazzarelli AJ. Compassionomics: hypothesis and experimental approach. Medical Hypotheses. 2017;107:92-97. https://doi.org/10.1016/j.mehy.2017.08.015
  5. Trzeciak S. How 40 seconds of compassion could save a life. [Video]. TEDxPenn. YouTube page. June 5, 2018. Accessed April 27, 2022. https://www.youtube.com/watch?v=elW69hyPUuI
  6. Schwantes M. Compassion makes a difference with Dr. Stephen Trzeciak. [Video]. YouTube page. February 3, 2021. Accessed April 27, 2022. https://www.youtube.com/watch?v=-l249amdprk
  7. Trzeciak S, Mazzarelli A, Booker C. Compassionomics: The Revolutionary Scientific Evidence That Caring Makes a Difference. Studer Group; 2019
  8. Wikipedia contributors. Kaizen. Wikipedia, The Free Encyclopedia. April 2, 2022. Accessed April 27, 2022. https://en.wikipedia.org/w/index.php?title=Kaizen&oldid=1080611481
  9. Wikipedia contributors. Shoshin. Wikipedia, The Free Encyclopedia. January 25, 2022. Accessed April 27, 2022. https://en.wikipedia.org/w/index.php?title=Shoshin&oldid=1067918763
  10. Perricone J. Developing a philosophical identity. Oral presentation at: American Society of PeriAnesthesia Nurses National Conference; April 2022; Philadelphia, PA
  11. Van Edwards V. 16 essential body language examples and their meanings. Science of People. (n.d.) Accessed April 27, 2022. https://www.scienceofpeople.com/body-language-examples/#_ftn
  12. Wanko Keutchafo EL, Kerr J, Jarvis MA. Evidence of nonverbal communication between nurses and older adults: a scoping review. BMC Nurs. 2020;19:53. https://doi.org/10.1186/s12912-020-00443-9
  13. Royal Alexandra Hospital Foundation. The difference between care & caring. [Video]. YouTube page. December 2, 2015. Accessed April 27, 2022. https://www.youtube.com/watch?v=wkf-WxMZVP8
  14. Royal Alexandra Hospital Foundation. The difference between care and caring II - Above and beyond for all. [Video]. YouTube page. January 31, 2018. Accessed April 27, 2022. https://www.youtube.com/watch?v=BDxKREiK-NY    

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