Swanson’s Framework of Caring
1. Maintaining Belief (Esteem)
Sustaining faith in the other’s capacity to get through an event/transition and face a future with meaning
Caring Interventions:
· Believe in/holding in esteem
· Maintaining ahope filled attitude
· Offering realistic optimism
2. Knowing (Empathetic Understanding)
Striving to understand an event as it has meaning in the life of the other
Caring Interventions:
· Avoiding assumptions
· Centering on the one cared for
· Assessing thoroughly
· Seeking cues
· Engaging self in the care of your patient
3. Being With (Emotionally Present)
Being emotionally present to the other
Caring Interventions:
· Being there
· Conveying availability
· Sharing feelings
· Not burdening
4. Doing For (Enact For)
Doing for the other as he/she would do for oneself
Caring Interventions:
· Comforting
· Anticipating their needs
· Performing competently/skillfully
· Preserving dignity
5. Enabling (Empowering)
Facillitating the other’s passage through life transitions and face a future with meaning
Caring Interventions:
· Informing/explaining-patient education
· Supporting
· Validating/giving feedback
Copyright 2011, Keith Rischer/www.KeithRN.com