CARING PRACTICE MODEL:
FUNDAMENTALS IN NURSING PRACTICE
RUSTHIA ANN I MAQUIRANG AND STACY JANE F. ANDRADE
The Caring Model (TCM) was first introduced in 1998 by its founder, Dr. Sharon K. Dingman, as
a way to improve a set of patient satisfaction indicators with nursing care in acute care hospitals in the
United States, England and Denmark. The caring model quickly spread into other acute care hospitals
who were striving to understand and implement nurse caring behaviors measured by patient satisfaction
surveys.
Sharon K. Dingman
, DNP, MS, BSN, RN
• The founder of The Caring Model (TCM).
• She is nationally and internationally recognized as a leader in human caring and compassion
associated with patient-family-nurse satisfaction outcomes.
• Dr. Dingman has more than 30 years of professional nursing practice. She applies her vast
nursing executive leadership experience as an educator, consultant, presenter and in publications
to assist health care organizations improve the patient-experience associated with value-based
outcomes and reimbursement.
TCM is a partnership. Satisfaction is like storytelling, it is an art. All organizations have a mission, vision,
values – a story to tell –, but can no longer rely on the tried-true methods of customer service that worked
10-15 years ago. Organizations must skillfully – meaningfully – serve patients and their families
throughout every encounter, every day to provide them exactly what they need, when they need it. When
this is accomplished, the patient and their family will tell the story to their friends and associates.
In 2000, Dr. Dingman further defined caring by the nurse as “an intentional presence, personal ownership,
and respect for human dignity, a partnership, and a matter of integrity that is heartfelt, given and received
between individuals.”
In the years that followed, TCM’s five distinctive caring behaviors soon became a way for nurses and
other caregivers to establish their entry into the patient experience through communications as a guest in a
well-managed approach upon entering the patient’s room.
The five caring behaviors include:
Introducing oneself to the patient and their family and explaining one’s role in the patient’s care
Being seated at the bedside to discuss the patients care plan
The use of touch, a hand shake and a thank you
Calling the patient by his or her preferred name
Utilizing the mission and values of the organization to guide the delivery of care
These five behaviors continue to provide core elements of caring and provide behavioral cues for the
caring relationship between the nurse (caregiver) and the patient and family.
In 2012, Dr. Dingman developed four education modules for nurses and other caregivers on how nurse
caring, compassion, and communication influences patients and families’ perceptions and satisfaction
with care delivered.
E D U C AT I O N M O D U L E S
1. CONCEPTS OF CARING AND APPLICATION OF CARING THEORY
2. CARING BEHAVIORS AND MODELS OF NURSING PRACTICE
3. CARING ENVIRONMENT AND WORKFORCE ENGAGEMENT
4. OUTCOME OF CARING, CONSUMERISM, AND SATISFACTION
BIBLIOGRAPHY
The Caring Model. (2015). Retrieved March 7, 2020 from [Link]
fbclid=IwAR0Pk3VUquVMAgBhjXdFQ6DT737UQ86KC_l1LA349aHdyJ7YhwERF5Xm2Kk