According to Roach (1993), who developed the Five Cs (Compassion, Competence, Confidence, Conscience and Commitment), knowledge, skills and experience make caring unique. Here, I extend Roach's work by proposing three further Cs (Courage, Culture and Communication).
Nurses operate on six core values which are commonly known as the 6 C's. These are Care, Compassion, Competence, Communication, Courage and Commitment. Nurses who operate on these values ensure that the job gets done in an effective and efficient manner and that patients are safe and treated well.
Nurse assistants follow a group of five principles, or values. These five principles are safety, dignity, independence, privacy, and communication. Nurse assistants keep these five principles in mind as they perform all of their duties and actions for the patients in their care.
The four Ps (predictive, preventive, personalized, participative) [3] (Box 21.1) represent the cornerstones of a model of clinical medicine, which offers concrete opportunities to modify the healthcare paradigm [4].
Turner and Rushton created a potential solution built on 4Rs: recognize, release, reconsider, and restart. Recognize. The first thing nurses should do is recognize the situation for what it is; not what it represents.
Charting the 7 c's of cultural change affecting foreign nurses: competency, communication, consistency, cooperation, customs, conformity and courage.
The 6Cs – care, compassion, courage, communication, commitment and competence – are the central set of values of the Compassion in Practice strategy, which was drawn up by NHS England Chief Nursing Officer Jane Cummings and launched in December 2012.
During hourly rounds with patients, our nursing and support staff ask about the standard 5 Ps: potty, pain, position, possessions and peaceful environment. When our team members ask about these five areas, it gives them the opportunity to proactively address the most common patient needs.
Care is our core business and that of our organisations; and the care we deliver helps the individual person and improves the health of the whole community. Caring defines us and our work. People receiving care expect it to be right for them consistently throughout every stage of their life.
Sister Simone Roach came up with the five C's of caring: commitment, conscience, competence, compassion, and confidence. The five C's are considered beneficial to improving coworker and patient relationships and increasing a nurse's chances for career advancement.
Caring means tending, playing and learning, which can generate trust, meet the patient's needs, provide physical and spiritual well-being and create a feeling of being in development to support the health processes (Eriksson, 1997).
PROCEDURE FOR COMPLETING A GOALS OF CARE (GOC) FORM
MEDICAL ASSESSMENT. A clinical evaluation of the patient's situation to one of the three goals of care categories: curative / restorative, palliative or dying (terminal).
Jane is the professional lead for all nurses and midwives in England (with the exception of public health) and published the '6Cs' and 'Compassion in Practice' in December 2012, followed by publishing the 'Leading Change, Adding Value' framework in May 2016.
Understanding the 6 Cs
Care is the first C; Care is defined as the provision of what is necessary for the health, welfare, maintenance, and protection of someone or something. The primary duty of the nurse is to care for the patient. Amongst all the C's this is the most important.
In the medical industry, there are three levels of care called primary, secondary and tertiary care and the terms help patients and healthcare professionals navigate the medical system more easily.
Prioritization begins with determining immediate threats to life as part of the initial assessment and is based on the ABC pneumonic focusing on the airway as priority, moving to breathing, and circulation (Ignatavicius et al., 2018).
One of the recommendations to reduce medication errors and harm is to use the “five rights”: the right patient, the right drug, the right dose, the right route, and the right time.