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Genuineness in Nursing Care Provided by Nurses in the Clinical Setting

Various frameworks had provided a set of standards on provision of care for patients in the health care setting. Such standards are governed and justified with logical rationale derived from research-proven advancements in medical science, particularly in nursing. As a nurse professional, founding the methodologies of care implementation on the nursing fundamentals is deemed necessary in order to ensure safe nursing practice. It is always a requisite for all nurses to know and practice these nursing care standards whenever dealing with their patients. It is their main responsibility to ensure the provision of individualized and safe care in order to meet their patient’s health needs.

While it is expected of all Filipino nurse professionals to give intelligent and safe care to their patients, still, most of them are forgetting one aspect of care that should be considered with high regard. No matter how efficient your assessment, planning, and care implementation could be; a nurse must never neglect practicing their profession with a genuine heart. Genuineness is not something one can easily acquire from attending graduate school or reading profound reference books or manuscripts. It is rather something nurses should feel highly of and be enthusiastic to explore upon. It is one thing a nurse should engage on and keep up with. Genuineness is deeply rooted upon willingness in response to a call of service. Some might find it an overstatement but believe it or don’t, it is highly relevant to the essence of becoming a true nurse.

Our dear nurses. :)

Our dear nurses. :)

As someone coming from the same profession, I opt to mention three factors I have seen and observed during my clinical practice as a nurse. They all have a relative interplay with one another and great influence on the state of genuineness of a contemporary Filipino nurse’s professional practice.


Nowadays, many nurses are considered proficient in all their respective fields, especially in terms of their knowledge and skills in performing and assisting various routine and special procedures. However, it is sad to find out that after attending to their respective patients, the care often stops right there. Say for example, a nurse turns his patient to a different position because he knows that maintaining him in the same position for prolonged periods of time might give him pressure sores. Then after doing so, he simply walks away never bothering how the patient is feeling or if the patient has other aspects of needs. As long as he performs acts of ‘nursing care’ that could be written on the patient’s chart at the end of every shift, he thinks everything is fine. While implementing standard nursing interventions are necessary, a lot of nurses are forgetting that they are dealing with human beings and not with their diseases. That aside from checking on their vital signs and maintaining their contraptions, they need a genuine care that would make them feel that they are not alone; that even if their family members may be away from them, there is always someone on a white cap and uniform that is ready to give a hand; somebody who makes them feel more human amidst all these feelings of adversities endured during a long period of treatment. As nurses, you shall be able to treat your patients in all sense of holism. Every aspect of a patient’s persona should be taken in great consideration and respect.


Many patients nowadays would say, “If you want a great and caring nurse, do your best to have your admission at a PRIVATE facility.” Isn’t care should be expected from ANY nurse professional there is? Regardless of patient assignment, genuine care (apart from professional, empirical, and skilful methodologies) is one important component of nursing practice. Nursing care do not discriminate whether the recipient is a billionaire or amongst those thriving below poverty line. Delivering expert care should be the same for all types of clientele. There shall never be a difference between nursing in a high-end and private facility from a public and general hospital. But now, the innate norms in the health care setting permits otherwise. A number of nurses in public hospitals are seen dealing with patients in unpleasant sorts of ways.


For someone who is a professional, he is always entitled of a rightful degree of compensation for the provision of his expertise. Nursing is a profession from which individuals are moulded to provide expert care to any client receiving it. Therefore, nurses are also entitled to a decent and rightful degree of compensation. Ideally, a registered nurse shall be receiving a salary not lower than grade 15 as prescribed in Section 32 of the Republic Act 9173, also know as the Nursing Act of 2002. However, nurses had been inappropriately compensated over the years. Instead, nurses had been receiving a much lesser amount as compared to the mandated salary grade for nurses. A nurse professional’s way of providing expert care is not solely funded on monetary figures. However, a rightful compensation should always be given on each member of the Philippine nursing labor force to ensure the general welfare of themselves, as well as their own families. The allotment of unjust salary to these nurse professionals is somewhat influential on their decreased motivation to execute their utmost professional expertise in their respective settings.

An Appeal to All Nurses

At present, there is an obvious struggle and impediment in the part of nurse professionals particularly on these major issues affecting the practice of their profession. However, these should not hinder a Filipino nurse to exemplify genuineness in providing expert care to his patients. As a nurse, one has vowed to dedicate his practice on genuine service for others. No matter what happens, they should be able to live by it. Continue embodying the persona of a true Filipino nurse. Always become the genuine and caring professionals we are all known for.


Tina Siuagan (author) from Rizal, Philippines on November 10, 2020:

Thank you for stopping by, Lisa. God bless!

Lisa Jane from Washington on January 06, 2019:

I love this article. This gives some insightful information. I work in LTC in an Assistant Living Facility and love it. I agree you have to be genuine.

Tina Siuagan (author) from Rizal, Philippines on July 25, 2012:

That insight is agreeable to me. You are right. The best way to harness a nurse's clinical skills is to put them to clinical practice. Sadly, our Filipino nurses cannot be given such chance without having to undergo exploitation. Being someone doing activism against the situation, we highly encourage fellow nurses to examine job opportunities and to be more discriminate in order to stay-away from FALSE NURSE VOLUNTEERISM schemes. Nurses are professionals too. Therefore, they have to be paid while practicing their profession and providing services.

Thank you very much for your time. Have a great day!

Danson Wachira from Nairobi, Kenya on July 25, 2012:

I take that for one to like his/her career there must be a passion and dedication. We learn a lot of theoretical skills in schools but it is through application that we learn most. Great article, voted up, useful and shared.

Tina Siuagan (author) from Rizal, Philippines on March 28, 2012:

Oh, I am very sorry to hear that vineer. Same thing goes here in the Philippines. Nurses are unemployed, or if given work, IMPROPERLY COMPENSATED. Nurses play a vital role in the health care system. I don't think they deserve such treatment. Thank you very much for taking the time to read. I am happy to find out that my voice as a nurse is heard through this hub/article. Have a great day!

vinner from India on March 28, 2012:

Scroll to Continue

Really useful article. Me also has some nurse friends who are not paid well. Now they are on strike. Cool way of writing . Waiting for more articles from you

Tina Siuagan (author) from Rizal, Philippines on February 12, 2012:

Thank you very much for dropping by thumbi7. It's too bad a lot of nurses here in Asia are not compensated properly. Here in the Philippines, a number of nursing movements are working their way to better salaries, benefits, and professional development opportunities. Thank you for sharing the nurses' working condition in India as well.

JR Krishna from India on February 12, 2012:

Nurses are not paid well in India as well. They often have to work extra hours for a meagre salary.

Voting up and sharing!

Tina Siuagan (author) from Rizal, Philippines on February 07, 2012:

Thank you very much healthwriterbob for your wonderful insight. And I have to agree to what you said. In the recent years, there had been a sudden surge in the number of nurses and nursing students here in the Philippines because for some reasons, working and migrating abroad has been overly emphasized. Nursing schools 'sprouted like mushrooms' everywhere and who knows about the quality they give their students. Now, since news everywhere had been telling about the great opportunities awaiting nurses abroad, parents are like raving about this course. I have to admit that I have been a victim to that. I was supposed to take up a pre-law course when my parents disagreed so I can take up nursing. All in all, I don't regret what happened because nursing is a wonderful profession. What saddens me is that the governing nursing bodies here in the country has been reluctant to implement measures to regulate the nursing curriculum and profession further.

Thank you for taking the time reading this hub, Sir. :D

healthwriterbob from United States on February 07, 2012:

Hi singernurse,

You are right that a professional always performs his/her job to the highest standards no matter what circumstances prevail. It is not right that nurses in the Philippines were being underpaid. I hope this situation is being set right. Nurses are one of the most important components of good healthcare. I am sharing this hub with my followers.

Tina Siuagan (author) from Rizal, Philippines on January 24, 2012:

Nursing is a rewarding profession. It's that one thing that gets you in touch with humanity every singe time. It's always a pleasure to share wonderful things about it to others.

Thank you very much for reading alocsin.

Aurelio Locsin from Orange County, CA on January 23, 2012:

Thanks for revealing these about an admirable profession. I agree that the chief quality needed for nursing, as you've pointed out, is true caring for people. Voting this Up and Interesting.

Tina Siuagan (author) from Rizal, Philippines on January 23, 2012:

Thank you very much for reading ahostagesituation! It's very sad to see that some nurses nowadays view the patient only in the perspective of their corresponding diseases neglecting his persona as a whole. Nursing is a profession that renders HOLISTIC care. And nurses should be the front liners for this endeavor.

Have a great day!

The Lion Queen on January 09, 2012:

This is an excellent article! Of course I had to check out your work. I like you're writing about avoiding seeing the pt as a disease entity. Great job! I love to sing as of my favorite things to do.

Tina Siuagan (author) from Rizal, Philippines on January 01, 2012:

Happy New Year lin8t! Nurses, like your mom, who are dedicated to the profession makes me proud to be one. Also, I hope this article helps your friend who is in to practicing the profession. Please send my regards to your mom and her.

Hope you have a great year ahead. :)

lin8t from United Kingdom on January 01, 2012:

Great hub and I second this. My mum is a retired nurse and she never lost focus. I'm going to show this article to my friend who is doing her last year nursing. I actually said she shouldn't just be a nurse. That hopefully she will realise patients are people and she seemed to agree.

Tina Siuagan (author) from Rizal, Philippines on December 27, 2011:

Thank you for checking out this hub Max! What makes nursing seem complicated is the body of knowledge that governs its practice. However, if you'll try to look at it in a larger picture, everything's summed up in to one ultimate word - CARE. Send my best regards to your sister and I hope that she continues to uphold the profession. :D

Max Dalton from Greater St. Louis, Missouri on December 27, 2011:

Hi Singer Nurse,

Good information. My sister is a nurse and I know she holds a lot of the same core values that you do, especially that a nurse should offer people a high level of care no matter what the situation is.

Keep up the good work.


Tina Siuagan (author) from Rizal, Philippines on December 27, 2011:

Thanks tarajeyaram! I hope fellow nurses could find inspiration to work harder and care more, through this hub. :D

Tina Siuagan (author) from Rizal, Philippines on December 23, 2011:

I was inspired by several circumstances I have witnessed while I was still in the clinical practice. I am only twenty three years old (I hope the profile photo provides justification. Haha!) but I quit my job as a triage nurse for a while to pursue my music career. In my several months of practice, I have witnessed some fellow nurses who seemed to forget the true essence of CARING. At present, there are some unsettled conflicts faced by our nursing work force here in the Philippines but I don't think that is enough reason to forget your main role as a nurse professional in the first place.

With my shift of career from nursing to rock music, I still see to it that I get to write about relevant and fun topics about the nursing and the general community. I have nothing much in here but you might want to check out my nursing blog and tell me what you think. Your insights would be highly appreciated!

Thank you very much Seeker7. You made my day! :)

Helen Murphy Howell from Fife, Scotland on December 23, 2011:

An excellent hub and one that should be read by all nurses - whether experienced or students. I think some enter the health care fields because of the interest they may have in certain conditions or areas of medicine. There is nothing wrong with this as long as, and you state this very well in your article, nurses remember that at the centre of all this developing hi tec and drama, there's a human being right at the centre of it all.

Great hub + voted up.

tarajeyaram from Wonderland on December 21, 2011:

very nice hub. All medical professionals should read it. Thank you for sharing.

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