What is the difference between task oriented touching and caring touch in health care environment?

from any harm. Task-oriented touch occurs when the nurse is performing nursing duties. Healing touch is atype of energy therapy used for healing certain diseases.Caring touch is an extremely important aspect ofnursing. Because the patient is depressed, the nurse should hold the patient’s hand and talk to him or her. Thenurse should participate in the conversation and help the patient to feel better. Touching the forehead toassess temperature does not indicate caring touch. Holding the arm to start an intravenous (IV) line does notindicate caring touch. Touching the back to give a massage is task-oriented.Doing for is the process in which the nurse carries out tasks for patients as they would do for themselves, ifpossible. The quadriplegic patient is unable to cover himself; hence the nurse does the task. Knowing is gettingto know the patient. Being with refers to being present emotionally for the patient. Maintaining belief is instillinghope and faith in the patient.When dealing with any patient, the nurse should be a caring listener. The nurse should pay attention to thepatient’s concerns. The nurse should make good eye contact, which signifies that the nurse is interested in thepatient’s problems. The nurse should listen to the patient with openness, keep silent, and let the patient speak. Itis easy for the nurse to get distracted by tasks and workload, but the nurse should listen to the patient first andthen complete the tasks.

1. Spence J. The purpose and practice of medicine: selections from the writings of Sir James Spence. London: Oxford University Press; 1960. The need for understanding the individual as a part of the training and functions of doctors and nurses. [Speech delivered at a conference on mental health held in March 1949] pp. 273–274. [Google Scholar]

2. Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med. 2000;51(7):1087–1110. [PubMed] [Google Scholar]

3. Allen J, Gay B, Crebolder H, et al.for The European Society of General Practice/Family Medicine (WONCA Europe) The European definition of general practice/family medicine. Barcelona: The European Society of General Practice/Family Medicine; 2002. [Google Scholar]

4. Kurtz S, Silverman J, Draper J. Teaching and learning communication skills in medicine. 2nd edn. Oxford: Radcliffe; 2005. [Google Scholar]

5. Kurtz S, Silverman J. The Calgary-Cambridge Referenced Observation Guides: an aid to defining the curriculum and organizing the teaching in communication training programmes. Med Educ. 1996;30(2):83–89. [PubMed] [Google Scholar]

6. Hargie O, Dickson D, Boohan M, Hughes K. A survey of communication skills training in UK schools of medicine. Med Educ. 1998;32(1):25–34. [PubMed] [Google Scholar]

7. Tate P. The doctor’s communication handbook. 6th edn. Oxford: Radcliffe; 2009. [Google Scholar]

8. Von Fragstein M, Silverman J, Cushing A, et al. UK consensus statement on the content of communication curricula in undergraduate medical education. Med Educ. 2008;42(11):1100–1107. [PubMed] [Google Scholar]

9. Hall J, Harrigan J, Rosenthal R. Non-verbal behaviour in clinician-patient interaction. Applied and Preventative Psychology. 1995;4(1):21–35. [Google Scholar]

10. Roter D, Frankel R, Hall J, et al. The expression of emotion through nonverbal behaviour in medical visits. Journal of General Internal Medicine. 2006;21(Suppl 1):S28–34. [PMC free article] [PubMed] [Google Scholar]

11. Bensing J, Verheul W, van Dulmen A. Patient anxiety in the medical encounter: a study of verbal and non-verbal communication in general practice. Health Education. 2008;108(5):373–383. [Google Scholar]

12. Marcinowicz L, Konstantynowicz J, Godlewski C. Patients’ perceptions of GP non-verbal communication: a qualitative study. Br J Gen Pract. 2010;60(571):83–87. [PMC free article] [PubMed] [Google Scholar]

13. Peloquin S. Helping through touch: the embodiment of caring. Journal of Religion and Health. 1989;28(4):299–322. [PubMed] [Google Scholar]

14. Weiss S. The language of touch. Nurs Res. 1979;28(2):76–80. [PubMed] [Google Scholar]

15. Jourard S. Disclosing man to himself. New York, NY: Van Nostrand Reinhold Company; 1968. [Google Scholar]

16. General Medical Council . Tomorrows doctors. London: GMC; 2009. [Google Scholar]

17. Estabrooks C, Morse J. Toward a theory of touch: the touching process and acquiring a touching style. J Adv Nurs. 1992;17(4):448–456. [PubMed] [Google Scholar]

18. Edwards S. An anthropological interpretation of nurses’ and patients’ perceptions of the use of space and touch. J Adv Nurs. 1998;28(4):809–817. [PubMed] [Google Scholar]

19. Connor A, Howett M. A conceptual model of intentional comfort touch. J Holist Nurs. 2009;27(2):127–135. [PubMed] [Google Scholar]

20. Watson WH. The meaning of touch. J Commun. 1975;28(2):76–79. [Google Scholar]

21. Cocksedge S, May C. Doctors’ perceptions of personal boundaries to primary care interactions: a qualitative investigation. Commun Med. 2009;6(2):109–116. [PubMed] [Google Scholar]

22. Cocksedge S, Greenfield R, Nugent G, Chew-Graham C. Holding relationships in primary care: qualitative exploration of doctors’ and patients’ perceptions. Br J Gen Pract. 2011 doi: 10.3399/bjgp11X588457. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

23. Strauss A, Corbin J. Techniques for developing grounded theory. Thousand Oaks, CA: Sage; 1998. Basics of qualitative research. [Google Scholar]

24. Chew-Graham C, May C, Perry M. Qualitative research and the problem of judgement: lessons from interviewing fellow professionals. Fam Pract. 2002;19(3):285–290. [PubMed] [Google Scholar]

25. Lewis R. Patients’ views on quality of care in general practice: literature review. Soc Sci Med. 1994;39(5):655–670. [PubMed] [Google Scholar]

26. Williams S, Calnan M. Key determinants of consumer satisfaction with general practice. Fam Pract. 1991;8(3):339–348. [PubMed] [Google Scholar]

27. Mercer S, Watt G, Reilly D. Empathy is important for enablement. BMJ. 2001;322(7290):865. [PMC free article] [PubMed] [Google Scholar]

28. Rogers C, Stevens B. Person to person: the problem of being human. London: Souvenir Press; 1973. p. 9. [Google Scholar]

29. Montagu A. Touching: the human significance of the skin. New York, NY: Columbia University Press; 1971. [Google Scholar]

30. Autton N. Touch: an exploration. London: Darton, Longman & Todd; 1989. [Google Scholar]

31. Singh C, Leder D. Touch in the consultation. Br J Gen Pract. 2010 doi: 10.3399/bjgp12X630133. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

32. Jourard S. An exploratory study of body-accessibility. Br J Soc Clin Psychol. 1966;5(3):221–231. [PubMed] [Google Scholar]

33. McCann K, McKenna H. An examination of touch between nurses and elderly patients in a continuing care setting in Northern Ireland. J Adv Nurs. 1993;18(5):838–846. [PubMed] [Google Scholar]

34. Friedson E. Patients’ views of medical practice. New York, NY: Russell Sage; 1961. p. 57. [Google Scholar]


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Demographic details of GP responders

Participant referenceSexEthnicityYears qualified as GPPractice localityList sizeTeaching practice?Particular interests
GP1MaleMixed25Suburban6000YesCardiology, diabetes, chronic kidney disease
GP2FemaleChinese29Urban3300YesMedicines management
GP3MaleWhite British14Urban6200Yes
GP4FemaleChinese7Rural8600YesDiabetes
GP5MaleWhite British25Suburban7000YesNHS management
GP6MaleWhite British26Semi-rural8200YesCardiovascular, diabetes
GP7MaleWhite BritishGP registrarSuburban7500YesResearch
GP8MaleWhite British10Rural8500Yes
GP9MaleWhite British19Urban3350YesA&E
GP10MaleBulgarian1Urban3300YesDiabetes
GP11FemaleWhite British22Semi-rural8100Yes
GP12FemaleWhite British29Semi-rural11 000YesWomen’s health
GP13FemaleWhite British14Urban6500YesResearch
GP14MaleWhite British24Rural3500No
GP15MaleWhite British37Semi-rural11 000YesAsthma, COPD, minor operations