Praise for Previous Editions: "I enjoyed the book. It was well written, current and timely with changes in the healthcare system. The reflective questions and practice analysis were great and would be wonderful to use with students at the graduate and undergraduate levels." –Doody's Medical Reviews Freshly updated, this acclaimed text demonstrates how nurses can promote caring relationships with individuals, groups, and communities in various health care settings to ensure better patient outcomes, lower costs, and greater clinician well-being. The book is grounded in the author's Quality Caring Model©, a middle range theory that analyzes relationships among the self, the community, patients and families, and the health care team. It expands upon the concept of self-caring and examines current thinking on employee work engagement and creating value. Interviews with practicing nurses who describe current healthcare challenges and strategies for managing them also enrich the text. Written for nursing students, clinicians, educators, and leaders, the book delves into the intricacies of relational healthcare and imparts strategies to ameliorate the ills of our current health system by focusing on nursing care that advances equity, pursues innovative and advanced educational experiences, leads, and engages in practice across multiple settings. Chapters apply the model to patients and families and provide optimal learning strategies to facilitate quality-caring competencies. Woven throughout the text are case studies, interviews, exemplars, and relevant lessons to put theory into practice. An Instructor's Manual includes a crosswalk of QCM concepts, core competencies, and performance standards; student assignments, reflections, and value exercises; and PowerPoints. New to the Fourth Edition: Instructor resources and power point slides Updates to address latest recommendations from NAM's The Future of Nursing 2020-2030, ANA's 2021 Nursing Scope and Standards of Practice, AACN's 2021 The Essentials, and AACN's 2021 Entry-to-Practice Nurse Residency Program Standards Expanded content on the challenges of self-caring with practical guidance for preventing moral injury Examples of caring behaviors in action Current thinking on employee work engagement and creating value Interviews with practicing nurses reflecting challenges and strategies for dealing with current state of healthcare Updated information on resiliency, long-term career planning, and work engagement Revised educational and leadership strategies to address the post pandemic health system Key Features: Examines in depth the evolution, key concepts, and clinical, educational, and leadership applications of the Quality Caring Model Underscores the significance of caring relationships in improving the safety and quality of healthcare systems Delivers comprehensive, concise, evidence-based content throughout Offers practical insights with real-life case studies and interviews in diverse community and academic settings Includes memorable quotes, learning objectives, boxed calls to action, key summary points, reflective exercises, and Practice Analysis supporting an active, learner-centered approach