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Nursing

Quality Caring: Interactive Approaches for Remote Teaching

Jan 10, 2025

As healthcare education shifts increasingly toward remote learning, incorporating interactive approaches is essential to maintaining engagement and promoting deep learning. One powerful framework for guiding this process is the Quality Caring Model (QCM), a middle-range theory that emphasizes the importance of relationships in care. This model, grounded in the connections between the self, community, patients, families, and healthcare teams, offers a robust structure for fostering meaningful, interactive learning experiences in a virtual environment. 

Here’s how the Quality Caring Model can be applied to remote teaching through interactive approaches:

1. Fostering Caring Relationships through Technology
One of the core principles of the QCM is the importance of caring relationships in promoting positive outcomes. In remote teaching, educators can use video conferencing tools, discussion forums, and collaborative platforms to create a sense of connection among students. Virtual "coffee chats" or small-group discussions can replicate informal, in-person interactions, allowing students to build relationships not only with their instructors but also with their peers, enhancing the sense of community and support.

2. Active Learning and Engagement
Interactive strategies such as case studies, simulations, and role-playing exercises can be adapted for the virtual classroom to deepen student engagement. Using real-world healthcare scenarios allows students to apply their knowledge and practice critical thinking. Online platforms can support these activities with features like breakout rooms for group discussions or live polls to gather student feedback and encourage real-time interaction.

3. Self-Care and Work Engagement
The QCM highlights the role of self-care in promoting clinician well-being. Remote learning can emphasize self-care strategies for healthcare professionals, providing students with tools to manage stress, avoid burnout, and foster resilience. Instructors can encourage reflective journaling or mindfulness exercises, which can be done individually or in small groups via online platforms. This creates a space for students to explore their well-being while learning how it connects to the quality of care they provide.

4. Creating Value Through Collaboration
The QCM underscores the value of collaboration among healthcare teams. In a remote learning environment, this can be translated into collaborative projects that require students to work together across disciplines. Virtual teamwork can be fostered through group assignments, peer reviews, or co-presentations, encouraging students to share ideas, problem-solve together, and reflect on the contributions of others.

5. Incorporating Real-World Insights
To make learning more relevant, remote teaching can integrate insights from practicing nurses and other healthcare professionals. Interviews, guest lectures, or recorded field visits can bring current healthcare challenges into the classroom. Students can then collaborate in virtual discussions to analyze these challenges, propose solutions, and reflect on how their learning aligns with real-world practice.

In Quality Caring in Nursing and Health Systems, the major concepts of the Quality Caring Model (QCM) are foundational ideas that guide its principles. The model identifies four key concepts: humans in relationship, relationship-centered encounters, feeling "cared for", and self-advancing systems (see Figure 3.2). These concepts highlight the holistic nature of individuals, who are shaped by their unique beliefs, attitudes, behaviors, physical traits, and life experiences. These individuals engage in meaningful connections with others, including family, community, and the larger world around them.

To enhance your students’ understanding, Figure 3.3 illustrates how individuals with health needs engage with healthcare providers in both independent and collaborative ways. Independent relationships exist between patients or families and healthcare providers. In contrast, collaborative relationships involve multi-directional interactions among healthcare providers and patients, which are essential for delivering cohesive services. When providers work together and form partnerships with patients and families, these collaborative relationships become crucial for achieving specific health goals.


By employing these interactive strategies, educators can effectively teach Quality Caring concepts in nursing remotely, ensuring that students are engaged and prepared to provide compassionate, high-quality care.


Quality Caring in Nursing and Health Systems, highlights how nurses can build caring relationships to improve patient outcomes, reduce costs, and enhance clinician well-being. Grounded in the Quality Caring Model©, it examines the connections between individuals, communities, patients, families, and healthcare teams. It also covers self-care, work engagement, and value creation, with insights from nurses on current healthcare challenges and solutions.

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