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While caring is a traditionally embraced construct in nursing, it will require greater evidence to advance it as a pivotal part of a new paradigm in healthcare. Frameworks of care delivery are necessary to operationalize the paradigm that caring contributes to healing, and the frameworks of care that are explained in this chapter and studied in this book hold caring for self and others as central to effective practice.

If you think of clinical competence as being the combination of relational competence and technical competence—which implies that there is no clinical competence without relational competence (Koloroutis & Trout, 2012)—you will understand more fully how important it is to measure the effect that caring, clarity, and relationships have on healthcare outcomes. As you learn about the ways in which predictive analytics are being used to improve outcomes in healthcare, notice the vital role that the context of care plays every time. It is not just the technical aspects of care that are being measured now, because it is not just the technical aspects of care that matter. Caring, clarity, and relationships matter, so we are measuring them.

There is no clinical competence without relational competence.