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article · International Journal of Africa Nursing Sciences

Conceptualisation of relational care through cultivating attentiveness: The butterfly effect in mental health nursing

2026Open accessNorth-West University

Abstract

Background : Attentiveness as the foundation of care fosters authentic connections between mental health nurses and their patients. This paper highlights the transformative impact of attentiveness and relational care in mental health nursing by providing a concept analysis for relational care through cultivating attentiveness. Nurses in this setting are susceptible to systemic challenges that impact their provision of care; therefore, clarity of this concept may inform and empower nurses to navigate complex challenges while they render compassionate relational care. Purpose : To conceptualise relational care through cultivating attentiveness as experienced and understood by mental health nurses in South Africa. Method : Walker and Avant’s iterative steps of concept analysis. Twelve papers including dictionaries and thesauruses were included in this concept analysis. Conclusion: By linking relational care to cultivating attentiveness, this study highlights that this concept has a transformative impact on the health outcomes for patients and the patient’s relationship with the nurse. Attentiveness is an evolving and intentional effort that nurses should cultivate to foster trust, empathy and connection.

Research topics

  • Nursing education and management
  • Counseling, Therapy, and Family Dynamics
  • Empathy and Medical Education

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DOI: 10.1016/j.ijans.2026.101047

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