What are the 4 R's in nursing?

The "4 R's" in nursing aren't a single concept but refer to different frameworks, most commonly the Trauma-Informed Care model (Realize, Recognize, Respond, Resist Re-Traumatization) for patient care and strategies for Resilience/Self-Care (Rest, Relaxation, Replenishment, Release) for nurses, plus others like those for ethical challenges or family support.

What are the 4Rs in nursing?

Turner and Rushton created a potential solution built on 4Rs: recognize, release, reconsider, and restart. Recognize. The first thing nurses should do is recognize the situation for what it is; not what it represents.

What are the 4 R's in healthcare?

Nursing facilities that Realize, Recognize, Respond to, and Resist Re-Traumatization are better equipped to provide care, safety and well-being for residents with a history of trauma. Use these 4 key assumptions to develop a trauma-informed approach.

What are the 4 principles of nursing?

These principles are autonomy, beneficence, justice and nonmaleficence.

• Autonomy. Autonomy in nursing means that patients have the right to make their own decisions based on their beliefs and values. ...
• Beneficence. Beneficence in nursing is not as intimidating as it sounds. ...
• Justice. ...
• Nonmaleficence.

What are the 4 R's in trauma informed care?

The 4 Rs of Trauma-Informed Care, promoted by SAMHSA, are Realize, Recognize, Respond, and Resist Re-traumatization, guiding organizations and practitioners to understand trauma's impact, identify signs, implement supportive practices, and prevent further harm by creating safe environments focused on healing and empowerment, shifting from "what's wrong with you?" to "what happened to you?". 

Rights of Medication Administration in Nursing (5, 6, 7, 9, 10, 12) NCLEX Review

What are the 4 C's of trauma?

The 4 Cs of trauma-informed care are Calm, Contain, Care, and Cope. These principles form the foundation of a trauma-informed approach and are relevant in providing effective care for individuals who have experienced trauma.

What are the 4 R's of supportive conversations?

How to use the 4 Rs of trauma-informed care to help your clients

• 1 – Realize. This crucial stage involves a deep understanding of trauma's impact on individuals. ...
• 2 – Recognize. ...
• 3 – Respond. ...
• 4 – Resist retraumatization.

What are the 4 pillars of nursing?

The four pillars of nursing, as defined by organizations like the Royal College of Nursing (RCN) (2025) and BMJ Health Careers (2025), are Clinical Practice, Education, Research, and Leadership, forming the foundation for providing safe, high-quality, person-centered care, especially in advanced practice roles. These pillars aren't separate but interconnected, allowing nurses to use diverse skills in complex healthcare settings. 

What are the 4 P's of nursing?

The 4 Ps of nursing refer to the core elements of hourly rounding, a patient care practice designed to proactively meet needs and prevent complications, focusing on Pain, Potty (toileting), Position, and Possessions (items within reach) like call buttons or water. By checking these four areas consistently, nurses improve patient safety (especially fall prevention), comfort, and satisfaction, demonstrating a commitment to quality care.
 

What are the 5 C's of nursing?

The "5 Cs of Nursing" usually refers to core values for patient care: Compassion, Competence, Confidence, Conscience, and Commitment, a model by Sister Simone Roach; however, the popular NHS "6 Cs" (Care, Compassion, Competence, Communication, Courage, Commitment) are widely adopted, adding communication and courage to the foundation. These Cs guide nurses to provide high-quality, empathetic, and effective care, focusing on both clinical skill and the human element of healing.
 

What do the 4 RS stand for?

Home » WASTE MANAGEMENT » 4R'S – REFUSE, REUSE, REDUCE & RECYCLE. In order to educate our people in the community on how to minimize waste, Infrastructure Cook Islands uses the “4R's” which are: REFUSE, REDUCE, REUSE & RECYCLE. The 4R's are organised in order of importance.

What are the 4 R's of CPR?

Outline what CPR means, the “4 Rs” (Risk, Recognize, React and Resuscitate), and terms associated with CPR including: Chain of Survival and Emergency Response System, angina, heart attack, cardiac arrest and defibrillation.

What are the 5 R's in nursing?

One of the recommendations to reduce medication errors and harm is to use the “five rights”: the right patient, the right drug, the right dose, the right route, and the right time.

What are the 4 key concepts of nursing?

When it comes to understanding nursing theory, it is also critical to understand the nursing metaparadigm, or the idea that there are four key concepts essential to nursing theory: person, environment, health, and nursing.

What are the 4 codes of Ethics in nursing?

The four core ethical principles in nursing are Autonomy, respecting patient self-determination; Beneficence, acting in the patient's best interest; Non-maleficence, doing no harm; and Justice, ensuring fair and equitable treatment for all patients. These principles guide nurses in complex decision-making, ensuring compassionate, patient-centered care while upholding professional standards, even when principles conflict. 

What are the 4Rs of safeguarding?

How to recognise, respond, report and record safeguarding concerns. The 4Rs of safeguarding and child protection can help you understand your safeguarding responsibilities and keep children safe.

What are the 4 core principles of nursing?

Nurses are advocates for patients and must find a balance while delivering patient care. There are four main principles of ethics: autonomy, beneficence, justice, and non-maleficence. Each patient has the right to make their own decisions based on their own beliefs and values.[4].

What are the 4 pillars of healthcare?

The "4 Pillars of Healthcare" typically refer to the core principles of medical ethics: Autonomy (patient's right to choose), Beneficence (doing good), Non-Maleficence (doing no harm), and Justice (fairness in care). These pillars guide ethical decision-making, ensuring patient rights, well-being, and equitable treatment are prioritized in complex medical situations, forming the foundation for responsible care.
 

What are the four A's in nursing?

This module will focus on methods to foster and encourage the 4 A's (attendance, appearance, aesthetics, and accountability) in any healthcare environment and provide activities to reinforce these processes.

What are the 4 arms of nursing?

Nursing is a safety-critical profession founded on four pillars: clinical practice, education, research and leadership*. Registered nurses use evidence-based knowledge, and their professional and clinical judgement to assess, plan, implement and evaluate high-quality person-centred nursing care.

What are the 5 elements of nursing?

The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation.

What are the core values of nursing?

Nursing core values are fundamental principles guiding ethical and compassionate care, primarily centered on Human Dignity, Integrity, Autonomy, Altruism, and Social Justice, as defined by the American Association of Colleges of Nursing (AACN). Other key values include Compassion, Accountability, Professionalism, Respect, and Excellence, forming a framework for patient advocacy, trust, and high-quality care delivery, according to groups like the National League for Nursing (NLN) and American Nurses Association (ANA). 

What are the 4 R's of trauma?

The 4 R's of trauma refer to the core steps in a trauma-informed approach: Realize the widespread impact of trauma, Recognize trauma's signs and symptoms, Respond by integrating trauma knowledge into policies and practices, and Resist re-traumatization by avoiding triggers and creating safe environments, as outlined by SAMHSA (Substance Abuse and Mental Health Services Administration). 

What are the 4 R's of recovery?

The four main goals of recovery nutrition are to: Restore, Replace, Repair, and Rest. By following these key components, you will ensure that you are fully prepared for your upcoming season. The first “R” is about restoring the fluids and electrolytes lost in each practice or workout.

What does realize in the 4Rs mean?

The 4Rs of trauma-informed approaches, as laid out by SAMHSA, include [5]: Realize: Realize the widespread impact of trauma and understand potential paths for recovery.