As Bungay (2005) suggests, developing a strong nurse-patient relationship begins with nursing practices that demonstrate caring. The act of caring was identified by Roach (1987) as involving five qualities that establish caring nursing practice. Furthermore, high-quality nursing care must be competent and come from various sources of knowledge such as empirical, ethical, personal, aesthetic and socio-political knowledge (Bungay, 2005). The context in which nursing care and knowledge are applied to patients in the clinical setting also significantly influences the positive or negative orientation of nurse-patient relationships. As in the case of Allison the nurse, utilizing Roach's caring qualities as well as applying her nursing knowledge to specific contextual factors facilitates her ability to provide quality nursing care. In this article, Allison's scenario will be analyzed for her ability to care, apply ways of knowing, and how context hindered or facilitated nursing care. The five qualities of caring identified by Roach (1987) were evident throughout the case study involving Allison the nurse. . Allison demonstrated competence in her nursing practice in several ways in the case study. First, she collected notes for any information needed in the report to provide herself with a good basis for providing good nursing care. Additionally, she constantly drew on her past experiences in order to make sense of current events and thus determine how to respond appropriately. For example, in Mr. Nelson's case, Allison was able to make sense of his anger and recognize the importance of his hospitalization and his current condition by being a skilled communicator and having "several short discussions" with him. Damn...... middle of paper ......ine the best interventions for his patients. Finally, Allison's ability to establish a positive nurse-patient relationship was analyzed taking into account the context and environment. Hospitalization and personal attributes have been shown to strongly influence the nurse-patient relationship. Analysis of Allison's scenario reveals that demonstration of care, ways of knowing, and contextual factors play a major role in the quality of nursing care and nurse-patient relationships. Works Cited Bungay, V. (2005). Module 1 High-Acuity Nursing Practice [PDF Document]. JLDehaan, 2012, (ed.). British Columbia Institute of Technology, School of Health Sciences. Retrieved from https://learn.bcit.ca/d2l/le/content/188743/viewContent/1059245/ViewRoach, M.S. (1987). The human act of caring: A model for health professionals. Ottawa, ON: Canadian Hospital Association.