A study by Norman, Rutledge, Keefer-Lynch and Albeg (2008b) shows that among nurses in clinical settings, the fourth Caritas process was used almost the most part of the time despite the circumstances. One of the ideas they use to incorporate this process into their nursing care is to emphasize the importance of completing actions and reporting back to the patient as quickly as possible. This is critical to sustaining patient trust and keeping that relationship strong. Some other examples of implementing this caritas process include not appearing too busy or mentally occupied when caring for the patient and avoiding addressing the patient's ideas or behaviors that are too harsh (Norman et al., 2008, p. 327) . These examples relate to focusing on the present with the patient and assuring them that they are not bothersome. The focus should be on talking about situations and never discouraging the patient in a harsh way