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 majority of the time . whatever the circumstances. One of the ideas they use to incorporate this process into their nursing care is to emphasize the importance of following through on actions and reporting back to the patient as quickly as possible. This is crucial to maintaining patient trust and keeping that relationship strong. Other examples of implementing this caritas process include not giving the impression that you are too busy or mentally occupied when caring for the patient and avoiding confronting ideas or behaviors that are too patient’s hard feelings (Norman et al., 2008, p. 327). These examples include focusing on the present with the patient and reassuring them that it is not embarrassing. Emphasis should be placed on discussing situations and never discouraging the patient in difficult situations.