Emmanuel wrote a study on the caring competency of Filipino nurses! Impressive research Emmanuel!"The results revealed five themes:(1) caring as outcomeâ€oriented(2) caring as transformative moment by moment(3) caring as selfless commitment(4) caring as valuing the worth of human life(5) caring as an achievement of a transcendent level of selfâ€fulfillmentFurther, the caring competency of nurses was symbolically represented by an upward spiral staircase which could be considered as a metaphor for growth.Conclusion: The CBE was found to be effective in developing the caring competency of nurses, wherein it goes through a complex transformation process as they face different kinds of situations and experiences. The caring competent nurse can provide a holistic approach in providing care to various types of patients."Paragas, E. D., Jr. (2019, February 15). â€œThe upward spiral staircase of caringâ€: A hermeneutic phenomenology study of the caring competency of Filipino nurses grounded in competencyâ€based education [Academic study].