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Out/in combat. The 5SR no longer applies to anything.

I've healed through a few heroics now, and I can't seem to see the point of Nourish. Most of the time, the only person with a HoT is the tank, so it doesn't get the 20% + Symbiosis and heals for a piddly 6000-7000. My party always seems to be down 20k to 30k health and the time it would take to heal them with Nourish would leave the tank in a dangerous place.

Am I just missing something?

Nourish is your primary tank heal, as far as time spent healing is concerned. Generally you will open up a pull with LB stacked to 3 on the tank, and constantly nourish if the tank is below 100% health. It doesn't hit for much, which is why you pretty much are always casting it.

Use the clearcasting procs you get from LB to put a RG or a HT on a party member (if you feel the tank is safe) or on the tank (if you don't think he's safe). Use WG any time the tank and someone else drops below 90%. If you have time, use nourish on party members with WG on them. Otherwise, keep the party up with intelligent placement of SM and clearcastings.

Whenever ur mana drops below the amount it'd give unless you're going to time it with another classes CD such as hymn

I tested a lot of in normal and heroic 5 man instances and found 49% as the best moment for me. 55% was to much at a few bosses and 45 to late. Also use a manapot in almost every hero boss fight.

I've been healing randoms leveling 80-85 primarily by using 3x lifebloom then spamming healing touch on the tank and using rejuv with the occasional regrowth or healing touch on the group. This has worked out fairly well except on some longer more damage intensive boss fights where I oom. I also oom fairly often on trash, but I believe this is a result of my gear not my healing style.

However, I've heard from several other resto druids that healing touch is bad and that I should either use just hots or use nourish instead of healing touch. This is very confusing to me since unbuffed my healing touch hits for 15k avg while nourish hits for 5k avg. This to me says they have the same mana efficiency and the same cast time. Obviously there's a greater chance for overheals with healing touch, but I've found many circumstances where the group has taken enough damage that nourish simply will not keep everyone alive due to the long cast time. I'm aware that nourish hits for 20% more when a hot is active, but again, in most cases when direct heals are necessary on the group nourish just takes too much time and that 20% doesn't increase the mana efficiency terribly much. Plus healing touch also seems to heal for more (not 20% more, but more nonetheless) when a hot is active?

I have, on a few occasions, tried a hot only or nourish instead of healing touch strategy and find that I'm ooming just as much. I do use Innervate 60% and Potions of Concentration whenever I have the time to spare (still using runics for when I don't, though). So I'm looking for a little clarification as to why I'm ooming (again, I assume it's my stats) and what I can do to avoid it. I think the answer is that reforging may help, but I have not tried it yet.

My stats (unbuffed) are: 54k mana, 2712 int, 1783 spirit, 4306 sp, 972 haste, 432 mastery rating (which I guess I should reforge to int?)

Armory

After writing this I realize this thread may not be the appropriate place for it, so if that's the case I apologize.

Does the bonus for the Resto Druid mastery Symbiosis register the benefit for a heal when initiating the cast, or only once the spell lands? That is, if a druid is casting a Regrowth/Nourish/Healing Touch on a player who has a Rejuventation with a one second duration remaining on the HoT, by the time the direct healing spell lands, the HoT will already have dropped off. Is the benefit from Mastery still received on that heal?

Nourish uses a similar mechanic as the mastery, applying a 20% bonus to the heal if a HoT exists on the target. Does Nourish operate the same as the Mastery?

Quick testing reveals that no, you do not still receive the bonus. A HOT has to be active for you to gain the increased healing when the direct heal lands, not when casting began.

Yeah after I posted I went to reforge (for the first time) and realized that I couldn't reforge to int. I did reforge some mastery to haste since all but one piece of my gear has spirit... but that won't help on mana problems.

I just hate, after being so OP in WotLK and having the amount of damage taken not matter, telling people they have to do shit better because I can't heal through it. I doubt this will have much of an effect on randoms too.

Thanks for your feedback, but I am still curious about nourish vs healing touch vs only hots.

Thanks to the jewelcrafting trinket and h. tear of blood, I have two +spirit procs (one of which I control directly). Is it worth stacking them at all? Using them both at once would put me at roughly 5.2k spirit for 15 seconds.

If it were a +int and a +spirit trinket, stacking them would make sense due to the interaction between spirit and int for regen - but I'm not sure if it works the same way for spirit/spirit.