Professional Documents
Culture Documents
Nursing is Caring
Bonter, Belinda Hernandez, Rosa Karasiewicz, Andrea Mygrants, Andrea
I tried to make explicit nursing's values, knowledge, and practices of human caring that are geared toward subjective inner healing processes and the life world of the experiencing person, requiring unique caringhealing arts and a framework called "carative factors."
Her 10 carative factors are meant to work side by side with conventional medicines curative factors
This interpersonal relationship can be observed by way of any intentional caring-healing modality
NURSING
ENVIRONMENT
HEALTH
PERSON
PERSON
Watson makes it clear that humans cannot be treated as objects and humans cannot be separated from self, other, nature, and the larger universe
(Tomey & Alligood, 2006, p.100)
Environment: Watson described internal and external environments that affect the patient:
Internal environment
include the mental and spiritual well-being and sociocultural beliefs of an individual
(Tomey & Alligood, 2006, p.96)
External environment
Health
Watson refers to health as unity and harmony within the mind, body, and soul associated with the degree of congruence between the self as perceived and the self as experienced (Tomey &
Alligood, 2006, p. 99)
Illness or disease
was equated with lack of harmony within the mind, body, and soul experienced in internal or external environments (Chitty
& Black, 2011, p.309)
matters and the inner knowledge of nurse and patient as they participate together in the transpersonal caring process (Chitty & Black, 2011, p. 309)
2. Instillation of faithhope
3. Cultivation of sensitivity to ones self and others 4. Development of a helping-trust relationship 5. Promotion and acceptance of the expression of positive and negative feelings
The goal of Watsons metaparadigm is accomplished by teaching patients personal changes to promote health, providing situational support, teaching problem-solving methods, and recognizing coping skills and adaption to loss
(Tomey & Alligood, 2006, p.97)
Content
Jean Watsons model clearly describe the four global concepts
Her model can be used in any hospital setting were nursing time is abundant as this theory requires for nurses and patients to experience transpersonal growth during the caring process
Have Other Theories Been Generated From This Model? Are the Concepts Abstract or Concrete?
There have been a number of people who have used Watsons theory to validate their nursing practice. There are published entries in multiple nursing journals, ANNA and Journal of Holistic Nursing, stating how Jean Watsons carative factors have improved the health of their patients. Her concepts are more abstract than concrete. The focus is on how nurses can focus on the person rather than the disease at hand. The theory is centered on the psych/social aspect, and not so much biophysical.
Jean Watson continues to offer her basic theory courses at the University of Colorado School of Nursing were she holds the prestige title of Distinguished Professor of Nursing Her publications reflect the evolution of her theory of caring and three of her major works include:
Nursing: The Philosophy and Science of Caring (1979)
Nursing: Human Science and Human Care- A theory of Nursing (1985) Postmodern Nursing and Beyond (1999)
Jean Watson is founder and creator of the non-profit organization Watson Caring Science Institute. For more information on Watsons latest work please visit:
http://www.watsoncaringscience.org/#
When Nancy returns from lunch the nurse, and staff member who kept the comments fresh in her mind, sat down with Nancy in her room. The nurse held Nancys hand and asked why Nancy was feeling so horrible. Nancy was able to open up and the nurse was assessing for Nancys ability to cope with her feelings. Nancy states that she notices after she refuses her medications that she feel worse as the day goes on, but is too afraid to ask for them at a later time. As a nurse how would you handle this situation? After your conversation with Nancy she is much happier with her life and her negative comments decrease. The nurse did ask Nancy what makes her think about the comments of hurting herself. Nancy states that she feels that staff do not like her and what is the point of living if this is true. Nancy also informs the nurse that she only thinks this way when she does not receive her medications.
Questions
1. By actively listening how did the nurse use Carative Factor number 8?
2. Which Carative Factor is the development of a helping-trust relationship? 3. Give two examples of how the nurse showed Nancy that she was concerned for her? 4. How would you handle Nancy stating to you that she notices after she refuses her medications that she feel worse as the day goes on, but is too afraid to ask for them at a later time?
Chitty, K. K., & Black, B. P. (2011). Professional nursing: Concepts and challenges (6th ed.) Maryland Heights, MO: Saunders Jean Watson(2011)Nursing-Theory.org/nursing-theorists/Jean-Watson.php Jean Watson's Philosophy of Nursing. Nursing Theories. N.p., 26 Jan. 2012. Web. 9 Oct. 2012. http://currentnursing.com/nursing_theory/Watson.html Tomey, A. M., & Alligood, M. R. (2006). Nursing theorists and their work (6th ed.). St. Louise, MO: Mosby Elsevier Wade, G., & Kasper, N. (2006) Nursing students perceptions of instructor caring: An instrument based on Watsons theory of transpersonal caring. Journal of Nursing Education, 45(5), 162-168. Retrieved October 12, 2012, from CINHL database. Watson Caring Science Institute. (2007). Caring Science Ten Caritas Processes. Retrieved from http://www.watsoncaringscience.org/index.cfm/category/80/theory.cfm
Reference
References
Watson, J. (2012). Caring: About Dr. Jean Watson. Retrieved from http://www.ucdenver.edu/academics/colleges/nursing/caring /Pages/DrJeanWatson.aspx Watson, J., & Foster, R. (2003). The attending nurse caring model: Integrating theory, evidence and advanced caringhealing therapeutics for transforming professional practice. Journal of Clinical Nursing, 12, 360-365.