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Jean Watson's theory of caring
Jean Watson's theory of caring
Jean Watson's theory of caring
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Nursing is a profession that revolves around selfless caring for ill patients, their families and the community. Nurses and nursing students require certain personal values and characteristics to maintain the honourable reputation of the selfless nurses who have built up the profession. There have been many philosophies of caring implemented into the nursing practice to centre nurses’ thoughts onto the patient to create patient-centred care. One of these philosophies is Jean Watson’s Theory of Human Caring which includes 10 Caritas Processes. This essay will discuss two of the processes, introduce two Australian registered nurse standards and then align the processes to the corresponding standards to demonstrate how a nurse can implement the caritas into their daily tasks. On the whole, not only is it essential that a nurse holds strong personal values aligning with a philosophy of care, it is also essential that the nurse can implement these standards into everyday practice.
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As the scope of this essay covers only two of the 10 Caritas Processes, the two that will be discussed will be Caritas number four and Caritas number two, being developing authentic trusting relationships and being authentically present, respectively. First of all,
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Patients develop an opinion of the nurse within their first encounter (Doherty, M., & Thompson, H., 2014, p. 520). These types of opinions can be overcome by the nurse showing a genuine interest in the patient and a caring attitude (Berman et al., 2015, p. 527). Norman, V., Rossillo, K., and Skelton, K. (2016, p. 403) state that building a trusting relationship with patients helps the nurses to provide better care for their
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
It reflects trust, intimacy, and responsibility, which are elements essential to any nursing relationship. It is the core of nursing. In the article, “Dimensions of Caring: A Qualitative Analysis of Nurses’ Stories”, an analysis was done on over two hundred stories submitted by nurses around the world, illustrating the point that the practice of nursing encompasses much more than just technical skills. In one of the stories, a nurse stood by the side of a young mother grieving the loss of her baby with nobody else to turn to. This nurse accompanied the 19 year old mother to the cemetery the day after the baby’s death, New Year’s Eve, to bury her baby that had been born at just 22 weeks gestation. She bought her a book on grieving and loss and supported the woman during that difficult time. This nurse did not have to do that—she did not have to go above and beyond for this stranger. But she did. She felt empathy and compassion for this woman and she acted on that. That is what nursing is about, going above and beyond, making emotional investments into the lives of other people. The significance of the actions of this nurse cannot be overstated. We will never know the full impact that this nurse made on that young woman’s life; perhaps she saved her life, or changed the direction of it for the
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
This may be affected more in some fields of nursing than in others due to the amount of time each nurse can be spent with each patient, but should always be incorporated as much as possible. Potter et al. mentions that "by establishing a caring relationship, the understanding that develops helps the nurse to better know the patient as a unique individual and choose the most appropriate and efficacious nursing therapies" (2013, p. 85). By getting to know your patient, it makes your routine slightly easier as you can engage in practice knowing how that patient reacts, thinks and copes with different situations. It also allows that bond of comfort and trust to exist that will have the patient open up to personal feelings and other necessary subjective data needed to fully care for the individual as well as develops credibility when patient education is initiated. This is something that may develop over time but in the acute setting can be established by simply remembering the name of the patient, sometimes that may be all that is necessary for the patient to feel known by the nurse. Just reciprocating conversation about life, their experiences, their fears, and their thoughts on health is substantial for developing a caring moment and incorporating the fourth caritas process between the patient and
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Upon the first point of contact between a nurse and patient, the way a nurse communicates through words, gestures or facial expressions can affect the patient's perception of the nurse. Communicating professionally helps to portray the nurse in a good light. This is important as having a positive perception of the nurse's image and behaviour is crucial to building patient trust — one of the key elements of a therapeutic nurse-patient relationship (Bell & Duffy, 2009; Wadell & Skarsater, 2007). The need for the establishment of therapeutic relationship is supported by th...
This paper is a literature review of the results of three empirical studies on trust within the nurse–patient relationship. Studies implemented a descriptive qualitative design, and studies used quantitative research, and phenomenological approach method. The context of most quantitative studies was nurse caring behaviors, whereas most qualitative studies focused on trust in the nurse–patient relationship. The quantitative studies used a descriptive design, while qualitative methods included the phenomenological approach, Data collection was mainly by questionnaires or interviews. Evidence from this review suggests that the development of trust is a relational phenomenon, and a process, during which trust could be broken and re-established. Nurses’ professional competencies and interpersonal caring attributes were important in developing trust; however, various factors may hinder the trusting relationship.
In conclusion, Jean Watson’s theory of caring, a middle-range theory, provides essential framework and guidelines in nursing shortage problem. Nurses who exposed to caring theory have moral and ethical obligations to care for others during challenging situations. Patients, families and other professionals depend on nursing profession, their expertise and knowledge for best patient
The Theory of Human Caring was initialy based on data about variety of aspects of caring, collected through open – ended quistionnaire. The purpose of this research was to evaluate different points of view, expressed by both the clients and registered nurses. In addition to this data, Watson’s theory uses broadly recognized work from other disciplines. Specific philosophers cited by Watson, as sources are Rogers, Whitehead, Gadow, Yalom etc. Furthermore, she also recognises the contribution of the east...
Poor care does not only result in bad press and public perception but also break the trust between the patient and nurse. Utilising the theoretical framework developed by Todres et all (2009) which explores eight central aspects of what it is to be human. Todres et al (2009). This model can be used to improve nursing care. Referring to the term ‘being treated as human beings’ not being treated as a number or object.
Interpersonal skills are the life skills we use every day to communicate and interact with people. “To effectively communicate we must realize that we are all different in the way we perceive the world and use this understanding to guide to our communication with others.” (Anthony Robbin). It is important for the nurse to be aware of the effects of their personal values and beliefs can have on their patients. For example working in a surgical ward a nurse was discussing with other colleagues about a certain patient who was in the holding bay, talking negatively about her lifestyle choices, when approaching the patient for the first time when arriving into the suite, she refused treatment from any of the nurse staff on the shift as she was upset at the things the nurse had said. First impressions influence people’s judgments of others...
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
I always treat each person as a unique individual with unique life experiences. I treat my patients with respect and address their cultural beliefs and values. I pride myself with having a caring attitude and want to help and heal people from their illness physically and psychologically. I think nursing can be both science and art. I think to be a successful nurse; the nurse needs to master the art of caring and continually learn and apply knowledge of nursing science throughout their career. Without caring or nurturing the nurse cannot connect with the patient and trust will not develop, without a trusting relationship, therapeutic nursing will not be able to occur. Therefore, I feel caring is at the forefront of all successful nursing interactions. This is not to negate the value that science brings to nursing. A competent nurse must be able to have a variety of knowledge and skill. The next part of the paper will discuss the metaparadigm of