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The future of the theory of humanistic nursing
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Sister Callista Roy: Adaptation Model
Concern for the well-being of others is paramount to high-quality nursing care delivery. The philosophy of this writer revolves around the outward expression of this concern. A patient’s reassurance of being cared about is the purpose of this philosophy. If a patient senses that they are cared for, they are more prone to heal, instead of worry which detracts from healing. This is relevant, as, if a patient does not feel cared for they will often, if they are able, leave against medical advice, or attempt to take their health into their own hands which thwarts the efforts of their health care team. Conscientious implementations are essential for effective nurse patient relationships. Catastrophic patient
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The first is altruism, which is a demonstration of selflessness in relation to the nursing care that is delivered (Darity, 2008). This is important because it demonstrates to the patient that he is truly cared for, and that his best interests are the nurse’s first priority. The second necessary value is integrity, a personal attribute of unwavering moral structure (Merriam-Webster’s 2003). Integrity is important because nursing altruism would be sporadic, which is unacceptable, without morally upright nurses. Humanism is also reflected in this philosophy. Humanism puts value on every living person, no matter what their societal position (Mitcham, 2005), and in as much as they are capable; it shepherds them in the way of increasing and accentuating their ability to think through and act toward solving problems as independently as possible (Stephens, …show more content…
The first of her three major concepts is the adaptive system in which the person possesses two pathways for input reception; one is subconscious and the other is conscious. The adaptive modes, is the concept that the person has four different pathways for environment acclimation. They acclimate physiologically, via the way they view themselves within their environment, through the exploits within roles or that they assume in society, and through their reliance on establishments and individuals when in need. Adaptive level, the third, describes the three types of simultaneous stimuli present at any given moment. The relationships of Roy’s theory are derived from the environment acclimation concept; they are interpersonal relationships which emerge from the need for personal interactions to validate the self, and interdependent relationships which emerge from the avenue that one takes in acquiring assistance and the feeling of importance (Gunther,
Although nursing is universally practiced, not all nurses values and morals are the same. Nurses and nursing students are usually put in situations where they must operate within an ethical structure which is either unfamiliar to their cultural criterion or those of the patients for whom they are taking care of. The most prominent values and morals of nurses are based on human dignity and benevolence. Human dignity is the main component that branches off into other values under caring for health and well-being. Trust, integrity, autonomy, and privacy are one of the many sub-values that fall under human dignity. It is important for the nurses to respect and understand the culture and beliefs of the patient without being judgmental or confrontational. The wellbeing of the patient is priority and so the nurses must focus on gaining the patients trust first by tending to their needs and exhibiting
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).
I have soon come to realize how much more there is to nursing than just helping and healing. Nursing is not taking care of individuals it is caring for them. Caring is not only important when concerning nurse and patient relationships. It is important in every aspect of humanity. The culture of caring involves intervening programs that help to build caring behaviors among nurses. As nurses become stressed and become down on their life it has shown that caring for oneself before others is key in caring for patients. Also, throughout the years many theorists have proven that caring has come from many concepts and ideas that relate directly to ICU nursing. The knowledge I have gained from reading and reviewing these articles has and will help me to become a better nurse. It will help and provide the pathway for caring in my professional
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
Watson first published her theory of caring in 1979 in a book titled, Nursing: Human Science and Caring. Watson and other researchers have built upon this theory and caring theory should continually be evolving as the delivery of patient care evolves. This theory focuses on care between the nurse and the patient. This interaction is defined as setting mutual tasks, how a spiritual force may help the interaction and when caring in the moment of true healing may occur. When the nurse and patient are on the same level spiritually self-awareness and self-discovery occur. There are ten themes identified in this article essential to caring in
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
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.
If nurses cannot care about the people that they are taking care of, then they are not the ideal nurses. When caring for people, the nurse should always be kind, compassionate, and have respect for the patients that they are caring for and the people around them. Nurses all around the world deal with every kind of patients with injuries and sickness. Caring nature of nurses shows the patient and family that we as nurses truly care about their situation. The care that we provide to our patients defines our work and us as nurses. Nurses are the backbone of patients when they are not that strong enough to support themselves. It is up to nurse to make sure that their patients receive the best quality
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
When I became a nurse, in my heart, I knew that I was a caring person; however, I did not have a caring theory driving my practice. After studying Watson’s Human Caring Science Theory, the theory is consistent with my values, which emphasizes a holistic approach with mind, body, and spirit through a caring nurse patient relationship in an environment that promotes healing, comfort, and dignity. Human Caring Science gives the privilege of viewing human life with wonder, respect, and appreciates small and large miracles, which allows the inner world of the patient and nurse to come together in a unique human relationship, in the here and now moment (Watson, 2012, p. 24).
While I was at my last job for a Jesuit University, I was introduced to Saint Ignatius of Loyola and his Ignatian Values, who was the author of these values in the Middle Ages, and they truly capture the tenets of the nursing profession. These values are Cura Personalis, Discernment, Finding God in All Things, Jesuit Pedagogy, Magis, Service of Faith and Promotion of Social Justice, and finally Women and Men for Others/Whole Persons of Solidarity for the Real World.
There are several professional values that a nurse must possess altruism, autonomy, human dignity, integrity, and social justices are among these. Altruism is being concerned for the well-being and welfare of others; this includes their patients and colleagues. This is demonstrated daily through understanding cultural differences, considering the perspectives of others and mentoring others
In today’s modern world of medicine that demands shorter hospital length of stay and decreased readmission rates, there is more pressure than ever on the nurse to quickly but effectively transition the patient from the wholly compensatory system to the supportive-educative system. Orem’s modern day approach to nursing practice allows the patient to assume responsibility of self-care as they can handle it. In the absence of this ability, it is the nurse’s role to fill in and create an environment to improve that patient’s quality of life by regaining that self-care ability. “Supporting self-care can improve health outcomes, increase patient satisfaction and help in deploying the biggest collaborative resource available—patients, their families and communities” (Pearson, 2008, p. 2).
Working in health care is an important job. People put their trust in us to do our very best to provide them with the absolute best care. Being entrusted with such responsibility requires nurses to conduct themselves both professionally and ethically. Nurses must adhere to the professional values of human dignity, integrity, autonomy, altruism, and social justice. It is these five values that guide us in our practice and as nurses we must promote and emulate these values. They play an important role in the quality of treatment and success of an organization and help us determine right from wrong.
Moreover, I feel the main values within these ethical issues in question are: A. Providing safe, compassionate, competent and ethical care in regards to upholding the first responsibility of abiding by the Code of Ethics and practice standard to engage in with all person in care, include client families and health care team members (CNA, 2008); D. Preserving dignity: where nurses respect the intrinsic value of all individuals through demonstration of support, respect, advocating and constructive efforts within conflict (CNA, 2008); and F. Promoting justice: nurses practice without judgements, demonstrate equality in their professional interactions with clients and other health care workers, demonstrate and advocate for fairness and do not engage in behaviors that have negative impacts on others (CAN, 2008). The principle involved are: Autonomy, Justice and Beneficence. Autonomy: “respect people’s righto self-determine or self-governance such that their views, decision and action are based on their personal