Watson’s Carative Factor Paper
After reading through the factors, there were two prominent factors that I felt seemed most pertinent in my personal experience in health care, and in what I have witnessed with nurses and doctors. Carative factor 4: developing a helping-trusting relationship and carative factor 8: attending to a supportive, protective, and/or corrective mental, physical, and spiritual environment. Without either of these two the nursing process can be completely crippled because the patient and nurse, as well as the nurse to coworker relationships can be spoiled, along with the patient’s physical or mental comfort.
Carative Factor 4: Developing a Helping-Trusting Relationship
Carative factor 4 focuses on the importance of healthy
This trust can include the physical, and mental or emotional trust. Physical aspects include parts of the physical assessment where they should allow you to see parts of their body in which they are not comfortable with others seeing, allowing you to touch them, and trusting that the physical examination that you are doing won’t cause them harm. Mental trust is important as well, because without that, patients may not open up to you as much as they should. It is important that they trust you with the subjective information that they are giving so they can include as much detail as possible, which will help you to make a better diagnosis of their illness. Without the trust and subjective information, much of the nursing assessment would not be possible, especially when asking about pain.
Watsons Carative Factor 8: Attending to a Supportive, Protective, and/or Corrective Mental, Physical, Societal, and Spiritual Environment
Carative factor 8 focuses on the aspects of comfort, safety, privacy, human dignity, and the importance having clean aesthetic surroundings. All aspects of carative factor 8 can be traced back to comfort. Without safety, privacy, human dignity, and clean aesthetic surroundings, the patient will not be able to feel comfortable with you, their environment, or the treatment that they are
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).
Furthermore, there should be enough trust between the nurses and physicians where they can easily put aside their egos and ask for a second opinion when they have any doubts concerning a patient's safety. This was clearly exemplified when the nursing staff attending to Lewis Blackman failed to contact the physician when various side effects arose; instead they tailored the signs to fit the expected side effects. Even after Blackman’s health was deteriorating, the nurses remained in their “tribes” and never once broke out of it to ask for help. The entire hospital was built on strong culture of remaining in their tribes instead of having goals oriented towards patients care and safety.
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
Nursing is a nurturing profession, and caring is an essential component of its practice. Caring for others, however, is stressful. The goal of nursing is to help people gain a higher degree of harmony within the mind, body and soul, which generates self-knowledge, self- reverence, self- healing and self-care processes while increasing diversity. This goal may be pursued through the implementation of ten carative factors, via the human-to-human caring process and caring transactions, or clinical caritas processes.
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.
The role of a Registered Nurse cannot be neglected in the provision of quality and safe care to patients and adopt procedures adequate for the condition of the patients because they work at the front line level; moreover, they have direct dealing with patients and integration of personal and professional skills is necessary. Therefore, there are certain attributes that are necessary to be present in a Registered Nurse for accurately performing various tasks. These include; Workload management, leadership qualities, interpersonal skills, control of practice, professional development, effective communication skills and organi zational loyalty (Daly & Carnwell 2003, pp. 158-167). These attributes hold significance in terms of obtaining positive outcome for not only the Registered Nurse but also the organization and the patient. Workload should be managed in such a way that the care process is not affected. Registered Nurse should have leadership qualities to help, motivate and inspire other nurses. Similarly, a Registered nurse should also enable and promote learning opportunities for other nurses. A Registered Nurse has responsibilities towards the subordinates, patients and most importantly to the organization. Effective communication skills can allow Registered nurses to establish a trusting relationship with patients identifying their problems and needs. The code of ethics and principles of practice must be followed and the practice of the nurse should be in the line of the organization’s working principles. The responsibility should be met as accountability factors must be considered significant in healthcare setting (Cornenwett, et al, 2007, pp.122-131; Bradshaw et al 2012, pp.13-14). ...
Later Watson explained that this work was an attempt to solve some conceptual and empirical problems, with no intention to create a theory. This theory was expanded and formalized in her next book in 1985. Since then, Watson continued to refine her ideas through various publications. At this time, the major conceptual elements of the theory are ten Clinical Caritas Processes (originally Carative factors), Transpersonal Caring Relationship, Caring Moment/Occasion and Caring Consciousness. According to Watson’s theory, the human care process is performed through a Transpersonal Caring Relationship guided by the Carative factors, which are based on humanistic – altruistic value systems.
It is very important that a patient is comfortable with and can trust the nurse anesthetists before going under anesthesia. On the micro level, nurse anesthetists interact with patients and their families every day. There are face to face discussions every day so it is important that the nurse anesthetist is outgoing and easy to talk to so that the patient is not uncomfortable before going into surgery (Nurse Anesthetists). Some important symbols that Nurse Anesthetists hold are comfort, health, and trust. If a patient is not comfortable with the nurse they see immediately before going into surgery, it could make for an increased heart rate, an increase in blood pressure, and other health complications. That is why it is very important that nurse anesthetists come in with a positive attitude. They symbolize health because they are the ones who monitor the patient, before, during, and after surgery so they have to know what is normal and abnormal for the patient. Trust is also an important symbol in the nursing anesthesia profession because a patient has to be able to trust they are certified and prepared to complete all of their duties. If a patient does not trust the nurse, then this could lead to complications, and even a procedure being postponed in order to find another nurse anesthetist that the patient is more comfortable with. Many words or phrases involved
Positive relationships with both nurse and client is rewarding to both sides; however, there are essential elements needed to achieve a good nurse-client relationship. Multiple studies were analyzed by Hagerty and Patusky in “Reconceptualizing the Nurse-Patient Relationship” to determine the elements of linearity, trust, time, and role expectations within the nurse-client relationship. Linearity allows the relationship to act in “phases”, which provides efficient and quality care. By doing so, a nurse must establish trust, work with the client while progress continues, and when client is free to go home, the relationship comes to an end. During the orientation phase, trust must be established; as this provides the client comfort and confidence to provide valid information, and then receiving proper care. Effective use of time is vital to the relationship, though many nurses believe they do not have enough time to provide care due to the current health care pressures and time limitations. A study by Forchuck, then analyzed by Hagerty and Patusky, was conducted between 10 nurse-client relationships; Forchuck reports that 7 out of the 10 established a “working relationship” between nurse and client within 2.5 and 6 weeks. Regardless of time, many nurses are introduced to a client with the presumptions that the client wants to receive care and create a relationship, though the nurse expects nothing in return. “Heifner (1993) found that nurses identified vulnerability of patients as an essential foundation of nurses’ abilities to ‘connect’ with patients” (Hagerty and Patusky, 2003, 146). Despite nurses building a relationship upon vulnerability, Hewison discovers that control can actually create “barriers to open and meaningful communication and exchange” (2003). The data collected concludes the vital elements of linearity, trust, time, and role expectations stimulate a successful nurse-client
The nurse must develop a trusting therapeutic relationship with the patient in order to act in the many roles of nursing.
Nurses must have a professional relationship with all types of people. The nurse must be a professional with their coworkers, superiors, and patients. The most important relationship is with the patient; if a professional relationship does not exist with them, the nurse as well as the organization will get a bad reputation. This in turn will ruin our professional relationship with our coworkers and superiors and will eventually cost that person a
Nurses not only provide care but they play many other roles. For example, nurses are considered a communicator, teacher/educator, counselor, leader, advocate and collaborator (Taylor, Lillis, Lynn and LeMone. 2015). As a caregiver, nurses provide physical, emotional, intellectual, and spiritual needs. In addition, as a caregiver, nurse integrates the roles of communicator, teacher, counselor, leader, researcher, advocate, and collaborator to promote wellness through activities that prevent illness (Taylor et al. 2015). The primary role of a nurse is providing care to patients. One positive behavior a nurse should have is keeping boundaries between work and personal life. If a nurse is having a really bad morning at home, she shouldn’t express her emotions while she is working with patient. The patient and the coworkers don’t need to suffer because a nurse is having a bad day. Another positive quality every nurse should have is good working habits. They should come to work at least half an hour early so they can get organized and prioritize their work before starting the shift. In a health care setting, everyone works as a team. It’s very important to help each other out and also ask for help when
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
Nursing revolves around a commitment to helping others in need, to become the healthiest they can possibly in all aspects of their being. A nurse needs to know how to care, that means to realize what it is that matters to the patient and how to help them get it, and the basis of my philosophy is that caring is the body of nursing, and nursing is not possible without caring. Caring in a professional sense is to prevent future harm, treat those who are ill, a commitment to learning how to provide the best possible care, and to maintain the patients dignity through all aspects of the care that is being provided. Patient care should always have a holistic root, this opens the door for the patient and nurse to interact in a way that can give the nurse insight into that patients values. Patients who are comfortable in their environment heal better and faster, and one of the best ways to make a person feel comfortable in an unfamiliar place is to establish a therapeutic relationship. A therapeutic relationship is one built with trust on both sides, I think for a nurse to be able to see the situation for the patient’s point of view there needs to be a certain amount of openness in the relationship which will not develop without trust. Nursing should always be focused on what is helping the patient in the most ways, a nurse should always
I am the first one in my family to go to college, I have been living my life showing respect to others with one basic principle to “always do my best no matter what it takes to be fair, honest and be responsive to everyone’s needs”. I learned through my career to be dependable, self-confident, humble, and honest and show respect and a positive attitude at all time. People that I interact with always told me that I have the ability to inspire others and the makeup of a leader. Being humble, caring, and compassionate are among my personal values. I know that my greatest strengths rely in the way I treat my patients, showing empathy, sympathy, patience and professionalism. I learned that developing a trustworthy patient/nurses relationship is very important in the management of patients care. I personally believe that a nurse needs to have high integrity and to continue to strive to stay up-to-date and knowledgeable to be able to provide utmost quality care to the patients.