Introduction Nursing models and theories provide guidance to nurses and it gives a rationale for various nursing interventions (Hood, 2018). The Growth Model of Change helps people to realize their full potential. In the nursing practice, the growth model of change is used as the framework, which encompasses the caring theory or complexity theory (Hood, 2018). In this paper, I will focus on the Jean Watson’s Human Caring Science Theory and how it plays a major role in nursing care. Caring helps influence the ways in which people think, feel, and behave in relation to one another (Ozan, Okumus, & Lash, 2015). Caring in the nursing practice provides the presence of a touch, listening, spiritual caring, relieving pain, and a support system. Jean Watson 's Human Science and Human Care Theory includes transpersonal caring and relationships (a moral idea), carative factors (what to do), carative process (how to do), and the human care paradigm (Hood, 2018). These tools are necessary to use in a nurse’s daily life. Watson’s theory focuses on caring as the moral ideal of nursing and helping a person understand meaning in sickness, pain, and existence. The theory incorporates human caring with healing and life-learning steps of human caring (Sitzman, 2017). Caring is the moral ideal of human respect, and safety. She believed that respect and kindness are started with our inner being before we can care for others with respect and kindness (Painkihar, Mckenna, Stiglic, & Vrbnjak
Your team work on Jean Watson’s Caring Science as Sacred Science is one of the wonderful presentation. The message is highlighted the new dimension in application of theory to enhance a caring culture from task oriented to meaningful relationship of human beings. Involvement of patient, family, and nurses through meaningful relationship lead the pathway to patients satisfaction, and increase caring attitude of nurses. Work satisfaction is one of the measuring scale for reduction of burnout and increase the retention of nurses. This writer is now familiar with the work of Keeley,Wolf, Regul, and Jadwin (2015) in The Fox Chase Cancer Center based on comparison among nursing units and their caring behavior.
Katharine Kolcaba is a nursing theorist born in Cleveland Ohio. She has many years of experience throughout the medical field that include: medical surgical nursing, long-term care, and home care nursing. She eventually received a Ph.D. in nursing from Case Western Reserve. Kolcaba has many published works and most importantly she developed a nursing theory that deals with -nurse-provided comfort (Sitzman & Eichelberger, 2011). Throughout this paper the author is going to explore Kolcaba’s comfort theory by looking at the aspects of humanity involved, central concepts, how it effects everyday nursing practice, and the authors own personal experiences that relate in their own experience and nursing philosophy.
Contribution Watson’s theory contributes to the discipline of nursing by using the value of human caring theory as an introductory idea and viewpoint for any health professional. Watson’s theory concentrates on caring in several health disciplines and is compatible with the caring attitude that nursing has had over time. The center of the human caring theory is about human caring relationships and the intense human understandings of life itself, not just health-illness singularities, as conventionally demarcated inside medicine. The concept is an exceptional way of being human, a unique way of being contemporary, observant, mindful, and calculated as the nurse operates with another person.
As nurses, we continue to gain knowledge and skills within our area of practice. We use theories to help us build concepts or ideas in gathering information, explaining relationships and demonstrating experiences of development. Theories vary in their level of abstraction and scope. Nursing theories are beneficial in helping us to understand, organize our thoughts and influence practice and research. Nursing theory has three distinct types to describe the level of abstraction:
Philosophy of Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
Nursing theories greatly influence nursing practices and education. Grand theory and Middle Range theory are the two main subcategories that they fall under. While Grand Theory and Middle Range Theory strive to promote nursing knowledge and patient care, their breadth, abstraction, and practical applicability are very different. Risjord (2019) states that grand theories are broad, abstract frameworks that explain important nursing practice occurrences. Although they cover various nursing care topics, they might not be applicable in some clinical contexts.
The term six research theory course, NURS 495, emphasized the importance of nurse leadership and how nurses can influence positive changes in health care delivery to patients with chronic illness. It also explored the contradictions that exist in nursing practice and encouraged the students to develop a critical and pragmatic approach to client care. The co-requisite clinical course, NURS 499, integrated nursing theory and current best practice on an acute care nursing unit at Medicine Hat Regional Hospital. In this consolidated learning analysis, I will explore a nursing practice event that will illustrate the major issues surrounding the treatment of competing mental health comorbidities in a patient with hoarding behaviors.
From these realizations I have concluded that the professional nursing theories which most align with my own philosophy is a combination of Jean Watson’s theory of human caring and Rosemarie Parse’s theory of human becoming. Watson’s theory of human caring outlines the science behind caring as a driving force and framework for practice in nursing. It explores the concept that “humanities address themselves to deeper values of the quality of living and dying, which involve philosophical, ethical, psychosocial and moral issues” (Watson, 2005, p. 2). Within her original text, Watson outlined 10 “carative factors” which help integrate the science of healthcare field with the more holistic nuances of nursing and the phenomena that is the human
Developing Perspective in the Art of Caring: Nursing Philosophy Caring for others is self-less and compassionate. By caring for others, we put ourselves in the same position as the patient. Nursing encompasses caring for others. However, the art of caring is not practiced the same by all nurses. Practicing nursing compasses following rules but one can use theories to care.
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).
Evaluating person-centred practice It has been recognised that while there is a lot of emphasis onproviding care that is person-centred, translating the core concepts into professional practice is challenging, with few research studies reported that evaluate the caring outcomes that may arise from PCN (McCormack & McCance 2006). This has been further compounded by the lack of valid instruments within the literature that go some way to measuring elements of person-centred practice (Traynor & Wade 1993, Adams et al. 1995, Coyle & Williams 2001). The measurement of caring, however, has faired somewhat differently, with a proliferation of instruments reported in the literature that aim to measure caring in nursing. The Caring Dimensions Inventory
According to Tronto (1993:102), care implies is reaching out to something and generally involves some type of action. In addition, it is not restricted to human interaction with others (can revolve around objects or environment), care varies across cultures, it is an ongoing process and can be regarded as both a practice and disposition (Tronto, 1993:104). Moreover, there are different interconnected phases of caring. Firstly, ‘caring about’ involves the recognition that care is necessary, secondly, ‘taking care of’ involves assuming some level of responsibility for the identified need and ultimately determining how to address it, thirdly, ‘care-giving’ involves meeting the direct needs for care (physical work) and lastly, ‘care-receiving’, recognizes that the particular object of care will respond to the specific level of care it receives (Tronto, 1993:104-107). Nonetheless, in reality, despite care being an integrated and ongoing process, there is likely to be conflict within each of the phases of care and between them (Tronto, 1993:104-109).
In the past I have shown my strength in this area of nursing care when looking after family members that have fallen victim to sickness. Whenever someone tells me that they are not feeling well, I immediately jump into action and try my best to make sure that they feel “cared for” .The feeling of pride and satisfaction I experience after caring for a person that is unwell is what originally made me choose nursing as a career. Caring is a basic attribute of human growth and development (Griffin 1983). This is why, as a nursing student I know it is such an important strength to be utilised when helping a patient to feel better.
Application of Theory Dorotheas Orem’s theory of Self-Care Deficit notions of were that people should be self-reliant and accountable for their own care. If they are unable to or lack in they need to be helped which is where the art of nursing builds its blocks from. Orem mentions how people are very distinct individuals, and how a person’s knowledge of the potential health risks and problems are necessary in order to be aware of potential risks and signs and symptoms. In order to promote self-care and promote substance in the person’s life knowledge is the key. Orem identified the provisions also known as the ADL’s as a person’s intake of food, air and water.