Caring Behaviors Of Nurses Scale Essay

Nurses actively preserve the dignity of people through practiced kindness and respect for the vulnerability and powerlessness of people in their care… This vulnerability creates a power differential in the relationship between nurses and persons in their care that must be recognised and managed.7 A diagram representing a continuum of professional behaviour provides a picture of therapeutic versus non-therapeutic behaviour in the relationship between the nurse and the persons in their care.8

Human caring is what sets nursing apart from other professions. As Watson (1998) stated, “care and love are the most universal, the most tremendous and the most mysterious of cosmic forces: they comprise the primal universal psychic energy. Caring is the essence of nursing and the most central and unifying focus for nursing practice” (p. 32-33). It is important to establish a good nurse-patient relationship in order to create a healing environment that would meet patient’s needs on all levels including physical, mental/emotional and spiritual, promote recovery, maintain health, and create positive outcomes. Jean Watson emphasized the importance of human

The framework used is made explicit and has been adapted by a previous theorist. The framework is detailed to clarify caring within a literature context (Enns, 2007). It conceptualizes that caring has both humanistic traits and physical behaviours from the perspectives of both the nurses and the patients (Enns, 2007). The research question is clearly stated as “(w)hat are the expressions of caring

The role of a nurse is viewed as stressful, so nurses need to be emotionally ready and be physically fit to participate in delivering care. Acts of kindness, trustworthiness, promoting privacy, ensuring dignity, being engrossed into the artistry of caring and engaging in anti-discriminatory practice (Baughan & Smith 2008) by respecting everyone, irrespective of age, culture, gender, socio-economic class, sexual orientation, religious beliefs and the condition from which they are afflicted, are caring indicators of a nurse.

The RICS consists of 73 items ranked on Likert Scale from 1 to 6 (1= Strongly Disagree, 2= Disagree, 3= Slightly Disagree, 4= Slightly Agree, 5= Agree, 6= Strongly Agree). This scale was developed based on a nursing theory the Relational Inquiry approach, in-depth literature review of the exiting scales measuring the extant variables, and expert consultations. The total score for each subscale is: compassion (96), self-compassion (78), competence (96), commitment (60), curiosity, (54) and correspondence (54). The higher score indicates high level of the capacities. The total score for the Relational Capacities will be determined by adding the individual scores of each subscale. In this hospital there are more than 400 nurses working at the moment, the required sample size for this study is above 200 nurses to full fill the requirement of this

According to Fawcett and DeSanto-Madeya (2013), Watson’s Theory of Human Caring can be categorized as a middle- range theory due to its focus on the relation between use of the clinical caritas processes and the building of a transpersonal caring relationship within the context of caring occasion and caring consciousness. Theory of Human Caring honors the unity of the whole human being, while also attending to creating a healing environment (Watson, 2006). Caring is acknowledged as transpersonal, in that it goes beyond the ego-oriented human; it involves the one caring as well as the care receiver, and is mutual, intersubjective, and reciprocal (Watson, 2006). The integrity and usefulness of the theory will be evaluated based on Fawcett’s (2005) criteria. Why it can be argued that the Theory of Human Caring meet the Fawcett’s evaluation criteria, there is evidence of confusion and lack of simplicity.

A nursing career and caring for the sick intertwine inseparably. It requires a tremendous amount of compassion and empathy to care for those who are in need. My philosophy of care is to treat others with dignity, respect and compassion regardless of their race, ethnicity or cultural background. It’s about treating people the way you want to be treated and to understand that sometimes the best medicine of all is kindness. In addition, not only is it important to provide effective and competent care to all patients, it’s extremely crucial to provide care that is genuine and compassionate. All health care consumers should be receiving care that reflects their values and beliefs.

The theory of transpersonal caring is the nursing theory of Jean Watson. The essence of her theory is “caring for the purpose of promoting healing, preserving dignity, and respecting the wholeness and interconnectedness of humanity.” (George, 2010) The four major components of Watson’s theory are the human being, health, environment/society and nursing. Watson embraces

Kristen M. Swanson’s Caring Theory is the solution in bridging the gap between nursing practice and theory. It offers an explanation of the links between patient well-being and the caring process (Tonges & Ray, 2011). Swanson explained that nurses should be able to demonstrate that they care about their patients, and that caring about their wellbeing is as important as their patients’ current medical problem (Tonges & Ray, 2011).

The Oxford Dictionary defines caring as the work or practice of looking after, as well as, displaying kindness and concern for those who are unable to care for themselves, especially on account of age or illness. Meanwhile, Avant and Walker (2011) terms caring as an interpersonal process which requires an emotional commitment coupled with willingness to fulfill combined responsibilities and to be trustworthy enough to act on behalf of a person. In essence, it helps in developing great interpersonal relationship between the nurses and the patients in the healthcare centers in a systematic scientific manner.

Within the Theory of Human Caring, during transpersonal caring moment, the nurse and the patient gain entry into the lived knowledge of each other. In order for transpersonal contact to occur both the caregiver and the one being cared for should experience a process of being and becoming, both are influenced by the nature of transaction. (Watson, 1985) Watson defines human caring as a moral ideal, that the nurse should carry during every transaction. According to her theory, that ideal will assure a certain needed behaviour at the time of the caring occasion.

Swanson's (1993) Theory of Caring is structured around five principles that encompass the overall definition of caring in nursing practice. This theory states that caring revolves around five categories: knowing, being with, doing for, enabling, and maintaining belief. When applied to nursing practice, each of these five categories can fuel the caregiver's attitude and improve overall patient well-being. In nursing, as well as other areas caring can be defined as, "a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility'. Upon examination, the five processes of Swanson's Theory of Caring can be used in nursing practice to achieve an enhanced

and sensitivity of self and others.” (Alligood, 2010, p. 37) A nurse needs to be aware of one’s self

This paper will explore Jean Watson’s theory of transpersonal human caring as well as a description of the major concepts of Watson’s theory. I will apply Watson’s theory to two nurse/ patient relationships and describe the caring moments that occurred. I will discuss Watson’s major assumptions and relate this to person, health, and nursing in the health care environment. I will also describe how Watson’s carative factors were utilized in a transpersonal relationship with the application of four carative factors. Lastly I will conclude with a reflection

It is important to critically appraise the theory. I have used Chinn and Kramer’s approach to evaluate Jean Watson’s Theory of human caring. This evaluation criteria reflects on the clarity, the simplicity of the theory, asks how general, how accessible, and how important this theory to the nursing profession is.