Caring Moment In Nursing

A caring moment calls for action on the part of the nurse and the patient. During caring and caring occasion, both patient and the nurse have the opportunity to come up with the treatment plan and

When asked to develop a personal nursing philosophy caring was found to be the main component. Jean Watson’s Caring Science as Sacred Science reflects this philosophy in which caring is the predominate component needed in nursing. This paper will provided basic information on the Caring Science as Sacred Science Theory. The paper will further provide a personal example of a patient experience in which this theory shaped the care and healing of the patient. The personal experience to be shown in this paper involves a patient with complex chronic illness. The patient had been hospitalized for over a month. Patients with chronic illness and in the hospital often experience feeling powerless, scared, distant, and confined (Kay Hogan & Cleary, 2013). When these feelings persist they overcome the patient and do not allow the patient to concentrate on healing or being an active member of the healthcare team. Patients in this situation need caring and psychosocial support before moving on with medical care. However, this can often be hard for the healthcare team. When a patient has complex complications often treating these issues is all the team has time for due to patient load and institutional demands. Jean Watson (2009) recognizes this in her work Caring Science and Human Caring Theory: Transforming Personal and Professional Practices of Nursing and Health Care. Watson (2009) recognizes nurses are often torn between values of human caring

Patients that we received often wants to either harm themselves or others, and these patients are also considered violent which lead to the frequent use of restraints and seclusion. Using these methods represent a danger to not only staff but also for the patients. Many injuries occur during these confrontations. The need to minimize the use of restraints and seclusion on the unit is necessary for patients and staff safety.

A caring moment can be defined in many different ways by many different people. To me a caring moment between a patient and a nurse is when a nurse gives the patient their undivided attention. The nurse should take the time to listen to the patient and provide appropriate feedback reassuring the patient that they are being heard and the information as well as them are important. If the patient will allow the nurse to touch them this can be a very comforting gesture even if it is just a brief touch to the hand. Also repeat what

Jean Watson is one of the most influential nurse theorists of the 21st century. Her development of Caring Science/Human Caring Theory have put greater importance of a patient as a whole being, and a nurse’s role in care. Through her 10 caritas process, Watson has developed ways for nurses to foster a positive, caring relationship with their patients to aid in healing and development. The Watson Caring Science Institute as well as the Watson Caring Science Center continue the development and integration of these theories into the workplace, thus allowing nurses to provide better patient-centered care.

The use of restraints for psychiatric patients has been in existence for a long time. In the 17th and 18th centuries, the use of mechanical restraints was deemed acceptable and required in the asylum environment (Carr 2012). However, there has been ethical dilemma on the usage of any form of restraints in caring for patients. Hughes, Zammit and Cordina (2014) explained that there has been a long discussion about restraint methods in health care settings, the usage of both physical and chemical forms of restraint in clinical practice, and to whom such methods would be appropriate

The research puts forward that although antipsychotic medications may provide temporary management of an inmate in crisis, it may also be causing irreversible chronic side effects, thus creating an even more uncontrollable inmate for correctional staff in the future (Floyd, 1990). As a correctional practitioner and administrator, one must be cognizant of creating conditions that will cause greater hazards for inmates and staff in the future. I believe it more operationally sound for correctional staff to use the involuntary administration of medication of an inmate as a last resort and only when lesser forms of inmate management are employed. Therapeutic or soft restraints provide a lesser form of inmate control that could keep an inmate safe during a crisis and does not produce devastating protracted side effects unlike antipsychotic medication. Therapeutic restraints require no medication and immobilize the inmate’s body without hard metal restraints until the inmate becomes compliant or able to be transported safely for evaluation (Vlach & Daniel, 2007). An example a therapeutic restraint is padded leather straps that immobilize arms and legs to the body of an inmate. Therapeutic restraints offer an inmate management solution that requires minimal training and involves almost identical use of force as its involuntary

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.

She was a Distinguished Professor and Dean Emerita, University of Colorado Denver College of Nursing Anschutz Medical Center campus where she received and held the nation’s first Chair in Caring Science for 16 years (Watson’s Caring Science Institute, 2017). Dr. Watson founded the original Center for Human Caring in Colorado and was a fellow of the American Academy of Nursing (Watson’s Caring Science Institute, 2017). She was President of the National League for Nursing and a founding member of International Association in Human Caring and International Caritas Consortium as well as the Founder and Director of non-profit foundation, (Watson’s Caring Science Institute, 2017). Dr. Watson developed the Theory of Caring in 1979 with the latest revision occurring in 2008 (Watson’s Caring Science Institute, 2017). Finally, Dr. Watson taught for many years at the University Health Science Center in Denver, Colorado and has written and contributed to several books and peer-reviewed scholarly articles (Watson, 2008). She retired in 2013, but still speaks publically from time to time. She has several Youtube videos available for viewing.

In behavioral health nursing, using physical restraints is a very integral aspect to the overall health and well-being of patients and staff. Although this is still a very prominent and sensitive subject amongst healthcare professionals, I deemed it important that my facility implement and utilize physical restraints on our behavioral health unit. Nurses need to be educated on the use of restraints, which lead to my self-education on this topic. Nurses need to be aware of the benefits and the consequences that restraints can have on a patient.

The first research was found in the 'Journal of the American Psychiatric Nurses Association' titled 'Characteristics of patients with histories of multiple seclusion and restraint events during a single psychiatric hospitalisation' and aimed by means of a quantitative study to find solutions to

The Joint Commission and Centers for Medicare and Medicaid Service (CMS) have acknowledged, “Physical restraints are considered an infringement of patient rights and a patient safety concern” (Mion, Sandhu, Khan, Ludwick, Claridge, Pile, & ... Winchell, 2010, p. 1279). These organizations have amended and aligned their regulation requirements on the use of restraints which is mainly focused on limiting its use and putting emphasis on staff education and training (Cosper, Morelock & Provine, 2015). The nursing discipline guided by these regulations should aim to improve standards of care and patient outcomes through best nursing practice. “Best practice supports individualized care that permits nursing the person safely and without physical or chemical restraint” (Cotter & Evans, 2010, p.197). The goal of this review is seek evidence to substantiate the implications of such guidelines.

The goal of this paper is to explore the use of restraint in psychiatric care. I realized that while I have first hand experience performing restraints, while I worked as a mental health specialist at Mclean hospital, I haven’t explored much of the research around restraints., I start by describing parts of restraint training, as well as, factors to avoiding restraints. Then, I describe polices and the actual mechanisms of restraint. Followed by, a reflection of how my experience with restraints changed over the year I worked at Mclean. The reflection takes on a more story like tone. To finish the paper I will discuss some research that has been conducted on restraints in psychiatric care and how they can be prevented. I want to make it clear

Swanson’s theory of caring (1993) built on the foundational work of Jean Watson, which exemplified an approach that promoted a practical application of caring theory. Swanson’s middle range theory defined caring as, “A nurturing way of relating to a valued other and toward whom one has a personal sense of commitment and responsibility” (Swanson, 1993). Each section of Swanson’s caring process went into depth about why each individual part was essential for the nursing process. Swanson’s theory differentiated five processes or sections that he called ‘spheres of caring’, which included: knowing, being with, doing for, enabling/empowering, and maintaining belief (Swanson, 1993). First, there is Knowing, meaning to have the ability to understand and appreciate an event of another as if it were one in your own life. For example, understanding the struggle of a patient infected with a debilitating disease, as if it were you yourself. Swanson’s second section, Being with, meaning to be genially and authentically present to illustrate to others that their experiences are meaningful to you (Swanson, 1993). An example of ‘being with,’ would be to be

5) A caring moment is one that offers the development of potential white allowing the person to choose the best action for himself or herself at a given point in time.