Goals and Objectives
Theoretical Framework
Nursing theories are used to guide nurses, Advanced Practice Registered Nurses (APRN), and doctors as they develop a perspective about the holistic view of the patient. Theories serve as a foundation in nursing because it improves the outcomes of patient care. Jean Watson’s Theory of Human Caring, places a big focus on gaining a trusting relationship with patients and their families while caring for them. Treating patients holistic being is a major focus that I have seen while treating patients. The transpersonal caring relationship is establishing a trusting relationship with the patient and their family. Caring for the person as a whole is the main goal of the transpersonal caring relationship. The APRN implements transpersonal caring relations when the focus is on caring, healing and the person as a whole instead of focusing on the disease or illness of the patient. The caring moment occurs when the APRN and the patient comes together to establish a caring relationship. The APRN and the patient becomes aware of the caring moment because it leads to appropriate decision making. The healthcare provider would then become a part of the patient’s life history. APRN includes the patient in their health decision making that promotes healing and understanding of their disease or illness. Caring for a patient doesn’t mean just focusing on the disease itself, but also focusing on the mind and spirit. As related to nursing, the APRN
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
Jean Watson’s Theory of Caring has six explicit assumptions. The first assumption is, ontological assumptions emphasizing on the oneness or the connectedness of the human beings. The nurse’s experiences and values are key points to the first assumption. The second is an epistemological assumption which states that there are many ways of knowing. This includes topics as oneself and patients to abstract topics and concepts in nursing. The third assumption mentions that there are diverse methods of knowing and that the collection of information is in various forms. This includes learning about cultures, talking to patients etc. The fourth assumption makes the diverse perspectives explicit in the caring model.
Nursing care incorporates not only a compassionate attitude but passion for care of patients. The caring component of nursing cannot be measured, rather dissected through theory within the clarification of what nurses do. Systemically this is all supported through abundant theories and theorist. The nursing profession emphasizes on holistic care which is defined as treatment of the whole person. Within this skill is the admittance of problems that are biomedical but also opportune clarification of the well-being and health of a human that introduces added indicators of disease that are non-visualized (Powers, 2011).
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
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.
I am applying to the Walden M.S. in Clinical Mental Health Counseling Program. I plan to practice as a licensed professional in counseling and Higher Education. I have always wanted to be a Clinical Mental Health Psychologist, working with individuals to help improve their mental and emotional health is something that I am committed to. Starting this program now is the best time because the information that I learned from my undergrad career would help me to be more successful in my grad career by learning more but at an advanced level. Once I receive my degree I plan to go back to school to get my doctorate degree in psychology, and utilize the skills that I have learned to open my own private practice that helps individuals who suffer with mental and emotional disabilities, within my practice I plan to let each individual patient talk about their issues and come up with a strategic plan for treatment. The personal qualities that I possess are having self-confidence and the ability to work and collaborate with others having the ability to be receptive to feedback while maintaining a positive attitude.
Caring can mean different things to different people, however, there are a few principles that are important to all such as empathy, compassion, respect and trust. The act of caring is shown initially by our exterior presence but our actions and personality is what portrays our caring ways. Growing up in a family with morals and beliefs, has taught me to be an approachable friendly person, having strong qualities of respect and compassion for others. Knowing one 's self, the acceptance of others comes naturally and eases formation of relationships. Understanding the caring needs of others, I will establish the nurse-patient relationship. Jean Watson, and many other nursing theorist, have defined caring as the central concept of nursing. Despite the unique and personal needs of each individual patient – there are key characteristics that the profession upholds. Throughout this paper, I will talk about what caring is and how it is different in the nursing industry.
Personal theory and philosophies are important for Advanced Practice Registered Nurses (APRN) to help care for patients and their career. According to the American Nurses Association (ANA, 2010) an “APRNs are registered nurses (RN) who have acquired advanced specialized clinical knowledge and skills to provide health care” (p. 112). APRN is a general term used to describe certified registered nurse anesthetist, certified nurse midwife, clinical nurse specialist, and nurse practitioners (NP) (ANA, 2010). For the purpose of this paper and my personal theory and philosophy, I will focus on the NP as the APRN. NPs are able to perform comprehensive assessments and promote health and prevention of illness and injuries (ANA, 2010). The ANA’s concepts of health promotion and disease prevention have helped shape my personal theory and aided in identifying a theory for my future practice as a Family Nurse Practitioner (FNP). The best theory to guide my practice will be Nola J. Pender’s health promotion model (HPM). By using Pender’s HPM, it will allow me to identify each patient as an individual with different needs for health promotion and disease management.
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
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
The purpose of this paper is to analyze and summarize the philosophy of nursing and how nursing theory guides this nurse’s practice. Information used to do this paper was retrieved from the online database, Nursing and Allied Health Source and CINAHL through the SJR State Library. Our textbook, The Conceptual Foundations and the Merriam- Webster Dictionary website was also used. Some of the search phrases used were Jean Watson theory of human caring, philosophy of nursing, and Watson’s philosophy and theory of human caring in nursing on the online database. The word philosophy was also searched on the Merriam- Webster Dictionary website. There was an abundance information throughout my research on
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.
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
This theory explains, describes, guides, and supports nursing practice. It gives language to the unspoken beliefs and perspectives of the nursing profession. This allows the nursing professionals to better envision, realize, and articulate their unique role in healthcare (Green & Robichaux, 2009). Human caring is the basis of therapeutic relationships between human beings (Wade & Kasper, 2006)