Knowing Self, Being With : The Mindful Approach

Regrettably, the existence of nursing depends on the medical inadequacy of others. Unfortunately, nursing exists because people get hurt, cannot care for themselves, or need assistance with daily activities. Carol Taylor (2011), author of Fundamentals of Nursing: The Art and Science of Nursing Care, writes, “Nursing care involves any number of activities, from carrying out complicated technical procedures to something as seemingly as holding a hand” (p. 5). Taylor explains it is the duty of a nurse not only to learn the pertinent skills but also to bond with and comfort others. Nurses have to do and become many things: They must be stern when necessary, compassionate when needed, open minded

Nursing is as much science as it is a study in the human condition. Combining caring and the notion of human flourishing allows the nurse sharpen her understanding of patients’ needs by observing and understanding herself (Husted & Husted, 2008). A nurse is able to better anticipate the needs of her patients by noting similarities and differences between the two of them. With caring in the nursing corner, even under less-than-ideal conditions, one can still create havens of hope, nourishment, and the possibility for flourishing (MacCulloh, 2011).

The nurse also has to be aware of the nature of the nurse-patient relationship, the environment in which it takes place in, as well as an understanding of the context and the moment of the interactions in order to share a meaningful experience. Finally, nurses have to be passionate about his or her career. Nurse’s care and tend to the patients’ needs because nurses are passionate about the career. Even though the fundamental pattern of personal knowing, it provides a holistic nature of knowing. Many humanistic theories and models of nursing have been derived from personal knowing such as Peplau’s interpersonal relation theory, Kolcaba’s comfort theory, and Jean Watson’s theory of caring.

Caring is thought to coincide with good nursing practice. As guided by the concept analysis framework of Walker and Avant (1983), an attempt is made to gain better understanding of the constituent properties of caring. This includes the evaluation of various definitions of caring, key attributes, antecedents, consequences, and the perception of caring from the patients and nurses point of view. Then, drawing a conclusion of the significance of caring, thereof.

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

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).

As a nurse, an important part of the job is to be caring and helpful for the physical and mental aspects of the patient. The ideas of Jean Watson 's Caritas Processes help define how a nurse can show caring in themselves to their patients. Watson names the eight processes; then define they mean which is key to understanding how a nurse should act to their patients. The book as We Are Now by May Sarton helps show some examples of how these processes work in action and helps to form ideas of how one can improve as a nurse in the future.

The purpose of this paper will be to discuss the major philosophies that have shaped the nursing profession, how epistemologies have informed nursing science, the development of nursing philosophy, and the theoretical knowledge that has advanced the nursing body of knowledge. I will discuss how this new knowledge has influenced my perspective of the nursing profession, and how this will inform my theory-guided and reflective practice as an Advanced Practice Registered Nurse (APRN). Furthermore, I will articulate the concepts and ideas of my personal nursing philosophy and paradigm, and the congruence to the theoretical concepts and elements of Dr. Jean Watson’s Theory of Human Caring (Watson, 1979).

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).

It is evident that nursing theorists, scholars and health care professions have varying interpretations of what caring is or should be. In the middle of all these disparity, caring is a vital component of the nursing practice and the key to choosing the concept of caring is because it is very essential when it comes to health care. This paper tries to make clear the concept of caring in the field of nursing and it makes use of the Walker and Avant outline to support the concept. It starts with recognizing the concept and its functions. It then identifies three emerging attributes of caring will be identified and a description of each will be given. At last, the paper will recognize antecedents, the effects or consequences and

Nursing is a profession that provides quality and culturally sensitive care to help a patient achieve the highest quality of life possible. A nurse utilizes skills (technical, cognitive, and interpersonal) that promote all aspects of health. There are many components to nursing. “The primary objectives of the nurse as caregiver are to promote health, to prevent illness, to restore health, and to facilitate coping with illness, disability, or death” (Taylor, Lillis, & Lynn, 2015, p. 43). A nurse recognizes the worth of all people and understands the importance of doing what is best for the patient. A competent nurse builds a relationship with the patient that is the perfect balance between professionalism and treating the patient like family. Nursing installs hope in a patient while at the same time being realistic about a patient’s condition. Another aspect of nursing includes empowering a patient to feel confident and comfortable in making

This paper will discuss the functions of caring within the nursing practice, as well as my own personal views regarding caring. I will review the Benner model of Clinical Nursing and the Dreyfus Model of Skill Acquisition in relationship to my own personal skills. I will identify my competencies within each domain of the Benner Model. I will reflect upon my own personal nursing practice in terms of my strengths and weaknesses. Also included will be a discussion of my own professional goals, areas of improvement needed within my practice and solutions for how I can improve in order to help me achieve these personal goals.

The objective of this paper is to unravel the reason and manner by which nurses take care of patients as human beings. I believe that patients are best taken care of when nurses handle them in such a way that humans need to be taken care of: through a holistic and spiritual treatment. By rationalizing humanistic nursing theories with theories of human nature, such as dualism and existentialism, as well as perceiving man as an embodied spirit and a relational being, a more holistic approach is given to a patient as a human being.

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

The purpose of this paper is to define the concept of caring, provide a literature review and state why this concept is important to nursing and advanced practice nursing as well as in non- nursing theories, such as the Care Theory. We will also look at the critical attributes of the concept of caring, as well as how caring is recognized, assess and used in practice and research. Finally we will explain how caring is addressed in Dorothea Orem’s Self Care and Self Care Deficit Theory.