Theories That Contribute to the Dignity of Nurses and Patients

The guiding principles of Catholic Social Teaching have the overarching, dominating theme of human dignity (Condit, 2016, p. 371). The focus is, that human beings were formed in God’s image and in return, humanities purpose is to follow in God’s footsteps and portray the same love and grace (Coleman, 2008) (Condit, 2016, p. 371). Consequently, this affects how human beings interact with each other, requiring commitment, to look after, encourage, maintain and promote each other (Coleman, 2008) (Herbert, 2016, p. 7). One way to apply, this Catholic Social Teaching of human dignity, is to understand the nurse’s relationship with the patient. Nurses need to approach the patient with respect and maintain the person’s privacy, acknowledging that they are a fellow human being, with their own personal characteristics and beliefs (Condit, 2016, p. 371) (Walsh & Kowanko, 2002, p. 143-144, 149).

Florence Nightingale, considered the founder of modern nursing, first began to establish nursing as a profession during the Crimean War. Since then, nursing theorists have continued to expand on the thought that patients are made up of more than just the symptoms they present with, Abraham Maslow, Carl Jung, Dr. Larry Dossey and Dorothy Johnson, but none more so than Jean Watson. She developed a theory of human caring that contained several core concepts, these concepts lay forth the ground work for how we, as nurses, should care for a patient. These concepts included transpersonal caring relationships (going beyond ego to higher “spiritual” caring

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

Watson defines nursing as a human science consisting of knowledge, thought, value, philosophy, commitment and action with passion in human care transaction (Meleis, p172, 2012).

There are, however, barriers to maintaining a patient’s dignity. In a survey of over two thousand nurses’, carried out by the RCN (2008), it was found that nurses’ come across several boundaries in relation to maintaining a patient’s dignity. These boundaries were identified as pressures on bed spaces, shortages of staff and a purpose or target centred culture (RCN, 2008). The caring environment can have a huge impact on dignity, it has the ability to maintain a person’s dignity or degrade and devalue them (Gallagher, 2004). Torjuul and Sorlie (2006) acknowledge that overcrowding and mixed-sex accommodation are barriers to maintaining patients’ dignity and privacy. A caring environment that is spacious, clean, with good facilities promotes dignified care (Baillie et al., 2009).

“Watson describes nursing as a human science, with the major focus being the process of human care for individuals, families and groups. Her theory is based on a form of humanism and has its origins in metaphysics (philosophy of being and knowing)” (McCance et al., 1999, pg. 2). Knowing and understanding the nursing metaparadigm is the first step in defining the art of human caring. Nursing is defined as promotion of health, prevention of illness, and collaborative care (Taylor, 2011). However, there are a lot more vital aspects to becoming a good nurse. It all relates back to the care you will be providing for the patient. “The goal of

A nursing theory that has influenced my professional nursing practice is Jean Watson’s Theory of Human Caring. In this theory she addresses how nurses care for their patients. Caring is the essence of the nursing profession and is a relationship formed between the nurse and the patient. In Watson’s theory she believed that caring could assist the patient to gain control in their own health care, become educated, and in the end find health. Watson focused on the patient’s mind, body, and soul and this is the aspect of her theory that I try to use in my professional practice. As a new nurse straight out of nursing school I focused more on protocols and procedures to make sure I was doing everything right. My patients had good outcomes but I was amazed when I started thinking about the patient as a whole and not just thinking about the illness they had and how to treat it. Many times just treating the patient’s

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).

A basic part of modern age humanity is dignity. It is self-imposed pride that is susceptible to damage through the verbal and physical actions of others. Hospital and clinical settings can leave a client’s dignity vulnerable. It is where people, now clients, are weak and in some cases unable to function like they once did. This can wound their dignity, but it is the duty of nurses to preserve it. Through respect, support, and by relieving pain and suffering, nurses work to preserve the dignity of their clients. Likewise, nurses are able to easily damage the dignity and integrity of their clients through inappropriate behaviour, a lack of respect, and being irresponsible while on the job. A passage published by a hearing tribunal from the College

The caring theory was grounded on a humanitarian perspective and is found on a humanistic approach toward human caring programs and experiences. It acknowledges that life with individuals and their community to the surrounding environment are somehow connect and affects wellbeing of everything involved. The nature of the theory caring implies that it embraces reflective investigations as well subjective and interpretative inquiries. The nursing profession uses nursing theories as the framework and foundation for practice.   Many people find nursing theories to be meaningless and of no use to the

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

Dignity is a core element of nursing care. In nurses' clinical practice, maintaining the dignity of patients is an important issue because a lack of dignity in care can affect the health and recovery of patients. To treat a patient with dignity is to treat them in a way that shows they are valued and important, in a way that is appropriate and respectful to the individual. A patient needs to feel safe and secure in the nurses care and should be made feel comfortable, in control and valued at all times.

Watson’s theory of caring is related to the nurse recognizing the patient and his needs as the priority, with regards to his body mind and spirit. Regardless of the setting, hospital, clinic, or community, care should be rendered to the patient with knowledge and skill while creating an interactive relationship that allows challenge and growth for both parties. It is not just the nurse completing tasks or treatments as ordered by the physician.

To apply Watson's model, a nurse needs to create a shared caring experience with a patient. This shared experience will lead to better outcomes for the patient as well as a

Like any scientific discipline, the nursing profession has evolved over time. Nurses, once regarded as housemaids and lower class citizens, now hold positions of authority and stature in our modern society. These changes in the profession are attributed to the many nurse theorists who devoted their lives to the improvement of patient care. Through their theoretical advancements, the public perception of nursing has gone from dismissive to reverential. Today, our culture considers the nursing profession to be one of the most rewarding and respected career paths an individual can pursue. Through a review of one such patient theorist, Dorothea Orem, one can witness this change in the perception of the nursing profession. As a first semester student in a professional nursing course of study, Orem has already influenced my personal nursing philosophy.