Watson’s Carative Factors
According to Watson, the ten carative factors of her theory serve as core principles critical to the practice of human caring (Watson, 2012). Watson’s theory provides an appropriate framework to help palliative care nurses promote positive outcomes in patients experiencing hopelessness. For example, one of Watson’s carative factors encourages patients to promote negative feelings in order to strengthen the nurse-patient relationship (McKay, Rajacich, & Rosenbaum, 2002). Encouraging patients to vent feelings of hopelessness allows the nurse to provide the patient with proper support. Watson’s Theory of Human Caring can be operationalized by demonstration of ten caritas factors in Watson’s Caring Factor Survey.
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Nursing
Definitions of hopelessness in nursing literature tend to vary. According to the North American Nursing Diagnosis Association (NANDA), “hopelessness is a subjective state in which an individual sees limited or unavailable alternatives or personal choices and is unable to mobilize energy on own behalf,” (2017, p. 466). NANDA’s defining characteristics of hopelessness include, but are not limited to: passivity, lack of involvement in care, decreased appetite and decreased verbalization (2017, p. 466). The concept of hopelessness within the nursing context encompasses cognitive and emotional elements. In her research, Campbell identified four characteristics of hopelessness: negative future expectations, loss of control over future outcomes, passive acceptance, and emotional negativity (Campbell, 1987). Within the nursing context, hopelessness can also be viewed as lack of involvement in one’s own care (Kylma, Duggleby, Cooper, & Molander, 2005). Another prominent study in nursing, however, focusing on the dynamics of hope and hopeless in palliative care suggested that most of the terminally ill patients attributed their feelings of hopelessness to losses in the past (Olsman, Leget, Duggleby, & Willems, 2015). Feelings of hopelessness can also be considered either state of being or a character trait (Dunn, 2005). Hopelessness can also be viewed independently
Nursing should not be looked upon or practiced as a mere physical approach to healing. Nursing should encompass the aspect of restoring each individual patient to his/her maximum physical and emotional state of being. In order to achieve such a goal, a patient must be able to bond with her caregiver on a personal level (Blais & Hayes, 2011). Jean Watson’s caritas factors sets an environment where the patient can obtain optimum health benefits (Blais & Hayes, 2011). The goal of this paper is to state my philosophy of nursing, the important dynamics and values that led me to adopting this philosophy, and the reason why I choose nursing as a profession. I will further explain how Jean Watson’s principles of philosophy is
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
6. Systematic use of a creative problem-solving caring process, becomes: "creative use of self and all ways of knowing as part of the caring process; to engage in artistry of caring-healing practices" (p. 469).
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.
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.
According to Morse et al. (2006), “A deeper understanding of hope is tested based on the work and place in the theoretical framework and nursing context.” Several authors, in different studies within the nursing domain,
Disenfranchised grief can affect an individual experiencing loss that is not societally recognized. A term originally described by Kenneth Doka, disenfranchised grief is classically defined by four components, and one specific population subject to experiencing disenfranchised grief is nurses. This is due to the predominant cultural values found in the nursing profession as well as the parameters of the nurse-patient relationship. Knowing that nurses are potentially vulnerable to disenfranchised grief, it is important to discuss the mechanisms to minimize the factors contributing to its occurrence and the consequences of its effects. Awareness of how to help oneself can then be utilized to increase efficacy in the nurse’s position and in aiding patients who are duly experiencing disenfranchised grief.
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
What was once believed to be a form of neglect has resulted in a change in practice with the idea that doing less is more. Culture is an important factor in how care is rendered and thus, the limitations of palliative and hospice care lie within the desires of the family and patients. A thorough understanding of our surrounding demographics helps to ensure a seamless approach to providing care without bias or imposition of ones beliefs. However, just as with all things, providing care for the sick and comforting the dying should be rendered in moderation as to prevent the effects of burn out. Likewise, the same effects occur in the caregivers who sacrifice their responsibilities in order to care for their love ones. Finally, and with some closing thoughts, the writer wishes to express with gratitude the benefit of having taken this course to better understand oneself and others in the realm of healthcare. The lessons learned throughout have expanded this writer's knowledge and understanding of the human desire to make a connection through communication, emotion, compassion, and spiritually - the platform from which this writer wishes to continue seeking further knowledge and
Nurses are the hospice team members who spend a lot of time with dying patients and their families. “The World Health Organization has characterized the need for expert, palliative and end-of-life care as a top priority for global health care. The specialty of hospice and palliative care nursing embraced a humanistic caring and holistic approach to patient care.” (Wu, Vilker, 2011).
The purpose of this paper is an overview of Jean Watson’s Theory of Caring. This theory can be taken into account as one of the most philosophicaly complicated of existent nursing theories. The Theory of Human Caring, which also has been reffered to as the Theory of Transpersonal Caring, is middle – range explanatory theory. (Fawccett, 2000) The central point of which is on the human component of caring
nursing” defined as. Human being or “person - a valued being to be cared for, respected, nurtured, understood, and assisted a fully functional
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
In order to effectively guide practice, it is essential that nurses understand and critique different theories to evaluate them for use in practice. For this paper I have selected Jean Watson’s Human Caring Theory: