Jean Watson’s Theory of Human Caring /Caring ScienceJean Watson is one of the few nursing theorists to consider not only the care of the client, but the Caregiver as well.“We are the light in institutional darkness, and in this model we get to return to the light of our humanity.”In plain English, Watson’s theory is about mindful, in the moment, commited caring for both self and patient.Theory Of Human Caringa conceptual model that encompassesHuman beingsEnvironmentHealthNursing4 elements are needed for the concepts of the theory:1. Transpersonal caring relationship2. Caring moment/ occasion3. Caring/healing conciousness4. Clinical Caritas processesLeading to her philisophical claim“Human Caring is the moral ideal of nursing and the ultimate goal of nursing is to protect, enhance and preserve human dignity and humanity”Environment*”human beings and environment as a field of connectedness”Health“a unity and harmony within the mind, body, and soul. It is a degree of congruence between the self as perceived and the self as experienced”Nursing“human science discipline and an art, as well as an academic clinical profession”Nursing Paradigm*Environment*Health*Nursing*PersonsPersons*”a unity of mind-body-spirit/nature”*a being in the world that involves 3 spheres of existence all of which are influenced by the concept of self who is unique and free to make choices.Key Concepts* illness is defined as subjective turmoil within the person’s inner self or disharmony within the 3 spheres mind, body and soul of the person* Health is defined as unity and harmony within the mind, body, and soul.* Caring is the essence of nursing* The core of nursing is the nurse-patient relationships that result in a therapeutic outcome.How theory addresses nursing educationKey Concepts:Key ConceptsCont..Caring is a moral ideal involving mind, body, soul engagement between nurse-patientNeed a break?Lets see Watson’s theory in action!*Guidelines for putting Love/Heart-Centered Caring practice into actionMany are familiar with some of these Ten Caritas Processes without even knowing since many are standards of care. We daily used these processes whether working at a ambulating clinic, long-term care facility, or acute care hospital.examples:Promote and accept positive and negative feelings as you authentically listen to another’s story: the use of therapeutic communication because nurse is accountable to client when safety and well being is compromisedDevelop helping – trusting- caring relationships: when Advocating for PT and having client participate in decision making.Use creative scientific problem-solving methods for caring decision making: Using EBP to provide best PT careShare teaching and learning that addresses the individual needs and comprehension styles:Educate to prevent or help treat health issuesDaily PracticeWatson’s theory of human caring and caring science was incorporated into leadership practices to create changes in the workplace to allow time for employees to pause, reflect, and refocus in order to promote a positive environment and patient care (Cattolico, 2012, P.53).Method• Employees do a “caring reflection” of practice used basedon Watson’s theory• Daily caring check-ins (huddles) to allow time for reflection and setting intentions before PT care.• Caritas bulletin board highlighting a caritas processeach month, examples of how employees arepracticing that process, definitions of various wordswithin caring science.•dry erase boards in patient rooms—changingthe language from daily goal to asking patient, “Whatis most important to you today?” (Cattolico, 2012, p. 53).• Distribution of the Embody Caritas lanyards forcontemplation before entering a patient room(Medical-Surgical Unit at Einstein Healthcare in Philadelphialong-term careAmbulatory CareAcute CareRehabilitation center/skilled nursing facilityone study conducted with rehabilitation nurses explored the meaning of the experience of “being with” the patient as central to caring relationships and the nurses’ perception of the contribution of this experience to the patient’s rehabilitation ( O’Reilly, 2010, p.75).Results conducted with 25 patients in the rehabilitation center applying Watson’s (2008) model as a nursing philosophy were positive.(O’Reilly, et al., 2010) the patients mentioned that “being with” the nurse increased their feeling of well-being, security, confidence, and being nurtured and supported, as well as teaching them how to increase their autonomy. Thus, results indicate that the experience of “being with” the nurse fosters holistic healing within the rehabilitation process (O’Reilly, 2010, p.75).Ingeresoll (2010) states that in an Adult Outpatient Chemotherapy Center they use Music as a Caring/Healing Modality in Nurse-Patient Interactions (P.70)Ingeresoll (2010) claims Nurses used music as a caring-healing modality to establish “caring moments” during nurse-patient interactions and thus reconnect with the core values of their profession (p. 70).1. embrace altruistic values & Practice loving kindness with self & others.2. Instill faith & hope & honor others.3. Be sensitive to self & others by nurturing individual beliefs & practices.4. Develop helping-trusting-caring relationships.5. Promote & accept positive & negative feelings as you authentically listen to another’s story.8. Create a healing environment for the physical & spiritual self, which respects human dignity.9. Assist with basic physical, emotional, & spiritual human needs.Caritasis a greek term meaning to cherish, appreciate, give special attention to & values as precious10. Opening to mystery & Allowing miracles to enter.” Life is made up of moments Of caring”Jean Watson* born in West Virginia, US* In 1988, her theory was published in “Nursing: human science & human care.”* Professor of Nursing & Chair in Caring Science at the University of Colorado Health Sciences Center.*Fellow of the American Academy of Nursing” For nursing to be truly responsive to the needs of society and make contributions that are consistent with it’s roots and early origins, both nursing education and the healthcare delivery system need to be based on human values and the concern for the welfare of others.”Jean WatsonCitations:* Watson,J. (2013). Caring Science Theory & Research. Watson Caring, Science Institute & International Caritas Consortium. Retrieved from:http://www.watsoncaringscience.org/about-us/carin-science-definitions-processes-theory/html.Blessing Meditation for Nurses* After a traumatic eye injury& golfing accident (where she lost her eye)* her “beloved & devoted” husband committed suicide.* She lost her world as she had known it.* She was able to grasp her own writing & learned that all there is -is love.“WE are all energy of LOVE”*Ingersoll, S.S., O’Reilly, L. (2010). 31st international association for human caring conference caring connections: research, Practice, education.International Journal for Human Caring,14 (3), 65-86.*Cattolico, D. (2012) . 33rd international association for human caring conference caring connections: research, practice, education.International Journal for Human Caring,16 (3), 49-90.
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