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Kristen Swanson

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Cristina S

on 15 October 2016

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Transcript of Kristen Swanson

Foundation Analysis Major Concepts Kristen Swanson Clarity: clear, concepts and relationships between them are defined
Simplicity: Relatively simple, but perhaps easier said than done
Generality: Originally developed in perinatal settings, but can be broadly applied
Testability: Qualitative/subjective, somewhat measurable
Importance: Caring is at the center of nursing practice. Applies to practice; might be used in education or leadership
Theory of Caring By Laura Ruhland
and Cristina de Rosa Application Bachelor's degree in nursing from the University of Rhode Island
Master's in adult health and illness nursing from University of Pennsylvania
PhD in psychosocial nursing from University of Colorado
Postdoctoral work at the University of Washington References Education Has taught at:
Trenton State College
University of Pennsylvania School of Nursing
University of Colorado School of Nursing
Faculty member, University of Washington SON for 20+ years
Currently Dean of the School of Nursing, University of North Carolina at Chapel Hill
Associate Chief Nursing Officer for Academic Affairs at UNC Hospitals Career Andershed, B., & Olsson, K. (2009). Review of research related to Kristen Swanson’s middle-range theory of caring. Scandinavian Journal of Caring Sciences, 23, 598-610. doi: 10.1111/j.1471-6712.2008.00647.x

Jakobsen, P. (1998). Caring made visible. Creative Nursing, 4(4), 8-11. Retrieved from http://www.springerpub.com/product/10784535#.USkah2cUPdE

Kristen Swanson, RN, PhD, FAAN, bio-sketch. (n.d.) Retrieved from http://sonapps.unc.edu/alumni/pdf/swanson_bio.pdf

Swanson, K. (1991). Empirical development of a middle range theory of caring. Nursing Research, 40(3), 161-166. Retrieved from http://journals.lww.com/nursingresearchonline/pages/default.aspx

Swanson, K. (1993). Nursing as informed caring for the well-being of others. IMAGE: Journal of Nursing Scholarship, 25(4), 352-357. Retrieved from http://onlinelibrary.wiley.com/journal/10.1111/%28ISSN%291547-5069

Tonges, M., & Ray, J. (2011). Translating caring theory into practice. Journal of Nursing Administration, 41(9), 374-379. doi: 10.1097/NNA.0b013e31822a732c

Virginia Mason launches new model of nursing care. (2012, August). VM News. Retrieved from https://www.virginiamason.org/body.cfm?id=158&action=detail&ref=3774 Theory of Caring Knowing Being With Doing For Enabling Maintaining Belief 1991 Theory of Caring Miscarriage High-risk mothers Theory Origins NICU caregivers study of what "caring" meant to women who miscarried, as a doctoral student under Dr. Jean Watson post-doctoral study of caregivers in neonatal intensive care, with Dr. Kathryn Barnard Caring nursing interventions for mothers at high social risk to enable them to best care for their infants Developed from common threads of these studies
Consists of five categories/processes that are characteristic of caring
Comparison to Watson's carative factors and Benner's idea of nurses in the helping role Swanson's Metaparadigm Environment draws heavily from Watson's view of persons
life is influenced by genetics, spiritual endowment, and free will "any context that influences or is influenced by the designated client" (Swanson, 1993)
varies based on situation
examples: biophysical, political, psychological, cultural Health defined socially
well-being is experiencing wholeness, or integration of the many facets of the self
healing is restoring wholeness Nursing "Nursing is informed caring for the well-being of others." (Swanson, 1993)
Nursing practice is based in the sciences and humanities
Goal of nursing is patients' well-being Carolina Care Model
addresses gap between theory and practice
implemented nursing actions based on Swanson's theory and improved Press-Ganey scores
Virginia Mason Production System
based on Swanson's theory and Toyota's production system
combines caring and efficiency
nurses at Virginia Mason Medical Center spend ~90% of their time at the bedside
Winter Haven Hospital in Florida
explicitly mentions Watson and Swanson and their theories and works in its model of care
Person "striving to understand an event as it has meaning in the life of the other" (Swanson, 1991)
seeks true understanding and empathy "being emotionally present to the other" (Swanson, 1991)
conveying to the patient ongoing availability
making sure the patient knows "I'm here to listen" "doing for the other what he or she would do for the self if it were at all possible" (Swanson, 1991)
preserving dignity, without embarrassment
anticipation of needs "facilitating the other's passage through life transitions and unfamiliar events" (Swanson, 1991)
education
information
support
explanation
maximizes self-care
"sustaining faith in the other's capacity to get through an event or transition and face a future with meaning" (Swanson, 1991)
believing in people and their ability to "make it through"
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