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Jean Watson--Theory of Human Caring

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on 21 November 2013

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Transcript of Jean Watson--Theory of Human Caring

Watson's
nursing
goals were to promote health, restore health, and prevent illness from reoccurring.
Before Using the Carative Factors... Keep in MIND what one NEEDS to Care
Be aware and knowledgeable about one's need for care
Have an intention to act by basing those actions on one's knowledge
Positive changes due to caring judged on the basis of welfare of others
Be genuine and sincere
Transpersonal
is concerned with the inner life world and what we believe the meaning of another person is. It recognizes the power of love, faith, compassion, caring, consciousness and the access to deeper/higher energy source.

GOD
is extremely important to healing !
Jean Watson--Theory of Human Caring
Overview of Watson's Caring Theories
Jean Watson believes that as a nurse we should promote and restore health as well as prevent illnesses. Each patient is a unique case and should be treated and cared for as such, including their body, mind, soul in a holistic healing place. This caring process can be demonstrated though the ten carative factors.


10 Carative Factors
These are the nursing interventions that helps the patient attain/maintain health or at least dies a peaceful death
Health
Defined as the unity and harmony within the body, mind and soul. It associates with the congruence between how we perceive ourselves and what we experience.
Person
A person is unique and not predictable. They have certain needs that need to be valued, cared for, respected, nurtured, understood and assisted.


"We are not human beings having a spiritual experience. We are spiritual beings having a human experience."
-Jean Watson
Environment
Extremely important in healing a person's mental, physical, social, emotional, spiritual, developmental, and protective supporting environment for a patient's health and well being.
Watson views health and illness functioning simultaneously as a way to stabilize and balance ones life.
This involves a human to human connectedness. The nurse and the patient are touched by the soul of the other.
Transpersonal Caring
Transpersonal Caring-Healing
Involves a person to move beyond the ego self in order for the spiritual and cosmic concern and connections to help reach the healing possibilities and potentials.
Caring
Jean Watson defines caring as "the ethical and moral idea of nursing that has interpersonal and humanistic qualities. It is a complex concept involving development of a range of knowledge and expertise encompassing holism, empathy, communication, clinical competence, technical proficiency, and interpersonal skills."
Formation of a Humanistic-Altruistic System of Values
The nurse has to treat a person without judgement. They attain these values at a young age by their parents. This portrays the selfless act of caring for others.

Example:
Two patients came into the ER; one was a victim and the other was the guilty party. Both would need to receive the exact same treatment.
Systematic Use of the Scientific Problem Solving Method for Decision Making
Based on the nurses knowledge of past experiences with similar scenarios and their current patients unique situation, the nurse can develop a plan carefully by structuring and tailoring the patients need.

Example:
Upon a patient losing their leg, a prosthetic leg is administered as well as utilizing therapy to fulfill the patients needs.
Promotion of Interpersonal Teaching Learning
The nurse ensures that the teaching and learning process are equalized in order for the person's perception of the situation is taken in consideration to prepare for a cognitive plan.

Example:
The nurse has a patient that has diabetes and does not know any information of this disease. The nurse has to inform the patient about the positive and negative effects of diabetes in order to ensure that the patient can care for their disease properly
Provision for Supportive, Protective and Corrective Mental, Physical, Sociocultural and Spiritual Environment
The nurse has to protect the patient's external and internal environment by making the patient feel relaxed, comfortable and safe. In order for this to happen, the environment will sometimes be manipulated.

Example:
A patient likes for her door to be closed when she is changed. The nurse closes the door every time she is changed to provide the patient with privacy, safety and comfort.
Allowance for Existential-Phenomenological Forces
The nurse has to accept a person's beliefs while also caring for them holistically. Understanding a person's religion can assist them to find the strength to confront life or death.

Example:
The patient accepts that her life is coming to an end. She wishes that her body would be cremated and her ashes be given to certain family members. The nurse respects the patient's wishes, and follows through with her last words.
Instillation of Faith and Hope
The nurse uses this nursing intervention when science has nothing else to offer, but this will provide the patient with a sense of well-being.

Example:
The nurse has a patient that in undergoing cancer. The patient is starting to give up, but the nurse reassures the patient that he/she still has hope in their recovery.
Cultivation of Sensitivity to Self and to Others
The nurse has to get involved with the patient in order to form a person to person relationship so that they can promote health and function in a higher level.
Example:
The nurse has a patient that is a child and deals directly with the mother who is the child's support system. While caring for the child the nurse also tends to the mother to maintain a support system for the child as well as being sensitive and authentic to the family as a whole.
Development of a Helping Trust Relationship
The nurse has to communicate with the patient. This is the most important tool that can establish a genuine partnership between the patient and nurse. Communication can be verbal, nonverbal or listening.

Example:
The patient is complaining of their back hurting. The nurse responds by immediately changing their position or administering medicine to ease the pain.
Promotion and Acceptance of the Expression of Positive and Negative Feelings
The nurse has to support the patient's positive and negative feelings, emotions, and state of well being.

Example:
The patient is extremely emotional. The nurse responds by calming the patient down by asking questions to stabilize their sense of well being.
Assistance with Gratification of Human Needs
The nurse needs to comfort the patient by fulfilling their wants and needs. Every need is just as important for promoting quality care and optimal health.

Example:
A patient ask the nurse to braid her hair so that she looks presentable to every guest she encounters with. The nurse fulfills her needs by braiding her hair every chance she has.
Carative Factors to Clinical Caritas Processes
All 10 carative factors performed accurately will lead to a healthy relationship between the nurse and client to fulfill the goal of promoting health, restoring health and preventing illness. This will help the patient to attain or maintain health or die a peaceful death.
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