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Integration of Watson’s Theory within Nursing Practice Haitham Zraigat North Dakota State University Fall 2007 Dr. Kiser Larson
5. McKenna. Promotion of a transpersonal teaching-learning. and/or corrective . 2. human caring relationship. Cultivation of sensitivity to one’s self and others. Formation of a Humanistic-altruistic system of values. 7. and Boore (1999) wrote that “The goal of nursing within Watson’s theory centers around helping people to gain a higher degree of harmony within the mind. and the outcomes of their patients. This goal is achieved through caring transactions. and soul. Her ten carative factors are the interventions of her theory and are part of the original theory writing in 1979.” The ten factors are as follows: 1. One of the most influential nursing theorists is Jean Watson. body.Nursing Theory 2 Integration of Nursing Theory within Nursing Practice Introduction It may be assumed that nurses are not fully aware of the importance of nursing theory within their practice and how it influences the care that they give. Promotion and acceptance of the expression of positive and negative feelings. Theory is a very important and integrative part of the nursing process and the utilization of nursing theory assists the nurse to apply knowledge that has been previously gained by nursing theorists into his of her daily nursing practice. Instillations of faithhope. the relationships that they form. 3. Development of a helping –trusting. Provision for a supportive. Background of Theory McCance. 8. Systematic use of a creative problem-solving caring. protective. 4. 6. who graced the nursing world with her Theory of Caring.
This process has an energy of its own and becomes part of a larger. societal. Clendon (2005) states that “The caring moment becomes a focal point in time and space. and spiritual environment. Allowance for existential-phenomonological-spiritual forces. Transpersonal caring involves the caring moment in which the patient and the nurse actually come together within the context of the personhood of each participant with his or her individual history and phenomenal fields. Her description of caring is . physical. Watson writes the transpersonal caring within a caring moment ins manifest in a field of consciousness.’ The idea was that individual healing processes can be strengthened through authentic caring relationships was pivotal to the work carried on at the center. Dr. The moment allows the two participants to decide how to be in the moment and if that moment is transpersonal. The two people must intend that a therapeutic interaction will take place. The mission statement of the center was ‘respect for the uniquiness and individuality of each person and belief that health and wellbeing are multidimensional. This was the outpatient HIV/AIDS center which provided education. McKenna. 9. Watson states that the caring moment involves intent on the part of the nurse and the client. and Boore states that “the origin of Watson’s theory is human science and metaphysics. the patient and the nurse. This interaction opens up possiblilties for healing and human connection at a deeper level. Assistance with gratification of human needs.Nursing Theory 3 mental. The dimensions are manifest in the nurses consciousness in the caring moment which in turn affects the field of the whole. An evaluation of Watson’s theory by McCance.” The Denver Nursing Project in Human Caring provides an example of the practical application of Watson’s theory of human caring. clinical practice and research. Watson describes transpersonal caring as an ideal of intersubjectivity in which both persons. and 10. are involved. Dr. each feels a connection with the other at the spiritual level. more complex pattern in time.
the . Its content offers us new tools and strategies to encompass not only basic needs. Mr. and shows how it is applied to all settings. caring and healing. G has had financial problems because of the high tariffs on products from Uganda. presence. and ethical human care transactions. use of self and environment. energy and spirituality. G’s wife has started a babysitting business in their home and Mrs. authenticity. Her key concepts are the ten carative factors. suffering.Nursing Theory 4 that it is a value and an attitude that has to become a will. but on the last trip that they made together. but is even more concerned about her husband’s physical and mental health at this time. or a commitment that manifests itself in concrete acts. Mr. self-care. Mrs. meaning. Paul. enhance and preserve humanity by helping a person find meaning in illness. an intention. as well as the devalued dollar and the low demand for his goods here in Fargo. G to and from the cities on a regular basis. G and his wife moved to Fargo. Mr. connectedness. G has suggested marital therapy. aesthetic. consciousness. The couple came to the United States and started an ethnic business in Fargo selling import products from Uganda. Her description of nursing is that it is a human science of persons and human health-illness experiences that are mediated by professional. where the demand is better fro the products that he sells. but also teaching-learning. pain and existence.” Application of Watson’s Theory Mr. G has driven every week to Minneapolis/St. Her goal is to protect. relationships. G’s health and marriage have suffered due to the high amount of stress and travel time involved. Mr. personal. intentionality.” McClendon writes that “Watson takes us back to the most basic of human needs. scientific. from Uganda six years ago. ND. G’s nephew was living with her and her husband for the past four years. acceptance. He traveled with Mr. growth.
G is grieving and feeling guilt due to his nephew’s death. Upon further investigation by the Emergency Department nurse.Nursing Theory 5 two were in a car accident. the nurse understands further regarding the marital and financial difficulties that the couple is having. Mr. thirst. along with physical symptoms that indicate the probable diagnosis of diabetes and nutritional problems. Mr. G is overweight at 5 feet. she needs to be present in the caring moment with him. G also has had recent problems with weight loss. and difficulty sleeping. 6 inches tall and 240 pounds. G states that he understands his need for treatment and assistance with his health status. Due to Mr. She relays to Mr. he blames himself from the accident and the death of his nephew. G daily regarding his grief. it is found that Mr. G. Mr. The admitting nurse discovers that Mr. She also realizes that Mr. G’s goal for hospitalization with him and Mr. general fatigue. G survived the accident due to wearing his seat belt. polyuria. including cultural and financial stress. In visiting with Mrs. G has many underlying issues. in which the nephew was thrown from the vehicle and killed. as well as herself. weakness. . G was admitted to Meritcare Hospital in Fargo after the car accident with bruises and minor injuries. G verbalizes to the nurse his understanding that his grief will be a factor in how he is feeling and functioning. G’s physical and psychological status. G. G that she will be with him while he is grieving and will help him deal with his emotional process in a manner that is comfortable for him. G’s care plan the grieving process and the plan to include the Meritcare chaplain. Mr. The admitting nurse is familiar with Jean Watson’s theory of caring and understands that in order to assist Mr. it is recommended that he be admitted to the hospital for further treatment and education. The nurse includes within Mr. visiting Mr. however. His glucose screen is 342 at the time of admission in the ED. The nurse discusses Mr.
has a unique history that is foreign to many nurses who may care for him. G.’s care through her model. She also recognizes the value of how information is presented to the couple and ensures that she and the educators meet with both Mr. is an African refugee from Uganda. Dr. G. G’s plan of care. the nurse must take into consideration his past and current experiences. The nurse’s understanding of Mr. Connection to Culture Mr. should be able to assess the . Studying theorist Jean Watson can add much to the nursing practice and Mr. all of which must be addressed as part of his care and healing process. G’s culture and needs/wishes related to his culture must be considered to offer the best level of care. No matter the language barrier. G about his diabetes daily. In order to fully address Mr. Mr.Nursing Theory 6 The nurse examines Mr. and Mrs. The nurse also recognizes that financial problems are an additional concern for this couple and consults social services to meet with them and to look into financial assistance that they might be eligible for during Mr. G. the nurse realizes the importance of the helping-trust relationship and the significance of being supportive of whatever decisions the patient makes. Mr. G to provide diabetes education. G. G’s hospitalization. The nurse involves both the dietitian and the diabetes educator within Mr. as well as new opportunities to better understand oneself and Mr. G’s labs and accuchecks and teaches Mr. and his complete wellness. G. Watson (2006) prompts the nurse to employ “transpersonal caring” as a way of showing ones level of care by being present in the moment and being authentic in ones presence. has a myriad of physical problems. Mr. Utilizing Watson’s Theory of Caring. G. With this knowledge comes increased communication and understanding challenges. G.
may practice and support this as part of the healing process. This higher level of communication can transcend differences in culture and create a higher level of care. This will . it only comes when the patient and the nurse are ready and able to enter into the moment together. Conclusion Whether or not nurses are fully aware of how much they truly utilize nursing theory. Watson’s theory instructs that differences in cultures cannot be addressed in a quick meeting or with the distribution of a multilingual pamphlet. and the theories that they represent. the nurse must work with the concrete issues by creating a therapeutic relationship and provide understanding by incorporating effective tested language services to ensure the best level of communication possible. such as Jean Watson. G’s caregivers cannot force a caring moment. G.Nursing Theory 7 nurse’s intentions by the positive interaction of his or her phenomenal fields. Nurses may further improve the care that they provide by becoming familiar with nursing theorists. The integration of theory within the practice of nursing is an important and necessary piece of the nursing process. G’s care. Watson would also desire that the nurse open up to moments of caring that transcend the spoken language to create a relationship that is of the now. Mr. theory is incorporated into the profession of nursing on a day to day basis. Both the patient and the caregiver must be ready to come together and share a caring moment. The nurse must be sensitive to the cultural practices that Mr. To effectively be sensitive to the cultural aspect of Mr. Watson’s (2005) theory puts the nurse at ease as he or she cares for people from different cultures by stating that transpersonal caring transcends physicality.
(2005).uchsc. Caring: theoretical perspectives of relevance to nursing.P (1999). Caring science as sacred science.Nursing Theory 8 improve the ability of the nurse to provide the most effective treatment and highest quality of care possible. Watson.asp. McKenna. Discovery of Connections—Societal Needs. (2006).V. (2005). from http://www2. 9(4). J. International Journal for Human Caring. P. .R.P. Jean Watson and the theory of human caring. Nursing Practice. J. and Caring-Healing Theory: My Story. J. McClendon. 30(6). Retrieved December 5. Journal of Advanced Nursing. T. 2007. References McCance.. & Boore. J. Philipdelphia:Davis Watson.edu/son/caring/content/transpersonal.
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