Rocky Mountain Greetings

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 Caring Philosophy:
An Old/New Morality of
Health-Caring-Healing/Wholeness

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 Jean Watson
Caritas
Caring
Science

Philosophy
Theory – Ethic –
Professional Practice Model
www.nursing.ucdenver.edu/caring
www.watsoncaringscience.org

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C C
A A
R R
I I
T T
A A
S S

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“Caritas” comes from the
Latin word meaning cherish,
to appreciate, to give special
attention, if not loving,
attention to: connotes
something that is very fine,
that indeed is precious.
Eriksson in Finland has used
the word caritas in her
theory to convey similar
meanings. Caritas/Christ Church
Oxford University
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What Is: Modern Medicine/Nursing
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The Evolved Theory

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 Unitary World View:
“Human Resides in
Unitary Field of Consciousness”

 Levinas:
Ethic of
Belonging –
Infinite Field
of Universal
Love/Spirit

Hildegard of Bingen 12th century

Watson WCSI copyright 2010 WatsonjeanCopyright 2011 10
Nursing involves a sense of presence higher than
human, a divine intelligence that creates,
sustains, and organizes the universe – and our
awareness of an inner connection with this
higher reality. …Nightingale

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 Core Aspects: Caring Science
Theory of Human Caring
 Relational Caring as Ethical-Moral –
Philosophical Values-Guided
Foundation
 Caring Core:10 Carative
Factors/Caritas Processes – Love-
Heart-Centered Caring/Compassion
 Transpersonal Caring Moment – The
Caritas Field
May 2008
 Caring as Consciousness –Energy - www.upcolorado.com
Boulder, Co. University
Intentionality – Heart-Centered Press of Colorado
Human Presence
 Caring-Healing Modalities
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 INSPIRE…
Caritas Process 2: Enabling Faith and Hope,
Being Present Authentically

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TRUST…Caritas Process 3: Sensitivity to Self -
Others, Ongoing Spiritual Development

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Nurture…Caritas Process 4: Developing Authentic
Trusting Caring Relationships

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 Relationships: Uncaring to Caring
(Halldorsdottir, 1991)

 Type I: Biocidic or Life Destroying (Toxic, Leading

to Anger, Despair, Decreased Well-Being);
 Type 2: Biostatic or Life Restraining (Cold or
Treated as Nuisance);
 Type 3: Biopassive or Life Neutral (Apathetic or
Detached);
 Type 4: Bioactive or Life Sustaining (Classic Nurse-
Patient Relationship as Kind, Concerned and
Benevolent);
 Type 5: BIOGENIC or Life Giving/Life Receiving
 Transpersonal Caring – Manifesting Caritas Field
 ULTIMATE GOAL of CARITAS HEALING MODEL
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FORGIVE… Caritas Process 5: Allowing
Expression of Positive-Negative Feelings:
Listening to Another’s Story

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 EMBRACE …
Caritas Process 1: Humanistic – Altruistic Values
– Practice of Loving-Kindness and Equanimity
with Self and Other

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DEEPEN…Caritas Process 6: Creative
Problem-Solving Caring Process

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BALANCE…Caritas Process 7: Relational
Teaching
Learning / Inner Subjective Meaning

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 Environment – Being/Becoming the
CO-CREATE…Caritas Process 8: Creating Healing
Environments Being / Becoming
Caritas Fieldthe Caritas Field

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MINISTER….Caritas Process 9: Assistance With
Basic Needs – Sacred Acts

Embodied
Spirit:
Touching
Mindbodyspirit,
Not Just
Body Physical

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 Caring Science Transformation
 Moving From the “Case” to the “Face”
 From Patient to The Spirit Filled Person Behind a Disease
 From Medical Diagnosis to The “Meaning” Given to the
Illness to Relationship-centered caring;
 From Performance/Doing – to Presence; Comfort
 From Medical-Clinical Views of Humanity to Unity of
Mindbodyspirit, Oneness - Connectedness
 From Industrial Models to Creative, Mature Professional
Models of Caring-Healing – Kaiser So. California Model

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Recreating Caring-Healing Theory-guided
Transformative Professional practices
21st Century:
Nursing qua Nursing
“Nightingale Units”
Caritas ‘competencies/practices
Caring-healing Units –

Exemplars
‘Caritas Literacy’- values, ethics, philosophy,
and intelligent heart for integrative knowing-
being-doing
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Kaiser - Antioch
Medical Center

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Visibility of Caring/Caritas Culture

Winterhaven Hospital, FL
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The Children’s Hospital
Denver

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e Children’s Hospital Denver
The Children’s Hospital Denver WatsonjeanCopyright 2011
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Healing Stones / Blessing Basket
Manifesting Caring and Love

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 CP: 10 Sanctuary –
Healing Room for Nurses

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Opportunities For Ritual “Handwashing”
An ACT Initiative

PROVIDES A PAUSE TO:

 Quiet Busy Mind
 Wash Away Old Experience
 Center in Caring Intention
 Honor Self and Other
 Reconnect to Core Values
 Bless and Release Last
Person/Situation
 Purify Sacred Space for
Authentic Presence
 Open to Ability to Give and Receive
The Children’s Hospital, Denver
Next Person/Situation
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 CARITAS BEING:
Connect with Your
Patient as a Person.
Comfort

Hold a Hand

Wake Forest Baptist Univ. Hospital

Sit & Listen

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 “Code Lavender”
Patient, Family and Staff Requests
Code Lavender:
A Unique Intervention
Offered at North Hawaii
Community Hospital, a
Healing Hospital Inspired
and Influenced by the
“Blended Medicine and
Holistic - Healing” Passions
of Dr. Earl Bakken, Scientist
and Inventor of the Internal
Cardiac Pacemaker and North Hawaii Community Hospital
Founder of Medtronics Dr. Earl Bakken & Dr. Watson, Taping of
Million Nurse Message

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 Meaningful Rituals and
Communication - Sharing Among Staff

Opening a
Compassionate Heart
• Annual Blessing of
the Hands
• Caring Discussion
Boards
• Caritas Column

Wyoming Medical Center

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Caring Healing Modalities as General and
Advanced Practice Nursing
(Congruent with Nightingale)
 Non Invasive
 Non Intrusive
 Natural-Relational Environmental
Modalities: light, color, form, nature,
voice, air, noise, etc.
 Caring-Healing Modalities that Provide
Pain Control, Symptom Management,
Comfort Measures and a Sense of Well
Being for Healing and Wholeness.
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 Cultivating Consciousness and
Listening for Meaning
Afternoon Tea
Where:
• Reflective Practice
is Cultivated
• Where Nurse’s
Own Experiences
are Shared
• Where We Learn to
Listen for the
Meaning
Wyoming Medical Center
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Reclaim Nursing ARTS: General –Advanced
Healing-Caring Modalities

 Intentional Touch  ‘Caritas/HeartMath

(Therapeutic – Healing) Method’
 Visualization  Humor
 Imagery  Prayer
 Music –sound  Pet Therapy
 Expressive Journaling  Meditation-Silence
 Massage  Art-Dance –Movement
 Centering  Etc., Etc., Etc…
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Culture of Carefulness: Caring Consciousness
– Intentionality: Promoting Medication Safety

Kaiser – Antioch
Medical Center

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 Magnetic Reminders: Pausing -
Practicing Presence: Loving Kindness
VALUES:
Preserving
Human
Dignity:

Caritas Process
Number 1
Magnets on Patient’s Door
INOVA Health, Fairfax, VA
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Angie Fontaine, RN Caritas Coach, Jacksonville Baptist, FL , 2009
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Transforming a Smoking Area

Angie Fontaine, RN Caritas Coach, Jacksonville Baptist, FL , 2009

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Into “The Caritas Staff Retreat”
with a Stone Waterfall Feature

From Smoking Area to Caritas Garden

Angie Fontaine, RN Caritas Coach, Jacksonville Baptist, FL , 2009
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 Habitat for Healing
• Influencing the
Environmental
Field
• Using Creative
Caring-Healing
Modalities
• For Staff, Patients
and Families

Wyoming Medical Center

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 Pet Therapy:
Something to
Care for and
Love

Marlienne Goldin, RN
Caritas Coach & Faculty
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 1. Practice loving kindness.
2. Instill faith and hope.
3. Nurture individual spiritual beliefs and
practices.
4. Develop helping – trusting relationships.
5. Promote and accept the expression of
positive and negative feelings.
6. Use creative scientific problem-solving
methods for decision making.
7. Perform teaching and learning that
addresses the individual needs and
learning styles.
INOVA
8. Create a healing environment for the Health
physical and spiritual self which
respects human dignity. Systems,
9. Assist with physical, emotional, and Fairfax, VA
spiritual human needs.
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10. Allow room for miracles to take place.
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Creating a Caritas culture for self and others

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 “Ethics of Face and Hand”:
A Reminder:
We literally hold another person’s
Life in our hands and are the source for
sustaining our own and others humanity

Levinas, French & Logstrup, Danish Philosopher

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 Call to Nursing and Health
Care Systems to Come of Age:

Establish Nursing as a Full, Mature

Health, Healing and Caring Profession

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