Friday, 11 March 2011

Thoughts on Nursing Theory




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Quote:
“Caring is the essence of nursing.”
-Jean Watson




        
            My philosophy of caring, values, and belief system are amazingly similar to all of the Watson’s 10 carative/caritas assumptions. All relevant at different level’s of my own philosophy. Watson’s first carative factor formation of a humanistic altruistic system of values (Alligood, 2010) ascertain my beliefs of loving-kindness, sharing sense of self with a deep caring consciousness. This typically learned at an early age is believed to be changes within a patient through nurse education (Alligood & Tomey, 2010).
            Watson’s second carative factor, instillation of faith-hope (Alligood, 2010) is one of the strongest and closest to my philosophies. Positive and wholistic health seeking behaviors along with teaching the patient and giving them the tools and support to take care of themselves. The third carative factor, cultivation of sensitivity to self and to others, being genuine authentic and sensitive to others (Alligood, 2010). Nurses must be in touch with their feelings and have a strong recognition of self-acceptance and self-actualization (Alligood & Tomey, 2010). My philosophy directly correlates to the caritas process that going beyond the ego and being in touch with our transpersonal self and self-spiritual health. 
            Developing of a helping-trust relationship is the fourth carative/caritas (Alligood, 2010) and is so important in the relation to my philosophy that a trusting transpersonal caring relationship with empathy helps to understand the person’s perceptions and feelings ultimately creating a bond and increasing effective communication. The fifth carative factor, promotion and acceptance of the expression of positive and negative feelings, recognizes that intellectual and emotional actions and reaction will differ in all situations. The safe expression of positive and negatives feelings encourage sustaining the care transpersonal relationship developed between patient and nurse or Nurse Practitioner (Alligood, 2010). 
            Systematic use of the scientific problem solving method for decision-making is the sixth carative (Alligood & Tomey, 2010). My philosophy and the caritas process both strongly support the artistry and expertise in caring-healing practices. The seventh carative factor promotion of interpersonal teaching-learning (Alligood & Tomey, 2010) is strongly ascertain with my beliefs that this technique of shifting the patients responsibility to the patient, to provide self-care and personal growth. Provision for supportive, protective, and corrective mental, physical, socio-cultural, and spiritual environment is the eight carative factor (Alligood, 2010) and again directly relates in my philosophical beliefs that to create well-being, these entire factors must be looked at and taken in consideration when treating the patient as a whole. Assistance with gratification of human needs agrees with my philosophy that taking care of self and intra-personal needs of self is just as important as taking care of patients. Recognition needs extend to; psych-physical self, biophysical self, psychosocial self is which are all inter-related and need to be nourished. The tenth carative allowance for existential-phenomenological forces, indicate spiritual care for self (Alligood, 2010).
            Nursing care is an art, an essence and dedication of healing and helping others (Alligood & Tomey, 2010). To accomplish this we must take care of ourselves first. Body, mind and spirit are connected as one and are considered the basis for holistic healing. Treating the patient and self as a whole, considering all aspect of healing including physical, emotional and spiritual.  Caring for patients is individualized with compassion and considering all aspects of the patient’s health and life. 
            The major characteristic within those situations stem directly for the 10 carative/caritas assumptions such as: expressing positive and negative feeling, developing strong trusting interpersonal relations, offering a genuine sense of ourselves with compassion and empathy for the other person, caring-healing practices, loving-kindness with a intentional caring consciousness in all interactions. Staying in touch with ones own feelings, thoughts and spirit while meditating and deep breathing on a daily basis. Expressing genuine, caring, moments, words, thoughts, senses, feelings, behaviors and energy field to those all around us everyday.  Creating peaceful and healing environment all around us. Surround our selves with beauty, comfort, wholeness; consciousness, basic needs and dignities, which will all, contribute to wonderful feeling and opportunities in my everyday clinical practice (Alligood & Tomey, 2010).
My wholistic approach to healing compares to Nurse Theorist Watson, which encompasses my entire body, mind and spirit philosophy. The Seven Basic Assumptions of the Science of Caring Model is the caring aspect and perceptions of wholistic healing. The art of caring is very beneficial and healthy for the patients and families in their relationships with self and others. 
As stated in Bailey (2009):

          1. Caring can be effectively demonstrated and practiced only interpersonally.
          2. Caring consists of carative factors that result in the satisfaction of certain human needs. 
3. Effective caring promotes health and individual or family growth. 
4. Caring responses accept a person not only as he/she is now but as what he/she
may become. 
5. A caring environment is one that offers the development of potential while
allowing the person to choose the best action for him/herself at a given point of
time. 
6. Caring is more “healthogenic” than is curing. The practice of caring integrates
biophysical knowledge with knowledge of human behavior to generate or promote
health and to provide ministrations to those who are ill. A science of caring is
therefore complimentary to the science of curing.
7. The practice of nursing is central to nursing.

                                            References
Alligood, M. R. (2010). Nursing theory: Utilization and application.
         Maryland Heights, MO: Mosby Elsevier.
Alligood, M.R., & Tomey, A. M. (2010). Nursing theorists and their work.
         Maryland Heights, MO: Mosby Elsevier.
Bailey, D.N. (2009). Caring defined: a comparison and analysis.
         International Journal For Human Caring, 13(1), 16-31.







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