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SARAH BARNETT
MEGHAN BROWN
MISTY DONLEY
LESLIE RUSH
USING
"CARING
AS A
T HE M E " ,
JEAN
WATSON
D E VE L O PE D
T HE
"CARATIVE
F A C T O R S " T O HE L P DE VE L OP T HE E V E R
E V O L V IN G N UR S I N G P H I LO S O P H IE S A N D
THEORIES. (CHITTY, 308-9)
(Chitty, 308)
Global Concepts
Human Being (Patient and Nurse)
Health
Nursing
Environment
GLOBAL
CONCEPTS
process.
Jean Watson has researched and published the utilization of her theory multiple
times
Following publication of her 1979 work, Watsons caring theory evolved from
basic thinking to one of greater awareness of divine and holistic
interpersonal relationships
In 1985, she proposed eleven assumptions to explain the relationship
between nursing, human values, and caring for others
In 1999, Postmodern Nursing and Beyond, Watson describes an ontological
shift in human consciousness by suggesting practice paths for practitioners
Jean Watsons Theory of Caring, among others has been used in research towards
an empirical development of a middle range theory of caring.
(Swanson, 1991).
Kaiser Permanente Northern California is systematically integrating caring science and theory-based
practices in all of the 21 Northern California Kaiser facilities. Others, such as Baptist Health in
Jacksonville and Miami, Fla., Children's Hospital Colorado, the Michael F. DeBakey Veterans Hospital in
Houston, and Atlanta Veteran's Hospital, are engaged in new forms of evidence-based caring science
knowledge. In these systems, nurses are becoming scholar clinicians, implementing new professional
Caring Science models system wide, as well as exploring new empirical connections between human
caring and patient outcomes. (Petrovski, 2012).
The frequency and number of Magnet hospitals use of caring theory as one core Magnet criterion, is
evidence and testimony of caring theory and its impact on nursing over time. (Clarke, 2012).
(Cara, n.d.)
Conclusion
1.
Ten Caritas
Processes
(Watson Caring Science Institute,
2013).
By using Watsons 10
Carative Factors, the
nurse is enabled to
share their genuine
selves with patients
(Chitty, 2011, p. 309).
Beyond the tasks of
nursing care, the
patient necessitates a
holistic model to reach
wellness or even a
peaceful passing.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Conclusion: continued
Jeans
Million
Nurse
Project
Case Study
Dean Smith is a 48 year old male with ALS (Amyotrophic lateral sclerosis) which
has left him unable to care for himself. Dean was a teacher prior to leaving for medical
disability. He is a widower with two adult children who do not live in the area and are not
close with their Dad. His support network is a former student, John, who assists him with
household chores and a neighbor, Beth, who manages his medications and takes him to
appointments. He presented to the Emergency Department with increased respiratory effort,
fever, and new onset inability to maintain oral secretions. Beth states that he is also having a
hard time responding to her and she and her husband are concerned to leave him alone.
Admission is arranged for probable pneumonia and likely placement in a skilled
nursing facility. Report is given from the ED to the Medical Surgical team and Dean is
admitted. During admission, Sally, the RN doing his intake notices that Dean is trying to
answer her questions but cannot. He is tearful, making fists and groaning. Sally asks the
CNA assisting them to please give them a minute and closes the computer. She pulls a chair
next to his bed, sits and holds his hand. She asks if he would like her to tell him a little about
herself. He squeezes her hand and attempts to nod. Sally proceeds to tell Dean about her
family, her dog, her career path and their church. Dean eventually relaxes and falls asleep.
References
Cara, C. (n.d.). A Pragmatic View of Jean Watsons Caring Theory. Universit de Montral Faculty of
Nursing. Retrieved from http://www.humancaring.org/conted/Pragmatic%20View.pdf
Clarke, P.N., Watson, J., Brewer, B.B. (2009). From theory to practice : caring science according to
Watson and Brewer. Nursing Science Quarterly. 22(4). 339-345.
doi: 10.1177/0894318409344769
Chitty, K. K., & Black, B. P. (2011). Professional nursing: Concepts and challenges (6th ed.) Maryland
Heights, MO: Saunders Elsevier
References
Petrovski, L. (2012). All you need is love (and human caring): transforming health care on nurse,
hospital at a time. Colorado Nurse. May/June/July, 15. Retrieved from CINHL
database.
Swanson, K.M. (1991). Empirical development of a middle range theory of caring. Nursing
Research, 40(3), 161-166. Retrieved from CINHL database.
Tomey, A. M., & Alligood, M. R. (2006). Nursing theorists and their work (6th ed.). St. Louis, MO:
Mosby Elsevier.
Watson Caring Science Institute. (n.d.). Retrieved from http://watsoncaringscience.org/
Watson Caring Science Institute. (2013). Million Nurse Project. Retrieved from
http://watsoncaringscience.org/education-programs/million-nurse-project/.
Watson Caring Science Institute. (2013). Ten Caritas Processes. Retrieved from
http://watsoncaringscience.org/about-us/caring-science-definitions-processes-theory/.