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An Application of Jean Watson’s Theory of Transpersonal Caring to Nursing Practice

Introduction

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Essentially, the Caring principle of Jean Watson is oriented in direction of human science and focuses on the humanitarian aspect of caring processes, occurrences and experiences. It also grounded on a unitary perspective and interconnectedness with parts such as an individual with its community. The caring concept embraces one-sided, philosophical and interpretative as properly as objective-empirical evaluation and integrates a quantity of epistemological approaches that medical and empirical but at the same time is open to other avenues of acquiring important info.

 (Watson, 1988, 1999).

On the theoretical framework, the caring theory of 1979 was founded on the ten carative factors.

These are primarily a formation of a Humanistic-altruistic system of values and cultivation of sensitivity to one’s self and to others. It has provisions for a supportive, protecting, and/or corrective mental, physical, societal, and spiritual setting. Lastly the basic core is grounded on each caring philosophy and science (Watson, 1999).

Some recommendations on unique carative factors into scientific caritas processes embody the formation of humanistic-altruistic value system becomes practice of loving-kindness, Instillation of faith-hope turns into authentically current.

Cultivation of sensitivity between the communities becomes going past ego self, Development of a human caring relationship turns into helping-trusting an authentic caring relationship, and Promotion and acceptance of the expression of constructive and adverse feelings turns into being supportive of the expression of positive and adverse emotions (Watson, 2006).

Main Components

Originally, Watson’s theory revolved around three major elements, namely the carative components, the transpersonal caring relationship,  and the caring moment. She stated ten carative factors that served as tips for the nursing follow and principally centered on the rules of caring.

The transpersonal caring relationship describes how the nurse goes past an objective evaluation, exhibiting considerations toward the person’s subjective and deeper that means relating to their own well being care state of affairs, whereas the caring moment is defined as the moment (focal point in space and time) when the nurse and another person come together in such a means that an event for human caring is created (Cara, 2003).

In this context, the 4 important concepts of nursing – particular person, environment, well being, and nursing – are encompassed within the theory. Being holistic in nature, the idea presents its framework as a congregation of all these concepts, centering on the particular person.

Watson regards an individual as an individual with distinctive qualities and unique wants. The individual is acknowledged as a being capable of speaking with another past bodily interaction. The individual is considered as entire and complete, regardless of illness of illness (Watson, 2006).

The surroundings is thought to be a therapeutic area, the place the person’s consciousness and consciousness can expand and promote mindbodyspirit wholeness and healing (Watson, 1999). Inevitably, the state of a patient’s environment can influence an individual’s state of well being. The physical setting can have an effect on how the particular person can connect and exist in the spiritual setting created by transpersonal caring relationships, and could have an effect on the effectiveness of the science of caring.

Health is known as the unity and harmony within the thoughts, physique and soul. It is a state of full bodily, psychological, and social well-being and functioning (Hagopian, 2007). The principle establishes that caring can promote a person’s health higher than the curative means of standard medication. Through caring, the care giver acknowledges the condition of the recipient at a deeper degree, enabling him/her to sympathize as needed, and provide the appropriate care needed by the patient. With this implies of understanding the affected person better, there is greater chance of addressing the patient’s wants, creating the needed steadiness in his/her bodily, mental, and social well-being (Watson, 1998).

Influence in My Delivery of Care

Watson defines nursing “as a human science of individuals and human well being – sickness experiences which are mediated by skilled, private, scientific, esthetic, and moral human care transactions” (Watson, 1988). The concept also emphasizes caring as central to nursing, and is essentially what the theory needs to realize. Nursing is not only about curing an sickness or illness – it’s beyond that.

It is about the nurse being ready to middle consciousness on the entire being of the opposite in order to detect his/her internal situation, and impart genuine concern via caring moments communicated via “movements, gestures, facial expressions, procedures, info, touch, sound, verbal expressions and different scientific, technical, aesthetic, and human technique of communication.” The function of consciousness is deemed significantly essential, as a outcome of then the nurse reveals commitment and sincere intention to connect with the patient at a deeper stage, thus changing into an effective aid in nursing the patient again to health, physically, emotionally, and spiritually (Watson, 2006).

I bear in mind having to offer care to a patient who’s suffering from a terminal illness and have been placed in ICU care. In this case, the patient was not capable of communicating as a end result of he was already in a coma – an utility of Jean Watson’s principle on this case would require me to treat not simply the affected person however his family members, holistically. That is, I don’t merely cease at attempting to address the wants of the affected person but additionally of those that encompass him. Concretely, I tried to build a humanistic-altruistic value system which is the core of Watson’s concept. I really have dealt with her family as real individuals who have real needs that have to be addressed.

For them to have the ability to address the situation, I actually have tried to show them empathy, as they categorical their emotions towards the condition of the patient. It could be very troublesome to have a dying liked one, but it’s a reality that we all must face at one point or the opposite.

Having someone by your aspect throughout such a time of grief is very consoling and shall help you thresh out your emotions and address the situation. I actually have proven this many occasions in opportunities to care for patients placed in intensive care. The growth of a caring relationship with the patient’s household helps them undergo the ordeal with applicable and well-expressed emotions, and even greater spiritual strength and maturity. I imagine that the nurse has a crucial position to play in such incidents.

Applicability of Theory to Modern Nursing Practice

The effectiveness of Watson’s principle has been validated with its use as a guide in a number of research centering on caring science. It has been “recommended as a guide to nursing sufferers with hypertension, as one technique of decreasing blood strain and increase in high quality of life,” in a examine made on its effectiveness on the standard of life and blood strain of patients with hypertension in Turkey (Erci, Sayan, Tortumluoglu, Kilic, Sahin, & Gungormus, 2003). In one other study on caring for old adults, it was established that the speculation was effective in bettering the standard of life and peace of mind, body, and soul of the older individuals, simply by caring and listening attentively to what they should say (Bernick, 2004).

The state of affairs of caring for a patient within the intensive care unit has a extra serious need for dedicated and focused care. Patients in intensive care within the intensive care unit (ICU) want more than mere therapy.  They need help for themselves and their household who need to hear excellent news and inspiring words concerning the patient’s recovery, info that’s not at all times quick in coming, if in any respect. In ICU situations, the affected person and, equally as necessary, the patient’s household desires to know the patient’s possibilities for survival; possibility of everlasting disability; and answers to their queries on the patient’s situation (Rafael, 2000). .

Although the attending doctor and nurses are one of the best sources for information to reply these questions, it’s not all the time possible for them to accurately predict affected person consequence, particularly in the first few hours or days of an ICU keep.  Like the patient and the patient’s household, the attending medical doctors and nurses are also awaiting the preliminary outcome. This means that everyone—attending physicians, attending nurses, family, associates and the patient him/herself are involved.

All can and do contribute to the final end result in one way or one other. On my finish, I attempt to reply all the questions that are posed to me by the patient’s family members to handle their expectations concerning the patient’s condition. And but, I do that with warning, since it is still the physician who has the authority to inform them of those. The end objective was to attempt to assist the affected person and his loved ones undergo the ordeal, addressing their physical, emotional and religious wants within the context of a caring relationship.

Conclusion

Overall, Jean Watson’s theory of transpersonal caring has very high utility in fashionable nursing follow. It has been proven to be strongly oriented in the path of human science and focuses on the humanitarian facet of caring processes, occurrences and experiences and has been capable of successfully encapsulate the science of arts and humanities. Moreover, it has been grounded on a unitary perspective and interconnectedness with elements corresponding to an individual with its neighborhood.

However, one limitation could also be its emphasis on being one-sided, philosophical and interpretative quite than on objective-empirical evaluation. Moreover, it consists of ontological, philosophical, moral, historical inquiry and research. Caring science is a new area that’s evolving currently within the nursing business and has truly evolved nursing theories and science and has contributed closely to health, schooling, and human service fields and professions.

References

Bernick, L. (2004). Caring for older adults: practice guided by Watson’s caring-healing model. Nursing Science Quarterly, 17(2):128-34.

Cara, C. (2003).  A pragmatic view of Jean Watson’s caring concept.  International Journal of Human Caring, 7(3), 51-61.

Erci, B., Sayan, A.,Tortumluoglu, G., Kilic, D., Sahin, O., & Gungormus Z. (2003). The effectiveness of Watson’s Caring Model on the quality of life and blood pressure of sufferers with hypertension. Journal of Advanced Nursing, 41(2), 130–139.

Hagopian, G. (2007).  Nursing theorists.  Retrieved February eight, 2007 from www.nipissingu.ca/faculty/arohap/aphome/NURS3006/Resources/theorists.ppt

Rafael, AR. (2000). Watson’s philosophy, science, and theory of human caring as a conceptual framework for guiding group health nursing follow. ANS. Advances in Nursing Science, 23(2):34-49.

Watson, J. (1988). Nursing: Human science and human care. A theory of nursing (2nd printing). New York: National League for Nursing.

Watson, J. (1999). Postmodern nursing and past. Toronto, Canada: Churchill Livingstone.

Watson, J. (2006).  Dr. Jean Watson’s Theory of Human Caring.  Retrieved February 8, 2007 from

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