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Jean Watson'S Theory of Human Caring: Presentation On
Jean Watson'S Theory of Human Caring: Presentation On
Presented by:
MISS. SINSU RACHEL ALEX
MSC{N} PREV. YR.
INTRODUCTION:
In the realms of the present times, improvements in health care system have
intensified nurse’s workload and responsibilities sad but true, nurses in the present
times often forget their caring attitudes when they are faced with stressful and
difficult situations.
Despite of this, we nurses must learn how to deal with the complexities arising in
every patient situation and must find ways of preserving their caring practice. One
nursing theory has seemed indispensable for this goal-Jean Watson’s theory of
human caring.
Jean Watson view of caring is the most valuable attribute nursing has to offer to
humanity, yet caring has received less emphasis than other aspects of the practice of
nursing over time.
In Watson’s view disease might be cured but illness would still remain because
without caring, health is not fully attained.
Born: West Virginia in 1940 July 21 st.
Her research has been in the area of human caring and loss.
The foundation of Jean Watson’s theory of nursing was
published in 1979 in nursing: “The philosophy and science of
caring”
Watson proposes even assumption of about the science of caring these are:
Caring can be effectively demonstrated and practiced only
interpersonally.
Caring consists of carative factors that results in the satisfaction of
certain human needs.
Effective caring promotes health and individual or family growth.
Caring responses accept person not only as he or she is now but as what
he or she may become.
A caring environment is one that offers the development of potential
while allowing the person to chose the best action for himself at a given
point in time.
Caring is more “health ogenic” than is curing. A science of caring is
complementary to the science if curing.
The practice of caring is central to nursing.
MAJOR CONCEPTUAL ELEMENTS
• The ten carative factors (Greek word “caritas” means to cherish &
appreciate, giving special attention to, loving factors)
• Transpersonal caring relationship
• Caring occasion
• Caring and healing model of theory
When looking at this theory of practice, Black informs us
that the emphasis for nursing practice focuses primarily on
“How can I create an environment of trust, understanding,
and openness so that the patient and I can work together in
meeting his or her needs?” (Black, 2014).
CARATIVE FACTORS
• Goal was to provide a framework for the “core of nursing”
Watson referred to the “core” as the philosophy, science and art of caring
• Caritas-comes from the Latin word meaning “to cherish and appreciate, giving
special attention to, or loving.”Builds upon Carative Factors
• Caritas processes openly displays more love and caring and a deeper human
experience (Watson, 2014)
ORIGINAL 10 CARATIVE
FACTORS
1 .Formation of a humanistic–altruistic system of values
2. Instillation of faith–hope
2. FAITH-HOPE
Is essential to both the carative and the curative processes.
When modern science has nothing further to offer the person, the nurse can
continue to use faith-hope to provide a sense of well-being through beliefs which
are meaningful to the individual.
3. CULTIVATION OF SENSITIVITY TO ONE’S SELF AND TO
OTHERS
Explores the need of the nurse to begin to feel an emotion as it presents
itself.
Development of one’s own feeling is needed to interact genuinely and
sensitively with others.
Striving to become sensitive, makes the nurse more authentic, which
encourages self-growth and self-actualization, in both the nurse and
those with whom the nurse interacts.
The nurses promote health and higher level functioning only when they
form person to person relationship.
4. ESTABLISHING A HELPING-TRUST RELATIONSHIP
Strongest tool is the mode of communication, which establishes rapport and
caring.
She has defined the characteristics needed to in the helping-trust relationship.
These are:
• Congruence
• Empathy
• Warmth
Communication includes verbal, nonverbal and listening in a manner which
connotes(imply) empathetic understanding.
5. THE EXPRESSION OF FEELINGS, BOTH POSITIVE AND NEGATIVE
“Feelings alter thoughts and behaviour, and they need to be considered and
allowed for in a caring relationship”.
Awareness of the feelings helps to understand the behaviour it engenders.
• This portion of the theory focuses on “the one caring and the one cared
for.” (Cara, 2003). The nurse and patient can develop a deep divine
relationship that blends together and promotes overall health and well-
being.
• This process requires the use of “Actions, words, behaviours, cognition,
body language, feelings, intuition, thought, senses, and the energy field”
(Watson & Woodword, 2010).
• The nurse has a professional as well as a personal obligation to not only
see the patient as more than an object but to also protect and assist with
improving the patient’s dignity. (Cara, 2003)
•The nurse should be using her professional experience
to promote healing and bonding with the patient. This
may include the use of various communication
techniques, both verbal and non-verbal to achieve a
healing and gentle relationship. (Watson & Woodward,
2010)
• The nurse and the patient are transformed together in this relationship.
(Black, 2014).
THE CARING OCCASION/CARING
MOMENT
•This portion of the theory focuses on an actual tangible
moment in time in which the nurse recognizes the
connection that is developed between him/herself and the
patient. (Cara, 2003). This moment dictates the ability
for the nurse to have an overall impact on the patient.
• The nurse is able to help the patient with overall well-being by assisting
them with the release of “disharmony and blocked energy” (Watson &
Woodward, 2010).
• The use of this portion of the theory helps the patient with overall
healing and renewal. (Black, 2014).
• Nurses can impact the patient through “health promotion, health
restoration, and illness prevention” (Black, 2014).
WATSON’S THEORY AND THE
FOUR MAJOR CONCEPTS
1. PERSON
• She adopts a view of the human being as: “….. a valued person in and
of him or herself to be cared for, respected, nurtured, understood and
assisted; in general a philosophical view of a person as a fully functional
integrated self. He, human is viewed as greater than and different from,
the sum of his or her parts”.
2. HEALTH
• Watson believes that there are other factors that are needed to be
included in the WHO definition of health. She adds the following three
elements:
• A high level of overall physical, mental and social functioning
• A general adaptive-maintenance level of daily functioning
• The absence of illness (or the presence of efforts that leads its absence)
3. ENVIRONMENT/SOCIETY
• According to Watson caring (and nursing) has existed in every society. A
caring attitude is not transmitted from generation to generation. It is
transmitted by the culture of the profession as a unique way of coping
with its environment
4. NURSING
• According to Watson “nursing is concerned with promoting health,
preventing illness, caring for the sick and restoring health”.
• It focuses on health promotion and treatment of disease. She believes
that holistic health care is central to the practice of caring in nursing.
• She defines nursing as…..
“A human science of persons and human health-illness experiences that
are mediated by professional, personal, scientific, aesthetic and ethical
human transactions”.
“May be this one moment, with
this one person, is the very
reason we’re here on Earth at
this time”s
NURSING CONCEPTUAL MODEL OF
CARE
• The patient is at the centre of everything we do! Our view of nursing, person,
environment, and health affects how we interact with patients.
• Our model of caring is based on Sister Callista Roy's Theory of Adaptation and
Jean Watson's Theory of Human Caring.
• The conceptual framework guides us through the nursing process. We help the
patient and family adapt to their state of health and we do so with the unique
human-to-human interaction consistent with nursing.
• The conceptual framework provides the structure to achieve the Geisinger
Nursing vision of securing the legacy, quality, innovation and market growth.
This will ensure success in achieving the organization's mission of Heal, Teach,
Discover, and Serve
WATSON’S MODEL USED IN PRACTICE: AT
ST. PATRICK’S HOSPITAL SYSTEM IN
WESTERN MONTANA
WATSON’S WORK AND THE
CHARACTERISTIC OF A THEORY
Mutuality should be obtained between the nurse and patient concerning the patient’s
healthcare situation and needs.
Nurses should treat patients as holistic beings (body, mind and spirit) with a positive
regard.
Nurses should promote health through knowledge and intervention, and display
acceptance towards patients that is unconditional.
Caring occasions/moments should transform both the patient and nurse, as they are
linked together.
STRENGTHS
• Besides assisting in providing the quality of care that client ought to
receive, it also provides the soul satisfying care for which many nurses
enter the profession.
• The client is placed in the context of the family, the community and the
culture.
• It places the client as the focus of practice rather than the technology.
LIMITATIONS
• Given the acuity of illness that leads to hospitalization, the short length
stay, and the increasing complex technology, such quality of care may be
deemed impossible to give in the hospital.
• While Watson acknowledges the need for biophysical base to nursing,
this area receives little attention in her writings.
• The 10 carative factors primarily delineate the psychosocial needs of the
person.
• While the carative factors have a sound foundation based on other
disciplines , they need further research in nursing to demonstrate their
application to practice.
CASE SITUATION
• Answer 1. As the nurse caring for her, Watson’s Theory directs me that patients must
Satisfy lower order needs before attempting to attain higher order needs.
Betty’s pain and anxiety must be controlled before she can process and accept what
is happening physically.
• Vidhya is given 50 mg of Tramadol and 2 mg of Lorazepam. She then
states that she has been SOB occasionally. Her pulse ox is 92% on room
air. At this point another one of Watson’s carative factors comes into
play. Which one?