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Tim Theoretic Week 4 Assignment

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Nurses have a primary objective of advancing the quality of care they provide and

foreseeing positive patient outcomes. To achieve this objective, they implement nursing theories

and concepts to direct them in their practice to attain the anticipated results. For nurses to

identify the most appropriate evidence-based interventions they should adopt in maximizing

patient care, they use the proper theoretical foundations found in the conceptual frameworks of

nursing theories. Therefore, this paper will concentrate on Jean Watson's caring science theory,

incorporating theoretical concepts into psychiatrist nursing practice . In addition, it will expound

on the outcome of addressing and minimizing anxiety and depression among young female

adults diagnosed with anxiety-disorder and depression conditions.

Nursing entails providing care and incorporates Jean Watson's theory of caring science.

Caring science is significant because it enables individuals to clinch the positive energy from a

unified mind, body and spirit, jointly fulfilling the patients and nurses. Nurses aim to put patients

in the best position to self-heal and are ideally situated to be the center of healing (Furnes et al,

20180. Nurses actively provided care through dependable presence and intentionality, improving

a patient's ability to heal from within.

According to Jean Watson, care provision restores life energies and enables patients to

meet their full capabilities. As a result, self-actualization is attained at a personal and

professional level. On the other side, individuals should comprehend the benefits of caring for

themselves as they provide care to others (Riegel et al, 2018). Psychiatrists and mental nurses

have specialized training to evaluate, address and detect mental health and behavior situations.

They work with individuals, families, groups and societies within teams or with licensed mental

healthcare.
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Nursing practice outcomes to be improved.

This paper will concentrate on improving the high rate of anxiety and depression among

young female adults in the psychiatric department. Early adulthood is a precarious phase in life

that involves many transitions concerning relationships and living arrangements. This generates

anxiety and stress. Young female adults are more exposed to anxiety and depression due to

hormonal changes during their menstrual cycle and traumatic occasions, which results in life-

threatening health problems such as post-traumatic stress disorder and depression. Young adult

women are twice likely to diagnose with an anxiety disorder than men.

Anxiety disorder affects approximately 2.7% of American adults: women are 3.4%

higher than men, who are 1.9%. Nonetheless, 2.2% of American teenagers of ages 13-18 are

exposed to depression disorder: 3.0% of young female adult’s experience double the rate of

young male adults, which is 1.5% (Ricci-Cabello et al, 2020). Henceforth, this clinical issue

obliges the execution of quality improvement initiatives in the psychiatry department. Resolving

progressive depression and stress of young female adults within a hospital setting will foresee

reduced trauma, abridged cases of post-traumatic stress disorder, promoted mental and physical

recovery and a reduction in the cost curve as costs incurred in psychotherapy among patients.

A Clinical Nursing Theory

I. Concept A

Young- female adults aged thirteen and above are fragile and at a high risk of mental

health issues than other patients in a psychotherapy department. This exposes them to the risk of

personal harm, conflict and suicide linked to mental disorders and subjects them to mental and

physical challenges. According to World Health Organization, depression and anxiety disorder
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are the leading foundation of disability globally. They are the key causes of global burden

disease as they impact patients' overall functioning capacity (Hafstad et al,2021). Depression and

anxiety-disorder patients suffer from trauma, fear, stress, panic and sadness. Young female adults

are highly exposed to depression and anxiety disorder. Such patients do not care for themselves,

which is problematic to psychiatrist nurses.

Psychiatrist nurses are their front-line caregivers for patients with anxiety disorder and

depression. To start with, psychiatrist nurses recognize the awareness of a patient's anxiety. The

root cause of depression and anxiety can be challenging to identify. Therefore, nurses

acknowledge patients' feelings. This is a way of endorsing their feelings and illustrating

acceptance of those feelings.

Additionally, psychiatrist nurses familiarize the young female adult patients with the

environment and the people needed for their help. Anxiety-disorder patients' conditions can

intensify to panic-attack disorder if the patients feel threatened by environmental incitements.

The creation of awareness is significant in promoting comfort and decreasing the anxiety and

depression that the patients experience.

Psychiatrist nurses also care for anxiety-disorder and depression patients by indicating

they are there for them. For example, the nurse can touch a patient and communicate with them.

This is to assure them they are not alone and to create a close relationship that encourages the

patients to open up (Hafstad et al, 2021). Psychiatrist nurses reinforce anxiety-disorder and

depression patients' expression and reaction to threats, pain and discomfort, which can be in the

form of crying, nonverbal and physical expressions, and talking. Psychiatrists should accept

patients' defenses without arguing or debating. This guarantees anxiety and depression patients

that they are secure and protected.

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II. Concept B

Evaluation of patients' harm, conflict and suicide risk designates that the pervasiveness is

relatively inclined among young-female adults with anxiety disorder and depression in most

healthcare organizations. This issue is replicated in the psychotherapy department, which has

more anxiety-disorder and depression patients than other units in a medical setting (Molina-Mula

and Gallo-Estrada, 2020). The concepts from the caring theory by Jean Watson are applicable in

this case because anxiety-disorder and depression patients are exposed to risk in the

psychotherapy department. Concepts such as reflective approach, multiple ways of discerning,

caring occasion and a transparent caring relationship are vital in psychiatrist nurse practices and

improve health outcomes for anxiety-disorder and depression individuals.

III. Proposition

A positive correlation between concept A and concept B has been exemplified above.

Concept A pertains to anxiety disorder, and depression in young-female adult patients in a

psychotherapy department influences Concept B, which are the risks that the anxiety-disorder

and depression patients are exposed to while in a medical faculty. The relationship entails direct

casualty. Young-female adults have a high tendency to anxiety disorder and depression due to

hormonal changes and other trauma they are exposed to, such as early pregnancy, fear about the

future, early marriages, sexual abuse, grief, parenting, money and same-sex attraction. These

challenges impact the mental and physical health of young-female adults. As a result, their

general capabilities to function are negatively impacted. These increase personal harm, conflict

and suicide risks to patients unwilling to receive psychiatric health care and help.
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In this case, the independent variable is young-female adults, while the dependent

variable is personal harm, conflict and suicide risk by patients in the psychotherapy department.

The independent variable in this incident is constant- young-female adults are highly prevalent to

anxiety disorder and depression (Sharma et al, 2020). Contrastingly, the incidence of the

dependent variable depends on particular factors such as how the psychiatrist nurse offers care to

the anxiety-disorder and depression patients, the relationship established between the professions

and the patients, patient recovery, and inclined health challenges and relationship of the patient

and the new environment. The dependent variable can be reverted through evidence-based

suicide prevention interventions. Henceforth, care is the centermost intervention in promoting

health, caring for the patients and restoring their health. It primarily concentrates on the

promotion of health and the treatment of anxiety disorders and depression illnesses.

A Comparison of the Created Clinical Nursing Theory with Watson’s Theory of

care

According to Jean Watson, human caring motivates shared benefit. This is evident in this

case as when psychiatrists provide the best health care to anxiety-disorder and depression

patients', they respond by recovering, which is an achievement by nurses (Da Costa et al,2019).

It reduces the risks of personal harm, conflict and suicide by the patients in the psychotherapy

department, which can otherwise negatively affect the nurse's practice. In addition, Watson's

theory states that care establishes a therapeutic relationship between a nurse and patients, which

develops a nurse's distinctive capabilities.

In this scenario, psychiatrist nurses come in aid to selflessly provide help to anxiety-

disorder and depression patients and to restore their overall capabilities and well-being.

Nevertheless, the theory insists that individuals should protect human self-respect, completeness
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and welfare. This is comparable to the clinical nursing theory expounded above because moral

responsibility consideration and patient prevention are the basis of ascertaining the suitable

evidence-based interventions to be executed. Personal harm, conflict and suicide risk among

anxiety-disorder and depression patients in the psychotherapy department can be minimized by

incorporating certain interventions such as establishing therapeutic relationships. Concept A

presents a healing environment that compliments humanity.

Conclusion

In conclusion, anxiety- disorder and depression patients require truthful caring by

psychiatrist nurses. This is the key intervention as it puts care in the centermost section of

treatment. As a result, nursing outcomes for psychiatric disorders are improved, easing the

process of handling anxiety-disorder and depression patients. Psychiatric nurses should ensure

that the health care they provide facilitates growth, creates a caring environment that accepts

patients the way they are and looks forward to who they can become after recovery. It is absolute

that concept A influences concept B. In concept A, young-female adults with anxiety disorder

and depression should be provided with care in psychotherapy departments. If psychiatrist nurses

strictly uphold the principles and concepts of care theory, concept B can be controlled. In this

case, if psychiatrist nurses provide appropriate care to anxiety-disorder and depression patients,

personal harm, conflict and suicide within psychotherapy departments will be reduced, and the

health outcomes of these patients will be improved.

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References

Da Costa, J. R., de Oliveira Arruda, G., da Silva Barreto, M., Serafim, D., Sales, C. A., & Marcon, S. S.

(2019). Nursing professionals' day-to-day and Jean Watson's Clinical Caritas Process: a

relationship/Cotidiano dos profissionais de enfermagem e Processo Clinical Caritas de Jean

Watson: uma relacao/Cotidiano de los profesionales de enfermeria y Proceso Clinical Caritas de

Jean Watson: una relacion. Enfermagem Uerj, 27, NA-NA.

Furnes, M., Kvaal, K. S., & Høye, S. (2018). Communication in mental health nursing-Bachelor

Students' appraisal of a blended learning training program-an exploratory study. BMC

nursing, 17(1), 1-10.

Hafstad, G. S., Sætren, S. S., Wentzel-Larsen, T., & Augusti, E. M. (2021). Adolescents’ symptoms of

anxiety and depression before and during the Covid-19 outbreak–A prospective population-based

study of teenagers in Norway. The Lancet Regional Health-Europe, 5, 100093.

Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and

patient autonomy in decision-making. International journal of environmental research and

public health, 17(3), 835.

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Ricci-Cabello, I., Meneses-Echavez, J. F., Serrano-Ripoll, M. J., Fraile-Navarro, D., de Roque, M. A. F.,

Moreno, G. P., ... & Gonçalves-Bradley, D. (2020). Impact of viral epidemic outbreaks on

healthcare workers' mental health: a rapid systematic review. MedRxiv.

Riegel, F., Crossetti, M. D. G. O., & Siqueira, D. S. (2018). Contributions of Jean Watson's theory to

holistic critical thinking of nurses. Revista Brasileira de Enfermagem, 71, 2072-2076.

Sharma, S. K., Nuttall, C., & Kalyani, V. (2020). Clinical nursing care guidance for management of a

patient with COVID-19. JPMA. The Journal of the Pakistan Medical Association, 70(5), S118-

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