Assignment: Watson’s Theory of Caring in Nursing Clinical Practices

Assignment: Watson’s Theory of Caring in Nursing Clinical Practices

Assignment: Watson’s Theory of Caring in Nursing Clinical Practices

A theory can be used to guide practice. This assignment is an exercise in supporting a clinical practice with theory and evidence.

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Directions: Identify an outcome of nursing practice in your area of practice that can be improved. For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent. You may be able to use the problem that inspired the theory concepts that you developed in week two. Identify the concept in Watson’s Theory of Caring that could represent or include the outcome. In our example, the outcome would be the changes in self through the change in the patient’s floor covering practice. Identify a practice that can be changed or implemented that may influence the outcome. Identify the concept in Watson’s Theory of Caring that includes the practice. In our example, the practice could be to improve the understanding of fall hazards through the engagement in a teaching-learning experience, one of Watson’s Caritas Processes. Identify exactly how these two concepts will be measured with their operational definitions. Develop a proposition between the two. Present your outcome in an APA formatted paper meeting the University’s standards for a written assignment.

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Length: 5 to 7 pages including title and reference pages
References: 3 to 10. There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring

Watson’s Theory of Caring in Nursing Clinical Practices

Author’s Note:

Watson’s Theory of Caring in Nursing Clinical Practices

In nursing, clinical practices involve those activities that help solve complex nursing problems by providing high-quality and appropriate health services.  Clinical practices are essential because they help nurses improve patients’ care processes and patient outcomes, thus leading to patient satisfaction and job satisfaction. In understanding such scenarios, nursing theories are essential since they equip the nurses with more understanding concerning the practices, thus improving how they attend to the patients’ needs for better overall outcomes. For this paper, the evaluation will be on Watson’s theory of caring’s human beings and environmental concepts in improving relationship management between the nurses, patients, and their families. Hence, the paper’s main focus includes explaining Watson’s theory of caring, human being, and environmental concepts in improving relationship management and Watson’s theory of caring application to practice.

Watson Theory of Caring Elaboration

Watson’s theory of caring focuses more on the relationship between patients, caregivers, and holistic care. According to Wei and Watson (2019), the theory was developed by Jean Watson, a nursing theorist whose background was in psychology and nursing. Watson’s theory of caring concepts includes human beings, nursing, health, and the environment. Watson believes that human beings are the most valued person who should be cared for, understood, nurtured, and respected or a fully integrated functional self (Wei & Watson, 2019).  For nursing, Watson defined it as the caring science that involves patients’ health-illness experience through the mediation of ethical, scientific, personal, or professional care interactions. On the other hand, health refers to the efforts by the healthcare providers to ensure that there is no illness to ensure that the patient maintains their daily functioning. However, in defining environmental factors, Watson devises ten carative factors that guide nurses on how to handle their patients to provide a better human experience.

Of all these factors, Watson believes that caring is the integral factor that governs nursing practices, leading to better health promotion than medical cure. When nurses engage in a holistic care approach during their nursing practices, they increase the probability of achieving better outcomes (Nikfarid et al., 2018).  In that case, when nurses care for their patients, they promote growth since a caring environment does not discriminate against patients since the main aim of the nurses is to ensure that the patients improve on their overall health outcomes. Generally, care is essential in the nursing field since it helps bring along positive energy that fulfills the spirit, body, and mind, essential to nurses and patients (Nikfarid et al., 2018). When nurses practice care on the patients, they will recover or improve their current condition, leading to patient satisfaction and nurse job satisfaction. Hence, nurses need to ensure that they engage with the patients through intentionality and authentic presence to optimize their recovery.

Human Being and Environmental Concepts in Improving Relationship Management

Relationship management is an essential factor in a healthcare setting since it impacts nurse engagement with patients and families. According to White and Grason (2019), despite healthcare facilities being concerned with their economics, it is always necessary for the nurses and other healthcare providers to develop positive and caring relationships with their patients. The more patients feel a sense of belonging in a healthcare facility, the more it will increase patient retention and patient satisfaction, thus increasing its revenue. For instance, White and Grason (2019) assert that nurses in healthcare facilities must use the bio-psychosocial model to execute their health interventions. Such a model is essential from a scientific point of view since social relationships determine various health outcomes. In improving such social relationships, Watson went ahead to provide the ten Caritas factors that influence care. Costello and Barron (2017)  indicates that these Caritas factors include;

Humanistic-altruistic value system formation

The humanistic-altruistic value system information helps nurses treat their patients with value and respect regardless of their shortcomings. Hence, the nurses should strive to treat their patients like they would treat those close to them. By such practices, the patients and the nurses become satisfied with themselves and others too.

Inspiring Others through Faith and Hope

Watson believes that nurses should evaluate the patients’ cultural faith and its traditions to assist the patient in accepting their health condition. Such action provides patient-centered and holistic care that supports positive health outcomes between patients and nurses.

Cultivating Trust

Nurses are always required to ensure that they are more sensitive when handling their patients to promote patient trust.  One way to do that is by identifying the patient’s values and needs which vary from different patients, thus promoting self-actualization.

Nurturing Caring, Trusting, and  Helping Relationships

To foster caring relationships, trusting and helping activities, nurses need to employ effective communication skills. These are skills that help the nurses express their feelings towards a specific topic or factor, thus appreciating and accepting the patients’ feelings while involving the patients’ families to gain a better health outcome. Such a transpersonal relationship is essential to enhance the patient-nurse relationship.

Acceptance and promotion of Negative And Positive  Feeling Expression

Both nurses and patients should involve themselves in such activities to prepare them to deal with the situation. That can be mainly through ensuring that the patients can disclose personal information without judgment.

Problem-Solving Technics

The nurse requires to develop evidence-based practices while diagnosing and treating the patient. These evidence-based practices are essential to ensure that they apply the most appropriate criteria to improve that overall patient outcome

Interpersonal Teaching-Learning Promotion

The nurses must engage in a learning and teaching environment that promotes adequate education even for the patients. Therefore, nurses should be open to any new knowledge they learn as they carry on with the practices.

Create a Healing Environment

Nurses are needed to recognize external and internal factors that might influence the patients’ health. Such understanding enables the nurses to provide their patients with a physical, emotional, and spiritual safe healing environment. In such a case, the healthcare facilities require to engage an interprofessional team for positive patient outcomes.

Human Needs Gratification Assistance

Nurses need to ensure that they can recognize patients’ factors like ventilation and food. That is before advancing to psychosocial and psychophysical needs to allow human needs gratification physically and emotionally.

Existential-Phenomenological-Spiritual Allowances

Nurses require being more attentive to patients to understand their beliefs which have to be more than they own. That way, the nurses develop a very positive attitude in understanding the spiritual self.

Therefore, as nurses continue their practice, they should engage their emotions towards caring relationships by not limiting themselves to new emotional and spiritual experiences as they take care of the patients’ health and physical needs.

Watson Theory of Caring Application to Practice

Workplace environments present nurses with different conditions, with some being morally compromising and frustrating. White and Grason (2019) assert that some of the challenges nurses face are apathy and anger include frustrations and disrespect within their work environment. Most of these challenges may result in these nurses changing how they care about their patients, which may deteriorate the healthcare facilities’ care experiences, leading to negative health outcomes. In ensuring that the nurses develop caring attitudes and become emotionally sensitive in their workplaces, Jean Watson, through her theory, indicates that caring regenerates life potentiates and energies to these nurses’ capabilities. Therefore, in teaching the nurses about the effectiveness of positive relationships with the patients, hospital management should consider it a critical matter since it will depend on the leadership type. For instance, Costello and Barron (2017) assert that once leaders notice the need to engage training process, they should engage the nurses to assess the best way to conduct these training sessions. Through such engagement, the nurses will manage to balance between taking care of themselves and the patients. For instance, White and Grason (2018) state that the most successful way to improve nurses’ relationship management is by the hospitals engaging in multi-professional training and education that will train the nurses on the best ways to control their emotions to promote positive attitudes.

By becoming more sensitive and developing caring attitudes, the nurses promote their self-actualization at professional and personal levels. A Care Quality Commission suggests the need for healthcare organizations to use less time-consuming and alternative methods to help nurses learn and manage other incidents types, unlike concentrating so much on what is avoidable or what is not (Karam et al.,2018). Hence, nurses and the patients and their families should be put to continuous learning to help them clearly understand the main ways to improve their relationships. Also, there is a need for the nursing education curriculum to cultivate means in which the nurses acknowledge each other by encouraging them to embrace interprofessional collaboration. In Karam et al.’s (2018) views, interprofessional education is essential since it prepares the healthcare practitioners to engage one another within a collaborative environment to improve their health. The benefits for institutions enhancing interprofessional teams include enhancing patient care quality, decreasing patients’ waiting time, lowering healthcare costs, and reducing medical errors.

Generally, Watson believed that nursing should not be viewed under the administrative or economic caring model. Instead, nursing should be viewed as a calling through viewing them under the human side that yearns for positive effects towards achieving desired health outcomes (Ozan & Okumuş, 2017). For Watson, she believes that once the nurses lose their professional values, there is a high chance of them becoming heartless and soulless, thus becoming worthless to the extent of not caring about the well-being of their patients.

Conclusion

Relationship management is an important aspect that requires improvement in all healthcare facilities. It determines how people, especially patients and healthcare providers, interact in the healthcare environment. Through the Watson theory of caring, it is clear that relationship management can easily be achieved through a well-cultivated environment with empathetic and caring people to improve the patient’s overall outcome. Hence, nurses should spiritually and authentically engage with the patients and their families to establish a positive healthcare environment to improve all parties’ experiences. Hence, by the healthcare management encouraging the nursing curriculum to integrate caring theory, the nursing students will have an easier time transitioning into their careers and providing better healthcare services to the patients.

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References

Costello, M., & Barron, A. M. (2017). Teaching Compassion: Incorporating Jean Watson’s Caritas processes into a care at the end of life course for senior nursing students. International Journal of Caring Sciences10(3), 1113-1117.

Karam, M., Brault, I., Van Durme, T., & Macq, J. (2018). Comparing interprofessional and interorganizational collaboration in healthcare: A systematic review of the qualitative research. International journal of nursing studies79, 70-83.

Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine11.

Ozan, Y. D., & Okumuş, H. (2017). Effects of nursing care based on watson’s theory of human caring on anxiety, distress, and coping, when infertility treatment fails: A randomized controlled trial. Journal of caring sciences6(2), 95.

Wei, H., & Watson, J. (2019). Healthcare interprofessional team members’ perspectives on human caring: A directed content analysis study. International journal of nursing sciences6(1), 17-23.

White, D. E., & Grason, S. (2019). The importance of emotional intelligence in nursing care. J Comp Nurs Res Care4, 152.

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