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Wednesday, January 23, 2019

Jean Watson’s Theory

As a nurse establishing a sympathize with alliance with a client is non easy. jean Watson was the developer of a theory, which emphasizes how nurses express c be to their patients. In this paper the author will discuss Jean Watsons theory, background, descriptions of her 4 concepts surround, gay being, nursing, and health, also describe of an actual nurse-client affinity which includes the description of the condole with trice between a nurse and her 10 year old patient, which includes the fondness moment and use of four of Watsons carative factors.Jean Watson was innate(p) in a small town Appalachia Mountains of West Virginia on 1940. In 1961 she graduated from The Lewis Gale School of nursing. She earned her bachelors degree in 1964, and her masters degree in psychiatrical and psychic health nursing in 1966. Later in 1973 she obtained her PhD in educational psychological science and counseling (Nursing Theory, 2012). Watsons theory is grounded by cristal branches known as the Caritas Processes these 10 statements helped to leave behind and ethic or philosophy from, which we practice.Caritas represent charity, compassion, and homoity of spirit (Arslam & Azkan, 2012). It con nones activething very fine, indeed, something precious that needs to be cultivated and sustained. The original theory developed in 1979 was organized around ten carative factors (Arslam & Azkan, 2012). Jean Watsons carative factors were a combination of interventions that were related to the human care process with full participation of the nurses with the patient. Watsons philosophy and sciences of affectionateness addresses how nurses express care to their patients.According to her theory, feel for elicit be demo and practiced by nurses. warmth for patients promotes growth a caring environment accepts a person as he or she is and looks to what she or he may choke (Watson lovingness recognition Institute, 2012). Watsonss theory of caring has for major factors human being, health, environment, and nursing (Nursing Theory, 2012). To Watson a human being was not only a body, unless we should view a human as a whole, including their emotions (Arslam & Azkan, 2012).Watson believed a person should be understood, respected, and assisted by a nurse (Arslam & Azkan, 2012). She described health as the mavin of the body, mind, and soul (Watson Caring Science Institute, 2012). Watson described environment as the things that restore the client olfactory property comfortable that provides safety, reduces stress, and a clean place (Nursing Theory, 2012). This can include the work setting and how nurses present themselves to the client. She views nursing as a human science where we can combine art ethics of human to human process.Nurses are to promote health, prevent illness, caring of the sick and returned health (Arslam & Azkan, 2012). According to Watson, the nurses role is to establish a caring relationship with the patient thi s is achieved by the nurse going beyond an objective perspicacity (Watson Caring Science Institute, 2012). During the relationship there is a moment when the nurse and the patient come to energizeher in such(prenominal) a way that an occasion for human caring is created, Watson called this occasion the Caring Moment (Arslam & Azkan, 2012).Working as a mental health nurse I project been able to develop a nurse-client relationship with my patients. However, there is a specific graphic symbol that I will neer forget the interaction with this patient makes me relate to Watsons theory and the caring moment she describes in her theory. One evening working as a charge nurse in the childrens unit, Sarah a 10 year-old African American girl arrived to the unit via ambulance she was flood tide directly from take aim where she was go down on a 72- hour involuntary psychiatric hold because of her acerb her wrist with a blade and axiom she involveed to die.That day, her two days old er sister had reported to her natural education teacher in school that her and her sister were both been sexually roastd by their biological father at home. Immediately child services were notified and many a(prenominal) school counselors attempted to talk to Sarah while still in school to get her side of the story but Sarah refused to share any cultivation with anyone, alternatively she showed the school staff her ego inflicted cuts on her both wrists saying This helps my pain. At this moment the school called the department of mental health to evaluate Sarah.When she arrived to the unit, she looked confused, scared, and tearful at times. She was still refusing to talk to anyone when consumeed about the situation stating I just want to die. I introduced myself to Sarah with a smile, I explained to her she was put on a psychiatric hold and let her know what was coming next during the admission process to reduce her anxiety level (Townsend, 2008). The caring moment begins while doing Sarahs nursing assessment and the question of her been sexually abuse had to come, when I asked her she states, You are so pretty and nice can I stay and alert here with you? In that moment my heart comes to my stomach and my eyes become watery, I stayed quite not knowing what to answer. Few atomic number 16s of silence came and short she starts sharing information and even giving expatiate of her sexual abuse from her fathers part. The information she gives me is very explicit and shocking coming from an innocent ten year old girl. Then she stands up and hugs me saying I want to stay her with you please. I hugged her back and began crying dingy with Sarah, unforgettable, and priceless moment has marked my nursing career in a way that I know a nurse has to be splendid to herself and to others.During nurse- client interaction with Sarah I used four of Jean Watsons carative factors. The fist carative factor I used was the installation of faith-hope, which center been ge nuinely present, and enabling and sustaining the deep belief system (Arslam & Azkan, 2012). I time-tested to make Sarah feel comfortable by providing a quiet and still place to perform her nursing assessment. I also tried to provide hope to her by making her feel cared for, I asked her if she was hungry and offered her some juice and some snacks, and I admired the beautiful hair and smile.I asked her about her relationship with her mother and sister and asked her if she believed they loved her. I asked her these questions so she can reflect and realized there was people that loved and cared for her (Townsend, 2008). The second carative factor I implemented was the development of a helping- considering human caring relationship that implies developing and sustaining a helping-trusting authentic relationship (Watson Caring Science Institute, 2012).I implemented this factor by obtaining Sarahs trust so she can express her feelings of her living situation at home which was extreme ly central to understand her situation and provide quality care and an tell apart treatment. I maintain intermittent eye contact so she would feel acknowledge but not intimidated and I maintained myself at her height level at all times so she would not feel powerless (Townsend, 2008).I explained to her the admission process at her maturate level letting her know as much as mathematical what to expect from the hospitalization and explain the program guidelines to her. I reassured her many times she was in a safe environment. The third carative factor I used was the promotion and acceptance of the expression of compulsory and disallow feelings, to Watson this means being present to, and supportive of the expression of positive and negative feelings as a connection with deeper spirit of self and the one being cared for (Watson Caring Science Institute, 2012).Sarahs case was a very sensitive case which required the nurse to be very cautious in not making Sarah feel blame or judge for the situation, taking into status this a 10 year old with multiple self inflicted cuts in her wrist, she is feeling suicidal and there was a possibility of emotional and physical trauma. Even though it was extremely important to ask Sarah about her cuts and attainable abused from her father I decided to focus on her positive feelings asking her about her siblings for example.Per hospital protocol within the first 15 minutes of arrival patients are required to go through a body search to check for any contraband, signs of abuse or self harm. During this physical assessment I saw Sarahs cuts, I had to ask her if she had cut herself and looking down she shake her head up and down. I stayed calm paying attention to my body language and gestures, a negative facial expression or gesture toward her behavior of cutting herself could have had a negative effect on the nurse-client relationship affecting her trust toward myself (Townsend, 2008).In that moment I decided not to focus on fi nding out the reason she had to cut herself. I was there for Sarah audience to her, attentive in a calm environment, where she matt-up protected and cared for. I did not want her to feel pressured or judge. Later during the assessment she began talk of her cuts and expressing her feelings. The fourth carative factor I used in Sarahs care, which is the ending of sensitivity to oneself and to others. To Watson this meant the cultivation of ones spiritual practices and transpersonal self, going beyond ego self (Watson Caring Science Institute, 2012).I personally been a mother of a seven-year old at that time I now felt that need to protect her and make her feel safe. During the nursing assessment there was a moment where I became tearful when she was sharing details about the sexual abuse describing how sometimes she would rather urinate in her bed to avoid making noise so her father would not wake up and abused her that particular night. I became sensitive to her story, it was imp ractical not to show any emotions.In personal reflection the nurse-client relationship with Sarah taught me that a nurse needs to cared for her patient and have compassion, which to me is what nursing is about compassion, and empathy. I was able to obtain Sarahs trust which is extremely important not only in nursing over all but when dealing with trauma patients. Sarah was able to express her feelings and share crucial information with me. Personally I discovered I was meant to be a mental health nurse I felt rewarded when Sarah hugged me and cried with me.I believed I do a difference in her life in that moment she felt safe and cared for. The author in this paper has described the four concepts of Jean Watsons theory human being, environment, health, and nursing. Watsons educational background and caritas warning were briefly described. The author included an actual nurse-client relationship between a mental health nurse and a ten year old, including the caring moment and describ ing the implementation of four of the ten carative factors Jean Watson developed.ReferencesArslam, A., & Azkan, A. (2012, March). A model Where Caring and Healing MeetsWatsons theory of Human Caring. Turkish journal of Researcher and development in nursing, 14(2), 61-72. Nursing Theory. (2012). Jean Watson. Retrieved from http//www.nursing-theory.org Townsend, M. (2008). Psychiatric psychic Health Nursing (6th ed.). Philadelphia, PA F.A Davi. Watson Caring Science Institute. (2012). Jean Watsons Theory. Retrieved from http//www.watsoncaringscience.org

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