Feb 23, 2024 NR 501 Discussion Culture and Caring Theories
NR 501 Discussion Culture and Caring Theories
NR 501 Discussion Culture and Caring Theories
Jean Watson’s theory of human caring mostly resonates with my psychiatric mental health nurse practitioner (PMHNP) practice. The theory explains that nursing entails disease prevention, health promotion, caring for the sick, and health restoration (Nikfarid et al., 2018). Watson proposed that holistic health care is fundamental to caring in nursing practice. Besides, Watson argued that caring in nursing restores life energies and increases individuals’ capabilities.
Watson’s theory integrates the nursing paradigm through the concept of human being, health, environment/society, and nursing. Nikfarid et al. (2018) point out that the Watson theory places a great emphasis on a caring and healing environment, which can be offered by a nurse. Watson defines a person as a being whose wholeness is worthy and deserves to be respected, assisted, and cared for. The internal and external elements that can assist an individual in actualizing their inner power of self-healing are termed the environment.
Health promotion and disease prevention are elements of the Watson theory that I identify with. As a PMHNP, I will have a role in promoting mental health and helping individuals in the community to prevent mental health diseases. As a result, I understand that I will need to apply the scientific research process of assessment, planning, intervention, and evaluation in promoting health and preventing diseases (Pajnkihar et al., 2018). A PMHNP has the role of assessing and identifying mental health concerns in the population they serve, reviewing the health problem, and developing a plan that will guide the health promotion and disease prevention plan. Watson’s theory helps to meet CLAS standards to advance health equity by focusing on nursing care that is responsive to a patient’s values, religion, norms, and culture. This type of caring behavior by nurses contributes to patient satisfaction and improves their well-being (Pajnkihar et al., 2018).
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NR 501 Discussion Culture and Caring Theories References
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 medicine, 11, 6.
Pajnkihar, M., Štiglic, G., & Vrbnjak, D. (2018). The concept of Watson’s carative factors in nursing and their (dis)harmony with patient satisfaction. PeerJ, 5, e2940. https://doi.org/10.7717/peerj.2940
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NR 501 Theoretical Basis for Advanced Nursing Practice
Week 5 Discussion
Culture and Caring Theories
Which of the culture and caring theories most resonates with you for your practice as an NP? How does the theory integrate the nursing paradigm?? What parts of the theory do you identify with? How does the theory help to meet CLAS standards to advance health equity?
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ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
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The theory that resonates the most with me relating to NP practice is Kristin Swanson’s theory of caring and healing. The theory of caring and healing integrates the nursing paradigm through the five caring processes it outlines which are: maintaining belief, knowing, being with, doing for, and enabling. Nurse-Clarke, DiCicco-Bloom, & Limbo outline this relation in their 2019 article in the American Journal of Maternal Child Nursing by stating that the nurse must strive to understand what an even means to the life of another person, and under “being with” that the nurse must establish presence with an open mind to listen purposefully, in order to effectively share their feelings (p. 29). I identify with several parts of the theory, especially in regards to trauma processing, but one in particular stands out, enabling. Enabling a patient typically describes a negative context, but in Swanson’s view, enabling includes providing information in digestible amounts in order to not interfere with the grief or trauma process. This resonates with me because I have a tendency to information dump thinking I am being helpful and displaying willingness, when in all reality someone going through a difficult process is extremely prone to sensory overload. McKelvey (2018) outlines a further personal account of the growth opportunity that nurse’s face when going through introductory clinical rotations, facing life, death, illness, and health with their patients for likely the first time all at once (p. 9). I can attest to this shock as I was non-medically trained previous to my education as a nurse, and relied on empathy when treating patients until I learned about the different theories that help guide practice and identify stages of experiences patients are moving through. Swanson’s theory aims at meeting the patient where they are in their journey through a process and supporting them. The CLAS standards outline these very portions that parallel the theory in the sections pertaining to establishing culturally and linguistically appropriate goals for patients. This can be observed in the sections of Swanson’s theory listed as “knowing” where the provider must avoid assumptions and look for cues that the individual is comfortable with engaging in therapeutic communication, this can be facilitated by making culturally appropriate choices in environment and language.
McKelvey MM. Finding Meaning Through Kristen Swanson’s Caring Behaviors: A Cornerstone of Healing for Nursing Education. Creat Nurs. 2018 Feb 1;24(1):6-11. doi: 10.1891/1078-4535.24.1.6. PMID: 29490829.
Nurse-Clarke, DiCicco-Bloom, B., & Limbo, R. (2019). Application of Caring Theory to Nursing Care of Women Experiencing Stillbirth. MCN, the American Journal of Maternal Child Nursing, 44(1), 27–32. https://doi.org/10.1097/NMC.0000000000000494
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