Essay Instructions: Here is a copy of my first paper, I am currently in the Family nurse practitioner program and i work in the Emergency department
Statement of Beliefs
Nursing is a profession that promotes health, prevents illness, and allows me to care for patients that are ill, disabled, and dying. In order for me to provide the best nursing care to patients, I must incorporate the metaparadigm of nursing in my everyday practice. Every person’s needs must be recognized, respected, and fulfilled in order for them to attain overall health and wellness. I treat each patient I take care of in the emergency department as an individual. The care that I give each patient is tailored to the specific needs of their illness. The environment must be adjusted for healing to occur for each patient. Healing must be total or holistic if health is to be restored or maintained (Conway, Erickson, Lynch, Myers, & Palmer, 2011). I believe that a productive nurse-patient relationship is the foundation of nursing that improves the overall wellness for the patient. I also believe that the theory of caring recognizes a person’s needs above all. It sets up the conductive environment for healing. It addresses and works on the restorations and maintenance of total health rather than on specific parts or aspects of the patient’s body or personality (Conway et al., 2011).
Origin of Watson’s Theory
Watson conceived her Theory of Human Caring while she was teaching at the University of Colorado in 1979 (Jesse, 2010). In those years, Watson also extensively traveled in Asia and Australia while practicing. The prevailing influences in the nursing field during that time were those of Carl Rogers, Florence Nightingale, and Madeleine Leininger. “Watson acknowledges the philosophical and intellectual guidance from the feminist theory, metaphysics, phenomenology, quantum physics, wisdom traditions, and Buddhism” (Jesse, 2010, p. 94). She urged the nursing profession to take on the caring attitude as a practice and not as a technology. It evolved from her personal views on nursing and merged with her learning and experiences from her doctoral studies in education, clinical, and social psychology. Watson is also known for the development of the Center for Human Caring, it is the nation’s first interdisciplinary center to use the knowledge of human caring in practice and scholarship (Jesse, 2010). With the publication of her first book, Jean Watson developed the ten “carative” factors. Watson used the carative factors as a guide for the core of nursing. The term carative is used instead of curative to help distinguish between nursing and medicine. These factors focus on the caring process that is used to help maintain the person’s health. She would later turn the carative factors into the caritas (cherish) processes, which have a spiritual dimension and use a more adaptable and evolutionary language (Jesse, 2010).
Description of the Theory
The main concept is transpersonal human caring, best understood within the ancillary concepts of life, illness, and health (Jesse, 2010). If defines human life as spiritual, mental, physical being in the world, traveling continuously in time and space. Illness is not always a disease, but can be a state of turbulence or disharmony in a person’s inner self, whether in the conscious or unconscious state. Watson defined health as the unity and harmony within the mind, body and soul (Jesse, 2010). Transpersonal human caring and caring transactions refer to scientific, professional, ethical, aesthetic, creative and personalized giving and receiving behaviors and responses between the nurse and the patient. Watson describes that “healing spaces can be used to help others transcend illness, pain, and suffering,” and she emphasizes that “environment and person are connected” (Jesse, 2010, p. 99). It can be gleaned that the precise goal of nursing is to help the patient gain a higher degree of harmony in mind, body and soul.
Level and Scope
The theory of caring is a grand theory. This theory is based upon a situational relationship. To clarify, situational relationship is dependent upon a trusting nurse-patient interaction. The caring theory’s concept of inter-subjective ideal and its concept of transcendence are not adequately defined (Conway et al., 2011). It appears to conflict with concepts of wholeness, their intent, free will and the nature of reality. The scope of the framework encompasses all aspects of the health-illness phenomenon (Jesse, 2010). Watson’s theory is not always readily understood by nurses, and they find it hard to find the opportunity for transcendence. It is perceived as weak in the predictive level in that positive changes cannot be predicted with certainty (Conway et al., 2011). Watson’s admits that nurses with different expressions of caring can lead to unpredictable consequences. It is explanatory and descriptive aspect is strong in that it explains the importance of care to the profession and patient results. It explains the inter-relatedness of care and the transpersonal moment, which leads to transcendence, harmony, and healing (Conway et al., 2011).
Values and Assumptions
The theory of human caring’s values and assumptions have metaphysical, phenomenological, existential and spiritual slant, based on eastern philosophy. “Its values include a deep respect for the wonder and mysteries of life and the power of the human being to change; high regard and respect for the spiritual or subjective nature of each person to grow and to change; and a non-paternalistic scheme to help the patient acquire greater self-knowledge, self-control and self-healing for their illness” (Jesse, 2010, pp. 96-99). Its assumptions relate to human life, nursing science, and nursing processes. Watson’s concept of human life draws from the belief that the soul possesses a body that is not limited by physical or concrete space and time (Jesse, 2010). She also perceives nursing as a human science dealing with persons and health-illness experiences of human beings.
Analysis
There are many essential elements to advance practice, but personalized care is always at the heart of it (Hagedorn, 2004). The intuitive gap is essential. The intuitive gap is the deep understanding of the whole situation or patient. How the patient sees the disease process or health condition and how it affects the patient’s life should be established at the start of a caring relationship. This can be done through visual information and a written plan of recuperation. Cultural, environmental, social, and emotional aspects of the patient’s health condition need to be discussed. As the nurse’s relationship grows and deepens with the patient, the nurse can adjust his or her approach according to the patient’s developing needs, interests, and values. The use of caring and reflective approaches can motivate patients to express themselves and thus have a hand in their healthcare process. Watson’s ten clinical caritas can be used in formulating the proper approach. It can be combined with creative caring adapted to the patient’s unique personality or condition in achieving his recovery (Enzman-Hagedorn, 2004).
Evaluation
In bridging the gap between research and practice, the unique contribution of nursing to healthcare must first be made thoroughly clear (Dorn, 2004). Caring is central to nursing and serves as it philosophical and conceptual frame of reference. Caring-based models are considered the holistic nature of every patient and the complexity and uniqueness of the human condition. In using these types of models, nurses are better able to use and integrate the caring theory with research and evidence-based practice. Nurses interpret evidence and its forms of caring, into making or changing decisions. When they do, they make explicit the clear contribution of nursing to healthcare (Dorn, 2004). This theory looks at nursing as being holistic. As set forth in her theory of human caring, values, assumptions and ten carative factors or clinical caritas, Jean Watson views the patient as a soul with a body.
Here are the guidlelines for the next paper
Now that you have clarified your beliefs about the metaparadigm of nursing, and have incorporated your ideas with those of a specific nurse theorist, you are ready to integrate an evidence based practice guideline in conjunction with your philosophical beliefs and chosen theory. This paper will build upon your previous paper and should be between 8 and 10 pages in length (10 pages maximum) excluding title and reference pages. Points will be deducted for late papers and for those not within page limit parameters. Font is to be 12 point Times New Roman, and margins are to be 1 inch all the way around. Follow APA guidelines for headings, formatting, etc. Utilizing the information and techniques discussed thus far in the course, your paper is to cover the following:
1.Restatement of your beliefs (first paper)
2.Incorporation of the selected theory
(Include the concepts within the metaparadigm, assumptions, analysis and evaluation of the theory from your first paper)
3.Identification of a clinical problem of interest to you, specific to your advanced practice setting and in relation to either person, health, environment or nursing (include the background and significance of the problem) I want to talk about the increased quality of life of patients living with hypertension and if using Watson theory will it decrease the patients blood pressure.
4.Integration of an evidenced based guideline or best practice guideline to address the clinical problem (reference the guideline site according to APA format)
5.Include the “recommendations supporting the evidence or level of evidence”. This is generally found toward the end of the guideline.
6.Include the implications of utilizing theory and implementation of evidence based practice guidelines in your advanced practice setting.
7.Select a minimum of four articles that support your paper ??" the articles may cover content from the theory, clinical problem or evidence based guideline.
Use these (or similar) headings in appropriate APA format for your paper.
I.Purpose
II.Personal philosophy
III.Overview of theorist and theoretical framework
IVClinical problem
a.Background of the problem
b.Clinical significance of the problem
V.Evidence based practice guideline
VI.Implications for practice
There are faxes for this order.