Watson’s Theories of Human Caring NUR /403Theories and Models of Nursing Practice Priscilla Ricardo Introduction. Watson defined therapeutic nurse-patient relationship as, “ Nurse’s are expected to portray and act professionally, legally and ethically in order to established an effective nurse-client relationship. The significance of an effective nurse patient’s relationship is critical to maintenance, promotion and recovery of patients in every aspect of life. It is central to meeting the patients care needs and therefore communication between the nurse and patients is the foundation on which this relationship is built. The techniques to establish a warm and mutual nurse-client relationship are vital to understand and needless to say important in practice in order to come up with healthy and quality outcome for the patient as well as the nurse.
Introduction Therapeutic communication is the corner stone of good practice and paramount to the provision of good care. Doheny et al. (2007) observed that when certain skills are used to facilitate communication between nurse and client in a goal directed manner,the therapeutic communication process occurs. According to McCabe (2004) patient centred communication is a basic component of nursing and facilitates the development of a positive nurse - patient relationship. Nurses have a great opportunity to shape the future of the nursing practice through therapeutic communication Armold&Boggs, (2011).
THERAPEUTIC APPROACHES IN MENTAL HEALTH NURSING CARE. This essay will reflect on my experience whilst on placement. It would show how I engaged, sustained and disengaged from the therapeutic relationship with a service user through the use of appropriate communication and interpersonal skills. Chambers et al (2005, p303) suggest interpersonal and therapeutic relationships are at the centre of nursing work, the relationship that exists between nurse and patient can often provide the energy and be the catalyst, the motivation and the source of strength to continue with treatment or face difficult situations. I felt the need to develop therapeutic relationships with service users so they felt they could put their trust in me that I was there to listen and talk to them not just care for them.
People trust and depend on nurses, and I will have the ability to win their trust and become their healer. My main focus will be caring for people, I agree with Nightingale’s theory of nursing; she focused on caring and helping people coping with their environment and situation (Potter, Perry, Stockert, & Hall, 2011, p. 44). Also, I highly agree with Peplau’s theory, this theory emphasizes the importance of patient and nurse interpersonal relationship and determines its importance for caring patient (Potter et al., 2011, p. 44). These two theory guides me to achieve my values and belief towards nursing which are altruism which is a act of selfless care and developing strong bond between my patient and me helps my patients become dependable and make me accountable and responsible towards them. My definition of nursing has not changed; it is basically caring for people and being able to connect
Elements of Caring According to Watson’s theory of caring there are three different elements that a nurse must recognize to provide such care. The first is carative factors; this takes into account that the nurse must be self-aware of her own judgment and emotional barriers to connect intimately, and at the same time preserving the patient’s dignity in a professional manner. The second element is the transpersonal caring relationship (Lachman 2012); it reviews the conscious and moral commitment to make a longstanding connection with the patient. The final element is the caring occasion or moment, this involves knowing and being able to recognize the right time, right place and the right situation in which caring can take place. Case of Caring Lachman (2012) describes a scenario in which a nurse proves competent in being a patient advocate and providing a level of care exclusively for this individual.
Leadership in Nursing Essential to quality patient care is the effective functioning of an interdisciplinary team. In most clinical settings, nurses have the closest relationship with patients. For that reason nurses need to take an active role in the interdisciplinary team, they are the front line providers, ensure communication between team members and the patient, and continually advocate for the patient and family. Nurses know how care should be delivered. They can ensure smooth handoffs as the patient transitions through the continuum.
This framework defines nursing as a profession rather than a task-based job. It also provides structures that allow the nurse to function as a professional, as a colleague and supports the organization and effective use of resources. The UVA Nursing Care Delivery System: The care delivery system endorsed by the UVA PNSO is Relationship-Based Care. Relationship-Based Care is a framework that identifies the three fundamental relationships that define the patient experience: the nurses’ relationships to self, to colleagues, and to patients and families. Relationship-Based Care aligns with the organizational goals and values and provides a synergistic approach to excellent outcomes.
Furthermore, one priority tool will be selected and then applied to the case scenario outlining the nursing interventions required. Positive and negatives aspects of the selected priority tool will be discussed followed by a conclusion summarising the key points of the assignments. Nursing process is an organised problem-solving framework for nursing practice that promotes clinical thinking process enabling nurses to provide individualised care to patients (Hogston, 2011 p3). The NMC (2010) states that nurses should possess the skills to deliver holistic person centred and systematic assessment of physical, emotional, psychological, cultural and spiritual needs, including risk and develops a comprehensive individualised plan of nursing care. The five phase nursing process is a cyclical process which allows nurses to recognise the patient’s nursing diagnosis in order to plot appropriate care.
This is why empowerment in health promotion is key to individuals with mental health problems (Morrissey et al, 2008). In order to empower service users, nurses should apply health promotion theories to their approach to care (Mutsatsa, 2015). Theories include the Health Belief Model (Becker et al, 1974) and the Self-Efficacy Theory (Bandura, 1977b). All these theories are based on actions by the nurse provide the service user with sufficient information that allows them to understand their health, triggers, their ability to improve and how they go about doing so. Nurses should also provide cognitive behavioural therapy in their approach to person-centred care when dealing with service users as it can have a positive impact on the way
Critical awareness is crucial to being a registered nurse or midwife. Hamer and Collinson (1999) suggest nurses should be more questioning, try to see more than one side of an argument; try to be objective rather than subjective; weigh the evidence; make judgements based on reason, evidence or logic; look at the meaning behind the facts; identify issues arising from the facts; and recognise when further evidence is needed. “A nurse is responsible to ensure that the standard of the nurse’s practice conforms with professional standards with the object of enhancing the safety of the individual, any significant other person and colleagues” (ANMC 2007 clause 2). This is echoed by the United Kingdom Nursing and Midwifery Council in their Code of Conduct which states: “You are personally accountable for your practice. This means you are answerable for your