An Examination of Healthy People 2020, Watson's Theory of Caring,and Smoking Cessation in Brooklyn

As a Registered Nurse who knows the duties that his work demands, I have to demonstrate deeper understanding of the Health Directorate's core values of care, excellence, collaboration, and integrity in my professional nursing practice and patient care. To conform to the above mentioned values, I endeavor to appreciate that improving a patient's experience is integral in patient care. This can be achieved by doing away with fear and anxiety that protracts patients' healing process. Enhancement of the communication between my patients and I will also go a long way in hastening their recovery and their self-management.

Nursing frameworks and conceptual models are imperative as a foundation for nursing practice. These frameworks provide recognition, understanding, and the ability to manage phenomena in which nursing comes into contact. These frameworks also provide the nurse with a systematic approach to interventions and goal attainment.

Human caring is what sets nursing apart from other professions. As Watson (1998) stated, “care and love are the most universal, the most tremendous and the most mysterious of cosmic forces: they comprise the primal universal psychic energy. Caring is the essence of nursing and the most central and unifying focus for nursing practice” (p. 32-33). It is important to establish a good nurse-patient relationship in order to create a healing environment that would meet patient’s needs on all levels including physical, mental/emotional and spiritual, promote recovery, maintain health, and create positive outcomes. Jean Watson emphasized the importance of human

The smoking cessation was witnessed by the author throughout her placement. This was used on a daily basis in the community by district nurses, health visitors, but especially by the general practice nurses as being incorporated in each consultation in the form of advices, leaflets, smoking cessation programs including medication and follow-ups.

As a nurse, an important part of the job is to be caring and helpful for the physical and mental aspects of the patient. The ideas of Jean Watson 's Caritas Processes help define how a nurse can show caring in themselves to their patients. Watson names the eight processes; then define they mean which is key to understanding how a nurse should act to their patients. The book as We Are Now by May Sarton helps show some examples of how these processes work in action and helps to form ideas of how one can improve as a nurse in the future.

When asked to develop a personal nursing philosophy caring was found to be the main component. Jean Watson’s Caring Science as Sacred Science reflects this philosophy in which caring is the predominate component needed in nursing. This paper will provided basic information on the Caring Science as Sacred Science Theory. The paper will further provide a personal example of a patient experience in which this theory shaped the care and healing of the patient. The personal experience to be shown in this paper involves a patient with complex chronic illness. The patient had been hospitalized for over a month. Patients with chronic illness and in the hospital often experience feeling powerless, scared, distant, and confined (Kay Hogan & Cleary, 2013). When these feelings persist they overcome the patient and do not allow the patient to concentrate on healing or being an active member of the healthcare team. Patients in this situation need caring and psychosocial support before moving on with medical care. However, this can often be hard for the healthcare team. When a patient has complex complications often treating these issues is all the team has time for due to patient load and institutional demands. Jean Watson (2009) recognizes this in her work Caring Science and Human Caring Theory: Transforming Personal and Professional Practices of Nursing and Health Care. Watson (2009) recognizes nurses are often torn between values of human caring

One of the many roles played by a nurse is to advocate for his or her patients,provide holistic care for them, and make surethat

The theory of transpersonal caring is the nursing theory of Jean Watson. The essence of her theory is “caring for the purpose of promoting healing, preserving dignity, and respecting the wholeness and interconnectedness of humanity.” (George, 2010) The four major components of Watson’s theory are the human being, health, environment/society and nursing. Watson embraces

Jean Watson’s Caring theory has been used in the development of many nursing conceptual models (Fawcett & DeSanto Madeya 2013). One of the tools derived from this theory is the daily goals sheet used in a variety of ICU’s around the country (Fawcett & DeSanto Madeya 2013). The daily goals sheet was derived as a way to improve patient care by keeping the patient safe, provide reliable care, improve communication between doctors and nurses, and help the nurse plan for the day (Rehder, Uhl, & Mistry, 2012). According to Fawcett and DeSanto Maydeya (2013), the goal of Watson’s theory is to help nurses become more “nursing-qua-medicine,” where nursing “needs to emerge as mature health profession, capable of interfacing with the medical profession” (2013 p. 405-406). An interdisciplinary care team was used to implement a time with no interruptions between providers. This time was used to discuss the care of the patient, include families, and ensure that all members agree of the care to be provided (Rehder, Uhl, & Mistry 2012). By having the nurses be a part of this team, they are able to interact and be a member of the team, which is the goal of Watson’s caring theory (Rehder, Uhl, &Mistry 2012). If there is teamwork, and all the members of the team understand the goals, then the daily goals can help decrease length of stay (LOS) in ICU’s, decrease hospital acquired infections

In today's’ era, nurses have more responsibility than before. They are held responsible for their actions. Today’s nursing is based on basic needs of patients. Critical thinking plays an important role in nursing. Nurses are required to think and act immediately in the emergency situations. A good communication between provider is must. This could avoid the incidents to happen. Although technology has been improved as well in the past years. Now a day hospitals are more equipped than past years. The science has gone beyond the inventions to cure untreatable diseases. The art of nursing depends on how to promote wellness, to prevent illness, to facilitate coping, and to restore health. Nurses can achieve all those goals by taking a role of caregiver, educator, collaborator, advocate, and manager (Dewit O’ Neill. 4th Ed. Pg. 3-4). No one else beside nurses can better know their patients.

* A patient’s world can become brighter or darker, secure or threatening through nurses attitude. Watson accepts Nightingale’s concept of environment and states the healing environment expands the persons awareness and consciousness, thus promoting mind-body-spirit wholeness and healing (1999,p.254.) This reminds us to keep the patient’s room tidy and comfortable, and provide spiritual support necessary for total healing.

Jean Watson described caring as “behaviors associated with client teaching or learning, biophysical needs, intrapersonal and interpersonal needs, developmental conflicts, loss, and stress” (Sitzman, 2007, p. 11). The interaction between the nurse and patient is love and caring. Love is the respect given for the human race. Caring is intentionally giving and is linked with love (Jones, 2012). The nurse must be conscious and genuine while caring for the patient in the caring moment because his or her actions influence patient response. The act of caring for others begins with being in the moment or presence, an active listener, and providing touch. Watson’s caring moment is related to the four metaparadigm: person, health, nursing, and environment.

The most compelling reason that one cares for another is that the other is a human being worthy of dignity and respect (Fealy, 1995). Seeing the person behind the patient demonstrates a powerful acceptance and a nurse’s attempts to confirm a patient’s dignity, as well as supports the idea that those in their care are intrinsically valuable as human beings (Halldorsdottir & Hamrin, 1997).This concern about how a patient views the world is fundamental to caring and when a nurse acknowledges a patients inherent value and feelings, the patient is helped or cared for on the patient’s own terms. It advocate a view of the whole person the goes beyond their physical or biomedical care, and instead takes a mind-body-spirit-emotion-environment approach

Watson’s theory of caring is related to the nurse recognizing the patient and his needs as the priority, with regards to his body mind and spirit. Regardless of the setting, hospital, clinic, or community, care should be rendered to the patient with knowledge and skill while creating an interactive relationship that allows challenge and growth for both parties. It is not just the nurse completing tasks or treatments as ordered by the physician.

This paper will explore Jean Watson’s theory of transpersonal human caring as well as a description of the major concepts of Watson’s theory. I will apply Watson’s theory to two nurse/ patient relationships and describe the caring moments that occurred. I will discuss Watson’s major assumptions and relate this to person, health, and nursing in the health care environment. I will also describe how Watson’s carative factors were utilized in a transpersonal relationship with the application of four carative factors. Lastly I will conclude with a reflection