Introduction
According
to Watson, the patient is of significant importance in the life of a nurse. Nursing
itself is that science of humans and their health that is mediated by
professional spheres, personal hemispheres, scientific approaches and esthetics
along with human transactions being ethical in nature. Therefore, in congruence
with other scholars of nursing, caring has been acknowledged by Watson as the
ultimate essence of nursing. Also, caring is viewed as the moral ideal for
nurse in preserving the dignity of humans. This is done by providing them
assistance to find a meaning in illness and their suffering in order to make
them confident about what they are experiencing. Utmost care however, is
required for elderly individuals and Watson views them from a different caring
lens (Touhy et al, 2012). This is the importance of the topic of this paper
which is to analyze the application of Watson’s theory for caring for old
people in practicum through defining a personal experience. Strickland,
D., along with his volunteers have used
the format particularly designed by Lee Glickstein known as Laughing spirit
Listening Circles for applying the Watsons Theory in six elderly women over a
certain period. The main aim here was that the volunteers had got into creating
the group simply to listen to the women and make them share the stories with
each other (Smith et al. 2007).
Personal Experience
It
has been clearly mentioned by Watson from the result of evident research that
the expectations of nurses working in elderly care departments is a different perspective
from other departments. The expectation is on nurses to be a leader, to be
equals along with assistants that act as subordinates.
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The
experience explained here is while working in an elderly municipal care unit
(Perry et al, 2013). The organization has a strong social background and is
known for deep care and meaning associated with it. In dealing with elderly people
I was able to analyze that they are not ready to be patient and they expect
their care takers to hear them out no matter how irrelevant their thought
process may be. Old people do not require a teacher but friend in the form of
their nurse. This had been my application from Watson’s caring healing theory.
The problems I faced were with regard to attaining quality of life, mind peace,
body and soul metabolism aligned in accordance to Watson’s theory of healing.
All that I was confined on doing were the following:
Ø Development of
Humanistic and Altruistic Values
Ø Enabling Faith
and Hope
Ø Cultivating
Sensitivity and Faith
Ø Developing
prosperous relationship, trust
Ø Using
appropriate strategies to associate with the patients
Ø Cultivating
sensitivity in individuals
Ø Promoting
positive and negative feelings and accepting expressions
Professional
knowledge
The
theories in caring evidently would help me increase the knowledge of care and
its prospects. These theories are actually compiled works and efforts of theorists
combined together emerging from a quest to bring a process of thought and
dignity in nursing environments and the realms of caring towards patients
(Galagher et al, 2009). Old people are more in need of care than other
individuals as they are in such phase of their life where they are not able to
control their body with their mind. The body and mind physically grows weak and
requires more efforts to perform daily chores. The theories in nursing on
caring along with conceptual analysis of case studies as depicted by Sivonen
and Kasen (2003) would help me in enhancing my patients and develop a sound
environment of integrity and care. The main element is the value of preserving
dignity for others and for myself as a nurse and so I believe that I will not be
able to apply the theories such as the Watson theory if I am not able to derive
the concepts and entities present in that theory and then understand my action
on it. Also, with the help of caritas processes mentioned in the theory of
Watson on healing and caring, I would be able to manage the requirements in
nursing environment (Touhy et al, 2012).
Nursing Action
In
order to assist the clients in attaining best of their health and healing
processes, the following nursing actions will be of use and can be employed as
strategies resulting from the theory of Watson’s healing and caring approach in
the environment of nursing:
Providing an
environment of support, protection, corrective mental, physical, societal and
spiritual approach: The aim of such an environment
will be to enhance the quality of care with peace which is actually required by
elderly people and also will help them in healing their complete self (Perry et
al, 2013). The technique to attain such an environment in accordance to Watson
is to focus on factors of comfort, privacy, cleanliness, surroundings that
promote aesthetics and also cleanliness. Often it is found that nurses have
great control on the environment but they forget about the obligation on
consciousness of obligations that they have to attain through systematic
responsibilities in environments of protection, support and correct treatment
to the elderly. It is not just the environment which has to be acknowledged for
but it is also an environment where nurses influence patterns with the help of
applying theories and then signifying the environment in accordance to the
requirements of individuals (Zirbel et al, 2009). Watson suggests to consider
nurses as the environment of healing itself in the elderly department because
it is they who will either build an environment of positivity and care and will
enhance the process of healing or will not be able to do the same (Touhy et al,
2012). It is also made visibly explicit that all aspects in the environment
have to be unified together and made interdependent on each other by making all
the needs as important on equal levels and they need to be valued which can be
known by the response of caring-healing (Canadian Nurses Association, 2010).
Engaging in a caring
process which promotes individualized and problem solving approach:
The
approach is creative acknowledging that nurses employ ways of knowing, being
and doing to engage in clinical care. The problem solving skills have to be
such that they are in a one to one process and lead the patient towards
sidelining his problems. The process involves not only the complete use of self
but also the complete employment of faculties, knowledge, skills and empirics
along with spiritual knowing that developed the caring model into healing with
all the knowledge of value attained through sensitivity and proliferation of
negativity in any kind of side line approach.
What
is required is simply to be creatively imaginative along with being
systematically logical in accordance to technology (Perry et al, 2013).
Knowing the Difference
No
care or the process of healing would be of any benefit and there will not be
any importance of applying any successful theory if one is not able to
determine with essential techniques that the process of healing has worked on
the patient. If from the actions applied, I am not able to determine that my
strategy worked, then there is no significance of applications of theories or
imparting information in nursing environment. I think that I can know the
feedback of my patients from the following ways:
Transpersonal Teaching-Learning
The
relationships with elderly are developed by trust, faith and honesty that they
inculcate in their nurse and only then are able to determine their problems and
communicate the same to their nurse. With this approach, the CF would
explicitly make the process of learning more than just information being
received and data being interchanged. It involves a relationship of care just
as is their in the context of all evident learning. The role of CF is to evolve
the role of coaching where a person that is the nurse acts as a teacher in
contrast to the original role that he or she is regarded to play. This would
make nurses know that old people have faith in them and that the nursing action
has worked well on them depending on what their mind, body and soul feels
(Potter et al, 2010).
Scientific Reasoning
It
has to be acknowledged that when a nurse is touching a body of a patient then
it is actually not the physical aspect of the individual that the nurse comes
in contact with, but also actually the embodied spirit. This spirit requires
healing in the case of elderly as they are distorted and have attained immense
experience. What is required is an approach that would help in providing the
feedback of the elderly. This feedback will be on the basis of records,
previous test reports and also the statements of patients that would work as
guides (Gallaghar et al, 2009).
Conclusion
It
has been proposed by caring sciences and practices to propose that nursing
either on an individual’s level or on a collective level, will lead towards
contributing towards preservation of humans seeking to sustain caring and
healing in instances where human life is threatened. This paper describes the
theory of Watson on caring-healing of old age individuals by focusing on a
personal experience and then determining the actions required to assist through
the process of care. In addition, this paper is a personal reflection
determining how Watson’s model is effective in applications of care which is an
important element of nursing (Alligood et al, 2010).
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