Jean Watson’s theory of Human Care

Coming across Jean Watson’s theory of Human Care for the first time, cause the nurses and nursing students baffling finding difficulty to understand the words and phrases. The unique features of Watson’s human care relate to the observing Caritas processes, effecting Trans-personal care and Ontological competence while providing care.

Watson has her own way of expressing Love for humanity and has conveyed her message through singing bells and promotes an emerging radiating concept followed by million of nurses. She wishes that her way of human care shall evoke worldwide energy focused at unique caring consciousness affecting Health and Healing practices.

Watson’s theory is so unique, often nursing leaders and staff nurses at their meetings can not remain without mention of their experiences while practicing the basic concepts of Watson’s theory, which have become very familiar. The nurses with their ritual of singing bowls, they feel they are actually listening to patients, and as if they are seeing the patient and disease. Their attention gets focused on the patients and forgetting about many other jobs, other than related to the patients to be done. One more aspect is of respecting the colleagues and self care also.

The nurses believing in Watson’s theory realize that their job is not remaining restricted to observing the vital signs, filling forms, setting up of IV for the patients, it is much beyond in helping and healing them.

Giving Words to an Ethic:

There are estimates that Watson’s theory of Human care has already been adopted in about 100 hospitals as a guideline, in original or modified form and all this has happened over a period of 5 years. There are 20 hospitals, which are directly in contact with her and participate in her international caritas events. Some hospitals are implementing her theory in the entire hospital set up, whereas some have confined it only to nursing.

Randy Williams a professional practice coordinator states that the theory in fact is description of what do in our routine or we ought to do if not doing at present.

Watson’s theory took it’s shape around 1970, as a reaction to wide gap she witnessed in respect of science of medicine, which was technology oriented and merely concentrating on diagnosis and cure of disease overlooking the art of healing recognizing humanity as a whole and scope of personal relation between the suffering person and health care providing person.

There are 10 fundamental concepts around which the Watson’s theory of humanity care revolves names as Caritas a Latin word meaning unselfish love. The Caritas mentions of directions how to practice loving kindness? A helpful and trustworthy relation is established between the patient and nursing care provider. It involves use of scientific problem solving techniques creatively. There is a state of openness way of viewing mystery and look for the miracles happening.

It is a step ahead of patient confined caring. There is establishment of human to human contact flowing through the hearts instead of effect of physical limitations. The ethics are born out of this relationship. It is up to individuals to what degree they can adopt.

With more and more hospitals desire to have the Magnet status, or are seeking manner how to give a direction to their health care providing services. The hospitals are keen to adopt new theories in their patient care, among which Watson’s theory holds preference, which guides, what the nurses should do in providing health care to the patients.

Measure of Kindness:

Watson is exploring means for quantifying the results, which are obtained by practicing users and create an affiliation or accredited franchises of her Caring Science Institute. To proceed she has made available a tool by using which the patient gives the rating. A pilot project is in existence with the participation of few hospitals. There is another tool for nurses to respond, how they are taking care of themselves and the type of treatment received from colleagues at the place of work?

Nursing leadership in many of the hospitals have initiated it’s implementation, because there is a new shape of things they are doing and Watson’s theory gives an acceptable answer why one is adopting it for doing? It satisfies the aim of health service provider’s desire to create an environment loaded with compassion on the part of nursing staff.

Ellen Gruwell RN comments that Watson’s theory is complimentary to hospital’s foundational values of dignity, service, excellence and justice. There is encouragement to nurses to spend more time with patients for creating an emotional and spiritual link with the patient.

Watson’s theory is well received by bed side nurses, and is in practice for the last 2 years in Kaiser Medical Center, Antioch, Calif. As of now health care has achieved so much complexities that the nurses are too busy and forget the main objective for which they are in nursing field. Watson has the answer, when dealing with aspects like comfort, compassion, and self-care by the nurses, because they observe their job is too much related to forms filling and giving medicines mechanically.

In caring theory nurses find a voice, a language which takes them back to nursing schools, where they learned and written about Watson, whose real focus is remaining centered and in present moment with the patient and carrying out activities as ritual.

Walking the Talk:

Watson’s theory has taken a practical shape, being used to teach the students, using it in job description, while hiring a nurse. At some places there are meditation rooms for nurses and other staff to experience quietness. There are Carita Coaches also teaching and helping to practice the concepts of the Watson’s theory. There are success stories in circulation, giving an impetus to adopt it.

Like any other theory there are skeptics questioning the Watson’s theory due to lacking the understanding due to language problem or for any other reasons.

A few interpret is as such an emotional involvement with patients to the extent they are not in a position to make objective decision in respect of caring. Few people have suspicions of the theory about touchy-feely rituals in place of technical competency.

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The Deputing of Disaster Relief Team

After earthquake struck Haiti, Cathi Goldfischer, RN, made an alert call to NJ-1 DMAT nurses. By the next day, the team was all prepared to go ahead. The organization was done in Atlanta by getting malaria prophylactic dose and completed immunizations. The NJ-1 DMAT team reached Haiti on Jan. 15.

Being a part of National Disaster Medical System, NJ-1 DMAT is comprised of group of professionally trained nurses, who undertakes disaster medical care, basically to citizens of New Jersey, they were made use of in entire U.S. The team has organized their disaster relief operations like Hurricane Ike and Hurricane Gustave. They have participated in events, like previous two inaugurations and State of the Union addressing occasions.

Going for relief work after earthquake in Haiti is team’s maiden international participation.

Goldfischer a NP and being chief of local ambulance corps, usually mentioned about her DMAT exposures with co-nurses at Englewood (N.J.) Hospital and Medical Center. The narrations were very exciting.

It was never though that in a period less than a year after completing intense training, she shall be with Goldfischer in the Haiti assignment.

Basic and Creative Care:

All the time while in Haiti, Goldfischer and Keys performed their nursing activities in Petionville. It is a field medical hospital situated at mountain top. The patients had fractures with infections. Some of them were suffering from TB. Two of women there, gave births. Down the mountain there were around 50,000 Haitians living in a tent city.

These people made use of crutches and plastic tiles of ceiling in place of splints and carried their affected family members on doors traveling miles of distance to the base hospital.

Surgical Procedures in the Street:

The medical personnel were using drills for pinning the patient’s fractured femur in the street itself. Klings were used and stabilizing of the limb was done by putting it in a gallon jug surrounded by stones.

There was acute shortage of gloves, dressing and other materials. The gloves were applied Purell for reusing. Betadine and normal saline was mixed to wash the wounds. Crutches were used as splints. Water bottles were used to keep the scalpels. Used IV tubings were again used to wash the wounds. Every thing found lying was made use off.

Looking After the Orphans:

There was a 2 week child, whose mother had died and was with his father. Water bottle was made for the child using glove tip as the nipple. Tylenol was not available for washing hands.

There were Haitian medical Students, nursing students local individuals came forward to help. The interpreters were hired.  Their wages were in the form of ready to eat meals and bottled water. There were nurse to nurse babies, whose mothers expired or were suffering dehydration and were not capable to take care of them.

Haitian community members and church workers were busy in informing the victim sufferers about the base hospital, who were living in camps.

Spreading the Nursing Care:

The team members also went out assisted by army either in their trucks or on foot to provide on the spot medical care and patients requiring treatment from the hospital were directed there.

The team also visited damaged coast guard base for many days taking care of patients, who suffered electrocution, burns, amputations due to injuries, head injuries, open fractures and spinal injuries.

More than hundred patients were examined daily, put in practice a system of communication and care. Segregating patients according to severity, the dates and care provided were written on the dressings for keeping track of all this.

Patients needing evacuation were identified and a tape affixed on their heads.

Some other patients were advised to make a check for extra care from the team on the next visit. They would come and wait under trees. The situation was bad, Haitians were very thankful for our care.

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