In the following paragraphs, the grand theory of Jean Watson will be explored for its usefulness in practice. We will explore how the theory is congruent with current nursing standards and nursing interventions. Next, we will study if her theory has been tested empirically, if it is supported by research and if it is accurate. We will explore if there is evidence that her theory has been used by nursing educators, researchers, and nursing administrators. Then we will study how her theory is relevant socially and cross-culturally.
The theoretical framework gives a detailed reason to why the highlighted research ques-tion exists. Orem’s self-care deficit theory of nursing is the theoretical framework relat-ing to this research because the theory is further divided into three sub-theories in which requisite are line with the following: Individual stages of development and goals, Health conditions, Developmental states, Energy consumption and expenditure, Atmospheric conditions and also the theory gives room to investigate possible causes of malnutrition alongside nurse’s intervention by assessing the need for care, approaches and required interventions. According Orem in 2001, nursing can be viewed as part of the health sector that provides authorized care to individuals.
She believes that nursing interventions are key to nursing care. Watson’s nursing theories express that the mind, body and spirit of the patient should be taken into consideration. I agree with Watsons that while providing care the nurse should consider care base on the patient as a whole and not just focus on the disorder. I was taught to use Maslow’s hierarchy of need while planning and providing care for my patients. Maslow’s hierarchy is use to prioritize a patient need from life treating issues to love and belong.
Holistic nursing is defined as an “all nursing practice that has healing the whole person as its goal” (American Holistic Nurses Association, 1998). Holistic nursing focuses on protecting, promoting, and optimizing health and wellness and preventing illness and injury at the same time reducing suffering and supporting people to find peace, comfort and balance through their illness. (The holistic nursing: scope and standard of nursing 2007) Holistic nursing also recognizes holism. According to American Holistic Nurses, 1994 “holism involves studying and understanding the interrelationship of the bio-psycho-social-spiritual dimensions of the person recognizes that the whole is greater than the sum of its parts; and that holism involves understanding
Anybody needs a nurse hence the development of the need theory. Unitary human beings theory by Rogers believes that a person should be harmonized with the environment so that the person may attain maximum health potential. Self-care theory by Orem explains that a healthy person should have wholeness of the human structures, mental and body functioning. Her nursing theory suggested that as much as people seek for nursing attention from the experts, they first start their nursing with themselves and nurse their family members. Neumann’s system model theory looks at the environmental stressors, and the nurses try to retain and maintain the patients’ health through maintaining the patients’ system fit with the environmental system.
Nursing practice mostly is based on nursing theories which makes the nursing discipline a profession. The nursing theories have differentiates focus of nursing from other profession. Nursing theories provide direction and guidance for structuring professional nursing practice, education and research. Besides, nursing theories serve to guide on assessment, intervention and evaluation of nursing care in order to provide effective decision making and implementation quality of nursing care. Hence, I would like to implement Dorothea Orem’s self-care theory in my clinical area of practice.
From these realizations I have concluded that the professional nursing theories which most align with my own philosophy is a combination of Jean Watson’s theory of human caring and Rosemarie Parse’s theory of human becoming. Watson’s theory of human caring outlines the science behind caring as a driving force and framework for practice in nursing. It explores the concept that “humanities address themselves to deeper values of the quality of living and dying, which involve philosophical, ethical, psychosocial and moral issues” (Watson, 2005, p. 2). Within her original text, Watson outlined 10 “carative factors” which help integrate the science of healthcare field with the more holistic nuances of nursing and the phenomena that is the human
Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse. The purpose of this theory, being to define both nurse and patient roles and nursing as a profession, is seen as a strength of the self-care deficit nursing theory.
Therefore, my PowerPoint presentation demonstrates how the human caring concepts of providing basic personal needs, creating a healing, caring environment, solving problems mutually, respecting all people and appreciating individuality can be applied to all forms of therapeutic nursing interventions in areas of practice, education, and administration. Develops therapeutic nursing interventions which may impact healthcare outcomes for individuals, families, populations, and/or systems (i.e. rural and underserved areas). My PowerPoint demonstrates how the concepts from The Quality Caring Model © can facilitate the provision of quality patient care by using therapeutic nursing interventions. Most notably, the research and the creation of my PowerPoint demonstrates how this model investigates exactly how therapeutic nursing interventions can be measured for their effects on patient outcomes using experimental designs, which has yielded favorable outcomes.
They are considered to be the foundation of nursing (Watson, 2005). The processes entail forming selfless values in order to provide supportive care, being attentive to the belief system of the patient, showing understanding of oneself therefore being able to incorporate it into patient relations, developing a trustworthy relationship with the patient, accepting the patient’s feelings as valid emotions, and problem solving in all aspects of care, which is a similar aspect to the personal theory’s viewpoint of critical thinking (Watson, 2005). Other processes include adapting teaching styles and methods to meet the patient’s needs, creating an environment that is comfortable and healthy to promote healing, providing assistance with daily care which also promotes healing, and being attentive to the soul and its well-being (Watson, 2005). Watson (2005) compares these statements to love invoking, which “allows love and caring to come together for a new form of deep transpersonal caring,” which “connotates inner healing for self and others” (p.