Presenting Dr. Jean Watson’s Theory Presented By: •Kimberly Proux •Gail Koenig •Rita Daniels Personal Information • • • • • Born Margaret Jean Harman Watson 1961 Married Douglas Watson 1963 welcomed daughter Jennifer 1967 second daughter Julie was born Jean Watson has five grandchildren (Nursing Theorists, 2010, pp 91-92) Formal Education • 1969-73 Ph.D. Educational Psychology and Counseling University of Colorado, Boulder, CO • 1969-70 Graduate study: Social and Clinical psychology University of Colorado, Graduate School, Boulder, CO • 1964-66 M.S. psychiatric mental-health nursing ; Minor : psychology University of Colorado Medical Center, Denver, CO • 1962-64 B.S. nursing University of Colorado, Boulder, CO • 1958-61 R.N. Diploma in nursing Lewis-Gale School of Nursing, Roanoke, VA Watson Caring Science Institute. (2009). Educated. Retrieved from http//www.watsoncaringscience.org Various Accomplishments • • • • In the 1980’s established the original Center for Human Caring 2008 founded the Watson Caring Science Institute Authored 10 books, shared in the authorship of 5 other books Written countless articles in nursing articles • Featured in at least 20 nationally distributed audio tapes, videos, and/or CD’s • Distinguished professor of Nursing • Endowed Chair of Caring Science • Dean of Nursing University of Colorado Health Sciences Center (Nursing Theorists, pp. 92-93) Highlights of Awards and Honors • • • • • Kellogg Fellowship in Australia Fulbright Research Award in Sweden Fetzer Institute Norman Cousins Award She holds three honorary doctoral degrees Five international honorary doctorates. (nursing Theorists, pp. 92-93) It was an honor to meet Jean Watson “Watson uses interchangeably the terms human being, person, life, personhood, & self. She views the person as a unity of mind/body/spirit & nature.” (Nursing Theorists, p. 99) Human being Person Personhood Life Self “Healing spaces can be used to help others transcend illness, pain, and suffering,” Watson emphasizes that environment and person are connected. (Nursing Theorists, p. 99) Environment Person Healing Space Watson defined health as “unity and harmony within the mind, body, & soul”. (Nursing Theorists, p. 99) Mind Body Unity & Harmony Soul According to Watson, the word Nurse is both noun and verb. (Nursing Theorists p. 98) Knowledge Thought Values Philosophy Commitment Action #1 EMBRACE Humanistic, altruistic values, practice of loving kindness and equanimity (evenness of temper even under stress) with self and others #2 Enabling faith and hope, being present authentically INSPIRE #3 TRUST Sensitivity to self and others ongoing spiritual development #4 NUTURE Developing authentic, trusting, caring, relationships #5 Allowing of positive and/or negative feelings FORGIVE #6 Creative problem solving Caring Process DEEPEN #7 BALANCE Relational Teaching Learning Inner Subjective Meaning #8 CO-CREATE Creating Healing Environments Being/becoming the caritas field #9 Assistance with basic needs offers the opportunity to connect with MINISTER the patient. #10 Open to Existential Spiritual Unknowns OPEN Clinical Enhancements •A moral commitment in protecting and enhancing human dignity. •A nurses caring consciousness and relationship with the patient has the potential to heal combined with the curative factors. •A regard for the patient’s perspective about their own healthcare concerns. •Caring moments with patient’s can “expand human capabilities” promoting healing of the whole person. Expressions of Caring • Introduce yourself • Focus on the patient • Be engaged • Give clear information to decrease uncertainty • Encourage patient expression • Give good physical care • Help patient establish realistic goals “The Rest of the Story” or Assessment • How are you feeling? • What are your expectations? • How has your health been? • Where do you see yourself after the Surgery? • What are your health priorities? • What is most important to you? Examines the model within the context of nursing education “It is when we include caring and loving in our sciences, we discover our caring healing professions are much more than a detached scientific endeavor, but a life-giving and life-receiving endeavor for humanity” (Watson, 2005, p 3) “Academic structures and departments in Scandinavian countries named “Caring Science” (Watson, p. 17) Two international journals with a focus on Caring: Scandinavian Journal of Caring Science and International Journal of Human Caring (Watson, p. 17) International Professional Organization: International Association of Human Caring (IAHC) celebrated its 25th years in 2003 (Watson, p. 17) “Caring Science”: The Science of Caring Research Publications (University Of California, San Francisco, School of Nursing), over 15 years old” (in 2003) (Watson, p.17) Examines the current research status of the model Australia, Brazil, Canada, China, Colombia, Denmark, Finland, Germany, Iceland, Indonesia, Italy, Japan, Korea, Kuwait, Mexico, New Zealand, Norway, Philippines, Poland, Portugal, Saudi Arabia, South Africa, Spain, Sweden, Switzerland, Thailand, United Kingdom, United States, Venezuela Arizona, California, Colorado, Connecticut, Florida, Illinois, Indiana, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wyoming Western Michigan University, Bronson School of Nursing (www.watsoncaringscience.org) Identifies strengths of the model Watson states “caring can and still must be honored as a core value, knowledge, and moral-ethical foundation for disciplinary knowledge development and practices related to healing and wholeness.” (Fawcett, 2002) “The core of the human caring theory is about human caring relationship and the deeply human experiences of life itself, not just health-illness phenomena, as traditionally defined within medicine (Watson, 2002a, 2002b) (Fawcett, 2002) Identifies limitations of the model Watson’s “theory does not lend itself easily to research conducted through traditional scientific methods” (Alligood, 2010, p. 102) “Critics of Watson’s work have concentrated on the use of undefined or changing/shifting definitions and terms and her focus on the psychosocial rather than the pathophysiological aspects of nursing” (Alligood, 2010, p. 101) In Summary… Please take this opportunity to view Jean Watson’s inspirational video References •American Psychological Association. (2010) Publication manual of the American Psychological Association (6th ed.). Washington DC: Author. •Cara, Chantal. (2003). A pragmatic View of Jean Watson’s Caring Theory. International Journal for Human Caring. (2003) 7(3), 51-61. Text also from Jean Watson’s Website www.watsoncaringscienceinstitute.org •Fawcett, Jacqueline. (2002). The Nurse Theorists: 21st Century Updates – Jean Watson. Nursing Science Quarterly. (15)3, 214-219. •Kearny-Nunnery, R. (2008). Advancing your career: concepts of professional nursing (4th ed.). Philadelphia, PA: F. A. Davis Company. •Marriner-Tomey, A. M. & Alligood, M.R. (2006), Nursing theorists and their work (6th ed.). St. Louis, MO: Mosby Elsevier. •Pauser-Wolf, Terri. (2003). Building a caring client relationship and creating a quilt. Journal of Holistic Nursing, 23(1), 81-87. DOI: 10.1177/0898010102250277 •Watson, Jean. (1988). Nursing: Human science and human care: a theory of nursing. National League of Nursing. New York. •Watson, Jean. (2005). Caring Science as sacred Science. Philadelphia, PA: F. A. Davis Company. •Watson Caring Science Institute. (2009). Retrieved from http://www.watsoncaringscience.org •Quilt Blocks each patterned block from Quiltblocks.com •Flower backgrounds from vi.sualize.us Class Discussion • How do I define the person, environment, health/healing, & nursing? • How can I implement the clinical caritas processes into my nursing practice? • How can I be inspired by Watson’s caring theory in my practice? Text also from Jean Watson’s Website www.watsoncaringscienceinstitute.org