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Jean Watson

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Jean Watson (Philosophy and Science of Caring)

Jean Harman Watson


} Was Born in 1940 in the Appalachian Mountains of West Virginia
} Earned a diploma from Lewis Gale Hospital School of Nursing
} BSN = University of Colorado, Boulder
} MN-MHPN = University of Colorado, Denver
} Ph.D. in Educational Psychology and Counseling = University of Colorado Boulder
} She is currently a distinguished professor, Director, Center for human caring, School of
Nursing, University of Colorado Health Science Center, Denver
} Has earned six honorary doctoral degrees

Science of Caring: 7 Assumptions


} Caring is effectively demonstrated and practiced interpersonally.
} Caring consists of 10 Carative Factors
} Effective Caring promotes health and growth
} Caring accepts people now and in the future
} A caring environment offers potential for development
} Caring is more “healthogenic” than is curative
} The practice of caring is central to nursing

3 Major Elements:
} I. Ten Clinical Caritas Processes
} II. Transpersonal Caring Processes
} III. Caring Occasion/ Caring Moments

Caritas
} Means to cherish, to appreciate, and to give special attention
} It conveys the concept of love.
} 1979: Carative Factors
} 2001: Caritas processes

Caritas Processes
} Is the “core” of nursing
} Grounded in the philosophy, science, and art of caring
} “the model does not consider caring as a soft nice thing for nurses to do or a nice way to
be, in some romantic pre-modern sense.”
} BUT, it posits caring knowledge and actions as a SERIOUS ontological, ethical, and
pragmatic concern for the discipline (1996b)
CARATIVE FACTORS CARATIVE PROCESSES
1. The formation of a humanistic- Practicing loving kindness and equanimity
altruistic system of values for oneself and other

2. Instillation of faith-hope Being authentically present and enabling,


sustaining, and honoring in the deep belief
system & subjective life world of oneself and
the one being cared for
3. Cultivation of sensitivity of oneself Cultivating one’s own spiritual practices;
and to others deepening of self-awareness, going beyond
the ego self
4. Development of helping-trusting, Developing and sustaining a helping-trusting,
human caring relation authentic caring relationship
5. Promotion and acceptance of the Being present to, and supportive of, the
expression of positive and negative expression of positive and negative feelings
feelings as a connection with a deeper spirit of oneself
and the one being cared for
6. Systematic use of a creative problem- Creatively using oneself and all ways of
solving caring processes knowing as part of the caring process and
engagement in the artistry of caring-healing
practices
7. The promotion of transpersonal Engaging in a genuine teaching-learning
teaching-learning experience within the context of a caring
relationship, while attending to the whole
person and subjective meaning; attempting to
stay within the other’s frame of reference
8. The provision of a supportive, Creating a healing environment at all levels
protective, and corrective mental, (physical, nonphysical), subtle environment
physical, societal and spiritual of energy and consciousness whereby
environment wholeness, beauty, comfort, dignity and peace
are potentiated
9. The assistance with the gratification of Assisting with basic needs, with an intentional
human needs caring consciousness, administering “human
care essentials”, which potentiate alignment
of mind-body-spirit and evolving spiritual
emergence
10. Allowance for existential- Opening and attending to spiritual,
phenomenological-spiritual forces mysterious, and unknown existential
dimensions of life, death, suffering; “allowing
for a miracle”

Transpersonal Caring Relationship (TCR)


} To connect with the spirit of the other through the processes of caring and healing and
being in authentic relation, in the moment
} Depends on 3 Factors
3 TCR factors:
} Nurse’s moral commitment in protecting and enhancing human dignity as well as the
deeper/higher self
} Nurses’ caring consciousness communicated to preserve and honor the embodied spirit,
therefore, not reducing the person to the moral status of an object
} Nurses’ caring consciousness and connection having the potential to heal since
experience, perception, and intentional connection are taking place.

Caring Moment
} The moment when the nurse and another person come together in such a way that an
occasion for human caring is created.

Watson’s Metaparadigm of Nursing


} PERSON
◦ A unity of the mind-body-spirit-nature
◦ Embodied spirit
◦ Each part is a reflection of the whole, yet the whole is greater than, and different
from, the sum of the parts
} HEALING SPACE & ENVIRONMENT
◦ A nonphysical energetic environment
◦ A vibrational field integral with the person where the nurse is not only in the
environment but
◦ “the nurse IS the environment” (Watson, 2008)
} HEALTH
◦ Unity and harmony within the body, mind, and soul
◦ A harmony between:
} The self and others
} The self and nature
} Openness to increased possibility
} ILLNESS
◦ A subjective disharmony within the spheres of the person
} NURSING
◦ A reciprocal transpersonal relationship in caring moments guided by carative
factors and caritas processes

Mind
Body
Spirit Harmony

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