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    University of Khartoum

    Faculty of nursing sciences

    Master program

    Batch seven

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    Margaret Jean Watson

    Philosophy and science of caring

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    Describe the general aspects of Watsons

    ca ring theory.

    Describe how Watsons caring theory can

    be applied to clinical practice.

    Describe the person through Watsons

    caring lens.

    Describe the persons health through

    Watsons caring lens.

    Describe nursing through Watsons

    caring lens.

    Objective

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    BACKG ROUND

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    -Born in southern west Virginia

    --Grow up in small town of

    Welch 1940

    -The youngest of eight children-High school in west Virginia

    -Louis gale school of nursing

    1961

    -Married and move to Colorado-She has two daughters and five

    grand children

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    Achievement-Bs in nursing 1964

    -Ms in psychiatric mental health nursing 1966

    -PhD in education psychology and counseling 1973

    -Joined the school of nursing faculty of Colorado healthscience centre

    -Chair and assistant dean of under graduate program

    -Implementation of the nursing PhD program 1978

    -Co-ordinator and director-Dean of the university of Colorado 1982

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    Cont- achievementProfessor of nursing and holds chair in caring science

    Shared in the development of post baccalaureate nursing

    curriculum inhuman caring-founder and member of the board of boulder hospice-high honor of distinguished professor of nursing 1992

    -recipient of national league fornursing 1993-member of executive committee

    -certification as a holistic nurse

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    Publications-the philosophy and science of

    caring -1979-human science and human care a

    theory of nursing -1985

    -post modern nursing and beyond -1999

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    Theoretical sourcesThe work k of nightingale ,hinderson,and hall

    -peplau and Maslow ,Erikson-She acknowledges philosophilical and

    intellectual guidance for m feminty theory

    Her inter personal and transpersonal viewed

    from Carl Rogers

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    Definitions

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    When medical science has failed to offer a

    patient any things that is the opportunity of

    nurses to offer every things to the patient

    Caring in need is essence of nursingCaring create greatest impact in the lives of

    our patient

    Caring attitude makes nurses different

    among the rest

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    (We are the light in the darkness , and in this model

    we get to return to the light of our humanity )

    She believes that the main focus in nursing oncarative factors

    She believes that for nurses to develop humanistic

    philosophies and values system a strong Liberal arts

    back ground is necessary She believes that the nursing is being threatened by

    the task and technology

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    nursing

    Healthpromotion

    Prevent illness

    Caring forsick

    Restoringhealth

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    Assumptions

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    Caring demonstratedinterpersonally

    Caring results in thesatisfaction of human

    needs

    Accepts person as maybecome

    Caring environmentallow the pt to choose

    the care

    Caring healthogenimore than curing

    Caring is central tonursing

    Effective caringpromotes health and

    individual growth

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    caring response

    Centralhealth

    ogenic

    choice

    Needs

    satisfaction

    Promotion

    of health

    personal

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    Primary carative factors

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    Watson mentioned tencarative factors

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    1= Formation of humanistic altruistic

    System of values

    2=Instillation of faith hope

    3=Cultivation of sensitivity to ones self

    and

    To others

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    Philosophical

    foundation

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    Other carative factors4-Establishing a helping-trust relation ship5-expression of feeling

    6-systemic use of the scientific problem-

    solving7-promotion of interpersonal teaching

    learning

    8-provision for supportive ,protective ,and

    corrective mental ,physical ,socio cultural and

    spiritual ,environment9-assistance with gratification of human

    needs

    10- allowance for existential phenomological

    forces

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    Watson'sOrdering needs

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    Lowerorderingneeds

    biophysical

    Food-ventilation-elemination

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    Lower ordering needs

    Psycho-physical

    Activity-inactivity)-sexuality

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    Higher ordering needs

    Achievement -affiliation

    Psycho-social

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    Higher ordering needs

    Self -actualization

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    Development of

    thetheory

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    She added to develop her theory:

    1

    Philosophy of human freedom and responsibilities

    Related to nursing practice

    2 A biology and psychology of holism intercountered

    With nature

    3

    Epistemology allows for advancement of esthetics,and ethical

    Values

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    4Ontology of time

    5

    Context of inter human events

    and relationship

    6

    Scientific world view

    That is open

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    soul

    Foundation for further

    development

    emotions

    mind

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    MajorConcept

    Humanbeing

    Nursing

    Environment

    Health

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    Evaluation

    Intervention

    Plan

    Assessment

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    anxiety

    Inactivity or

    weakness

    Vomiting and diarrhea

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    Assessment

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    plan

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    Assessment

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    Intervention

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    Acceptance by the nursingcommunity

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    Institutions that are seekingholistic approach to nursing care

    are integrating many aspect of

    Watson theoretical commitment

    to care

    Practice as general

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    According

    to

    Watson

    Clinical

    settingpopulation

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    Educationactive In curriculum

    planning at the university

    of Colorado

    Framework is being

    taught in numerousbaccalaureate nursing

    curricula

    In addition this concepts

    are now widely used in

    nursing program in

    saturnalia

    She defines her intent

    to describe the core of

    nursing

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    Research Watson and colleagues are

    attempting to research the caring

    framework and to arrive at empirical

    data amenable to research

    techniques

    Colleagues have analysis the caring

    literature for themes related to

    conceptual and theoretical

    development

    Research and practice must focus

    on both subjective and objective

    patient outcomes

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    to describe the similarities

    and differences between

    what nurse consider careand what patients consider

    care

    goal

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    To classifying

    the caringbehaviors

    To Generatetestable

    hypotheses

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    Open- ended questionnaire

    Taking care

    of

    Caring

    about

    patient

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    patientsNursingstudents

    Registerednurses

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    Discrepancy in the values

    considered most important by

    :RN,SN,PT

    Raised a question about differencesin values for persons in various

    situations and the question of

    meeting minimum care needsbefore the quality of care can be

    evaluated

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    CRITIQUE

    CLARITYSIMPLICITY

    GENERALITYEMPIRICAL PRECISION

    DERIVABLE CONSEQUANCES

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    CLARITY

    Sophisticatedlanguage

    Lengthyphrases

    Sentencesneed more

    reading

    Expand

    philosophicalnature

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    Tangible and moreaesthetically

    appealing

    Personalreflections

    Art work

    poetry

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    Complex

    concept

    Variety ofsubjectmatters

    Number ofdisciplines

    simplicity

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    generality

    Aspect of

    health

    Aspect ofillness

    Patient nurse

    interaction

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    Some critics have stated that thegenerality is limited

    By the emphasis placed on thepsychological aspect rather thanphysiological aspect

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    Empirical precision

    Difficult to studyempirically

    Acknowledges the

    newness of theory

    Descriptivtheory

    Continues to

    develop her theory

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    Derivable consequences

    Identifypatient need

    Caringprocess

    Metaphysicalorientation

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    strengths

    familyCommunit

    y culturepractice

    client

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    limitationsLittle

    attention

    Delineate

    psychosocial need

    Need formore

    research

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    THANK YOU