margarat jean wateson pp
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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