A number of nursing theories have been developed by practitioners and scholars in this field to enhance the quality of services provided to clients. Most of these theoretical frameworks focus on caring for the patients and providing for their needs. The concepts in these theories continue to guide the activities of nursing practitioners today.
Concept analysis is a framework designed to be used by students and researchers in different fields. It involves familiarizing the researcher with the concept raised in a particular topic or major. In this paper, the author focuses on caring nursing concept. The concept is derived from caring nursing theory (McEwen & Wills, 2014). The model was developed by Jean Watson in 1988.
In this paper, the author will highlight the aims and purposes of the concept, as well as a literature review on the subject matter. In addition, the uses of the concept, its defining attributes, and associated model cases will be discussed. Other issues that will be analyzed in this paper include alternative cases with regards to the caring concept, as well as its antecedents and consequences. Finally, empirical referents related to the concept will be provided.
Purpose of the Analysis
The analysis of the caring concept is aimed at providing a conceptual understanding of the information provided in the nursing theory. A number of assumptions with regards to the concept have been explained using different terms. A good example of such an assumption states that caring can only be effectively demonstrated and practiced interpersonally. Consequently, the major purpose of this analysis is to identify the assumptions, their meanings, and how they impact on the lives of patients and nurses (Morgan & Yoder, 2012). The theory addresses a number of primary carative factors. Such elements include sensitivity to one’s self and to others, as well as the formation of a humanistic-altruistic system values. In this analysis, the author will establish the factors and their impacts on the wellbeing of both patients and nurses. The nursing process and the concepts explained in the theory will also be discussed in this analysis.
Jean Watson came up with seven assumptions concerning the concept of caring. All the assumptions discussed by this theorist are related to nursing, human beings, health, and the environment. The first supposition provides that a caring environment supports individual development. In addition, the environment helps the individual to choose the best action concerning their health at a given point in time. What this means is that the decision to come up with the best caring environment should involve the patient given that the intervention concerns their health (Wu & Volker, 2012).
The second assumption explains that caring could be effectively demonstrated and practiced interpersonally. Personal contact is needed to achieve effective caring. The third presupposition explores the carative factor (Morgan & Yoder, 2012). Caring is associated with a number of carative elements that lead to the satisfaction of different human or individual needs. The fourth assumption provides that effective caring is responsible for the good health of an individual and the family. The fifth one touches on caring responses. The responses should accept a patient as they are. In addition, it should accept what they have become. Consequently, the potential of the individual at the moment is as important as their current state (Wu & Volker, 2012). The sixth assumption is that the science of caring complements that of curing. It is further assumed that caring is more ‘healthogenic’ than curing. However, the two has to co-exist for an individual to achieve their health potential. The last assumption underlines that caring is the center of nursing practice. For nurses to improve the health and fitness of their patients, they have to first engage in caring.
The first carative factor involves the formation of humanistic-altruistic systems of values. To this end, specific human values are developed and mediated through different life experiences. The developments are important in the process of offering quality healthcare to patients. Nurses should ‘possess maturation’ that would help in promoting altruistic behaviors towards others. The second factor explains faith and hope (McEwen & Wills, 2014). Faith and hope are important virtues in the curative and carative process. The third element entails been sensitive to the self and to others.
The remaining seven carative factors are founded on the first three. For example, the fourth involves establishing a helping-trust relationship with the patient. It is the strongest tool of communication in the whole caring process. It calls for empathy, warmth, and congruence. On its part, the fifth factor involves expressing feelings both positively and negatively. The expression is achieved through the study of one’s behavior (Simmons, 2010). Systematic use of scientific problem-solving methods of decision making is another carative factor. It allows the nurses to control and predict problems. Consequently, patients are relieved from their burdens in the shortest time possible (Wu & Volker, 2012). There is also the aspect that calls for the promotion of interpersonal teaching-learning. To this end, caring nurses must focus on both teaching and learning. The move will help them prepare a cognitive plan to provide care to the patients (Morgan & Yoder, 2012).
The eighth carative plan requires the provision of spiritual, protective, and socio-cultural environment by the nurse. The aim is to enhance the quick recovery of the patient. On its part, the ninth carative component supports the gratification of human needs to promote quality healthcare (Simmons, 2010). The last factor provides for existential-phenomenological forces. The forces help in understanding patients from the way things appear to them (Wu & Volker, 2012). Consequently, nurses can effectively understand these ‘things’ and reconcile them in case of any problem.
Uses of the Concept
Caring concept has two major uses. To start with, it affects both the patients and the nurses. Basically, the concept analyzes ways through which patients should be treated. It forms the background of how caring for the patients should be carried out. In nursing, the concept helps to improve the strategies used to handle patients. Consequently, recovery is hastened. Patients facing different challenges present varying needs (Simmons, 2010). Apart from ensuring quick recovery, the concept of caring is also used to relieve the patients from emotional stress and other feelings that may interfere with the healing process.
Another use of the concept entails the development of the nursing process. The theory assists practitioners to come up with a viable plan to make decisions. Caring nursing theory is simple to understand. The reason is that it is made up of different concepts from other nursing theories (Morgan & Yoder, 2012). Consequently, the adoption of an effective nursing process facilitates the quick recovery of a patient under peaceful environment. The concept highlights a number of steps. They include assessment, plan, intervention, and evaluation.
Defining Attributes of the Care Concept
The caring concept has a number of attributes. Some of them are unique to the concept and to the caring theory. The focus on phenomenological forces is one of the attributes that are not present in any other nursing theory. It is a professional way of caring for patients. It entails clearly understanding people from the way things appear to them (Wu & Volker, 2012).
The other attribute involves ethical practice. It is relatively simple and clear to understand. To this end, the nursing concept explains how a patient should be cared for when receiving medical help from an institution (McEwen & Wills, 2014). The practitioner has to follow a nursing process stipulated in the guidelines. It entails ethical practices that have been used in different forms to explain the nursing concept.
Model Cases of the Care Nursing Concept
There are many cases touching on care nursing concept. All of them explain the right way to care for patients in different environments. A good example is the problem presented by a patient suffering from a mental disorder. The patient may have difficulties relating with people. Such individuals are affected by depression and stress. The condition may make them do things that hurt people around them. Care for the patients requires close monitoring to stabilize the problem. According to the care concept, a patient suffering from a mental disorder has to be provided with an enabling environment that will aid in quick recovery (Morgan & Yoder, 2012). Nurses have to take into consideration the emotions and feelings of the client to avoid hurting them. Mental problems can be treated within a short time if proper care is administered.
Another model case involves a victim of an accident. The patient may come to the emergency department to be treated for serious injuries. On reaching the hospital, medics have to attend to them. Loss of blood may have made them weak (Simmons, 2010). Some of these patients have already lost hope of recovery, something that is made evident in the way they talk. Nurses can play a major role in the recovery of such a client. They give her hope by talking to her and assuring her that everything would be fine (McEwen & Wills, 2014). Caring nursing theory explains that communication is one of the most important tools in the recovery of a patient.
Caring concept provides patients with an enabling environment to enhance their recovery. The caring concept is closely related to the need theory. Scenarios in the field have shown that the need nursing theory has links with the caring model. For example, there was a time a patient suffering from headache visited a clinic for a check-up. The client complained of severe headaches, chest pains, and other problems (Morgan & Yoder, 2012). To establish the right care that the patient required, the nurses had to identify her needs through diagnosis. From that, it was possible to offer help and avoid dangers from the environment.
Caring also involves spending time with the patient. Companionship makes them feel good. Communication relieves their stress. Virginia Henderson’s need nursing theory stresses on communication as a way of expressing emotions, needs, and fears. Caring nursing theory discusses the establishment of a helping-trust relationship through communication (Wu & Volker, 2012). An example of a case is where a patient suffering from depression finds it difficult to control the problem when isolated from others. When returned to the main ward where nurses could attend and communicate with them frequently, the condition may start to improve. The case makes it evident that communication is an important tool in nursing. Nurses identify the needs of patients by interacting with them.
Antecedents and Consequences
A wide range of situations led to the introduction of the care concept. One of the antecedents entails the condition of patients in many nursing centers at the time Jean Watson was conducting her studies. Patients were treated poorly during that period. The introduction of the concept of caring had different consequences (Morgan & Yoder, 2012). For example, it improved the quality of care provided to patients in the hospitals. In addition, many nursing institutions adopted the concept in their curriculum.
The concept of caring continues to be used by many nursing centers in different places around the world. The reason is that it has been shown to improve the quality of healthcare (Wu & Volker, 2012). Caring for patients is regarded as a humane thing. Consequently, professional nursing requires the adoption of proper nursing ethics.
The author gained a lot of knowledge in the process of conducting research for this paper. For example, the nursing concept made them realize that caring promotes quick recovery and supports healthy living. The idea is related to the need nursing concept. Both of them form the basis of nursing. The author acknowledges the fact that if the caring concept was never developed, many patients around the world would be suffering due to poor quality of care provided. As a result, it is clear that the concept has improved the nursing profession.
McEwen, M., & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Morgan, S., & Yoder, L. (2012). A concept analysis of person-centered care. Journal of Holistic Nursing, 30(1), 6-15.
Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158.
Wu, H., & Volker, D. (2012). Human nursing theory: Application to hospice and palliative care. Journal of Advanced Nursing, 68(2), 471-479.