Watson's Caring Research Articles

PERCEPCIÓN DE LA COMUNICACIÓN INTRAPROFESIONAL “A PIE DE CAMA”: NARRATIVA DESDE LA TEORÍA DEL CUIDADO DE JEAN WATSON

Introduction: Jean Watson's theory of caring is committed to holistic care through a helping relationship between patient and caregiver. The "bedside shift report" methodology actively involves the patient in the transfer of information between health professionals, especially in hostile contexts (such as intensive care units) for communication and humanization of care. Objective: to explore the perceptions of patients who participated in the transfer of information at the bedside in an intensive care unit, from Jean Watson's theory of caring. Methodology: narrative analysis of the interviews carried out through the conceptual-theoretical-empirical system (CTES) based on Jean Watson's caring theory. The empirical-rational method was combined through an inductive approach. Results: The four patients interviewed expressed perceptions inherent to the assumptions and care factors of the caring Theory: interpersonal relationship and health promotion (they facilitate trust and empowerment); adequate environment for personal development (improve transparency and satisfaction); patient as the central axis of nursing (increases the effectiveness and safety of care). Conclusions: The importance of including the patient in the transfer of information allows him to be the central axis of her care. This allows you to grow and promote your health, thanks to the environment of trust created and/or the communicative symbiosis between the participants.

A visual art intervention program for older people with stroke in residential care settings: A feasibility study.

Stroke poses challenges to the physiological, psychosocial and spiritual well-being of affected individuals. As the impacts of stroke might not be reversible, a shift in focus to providing care is desirable. Visual art interventions using visual and symbolic art can help participants to express their feelings, give them a sense of choice and the feeling that they are retaining a sense of control, promote insights, restructure their sense of cognition and instil hope. There have been few studies on visual art interventions involving older people with stroke and none in residential care homes (RCHs). Theoretical support and rigorous research designs on the subject are lacking. Thus, this study seeks to address this research gap by examining the feasibility of a visual art intervention for older people in RCHs and exploring the impacts on their holistic well-being. This was a single-blinded, two-arm, randomised controlled feasibility study grounded on Watson's Caring Theory. The Holistic Well-Being Scale and Caring Factor Survey were used in the study, with three assessment time-points: before the intervention (T1), at the mid-point of the intervention (T2) and immediately after the intervention (T3). Sixty-one older people with stroke were recruited from 14 RCHs and randomised into the intervention and control groups. The recruitment rate was 44.53%, and the retention rate for the intervention group was 93.55%. Implementing the programme was affordable (at approximately US$126/head), the duration was acceptable (721 min) and the feedback from participants and staff of the RCHs was positive. The visual art intervention programme proved to be clinically feasible. This study adds new insights to the development of visual art interventions and to the caring sciences. The efficacy of the programme on holistic well-being has yet to be confirmed.

Life Review the Impact of Combined Watson Care Theory Intervention on Psychological Status and Quality of Life in Patients with Terminal Lung Cancer

Life Review the Impact of Combined Watson Care Theory Intervention on Psychological Status and Quality of Life in Patients with Terminal Lung Cancer

A Nursing Experience of Caring a Patient with Coronavirus Disease

This article uses Watson's caring theory to care for a female patient diagnosed with COVID-19 and faced compulsory hospitalization and isolation. The care period is from May 23 to May 30, 2021. The care process is guided by Watson's caring theory, and data is collected through assessment, observation, interview, and other techniques. The identified health problems include inefficient breathing patterns, anxiety, and social isolation care issues.

A Nurse's Experience Providing Care to a Mother of a Toddler With Cohen's Syndrome Facing Tracheostomy Decision-Making Conflict Using Watson's Caring Theory

This case involved a 17-month-old toddler with Cohen's syndrome and cerebral palsy who had experienced multiple hospitalizations and operations since birth. During hospitalization, the patient suffered from tracheomalacia and poor swallowing and coughing abilities and had experienced two cardiopulmonary resuscitation events, after which a tracheotomy was suggested. Decision-making regarding the tracheotomy placed the mother under tremendous pressure, who was facing both the life-threatening disease of her son and her burden of care. During the nursing care period from 19th September to 6th December 2022, the author identified the main nursing problem as "decision-conflict: decision-making in relation to tracheotomy procedure" and distinguished the nursing process into (1) escape period, (2) conflict period, and (3) coping period after decision-making. Adopting the ten carative factors in Watson's Caring Theory as the core of her care approach, the author was able to establish a mutually trusting relationship with the mother and to understand her needs by means of listening, consistency, and empathy. This involved providing sufficient information and holding family meetings to facilitate communication in combination with palliative medical resources to provide follow-up care support as well as helping the family find meaning in their lives.

Exploring the Application of the Caritas Coach Role in Nursing Practice

This hermeneutic phenomenological study explored the lived experience of the Watson Caring Science Institute Caritas Coach Education Program graduates. Caritas coaches were interviewed to explore: how caring science influenced the development and implementation of the role, how graduates were affected as they lived out this role, and how caritas coaching affected the quality of nursing care. Three themes were identified: finding voice, living life with purpose and meaning, and the need for change in healthcare. Participant experience supported the importance of caritas coaching and its potential to change how nursing is practiced. It also offered an expanded view of nurse coaching.

A Shared Light Illuminates Even in the Darkest of Times.

Clinician Educator Watson Caring Science Senior Scholar Professor of Obstetrics and Gynecology Warren Alpert Medical School Brown University Providence, Rhode Island Disclosure: The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Each author has indicated that he or she has met the journal's requirements for Authorship.

Retracted: Application of Absorbable Suture in Strabismus Correction and Nursing Management Advantage of Watson Care Theory in Perioperative Period.

[This retracts the article DOI: 10.1155/2022/8739551.].

Understanding a Care Management System's Role in Influencing a Transitional-Aged Youth Program's Practice: Mixed Methods Study.

Extended foster care programs help prepare transitional-aged youth (TAY) to step into adulthood and live independent lives. Aspiranet, one of California's largest social service organizations, used a social care management solution (SCMS) to meet TAY's needs. We aimed to investigate the impact of an SCMS, IBM Watson Care Manager (WCM), in transforming foster program service delivery and improving TAY outcomes. We used a mixed methods study design by collecting primary data from stakeholders through semistructured interviews in 2021 and by pulling secondary data from annual reports, system use logs, and data repositories from 2014 to 2021. Thematic analysis based on grounded theory was used to analyze qualitative data using NVivo software. Descriptive analysis of aggregated outcome metrics in the quantitative data was performed and compared across 2 periods: pre-SCMS implementation (before October 31, 2016) and post-SCMS implementation (November 1, 2016, and March 31, 2021). In total, 6 Aspiranet employees (4 leaders and 2 life coaches) were interviewed, with a median time of 56 (IQR 53-67) minutes. The majority (5/6, 83%) were female, over 30 years of age (median 37, IQR 32-39) with a median of 6 (IQR 5-10) years of experience at Aspiranet and overall field experience of 10 (IQR 7-14) years. Most (4/6, 67%) participants rated their technological skills as expert. Thematic analysis of participants' interview transcripts yielded 24 subthemes that were grouped into 6 superordinate themes: study context, the impact of the new tool, key strengths, commonly used features, expectations with WCM, and limitations and recommendations. The tool met users' initial expectations of streamlining tasks and adopting essential functionalities. Median satisfaction scores around pre- and post-WCM workflow processes remained constant between 2 life coaches (3.25, IQR 2.5-4); however, among leaders, post-WCM scores (median 4, IQR 4-5) were higher than pre-WCM scores (median 3, IQR 3-3). Across the 2 study phases, Aspiranet served 1641 TAY having consistent population demographics (median age of 18, IQR 18-19 years; female: 903/1641, 55.03%; race and ethnicity: Hispanic or Latino: 621/1641, 37.84%; Black: 470/1641, 28.64%; White: 397/1641, 24.19%; Other: 153/1641, 9.32%). Between the pre- and post-WCM period, there was an increase in full-time school enrollment (359/531, 67.6% to 833/1110, 75.04%) and a reduction in part-time school enrollment (61/531, 11.5% to 91/1110, 8.2%). The median number of days spent in the foster care program remained the same (247, IQR 125-468 years); however, the number of incidents reported monthly per hundred youth showed a steady decline, even with an exponentially increasing number of enrolled youth and incidents. The SCMS for coordinating care and delivering tailored services to TAY streamlined Aspiranet's workflows and processes and positively impacted youth outcomes. Further enhancements are needed to better align with user and youth needs.

Karakteristik Perawat Pelaksana terhadap Perilaku Caring

This study aims to determine the relationship between the characteristics of the implementing nurse on Watson's caring behavior at Bhayangkara Hospital Tk I R. Said Sukanto. The research method is descriptive-analytic with a cross-sectional approach. The results showed that caring behavior was influenced by years of service (p = 0.002) OR = 7.167. Multivariate results obtained that the variables significantly related to caring behavior were years of service, which were controlled by confounding, namely age and marital status. The model formed is declared feasible because it meets the model's meaning seen from the Omnibus test value (p = 0.000). Based on the Nagelkerke R Square value = 0.384, the independent variables contained in the model (length of work, age, marital status) can explain caring behavior by 38.4%. In conclusion, the working period is the dominant factor in caring behavior.
 
 Keywords: Characteristics of Nurses, Caring Behavior, Implementing Nurses

A concept analysis of Watson'snursing Caritas process.

The main objective of this analysis is to give an understanding of Watson's nursing Caritas as a concept. Watson's nursing Caritas is an abstract concept, and difficult to define and operationalize because of its philosophical nature. Watson's nursing Caritas develops a clear relationship between care, caring factors, and the processes of human life. We used Walker and Avant's method. PubMed, Scopus, Ovid, EBSCO, Science Direct, Web of Science, Google Scholar, and ProQuest were searched. "Caritas process" and "Watson's caring theory" were searched. In the primary search, 883 articles were found, but eventually, 25 articles were included in the study. We define Watson's nursing Caritas as the process based on caring consciousness, engaging in reliable human caring relationships for healing support, integrity, and development of humanity that alters the concept of caring into a higher ethical commitment inspired by responsibility for others, and different meanings, including kindness, compassion, joyfulness, and peacefulness and leads to the establishment of caring behavior in clinical Watson's nursing Caritas, thus leading to improving performance. Clinical nursing Caritas enables nurses to develop an effective human being relationship between nurse-client-family, and ultimately achieve a common experience and perception of caring.

Nursing Is the Light in Institutional Darkness: A Dialogue With Dr. Jean Watson.

The year 2022 is Nursing Science Quarterly's 35th year in publication, and we are interested in dialoging with some of the discipline's nurse theorists. We hope to uncover some influences and origins of their theoretical thinking and hear about their current projects related to nursing science. In this Scholarly Dialogue column, we dialogue with Dr. Jean Watson, nurse theorist, director of the Watson Caring Science Institute, and Distinguished Professor/Dean Emerita of University of Colorado Denver, College of Nursing.

Study on humanistic nursing based on Watson's caring theory in perioperative period of percutaneous coronary intervention in ST-segment elevation myocardial infarction patients with hypertension

Study on humanistic nursing based on Watson's caring theory in perioperative period of percutaneous coronary intervention in ST-segment elevation myocardial infarction patients with hypertension

Marketing of higher education institutes through the creation of positive learning experiences – analyzing the role of teachers’ caring behaviors

ABSTRACT The higher education sector faces challenges in attracting students due to increasing competition, disruptive forces of online education, social media and employment orientation of education. A differentiating factor can be created by focusing on student-teacher relationships by creating positive learning experiences inside the classroom. The present study indicates that caring behaviors displayed by teachers impact students positive learning experiences. A multi-dimensional construct incorporating relevant dimensions from Watson's caring behavior model was used for this exploratory study with a sample size of 267 millennial students belonging to higher education. Nurturing, direction setting, and supportive environment were significant dimensions of caring behavior that impacted students’ positive learning experiences. While most institutes differentiate themselves based on cost, career opportunities, campus amenities, showcasing teachers’ caring behaviors can give institutes the edge to market themselves since educational journeys experienced by students are at the crossroads of technology and human connection.

COVID-19: An Organizational-theory-guided Holistic Self-caring and Resilience Project.

Purpose: In response to the coronavirus disease 2019 (COVID-19) global human caring crisis, this article describes an innovative, theory-guided, holistic practice project at a major academic medical center in Northern California. The purpose of this theory-guided COVID-19 project was to address the self-care needs of caregivers so they could better care for patients/families who are confronting daily pandemic demands. Study design: The organization's professional practices are guided by Watson's theory of human caring and Caritas Processes. This setting has 16 Caritas Coaches® who have acquired expertise in human caring from an accredited program of the Watson Caring Science Institute (www.watsoncaringscience.org). Methods: Caritas Coaches® were mobilized to implement holistic caring-healing modalities such as aromatherapy and mindfulness meditation throughout the organization. Findings: By addressing the self-care needs of caregivers, the organizational culture shifted from fear, fatigue, stress, and burnout, to more intentional conscious, mindful, caring presence, gratitude, and purpose. Conclusion: This study has implications for other institutions regarding theory-guided practice and system responses to self-care needs of staff. This study provides an overview of the project from its origin to implementation and outcomes.

The Perceived Impact and Usability of a Care Management and Coordination System in Delivering Services to Vulnerable Populations: Mixed Methods Study

BackgroundPeople with complex needs, such as those experiencing homelessness, require concurrent, seamless support from multiple social service agencies. Sonoma County, California has one of the nation’s largest homeless populations among largely suburban communities. To support client-centered care, the county deployed a Care Management and Coordination System (CMCS). This system comprised the Watson Care Manager (WCM), a front-end system, and Connect 360, which is an integrated data hub that aggregates information from various systems into a single client record.ObjectiveThe aim of this study is to evaluate the perceived impact and usability of WCM in delivering services to the homeless population in Sonoma County.MethodsA mixed methods study was conducted to identify ways in which WCM helps to coordinate care. Interviews, observations, and surveys were conducted, and transcripts and field notes were thematically analyzed and directed by a grounded theory approach. Responses to the Technology Acceptance Model survey were analyzed.ResultsA total of 16 participants were interviewed, including WCM users (n=8) and department leadership members (n=8). In total, 3 interdisciplinary team meetings were observed, and 8 WCM users were surveyed. WCM provided a central shared platform where client-related, up-to-date, comprehensive, and reliable information from participating agencies was consolidated. Factors that facilitated WCM use were users’ enthusiasm regarding the tool functionalities, scalability, and agency collaboration. Constraining factors included the suboptimal awareness of care delivery goals and functionality of the system among the community, sensitivities about data sharing and legal requirements, and constrained funding from government and nongovernment organizations. Overall, users found WCM to be a useful tool that was easy to use and helped to enhance performance.ConclusionsWCM supports the delivery of care to individuals with complex needs. Integration of data and information in a CMCS can facilitate coordinated care. Future research should examine WCM and similar CMCSs in diverse populations and settings.

Application of Caring Theory to Psychological Distress in the COVID-19 Crisis

This paper will discuss Jean Watson's caring theory, caritas process^® number one in relation to psychological distress experienced by intensive care unit nurses in the care of patients with Novel Coronavirus, or COVID-19, and those under suspicion for the illness.

Increasing the capacity to provide compassionate care by expanding knowledge of caring science practices at a pediatric hospital

BackgroundThe emotional aspects of patient care affect care givers' capacity to remain present, safe and caring. As demands increase and capacity decreases care providers are at risk for compassion fatigue (CF). Local problemOur organization treats children with complicated diagnoses. Nurses carry a heavy emotional burden due to prolonged exposure to suffering with chronically ill children, ethical dilemmas, and an onus to also care for the parents. MethodsOur program highlights theory guided practices that honor the complexities of caring for others and creates opportunity for the care giver to slow down and prioritize how they care for themselves. InterventionsCaritas Circles, a small group intervention program, was developed to offer a deeper exploration of Jean Watson's Caring Sciences practice and theory using intentional practices to pause, be present and find peace in the midst of caring for sick children. ResultsQuantitative and qualitative measures show improvement in care providers' ability to prioritize their own needs as they care for others. Care providers noted the need to have organizational support for resiliency, a connection to purpose as a care provider, and opportunity to let go of the emotional residue found in their role. ConclusionsOrganizations can no longer afford to ignore the emotional labor that care givers experience. This program highlights the need for hospitals to prioritize this type of experiential intervention and offer time during work hours where providers are honored and cared for, so they can continue to care for patients and families.

Caritas Education: Theory to Practice

Increasingly complex occupational demands along with varied educational and personal examples of caring, may impact the ability to deeply connect with patients. Literature has identified that nurses and patients have differing perceptions of caring behaviors. Jean Watson's Theory of Human Caring provides a framework for care delivery that focuses on the caring nurse–patient relationship and the experience through the patients' lens.Caring healing relationships are at the core of professional nursing. The purpose of this project was to design and deliver an educational seminar based on Jean Watson's Theory of Human Caring to newly graduated nurses to examine the impact on self-efficacy in caring behaviors.The project participants (N = 56) consisted of a nonprobability convenience sample of newly graduated nurses at a local faith-based community hospital. The educational intervention consisted of experiential learning activities to facilitate translating theory to practice. The study utilized the Caring Efficacy Scale (CES), which is an instrument based on Watson's caring theory and Albert Bandura's self-efficacy theory. Results demonstrated a significant improvement in caring efficacy between the preintervention (M = 5.1, SD = .47), and immediate post intervention (M = 5.5, SD = .38); t (52) = −9.09, p = .000.The knowledge from this study could provide insights for the development of effective teaching strategies to facilitate translating nursing theory to practice. Establishing and developing skills to facilitate nurturing, caring nurse–patient relationships may enhance both the patient and caregiver experience.

The effects of clinical education program based on Watson's theory of human caring on coping and anxiety levels of nursing students: A randomized control trial.

The purpose of this study is to examine the effect of the clinical education program based on Watson's human caring theory on coping and anxiety levels of nursing students. The research sample consisted of the intervention (n = 53) and the control (n = 53) group. A statistically significant difference was determined in anxiety mean scores (P < .001) and the self-confident approach, the social-support seeking approach, the unconfident approach, and the submissive approach subscales of coping with stress in students of the intervention group compared to the control group (P < .05). It is recommended that the clinical education program based on Watson's caring theory is used during the clinical education of nursing students.