Can Someone Be a Nurse Without Jean Watson?? - page 6

Ok now, as I delve back INTO nursing philosophy and theories, I come across, again, the theories of Jean Watson that have been hailed as the greatest thing since polyurethane IV bags - The Caring... Read More

  1. by   Q.
    Originally posted by Stargazer
    Okay, but these are present in medicine as well; and somehow medicine doesn't seem to be having the kind of identity crisis that nursing is.
    Good point. So why DO we have an identity crisis? I guess maybe I should take a gander at medicine's philosophy and look at how we can adapt it to nursing. I also think nursing tries to separate itself from medicine, as it's own profession. Is it? Or is it really not?
    Basically, I think most theories are outdated. When I read how Nightingale started nursing, it was very feminist, and created so women could contribute to society. Those days are gone now. We need to take back the profession, construct curricula that aren't based on the 80's Women's Way of Knowing work and move on!

    By the way James, I am still reading that link you provided. I am utterly embarrassed as a professional nurse to see some of these theories floating around. Clairvoyance????
    :imbar
  2. by   Q.
    Originally posted by Glad2behere
    Suzy,

    Will we get to read it and burn it if we don't like it? (laugh)

    Make some minor editing adjustments?

    Definitely! I bounce most of my ideas of allnurses.com anyway; it provides food for thought. It's amazing how many people here can invoke a thought-provoking discussion sometimes!
  3. by   Glad2behere
    Just to add a little more fuel to the fire, and I in no way mean to be controversial, but I think you are really on to something here Suzy, in helping nurses.

    Ironically, the nursing process itself has more merit from a practical standpoint, and can be applied to any task, not just nursing. It is problem and goal oriented, though I have never been impressed with the MEASURE criteria used to verify it's outcomes.

    What we need is not another glorified ceremonial litany about how much we do and how good we feel about and how good does the patient feel...leave out the lollipops and the hallucinations of grandeur.

    What we do need is a concise reasoning, measurable as Stargazer said, with emphasis on what we really do, and what GOALS we have. The medical profession has succeeded in doing exactly this, and all nursing has had to follow suit, inventing mirages of self-validation as a profession because nursing has been DEFINED by other professions, not us...we just think we have and we are being allowed to inhale the fumes of our own self-indulgence. Granted, we are legally limited to the extent that we project an isolated philosophy by the confines of what we are legally limited to do in the care setting. However, I submit the argument that nursing schools focus more on technical aspects, develop a regimen of instruction involving much more scientific background and knowledge, and develop differentiation within our own incorporating these ideas. Yes, there has been a move toward this, as nurses become more and more different...comparing a pedi nurse to a burn nurse...no way. Two different things. I only wonder if these differentiations were caused more by a desire to relieve legal complications arising from incompetence rather than forwarding the professionalism of that particular group of nurses...so the lawyers and the docs told us to do it.

    We also have a bright shiny spot out there, I think, and in support of competence asa result of better training from a scientific basis we need only look at a few of our own. CRNAs
    Proof in the pudding. I think that is measurable outcome.
  4. by   Q.
    First of all, I read James Huffman's article 2 times. It was embarassing. I am bringing that article to class on Thursday night to challenge my professor. THIS professor fits the "cult indoctrination" mentality to a tee. Last Thursday some of us were simply saying, after reading an article critique on Neuman, that we didn't "buy" the emphasis on caring, etc. Our prof clearly didn't even respect our opinion. So...THIS article I bring forth will surely cause an uproar! I will keep you posted if I get kicked out of the grad program!

    I have a feeling though, Glad2behere, that if I write just as you propose, I will be faced with MUCH opposition. Luckily a lot of the theorists are Boomers or older who hopefully won't be publishing as much anymore, but it's ironic that these same nurses who demanded nursing be recognized for it's academic merit and scholarly endeavors, either dismisses that very aspect of nursing or tries to reinvent the wheel (Rogers' twisted physics).

    I do like hearing from all of you here, though, in bouncing off ideas about a USEFUL nursing theory, if we have a theory at all. Like the article stated, biology doesn't have a "theory," maybe we shouldn't either.
  5. by   live4today
    The name of this thread is: Can Someone Be A Nurse Without Jean Watson?

    Well.........I AM PROOF OF THAT seeing that I NEVER once heard of JEAN WATSON. :chuckle Thank God my being a dang good nurse wasn't dependent on 'WHAT' nursing theorist I knew or didn't know.
  6. by   Q.
    Ha Renee, very funny!

    With the way Watson is emphasized in the literature, you would think that someone really COULDN'T be a nurse without her.
  7. by   live4today
    Hi Suzy......guess I'll have to check out this woman to see what she's all about, although I still like my own philosophy of nursing over any other......See post #44 above.....I am in complete agreement with "The Zoe Theory".....also "The Renee Theory".

    In my own personal professional opinion on nursing theorists though, I must say that I do not subscribe to any nursing theory I've ever read for one reason........I cannot be a nurse without first being myself. In being myself.....I am bringing the BEST theory to nursing that I could possibly bring to the field of nursing because my theory of being "ME" doesn't imitate someone else's ideal of what a nurse should or shouldn't be.

    It's great to read and learn about how other nurses theoretically view nursing as a whole.....however.....if I didn't already have within me the compassion and passion for helping people in life, I would have never entered nursing.

    You see Suzy.......I had pretty much raised three children before I even went to college. I had worked in the capacity of many different types of jobs......Realtor, Sales Clerk, Cashier, Typist, Assistant Teacher, Assistant Girl Scout Leader, Aerobics Instructor, Sunday School Teacher of children and young adults, Vacation Bible School Director, Bookkeeper, Amway Distributor, Adult Bible Study Teacher, Video Store Sales.......so many more.

    It was through all the years PRIOR to my becoming a nurse, that I was being groomed for the occupation of nursing.....my spirit was being groomed.......my patience was being sharpened.......my ability to relate to the public and to people of many cultures and races was being defined......and so forth.

    At the age of 35, when I graduated from college, I was MORE THAN READY to give back to society what I had been previously groomed to do......and that was being the best darn nurse I knew God had prepared me to be.

    It was because of my many growth spurts emotionally, mentally, spiritually, and physically that I graduated the school of life having learned from many hardknocks along the way that kept me from feeling any sense of frustration as I cared for a very sick population of people as a nurse. Without those prior years of 'GROOMING'.....I would NOT have been the excellent nurse that I know I am.

    NO THEORIST could have prepared me for all of that. You see, It is not in the theory that one learns to be a nurse, it is a lifetime process of growth as a human being......as an individual......as one who is exposed.....sometimes against one's will......to the many facets of life OUTSIDE our own COMFORT ZONE of what we would prefer to stay in....yet, for the benefit of not only ourselves, but for others......CHANGE happens to us....and we are literally forced to grow from its impact on our lives.

    Some succumb to that growth spurt......some regress. THIS is the BEST nursing.......the BEST life's theory.....to me......personally speaking......Amen!
    Last edit by live4today on Sep 15, '02
  8. by   Q.
    Renee, I agree with and understand everything you are writing, but in all reality, if nursing is to be recognized as a profession, we need to have some type of identity that is more meaurable than just caring or clairvoyance. Unfortunately those types of characteristics aren't respected in the science community.

    Whether we have a theory or not, or even if we have a theory to NOT have a theory, it will hopefully be a method to help define what nursing is.
  9. by   Glad2behere
    Suzy,

    Somebody has to do the heavy-lifting!

    I am thrilled that you are undertaking this...it is something that desperately needs to be done.

    I remember one really good instructor from school, there were several, but she really sold me on this concept of competence. Her philosophy was competence breeds leadership. When I was doing so poorly in nursing theory, I never will forget her comment.

    "I can see you are not going to make the adjustment to group therapy, good. We need some real leaders!"

    So you go gal!
  10. by   live4today
    originally posted by susy k
    renee, i agree with and understand everything you are writing, but in all reality, if nursing is to be recognized as a profession, we need to have some type of identity that is more meaurable than just caring or clairvoyance. unfortunately those types of characteristics aren't respected in the science community.

    whether we have a theory or not, or even if we have a theory to not have a theory, it will hopefully be a method to help define what nursing is.
    i couldn't help but smile as your comments took me into another whole realm of life........motherhood......and the stay at home mom. :chuckle

    humor me for a minute while i type what i was just reflecting on.....using your words.....thanks:

    ..............if motherhood is to be recognized as a profession, we (as moms) need to have some type of identity that is more measurable than just caring or clairvoyance. unfortunately those types of characteristics aren't respected in the science (working world) community.

    whether we have a theory or not, or even if we have a theory to not have a theory, it will hopefully be a method to help define what motherhood is.


    thanks for taking me back to a very crucial point in history when women were fighting to be recognized as having a career...any career........that of being fulltime mothers who were raising tomorrow's generation of scientist, nurses, doctors, lawyers, ministers, teachers, computer nerds, and so forth.....even raising more career-moms who took their jobs as fulltime moms just as seriously......theory or no theory......as any woman working in the workforce was trying to do under all that pressure.

    your words rang so strong to me as another analogy of life that i had lived........i happen to be experiencing many different changes in my fifty year young life right now.....so forgive me while i digressed on your words there.

    i'm not mocking your desire to build a nursing theory, but as a woman who has lived so much in life, theories....as such....apply to many phases of a person's existence.....and more power to those who want a "theoretical role model" to look up to.

    as for me.......the best example of what a good nursing role model is are the many wonderful "seasoned" nurses who i have had the blessed opportunity of being precepted by......along with my own very long previous work experience.....and my own experience with a long term marriage and the raising of three children that added much to my character and persona....enabling me to give the best me i could to others.....especially to my patient population, and my former coworkers. that's really all the "theory" that i want and need.

    thanks again for allowing me to digress here and reflect on one stage of our history that fought hard to arrive at the point where we women are today........now we aren't fighting to be recognized as "stay at home moms".....now we are fighting to just be recognized period in the working world.......especially that of professional nursing, or whatever a woman's occupational title happens to be today.....outside of motherhood, wifehood, friendhood...etc.

    i close in saying.......you go girl......and build that theory that will speak to your heart as a nurse.....and the hearts of all those nurses who seek to find a certain "theorist's thinking process" as their nursing role model. i wish you nothing but the best in your endeavors as a nurse, and as one who feels so strongly as you do about a subject that is obviously very passionate to you. :kiss
    Last edit by live4today on Sep 15, '02
  11. by   WashYaHands
    As can be seen by many posters, you don't have to be knowledgable about any nursing theory to be a good nurse. Everyone has their own personal belief about what nursing is and why we do things a certain way. There are really no wrong answers. Theories exist to explain and define abstract concepts. If you put 50 nurses in a room and asked each one to answer the question, "what is caring?" you'd probably get 50 different answers. The only difference between Jean Watson and those 50 nurses is that Jean Watson looked at the concept of caring and published a theory about it. Bottom line is...I dont think about theories when I'm working and most of the time the medical aspect of care is the priority. I've enjoyed reading the posts and appreciate sharing of personal beliefs of what nursing is and how we can better explain and measure what we do.

    Suzy, I believe I read that you are in a MSN program with an education focus. There is a book, written by Jean Watson and Olivia Bevis, titled "Toward A Caring Curriculum". Please don't slap me! lol. Great thread, I've enjoyed it.

    Linda

    oops, had to edit my spelling, behold the dink theory!
  12. by   Q.
    Maybe I am having a DOH moment, but I couldn't follow you Renee.

    I don't think you can compare motherhood to a professional nurse, and even if there are similarities, I'm not sure I want them compared. I am not a mom and I have no desire to be one at this point. I am a nurse though and have read about theories that I simply don't agree with.

    The point is that there are theories out there, whether you actively use them in practice or not is not really the issue. Most theories are written after observing nurses anyway. The point is that most of the theories that are out there are, to me, useless, with the exception of Orem. I feel like that I want to overturn or disprove Watson.

    I firmly believe nursing has not advanced to a level that we crave because of feminist theories that are still hanging out there.
  13. by   Q.
    Originally posted by WashYaHands
    . There is a book, written by Jean Watson and Olivia Bevis, titled "Toward A Caring Curriculum". Please don't slap me! lol. Great thread, I've enjoyed it.

    Eeek!

    Ya, I already know whole curriculums are built on Watson and Neuman. Yikes.

    And we wonder why we don't seem to attact men to the profession.

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