Can Someone Be a Nurse Without Jean Watson?? - page 18

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   llg
    Originally posted by Susy K
    Now I argue that caring/love LEADS to burnout.

    Caring and/or love CAN lead to burnout if you don't take care of yourself. Caring for someone (whether it is in a personal or professional capacity) can be emotionally taxing ... and it can leave us vulnerable to being hurt.

    However, caring certainly beats the alternative, doesn't it? Do you really want to go through your life (professional or personal) without caring? Wouldn't that be worse?

    llg -- back from vacation
  2. by   Glad2behere
    There obviously has to be some caring. No one has suggested that you can be a nurse without it. What has been said is that nursing has no patent on the empathetic qualities found in mankind, but because we nurses have generally been exploited in that regard, we call attention to it. But to base our whole discipline on caring is horse puckey. Love and caring are energy period. The focal point is that nursing has been so caught up in how much caring they do that they have forgotten that it is energy expended, until burnout, and then the high mortality rates of nursing careers. Maybe caring ain't so cool, particularly if it allows it to deplete the numbers of nurses exploited from all directions, and is probably the single most important factor that has an effect on attrition, because we are still having to fight for adequate staffing. Why do we have to fight for it? Because we have got on a megaphone and told the whole world how much we freaking care, and letting limits of emotional tolerance being set elsewhere. So, it's our own fault really. The question has evolved not from whether we care or not to very simply "How Much Do We Care?" That can be translated to affect pay, ratios, responsibilities, and emotional wear and tear. All caring has done as a basis for nursing is create one giant sinkhole and we are all trying to climb the sides.
  3. by   semstr
    I think it is quite possible "to care professionally".
  4. by   Q.
    Originally posted by semstr
    I think it is quite possible "to care professionally".
    Assuming we're a "profession."
  5. by   semstr
    YES, we are
  6. by   Ted

    Only skimmed through it. Read the first post regarding Jean Watson and her theory regarding carding. Didn't read in depth all of the debates/arguments of this post.

    My 2 cents worth:

    Just as there are differing levels of love, there can be differing levels of caring. I couldn't care for my patients like I would "Care" for my wife or my parents. However, I do provide a level of caring which, hopefully, meets the needs of my patients. This caring is manifested as follows: I listen; I go for the "smile" and the "giggle" when appropriate; I teach them so that they may have an opportunity to care for themselves; and I provide the medical care appropriate for their diagnosis(es); I view the patient more than their diagnosis but as a human being; I give them the best 9 hours (I work a nine hour shift and get paid for 10 hours! Nice benefit! ) of my professional time.

    However, I don't take my work home. I don't think about the patients (most of the time) the moment I leave the hospital! I even forget their names! (I got a bad memory anyway!) It's this kind of detatchment that helps me keep from getting burn-out; it helps keep me sane; it helps me stay in this nursing "profession". Professional detachment is a good thing. And yes, I believe one can be caring and professionally detached at the same time.

    With regards to caring for the "child molester". Again, I give that person the medical treatment appropriate for their diagnosis. I listen. I teach. I don't feel obligated to like them. But I don't totally ignore them either. Simply, I don't condone their actions, but I don't judge either. . . at least not there and now.

    I studied Jean Watson towards the BSN but only briefly. Haven't read her theory in great depth. Don't know how far the "caring road" she takes her theory. However, I am a caring person. It's part of my nature; it's part of my upbringing! It's a part of nursing I love.

    Most importanly, though, one has to care for one's self in order to have the "emotional and spiritual" fuel to care for others. A dry well does not provide water for thursty mouths.



    P. S. Good topic, Susy!
    Last edit by Ted on Nov 19, '02
  7. by   gpip
    how ironic I folow the same nursing theory as Zoe. I remember theory a little from school. Then I forgot it because truely it does not matter. You try to treat everyone the same reguardless of race, creed, color, religion , or sexual orientation. They all basically say basically same thing using different words. Iknow I am like the rest of youand when my patient is not doing well I think hmmmm, which nursing theory would beappropriate to best help my patient, NOT!!!!!!!!
  8. by   Q.
    Originally posted by gpip
    You try to treat everyone the same reguardless of race, creed, color, religion , or sexual orientation.
    Who resurrected this thread?!

    Ohhhh. Hmmm. I think that's a somewhat slippery opinion to hold. A lot of studies have shown that people are NOT the same and require different treatments based on the situation.

    A newly diagnosed male MI patient will have different issues than the woman who just suffered a perinatal loss. To assume they are both grieving in the same manner is not a good assumption, imho. In fact, one study showed that female and males differ greatly in their needs, even with the exact same dx as MI.
  9. by   sanakruz
    You are right Suzy.
    One should "care " that one gives the best "care".
    Watsons work is inspiring, even exciting, but in the end its theory.
    Practice is different. Perhaps if one "cared" for 5 pts a year it would be possilbe to "care'' Watson style.
    Its a very spiritual way to view the nursing process and I like that. But the spirtual needs of individuals have many variations. No, people are not the same. Yes, one can be a good nurse and not care as Jean watson would care.
  10. by   Ted
    Originally posted by Susy K
    Who resurrected this thread?!

    Ohhhh. Hmmm. . . . .
    Sorry. . . . oops. . . . :imbar

    Anyway. . . may the nursing theorgy gods be with us all. . . .

    My favorite theorist?. . . . Don't remember the theorist . . . but the theory had something to do with energy and stars and stuff. . .

    I don't necessary agree with it. . . I just like "out-there" theories.

    Actually, my favorite theorist is Steve Hawkins. . . but that's another topic for another thread for another bulletin board. . .


  11. by   Q.
    Bawh! Now isn't that funny; I detest Martha Rogers' theory but I was fascinated by Stephen Hawking (I think that's who you meant).

    Kind of a double-standard on my part, I suppose.
  12. by   Ted
    Originally posted by Susy K
    Bawh! Now isn't that funny; I detest Martha Rogers' theory but I was fascinated by Stephen Hawking (I think that's who you meant).

    Kind of a double-standard on my part, I suppose.
    Stephen Hawking. . . yep, that's the guy! Saw him on the Simsons once. . .


  13. by   JWaldron
    Depends on what you mean by 'caring'. I don't think you have to care about the patient as 'Mary Smith' but you do have to care about the patient as a human being, a person who derserves the best I can give them. And I won't say that it always comes easy, but even obnoxious people deserve quality care. Who's Jean Watson?