Can Someone Be a Nurse Without Jean Watson?? - page 33
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
Sep 23, '09Occupation: ICU RN Specialty: ICU ; Joined: May '08; Posts: 54; Likes: 23I think a bit of caring is necessary, but you have to define caring... Do I fawn over my patients, delving into deep histories of their cats and mom's neighbor who has amazing roses?? no. Do I care if they are in pain or scared? absolutely. Do I do my best to be a compassionate nurse? yes. I think there are varying levels of caring, just like there are varying levels of nursing and nurses. I am not a hand petter, though I have held hands. I think being a nurse involves knowing partially from experience and partially because your a human being when someone needs you to be more. the question is can you be more.
personally I LOVE the theories of Orem... in my own words of course... 'do it your --- self!!' and Florence... 'WASH YOUR ---- HANDS!'
I have seen nurses who care too much and those that don't care enough, there's a balance. There has to be or we'd all be insane. Those that don't care enough generally also suck at things like charting, keeping their patients room in order and their own personal hygiene... just some observations....
Oct 3, '09Occupation: Certified Med/Surg but working Community Mental Health Specialty: ICU, School Nurse, Med/Surg, Psych ; Joined: Jun '07; Posts: 333; Likes: 192The only difference I see in the work performed by a nurse (number 1) who cares about the client and the nurse (number 2) who is just doing their job is in the extras. I have pride in doing my work well and that means making sure they have ice water and helping them to track down the stuffed animal that was wrapped up in their sheets when they got taken to the laundry. Nurse 1 might stay after their shift is over and talk with the patient, may call on their day off to find out how they are doing or spend their own money to help them get through the day easier. Nurse 2 goes home after a difficult shift and doesn't give it another thought until the start of the next shift. Nurse 1 is much more likely to burn out than nurse 2.
Oct 8, '09Occupation: RN- Telemetry, ICU Specialty: 4+ year(s) of experience ; From: US ; Joined: Oct '09; Posts: 63; Likes: 45im brand new, but im so glad i clicked on this thread. all the watson/theory stuff seemed so unrealistic to me. i believe you obviously have to be a caring individual to be a nurse but its one thing to address someones emotional issues & help them... its another thing to be expected to make that person an emotional issue to you- then go home to the people you have real relationships with. it would naturally be different working in LTC where youre with the same patients over an extended period of time.
Oct 11, '09Occupation: Utilization Review, prior Intake Mgr Home Care Specialty: 40 year(s) of experience in Home Care, Vents, Telemetry, Home infusion ; From: PA, US ; Joined: Oct '00; Posts: 27,548; Likes: 13,755look at how st. joseph's hospital, orange ca using this theory: jean watson video
Oct 19, '09Joined: Oct '09; Posts: 3; Likes: 4Jean Watson is really respected in Colorado as that is where she lives and has taught and developed her theory.. Can you be a good nurse without caring about the person.. YES.. can you be a good nurse without caring.. NO. You need to care that that is someones mother, father, sister, brother etc. Not your mom., dad.. etc but someones. Treat people as you would want to be treated with respect and dignity. That is caring..
Oct 21, '09From: US ; Joined: Sep '09; Posts: 85; Likes: 33Just speaking for myself here, but the major reason I've decided to go into nursing is to have a career that allows me to help society in a tangible way. Granted, I'm interested in the technical stuff as well, but the fact that I want to take care of individuals is why I chose to leave careers that would be mostly research-based on the back burner for the time being. I realize that all this means is that caring might make one become a nurse, and doesn't imply that being careless would make someone a bad nurse.
But, with all the other careers in the world that have better pay, more recognition and respect, and less stress, why in the world would anyone choose to be a nurse if they didn't care?
Oct 21, '09Occupation: CNA Specialty: 2 year(s) of experience in Med Surg, Ortho, Tele, ICU, Hospice ; Joined: Nov '07; Posts: 104; Likes: 87Forgive me if this is too brief a treatment of a very involved question, but - I think it depends on what your goals are as a nurse, your philosophy and the field in which you practice.
Realize you are working in an imperfect medium, with imperfect clientele and an imperfect process.
Not to be a downer, and I have not worked everywhere or know everything by any means, but I feel this job is less about success outright and more about compromise - with patients, the economy, human mortality. Often, for just a little more time.
I say, care as best you can. As far as that mother/father bit, I'm not so hot for it. Too much caring *will* make you crazy.
Oct 23, '09Joined: Sep '07; Posts: 55; Likes: 6i think certain nursing theories are meant for certain type of nursing. this one should be kept solely in psychiatric nursing. Thank you.
Oct 23, '09Specialty: 12 year(s) of experience in rodeo nursing (neuro) ; From: US ; Joined: Apr '04; Posts: 2,618; Likes: 2,838I took this thread as an incentive to Google both Jean Watson and Dorthea Orem. I have to admit, my perspective as a working nurse is different from what it was as a student. In school, I could feel my eyes glazing over, but now, the only serious fault I find with either is an aversion to Anglo-Saxon words. Filter through all the Latin and the technical jargon, and it isn't all that far from common sense.
Oct 25, '09Joined: Dec '06; Posts: 306; Likes: 272I have found that nursing theory is the same as plumbing theory: S...t runs downhill.
Oct 25, '09Occupation: ACUTE REHAB Specialty: 16 year(s) of experience in acute rehab, med surg, LTC, peds, home c ; From: US ; Joined: Feb '09; Posts: 682; Likes: 672Quote from mintyRNOne can be a good nurse without "caring deeply" for the pt. My experience in corrections showed me that. I had to provide care to child abusers, molesters, and murderers. Did I like these people? NO. I did provide them with the best possible nursing care though.
Interesting point. This is why it takes all kinds of people to be nurses. I could never work with such a population because they would disgust me. I don't think you have to care deeply for your patients like you do your family, but I dont think I could be therapeutic if I absolutely hated their guts, which I would. :angryfire
I think I have a great relationship with my patients. I treat them all with unconditional positive regard. Some of them I truly do like alot. I am always courteous and I try to make small talk so they feel comfortable, which increases their overall feeling of well-being, makes working a little more fun and interesting and opens the lines of communication. They know they can come to me with anything they need (within reason). I try to truly empathize with what they must be going through and I try to keep the conversation and relationship "all about them".
That being said, I wish them well but once I go home, I don't usually give them a second thought.
Oct 31, '09Occupation: Prof of Nursing, hospice nurse Specialty: 26 year(s) of experience in OB, critical care, hospice, farm/industr ; From: NO ; Joined: Apr '04; Posts: 238; Likes: 194Some of the best advice I got in nursing school was "You don't have to like all your patients." I was so grateful I could have kissed that professor! You can care deeply about doing a good job, being there for the patient, caring about them as a human being deserving of the care and consideration every human being deserves and being an ethical nurse and STILL hate their guts.
I think it's stupid to expect to "care" about every patient like that. Some you click with and they become dear to you and others don't. You still give them everything you've got, right? Because that's the essence of a nurse: that all patients are treated with equal dedication compassion and intellectual rigor.
You don't have to like anyone. You just have to do a good job and live up to your end of the bargain: I will take care of you to my utmost ability.
Remember: a theory is just that. There are plenty of theories that border on the ridiculous. Martha Rogers, anyone?
Oct 31, '09Occupation: ACUTE REHAB Specialty: 16 year(s) of experience in acute rehab, med surg, LTC, peds, home c ; From: US ; Joined: Feb '09; Posts: 682; Likes: 672Quote from TDubLOL This made me laugh. Martha Rogers was the unitary being thory, right? Boy some of them were so far out there that I started to wonder weather they wrote their theories during the sixties while doing bong hits and tripping their faces off. :spin:Remember: a theory is just that. There are plenty of theories that border on the ridiculous. Martha Rogers, anyone?
I kind of liked learning about some of them though. Like Florence Nightengale and the environment. It was so cutting edge back then. "Hey, what if we feed people good food, dont let them wallow in their own filth AND give them fresh air, maybe then they would heal better?". I love it.