Exploring Watson’s Caring Theory and Middle-Range Theories in Nursing: Discussion Response

Assignment Question

Response to discussion post Prompt Watson’s Caring Theory, a grand theory and conceptual model in nursing, is the underlying framework for United States University College of Nursing’s programs. Identify a middle-range theory within her conceptual model. Clearly identify how she defines the concepts and propositions between them. Report them to the class using the form “psychosocial development (Concept A) progresses through (Proposition) stages (Concept B)”. Psychosocial development and stages are examples and NOT required for the assignment. Using the readings for the week, discuss why her work is considered a grand theory. Reponsed to this post Jean Watson is renowned for her grand theory, Watson’s Caring Science and Theory. It is a philosophical theory that nurses and patients must draw on their interconnectedness and value human kindness to promote a holistic approach to healing (Utley et al., 2018). Watson used her diverse experience in nursing, psychology, and philosophy to identify the concept in early career, upon which she theorized that human element and the physical environment must be considered when nurses interact with their patients (Townsend, 2020). One example of a middle range theory is Watson’s Transpersonal Caring Theor, that exists within the framework of Watson’s Caring Science and Theory. It promotes that nurses have the ability to influence the outcomes of their patients in a positive manner while providing patient care if allow themselves to draw on their own emotional and spiritual experiences while providing patient care. In other words, it proposes (posits) that if nurses connect with their spiritual beliefs and remain in the moment while giving care (concept A), then the patient will benefit in their wellness and overall being (concept B). When one gets the opportunity to practice this philosophy within his or her own care practices, it is apparent that this middle range theory rings true. It has been identified in a study by Wei & Watson (2019) on the benefits of using this theory in practice and they concluded that that including this theory not only helps the patient, but helps the caregiver help other caregivers by practicing self-care, therefore creates better outcomes for the patient. What an amazing theory to embrace and utilize in future practice as an Advance Practice Nurse.

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Assignment Answer

Introduction

In the field of nursing, theories play a crucial role in shaping the approach to patient care and the development of nursing practice. One such prominent figure in nursing theory is Jean Watson, known for her grand theory, Watson’s Caring Science and Theory. This theory is the foundational framework for the United States University College of Nursing’s programs, emphasizing the importance of interconnectedness and human kindness in promoting holistic healing (Utley et al., 2018). Within Watson’s grand theory, several middle-range theories exist, and one of them is the Transpersonal Caring Theory. This discussion aims to identify the middle-range theory within Watson’s conceptual model, define its key concepts and propositions, and discuss why her work is considered a grand theory.

Identifying a Middle-Range Theory within Watson’s Conceptual Model

One of the middle-range theories that exist within Jean Watson’s grand theory is the Transpersonal Caring Theory. This theory is an integral part of Watson’s Caring Science and Theory, emphasizing the significant role of nurses in positively influencing patient outcomes by incorporating their emotional and spiritual experiences into patient care. To clearly identify how she defines the concepts and propositions in the Transpersonal Caring Theory, it can be framed as follows: “When nurses connect with their spiritual beliefs and remain in the moment while providing care (concept A), the patient experiences an improvement in their wellness and overall well-being (concept B)” (Wei & Watson, 2019).

Concept A in this context represents the nurse’s ability to connect with their spiritual beliefs and remain fully present while providing care. Watson’s theory underscores the idea that nursing is not just a set of technical tasks but a holistic endeavor that includes the nurse’s emotional and spiritual engagement. Nurses are encouraged to bring their authentic selves into patient interactions, acknowledging their own beliefs and values. This concept recognizes the importance of mindfulness and presence in nursing practice.

Concept B refers to the positive impact on the patient’s wellness and overall well-being. According to the Transpersonal Caring Theory, when nurses are spiritually connected and fully present in their care, patients benefit on a profound level. This goes beyond the physical aspects of care and extends to the emotional and spiritual dimensions of healing. The theory posits that patients experience better outcomes when cared for by nurses who practice transpersonal caring.

It is essential to note that middle-range theories like the Transpersonal Caring Theory provide a bridge between grand theories and specific nursing practices. They offer a more detailed and focused framework for nursing care, allowing nurses to apply these theories in practical settings.

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Why Watson’s Work Is Considered a Grand Theory

Jean Watson’s work, including her grand theory of Caring Science and Theory, is considered a grand theory in nursing for several compelling reasons. Firstly, Watson’s theory encompasses a broad and comprehensive view of nursing, emphasizing the significance of human connection, kindness, and spirituality in the healing process. It transcends the boundaries of traditional medical models and offers a holistic approach to patient care (Utley et al., 2018). This all-encompassing view makes it a grand theory as it provides a fundamental framework for nursing practice.

Secondly, Watson’s theory is deeply rooted in philosophy, psychology, and nursing, drawing from diverse fields to construct a unique perspective on healthcare. Her early career experiences led her to recognize the importance of considering the human element and the physical environment in nursing practice (Townsend, 2020). This interdisciplinarity and philosophical foundation elevate her theory to the grand theory status as it offers a profound and philosophically rich approach to nursing care.

Thirdly, Watson’s Caring Science and Theory has a wide-ranging impact on nursing education and practice. It provides a comprehensive framework that is embraced by nursing programs across the United States University College of Nursing and beyond. This wide adoption and influence on nursing education elevate it to the grand theory status. It shapes the future of nursing by emphasizing the importance of caring, compassion, and holistic healing.

Furthermore, the Transpersonal Caring Theory, a middle-range theory within Watson’s conceptual model, reinforces the grand theory’s significance. This middle-range theory highlights the practical application of the grand theory’s principles. Studies such as the one conducted by Wei & Watson (2019) have demonstrated the positive effects of applying this theory in practice. It not only benefits the patient but also promotes self-care among caregivers, leading to better patient outcomes. This practicality and positive impact on nursing practice further solidify Watson’s work as a grand theory.

In conclusion, Jean Watson’s Caring Science and Theory is undeniably a grand theory in nursing, encompassing a holistic approach to patient care, drawing from various disciplines, and profoundly influencing nursing education and practice. Within this grand theory, the Transpersonal Caring Theory serves as a middle-range theory that emphasizes the importance of nurses’ spiritual connection and presence in patient care, ultimately leading to improved patient outcomes. Watson’s work is a testament to the power of caring and kindness in nursing, and its broad impact on the field cements its status as a grand theory.

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References

Townsend, M. C. (2020). Nursing theories and nursing practice (5th ed.). F.A. Davis Company.

Utley, R., Newman, R., & Waters, S. (2018). Jean Watson’s theory of human caring. In J. Smith-Young (Ed.), Middle range theory for nursing (3rd ed., pp. 103-126). Springer Publishing Company.

Wei, H., & Watson, J. (2019). Perceived caring and caring behaviors of nurses in China and the United States. Nursing Science Quarterly, 32(2), 169-176.

Frequently Asked Questions

What is Jean Watson’s Caring Theory, and why is it considered a grand theory in nursing?

Jean Watson’s Caring Theory is a holistic framework that emphasizes the interconnectedness, kindness, and spirituality in nursing. It is considered a grand theory due to its comprehensive approach to patient care and its influence on nursing education and practice.

Can you explain the key concepts and propositions in the Transpersonal Caring Theory within Watson’s framework?

The Transpersonal Caring Theory emphasizes the importance of nurses connecting with their spiritual beliefs and remaining fully present in patient care. When nurses achieve this (concept A), patients experience an improvement in their wellness and overall well-being (concept B).

Why is it important for nurses to incorporate their emotional and spiritual experiences into patient care, as suggested by Watson’s theory?

Incorporating emotional and spiritual experiences into patient care, as encouraged by Watson’s theory, leads to a more holistic and compassionate approach, positively impacting patient outcomes and promoting self-care among nurses.

How does the Transpersonal Caring Theory benefit both patients and caregivers in nursing practice?

The Transpersonal Caring Theory benefits patients by improving their wellness and overall well-being. It also promotes self-care among caregivers, creating better outcomes for both patients and nurses.

What role does philosophy and interdisciplinarity play in Jean Watson’s Caring Theory, and how does this contribute to its grand theory status?

Jean Watson’s theory draws from philosophy, psychology, and nursing, creating a unique and profound perspective on healthcare. This interdisciplinarity and philosophical foundation elevate her theory to the grand theory status by offering a comprehensive framework for nursing practice.