Nursing Concepts

This essay discusses the concept of nursing in the context of hip replacement surgery and the importance of caring for patients with respect and dignity. It explores Dr. Jean Watson's theory of caring and how it can be applied in patient care. The essay also highlights the benefits and limitations of Watson's theory.

Running Head: NURSING CONCEPT
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NURSING CONCEPT
ESSAY
Student
3/31/2019

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Nursing Concepts
Hip replacement surgery is a medical procedure that includes removal of the hip joint
with arthritis and replaces it with the artificial joint. Patients undergo this surgery face several
other psychological issues like depression and anxiety, therefore they must be dealt with care and
respect. Dr Jean Watson proposed a caring theory. She stated that the transpersonal concept is
the intersubjective relationship between humans in which the nurses can play a key role (Jesse, &
Alligood, 2013). The assumption of transpersonal relationship is an ethical or moral commitment
to the safety and enhanced dignity of the patient. The patient should be guarded with respect and
their needs, routines, and rituals must be prioritized by the nurses.. The caring can be effectively
applied and practice only interpersonally. Caring includes carative aspects that outcomes in the
satisfaction of some human requirements. The effective caring endorses wellbeing and personal
or family development (Watson, & Woodward, 2010). Caring can openly subsidize the complete
welfare of the patient and his family. A caring environment can offer development of potential
whereas permitting the patient to select the best treatment or action for him at a point of time.
People feel cared when they are empowered or engaged in the decision making process. The
nurse can play a key role in implementing this in patient care. Nurses who practice transpersonal
care can show a genuine desire to be available and centred in their communication with the
patient. Nurses are the one has the ability to focus on consciousness and intentionally on caring.
Nurses can build a caring relationship with the patient; they can display an unconditional
acceptance. The nurse is able to use a holistic interventions approaches; one that involves curing
the mind, spirit, the soul as well as the body. Nurses spend uninterrupted time with the diseased
persons; it is called caring moments. Nurses can work as the bridge between the patient and other

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health care member. The nurses can promote health through information, knowledge and best
interventions that can be beneficial for the person (George, 2011).
Watson described the benefits of putting love into the practice. He proposed that
practising loving kindness and equanimity inside the context of caring consciousness can be
beneficial (Vandenhouten, Kubsch, Peterson, Murdock, & Lehrer, 2012). For Jean-Baptiste, this
concept is more required and beneficial. The patient just had hip replacement injury which is
considered one of the most difficult phases for the patient as they have to rely on other people for
daily life works. The patient is not familiar with English and there was no nurse to understand his
language, it more essential to use love-caring. The patient asked for Haitian customs and beliefs,
therefore it should be the priority area (Vandenhouten, Kubsch, Peterson, Murdock, & Lehrer,
2012). As the patient can only speak Creole his assessment might be difficult for nurses,
therefore they should focus more and must show more respect. Using love-caring is actually
cultivating one’s personal spiritual does and transpersonal self, and dealing without ego. It also
enables nurses to be available and supportive of the patient’s expression of both positive and
negative feeling (Suliman, Welmann, Omer, & Thomas, 2009). Although the patient was
encouraged to bring outside food and his spiritual items, and to discuss the balminess of his
culture with nurses, he should also be assessed and dealt by the nurse who has proper or sound
knowledge of the patient's spiritual beliefs so that there should be no ethical issues occur. Having
a highly held desire to live and the upkeep or care, in whatevermanners are meaningful and
beneficial in this given moment, within this given situation, is an initial point. It is actually a
stance, behaviour or attitude, an intention, an obligation, and a conscious for the growth of
specific caring/loving compassion identities. Love caring is considered as the core concept which
developsa positive relationship between the nurse and patient (Arslan‐Özkan, Okumuş, &

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Buldukoğlu, 2014). This concept might also the nurses to develop a therapeutic relationship with
thepatient and his family in order to assess them accurately and to encounter the health goals
already set for the patient (Gallagher-Lepak, & Kubsch, 2009). This concept can be used as a
supportive intervention for Jean-Baptiste understands what he feels and what re his specific
needs.
Nurses can use self to generate a healing environment for the patient which is the
essential step as the patient just had a hip replacement surgery (Swengros, Herbst, Friesen,
Mangione, & Anderson, 2014). Understanding self can be done by using some self-reflective
questionnaires such as what is the meaning of providing care for the person, family and myself,
how do they express their care consciousness and assurance to their patient or clients, to the co-
workers, to the institution, and to the community and larger word. They should ask themselves
how they define self, person, nurse, environment, wellbeing /haling, and nursing, how do they
make a change in individual’s healing process, how they can be more informed by the medical
Caritas activities in their nursing practice, and how they can be motivated by the Watson’s caring
philosophy in their practice (Yeter Durgun Ozan, 2015). They can be more creative while
discussing the symptoms and other indicators with the patient by asking some question to the
patient. Some of the questions nurses can ask the patient include tell me about your health what it
like is to be in their conditions or situations. Nurses can also ask them to discuss how they
perceive themselves, what are their health priorities, how do they envision their life, and what it
is the sense of caring for them (Watson, 2011). Nurses should creatively use self and every way
of understanding as the part of the caring process, involving in the artistry of caring-healing
processes. It is considered that healing is not same as curing, healing is the restoration of
wholeness, and not the level of wholeness earlier the diagnosis, restoration is new, different and

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better to be used throughout the treatment process and after the treatment (Norman, Rossillo, &
Skelton, 2016). Nurses can use self in order to create a healing environmentwhich includes
keeping the silent environment, being available for the patient all the time. Privacy is one of the
human needs for the patient, thereforeprovidingthe patient with a private room gives them their
family a feeling of control over the atmosphere, involving the ability to adjust lighting and
temperature and select a user station to the TV channel. The nurse can also use some methods
like intentional touch, voice, artistic expression, authentic presence, music, active listening,
positive gestures, appropriate eye contact, and relaxation visualisation. Nurses can also
encourage the patient to ask question freely (Flanagan, 2009).
the theory proposed by Watson is beneficial for nurses to deliver safe care for the patient,
some of the main strength of this theory includes beside healing in proving the best quality care
that client seeks to receive, this theory provides the soul-satisfying upkeep for the which
numerous nurses enter the profession. As the science of patient care ranges from the biophysical
by the interpersonal, every nurse becomes the active co-participant in the patient’s struggle
towards the self-actualization (Tarhini, Arachchilage, & Abbasi, 2015). This theory suggested
that the patient should be placed in the context of the carer or family, the society and their
culture. It places thepatient as the emphases as the main focus of practice instead of technology.
This theory encourages nurses to manage patient wholeness, protective dignity, and help them to
attain positive health outcomes. The main strength of this theory is that it motivates the nurses to
build a patient-friendly environment rather than just delivering the treatment or intervention to
them. This particular theory has been shown to be very effective and useful in the patient's
healing process (Clark, 2016).

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With great benefits, the theory also had certain limitations. Some of the limitations or
weaknesses of this theory such as it given the acuity of sickness that results in hospitalisation the
short length stay, such type of quality of upkeep might be deemed hard or impossible to provide
in the hospital setting. While Watson reported that the need for the biophysical basis to the
nurses, the area receives very little focus in her writing (Ranheim, Kärner, & Berterö, 2012).
Another limitation of Watson's philosophy is that the biophysical requirements of the diseased
person are given less significance and the highest emphasis was on the psychosocial
requirements of the person (Tarhini, Arachchilage, & Abbasi, 2015). This is additional limiting
in that wellbeing still has the physiological constituent that should be addressed.
These recommendations of psychosocial exercise are just one constituent of
multilayered nursing Whereas the carative features have a sound base grounded on other
dissimilar disciplines, they require more research in nursing to validate their use to practice
(Vandenhouten, Kubsch, Peterson, Murdock, & Lehrer, 2012).

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References
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