She may feel disappointed in how she has experienced an exacerbation or how others view her. K. M. Swanson. 352-357. Wolters Kluwer Health, Inc. and/or its subsidiaries. Doing for is defined as. Clipboard, Search History, and several other advanced features are temporarily unavailable. 6, 1999, pp. This equates to approximately 20,000 miscarriages each year in Sweden [1]. Hence, patients should be cared for in a holistic . MCN Am J Matern Child Nurs. If the woman decides not to attempt to become pregnant immediately following the miscarriage, contraceptives are prescribed. When the midwife makes the determination that the pregnancy is nonviable an obstetrician is summoned to confirm and explain the diagnosis and also to assist in answering any questions or concerns the couple may have at this point. The linguistic units with similar meaning were grouped together [21] and they ranged from a few words to several lines of text [22]. While Mrs. Crane may feel well enough to make her meal, she may feel too tired or weak to eat because of the large amounts of energy expenditure in the preparation phase. How do patients with exacerbated chronic pulmonary disease experience care in the intensive care unit?. A sound relationship between the midwife and the woman is important irrespective of how the situation develops in order to help the woman find meaning and relevance to the unfortunate event as a valuable learning experience in her life. S. Cobbs, Social Support as a Moderator of Stress, Psychosomatic Medicine, Vol. Interviews in chronological order, including background and place of employment. K. M. Swanson, Research-Based Practice with Women who have had Miscarriages, Image: Journal of Nursing Scholarship, Vol. The paper will elaborate on Watson's theory Ray's theory and then compare both theories . Participants were also required to speak Swedish. The interviewees were told that the interviews and all the study material will be treated confidentially [24]. 67-72. Rana Limbo is Director Emeritus, Resolve Through Sharing, Gundersen Medical Foundation, La Crosse, WI. Providing treatment and monitoring symptoms is an important service provided by the caregiver. 34. The second goal would be to help her maintain her nutrional intake by monitoring her weight and hemoglobin levels weekly upon discharge which were noted to be high in her lab results. Building her confidence in participating in activities could involve helping her from her chair to her walker or using the walker to go to the washroom. The five caring processes as described in Swanson's theory were used as a priori codes to conduct the analysis. Professionally practicing caring leads to enhanced intuition, empathy, clinical Kristen Swanson RN, PhD, FAAN. There were a total of thirteen 13 semi-structured interviews were used for data collection. PLOS ONE, 12(4). Knowing is defined as Striving to understand an event as it has meaning in the life of the other. This theory stresses the humanistic aspects of nursing as they interfere with scientific knowledge and nursing practice. This site needs JavaScript to work properly. The maternity clinics, hospitals, midwives, nurses and their supervisors have not been identified. The theory are compared and contrasted with Cobbs definition of social support [17] and Watson carative factors [18,19] and Benners description of the role of nursing [20]. 65, No. Peters MD, Lisy K, Riitano D, Jordan Z, Aromataris E. Women Birth. Critique and Application of Theory of Caring Kristen M. Swanson RN, PhD, FAAN derives her Theory of Caring from the works of multiple nursing scholars, combined with empirical evidence and phenomenological investigations, to create a middle-range theory applicable to almost any healthcare setting (Swanson, 1991). Provide evidence using 2 (two) scholarly articles in order to support your critique. Kristen Swanson (2012, 59) introduced a new definition of caring, which asserted that caring is the nurturing way of relating with others in a valuable way that impresses upon the other feelings of personal commitment and responsibility. The caregiver has a lot of impact on the womans capacity to work through the miscarriage [4]. A. Adolfsson, P. G. Larsson, B. Wijma and C. Berter, Guilt and Emptiness: Womens Experiences of Miscarriage, Health Care for Women International, Vol. Asserts that nursing care is a set of interrelated processes that evolve from the nurse's own convictions and knowledge& his/her interactions with the patient. An official website of the United States government. By providing those services to the woman that she cannot provide for herself the caregiver can give the woman a greater sense of wellbeing [14]. K. M. Swanson, Effects of Caring. No. 1245-1257. Focusing on aspects like psychosocial care is important in priority and goal setting, particularly in understanding Mrs. Cranes lived experiences with COPD and its impacts and meaning towards her own life. Application of Watson's Caring Theory Today - Watson's Caring Theory Organizationally Watson's theory focuses on the caregiver and emphasizes that the caregiver must attend to his or her own physical and emotional needs in order to be present and available to provide quality patient care (Thomas, 2008). Evaluation of nursing presence by valid measures, encouraging nurses to spend more time and interacting with their patients, and providing special courses on nursing presence could help nurses improve and implement oncology nursing. The categories have the following definition. The inclusion criteria included only participants who had a miscarriage diagnosed before the thirteenth week in the pregnancy term by an ultrasound examination. 1934-1946. The midwife strives to be objective and administers care and information when the woman or the couples are in need of it. Being unable to breathe and placed in a hospital setting can be a stressful experience for many patients, allowing Mrs. Crane to feel safe in her situation by assisting her through the oxygen therapy can help facilitate a sense of control in having her personal wishes fulfilled (Torheim & Kvangarsnes, 2014, p. 743). Swanson's five caring processes include knowing, which is striving to understand an event. Normal extensions of this discussion are about what possibly went wrong in the pregnancy and also discussing the possibility of a future pregnancy. American Nurse Today, 7(8). may email you for journal alerts and information, but is committed D. M Wojnar and A. Petras. Resolution of Depression and Grief during the First Year after Miscarriage: A Randomized Controlled Clinical Trial of Couples Focused Interventions, Journals of Womens Health, Vol. Swansons Middle Range Caring Theory is an effective and sensitive guide to clinical practice with women who have experienced a miscarriage [10]. S. Kvale and S. Brinkmann, The Qualitative Research Interview, 2nd Edition, Studentsliterature, Lund, 2009. It follows a similar path to that of a scientific . Acta Medica Iranica, 48(6), 374-9. Critique of Kristen Swanson's Middle Range Theory of Caring. By continuing to use this website you are giving consent to cookies being used. 85. 630-638. Watsons theory of human caring and subjective living experiences: carative factors/caritas processes as a disciplinary guide to the professional nursing practice. K. M. Swanson-Kauffman, A Combined Qualitative Methodology for Nursing Research,. The theory emphasizes that nursing should aim to promote self-determination, self-control, and choice, which is often rooted in empowerment. Conclusions: Swanson's Middle Range Caring Theory as applied to the caregiver includes being emotionally present, giving support with respect for the woman's dignity, being competent, meeting each woman's own individual needs. This theory states that caring revolves around five categories: knowing, being with, doing for, enabling, and maintaining belief. The median point in the pregnancy term when the miscarriage occurred was at nine weeks. government site. Creat Nurs. to maintaining your privacy and will not share your personal information without Watson, 1985) Furthermore, Watson (1985) defined a connection between health and illness. Caring for families experiencing stillbirth: Evidence-based guidance for maternity care providers. Application of the Theory. J. Watson, Nursing: The Philosophy and Science of Caring, Little. Other nursing theories, such as Swanson's theory of caring, have also focused on nursing presence as the main concept in building a therapeutic relationship between nurses and patients.. Jean Watson nursing theory. Methods: Twenty-five tape recorded interviews with women four weeks after their early miscarriages and thirteen tape recorded semi-structured interviews with midwives and nurses who had the experience of caring for women who have been diagnosed with a missed miscarriage during a routine ultrasound scan. The median number of previous children born to the women in group one was nil. She can allow her social network to support her on her road to recovery. No. They no longer felt pregnant. The explicit assumptions are represented by well-being and nurses (Swanson, 1993). Working with Mrs. Crane to combine her emotional, spiritual, and physical needs would be important in helping her plan activities she enjoys and feels she has the capacity to participate in (Fotokian, 2017). Meaning bearing units from various interview units in addition to condensed meaningbearing units. Objective: deliver care that promotes dignity, respect & empowerment. Experiences of Nurses Who Care for Women After Fetal Loss. Helsinki: The Association 1964 - 2008, January 10th 2008. http://www.wma.net/e/policy/b3.htm. Emotional support was provided through listening and accompaniment. The couple helps each other to work through the initial period after the miscarriage and at the same time they attempt to work through the grief phase together and get ready to attempt a new pregnancy if they so desire. Search for Similar Articles THEORY OF CARING - A CRITIQUE 2 Kristen Swanson's Middle Range Theory of Caring: A Critique Introduction Caring Profession - Definition " A profession that involves taking care of other people. The main question in the interview that was asked of the participants was to relate to the interviewer the experience of their miscarriage (Table 1). 6, 2004, pp. The sustained nurse- Jean Watson's Theory of Caring is a central theory that has a huge application in the management of all patients. Some women felt comfortable sharing their experience and their feelings about the miscarriage with others to various degrees while other women kept the experience to themselves and their intimate circle. This paper discusses and analyzes the background, content, applicability, and feasibility of Jean Watson's middle-range nursing theory, known as the Theory of Human Caring. clinical setting. K. M. Swanson, Nursing as Informed Caring for the Well-being of others, Image: Journal of Nursing Scholarship, Vol. Watson's Theory of Human Caring seems to be proper in caring for these patients.
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