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Caring Science Ten Caritas Processes
The Implications of Caring Theory
The caring model or theory can also be considered a
philosophical and moral/ethical foundation for professional nursing and
part of the central focus for nursing at the disciplinary level. A
model of caring includes a call for both art and science; it offers a
framework that embraces and intersects with art, science, humanities,
spirituality, and new dimensions of mindbodyspirit medicine and nursing
evolving openly as central to human phenomena of nursing practice. I
emphasize that it is possible to read, study, learn about, even teach
and research the caring theory; however, to truly "get it," one has to
personally experience it; thus the model is both an invitation and an
opportunity to interact with the ideas, experiment with and grow within
the philosophy, and living it out in one’s personal/professional life.
The ideas as originally developed, as well as in the current
evolving phase (see Watson, 1999), provide others a chance to assess,
critique and see where, how, or if, one may locate self within the
framework or the emerging ideas in relation to their own "theories and
philosophies of professional nursing and/or caring practice."
If
one chooses to use the caring perspective as theory, model, philosophy,
ethic or ethos for transforming self and practice, or self and system,
the following questions may help (Watson, 1996, p. 161): Is there
congruence between (a) the values and major concepts and beliefs in the
model and the given nurse, group, system, organization, curriculum,
population needs, clinical administrative setting, or other entity that
is considering interacting with the caring model to transform and/or
improve practice? What is one’s view of human? And what it means to be
human, caring, healing, becoming, growing, transforming, etc. For
example: In words of Teilhard de Chardin: "Are we humans having a
spiritual experience, or are we spiritual beings having a human
experience?" Such thinking in regard to this philosophical question can
guide one’s worldview and help to clarify where one may locate self
within the caring framework. Are those interacting and engaging in the
model interested in their own personal evolution? Are they committed to
seeking authentic connections and caring-healing relationships with
self and others? Are those involved "conscious" of their caring-caritas
or non-caring consciousness and intentionally in a given moment and at
an individual and system level? Are they interested and committed to
expanding their caring consciousness and actions to self, other,
environment, nature and wider universe? Are those working within the
model interested in shifting their focus from a modern medical
science-technocure orientation to a true caring-healing-loving model?
This work, in both its original and evolving forms, seeks to develop
caring as an ontological and theoretical-philosophical-ethical
framework for the profession and discipline of nursing and clarify its
mature relationship and distinct intersection with other health
sciences. Nursing caring theory based activities as guides to practice,
education and research have developed throughout the USA and other
parts of the world. Watson’s work is consistently one of the nursing
caring theories used as a guide. Nurses’ reflective-critical practice
models are increasingly adhering to caring ethic and ethos.
Because the nature of the use of the caring theory is fluid,
dynamic, and undergoing constant change in various settings around the
world and locally I am not able to offer updated summaries of
activities. Earlier publications seek to provide examples of how the
work is used, or has been used in specific settings.
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