Watson’s Caring Theory in Postpartum Disorder
Nursing theories explain phenomena relating to clinical practice particularly in providing care. It may define or describe concepts, health-related events and propose something about them…
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The idea is to inform nursing practice and to ensure the best possible care for patients. This paper will explore Jane Watson’s philosophy and science of caring theory. The structure of this paper will begin with the description of the medical condition and is followed by a discussion of the nursing theory and its application. Medical Condition: The Postpartum Disorder The postpartum depression also called as Baby Blues (depending on the severity of the condition) was one of the topics considered for this paper along with other conditions relating to newborn infants. The decision to focus on the disorder stem from the fact that it is quite prevalent but often left untreated or undiagnosed, hence, often misunderstood from the point of view of healthcare providers. Recent statistics show that at least 400,000 women in the United States suffer from postpartum disorder annually and that one in four first time mothers experience the illness (Johnson, 2003, p.141). According to Rosenfield (2006), "after their follow-up gynecologist examination, the only contact most women will have with medical providers during the postpartum year is at their baby's well child examination," and that "the concept of pediatricians screening for postpartum depression has not caught on widely so diagnosis at these visits is unlikely" (p.61). In addition, postpartum symptoms are often considered subclinical, cross-cultural and are associated or misunderstood as other medical and psychological conditions such as "marital dissatisfaction, lack of social support, personality characteristics, family history of depression, and autoimmune thyroid disease" (Cooper, 2007, p.35). So what exactly is postpartum disorder? To illustrate the experience, severity and trends about postpartum disorder, a mother's experience and view is cited below: PPP (postpartum psychosis) was the worse experience of my life... I lost the joy of new motherhood. I lost "me" for the first two years of my daughter's life and even longer to put the pieces together (Twomey, 2009, p.xv). The above account demonstrates the impact of postpartum disorder. This is highlighted by the fact that, for years, the condition has been largely ignored. Today, it is considered and widely known as a mental disease that could endanger the lives of both the mother and the baby. There is no specific or standard definition for postpartum disorder. This is at least true according to the available literature on the subject. There are those who identify the depression experienced by women after giving birth as the basic symptom for the disorder. Out of these, Taeusch et al., (2005) offered a comprehensive definition by explaining that postpartum depression is characterized by "significant distress or impairment in all areas of functioning" that are not medically induced or caused by a loss of a loved one (p.96). Heath further cited that the disorder manifests within 3 to 6 months after giving birth (p.96). Some studies have recorded longer periods such as the previous example cited by Twomey. Postpartum disorder is classified into several types. The classification, which varies according to researcher or expert, is commonly based on the degree of its severity. For the purposes set by this paper, Ahuja's (1999) classification will be used, which categorized postpartum disorder into three. These are: 1) Type I: Postpartum psychosis also known as brief reactive psychosis; 2) Type II: Adjustment reaction with depressed mood (e.g. postpartum
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Several caring theories have been developed to enhance and preserve caring; some of which are Watson's theory, Leininger's Theory, Roach's theory and Boykin's theory. Watson theory, proposed by Jean Watson, is basically philosophy of caring and science and examines relatedness of various aspects of nursing like human science, human experiences, human caring, phenomena and human processes.
Bombarded by topics on care and healing, this revisited neglected aspects in nursing--foremost is caring persona. In theory of care in nursing, there is an attempt to enhance clients’ well being through “harmony within the mind, body and soul” (Basavanthappa, 2007, p.
From the University of Colorado, she earned her undergraduate degree in nursing and psychology, her master’s degree in psychiatric-mental health nursing, and continued to earn her Ph.D. in educational psychology and counseling. (Cara, 2003) Though she has always taken personal interest in the convalescence procedure of the patients under her supervision, but also she obtained command over various departments of the nursing profession by earning her Doctorate in the discipline.
Watson’s Theory of Caring in Modern Healthcare Setting.
Quality improvement programs, mainly associated with ‘culturally competitive care’, have intensified nurses’ workload and responsibilities in modern healthcare setting. Despite the challenging condition, which adversely affects their professional outlook, nurses are expected to comply with the values of caring practices.
In the contemporary age, a vast majority of the health care systems are going through a phase of administrative restructuring all over the world. This has potentially increased the risk of dehumanization of the care provided to the patients. Consideration of caring as the central objective of nursing requires the nurses to make an objective effort to secure patient care in their educational practices.
Watson’s Theory of Caring.
There is no denying the fact that the healthcare systems around the world are going through a process of restructuring. In that context there is a great risk that the nursing and caring services in these systems may get dehumanized.
Watson’s Theory of Caring.
The last few decades witnessed an increasing emphasis on the role of nurses in the healthcare delivery system throughout the world. This increased responsibility brought increased workload and increased stress in the workplace.
Therefore this paper chooses “Swanson’s Middle Range Caring Theory” to address a miscarriage scenario. The situation involves a patient experiencing regular but uncomfortable contractions and progressively becoming stronger after miscarriage (Adolfsson et al., 2004).
Arts and humanities are the major constituents of caring science. Caring science can also be divided into a world of unity where people are united by the spirit of offering assistance to each other and the fact of being in relation or the relations ontology.