A Nursing Situation and Theories/Concepts of Caring 1. The Nursing Situation My nursing situation is about a young doctor in the system where I work. He was admitted to an intensive care unit private room for an inguinal hernia repair. The surgery is usually simple…
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On the third day I got report that the patient had a horrible night. I went in the room for a quick look I notice the patient was pale, no urine output, and was complaining of abdominal pain. The report was that the intensivist doctor tried everything during the night including giving him laxative and diuretic during the night shift with no success. In assessing his condition, I noticed his abdomen was taut and swollen. I asked the day intensivist to do CT scan for a more accurate picture of what was going on with this patient. He decided against the CT scan but ordered an X-Ray of the abdomen. The result showed that there was a lot of fluid compressing on his bladder, colon, and kidney. I called the intensivist with the result but he wasn’t convinced of the seriousness of the situation and was indecisive. I took it upon myself to call the surgeon and explained what was going on with the patient, what was done, and begged him take a look at the patient. Within an hour he was there. I updated him in all the happening. He decided to take the patient to the Operating Room for an emergency surgery which removed three litres of clots from the surgical site. I transfuse the patient with multiple units of blood. After the surgery the patient recovered quickly. He and his family were very grateful to me and said that I saved his life. Before he left the hospital he gave me a personal thank you card with a gift. He said if it wasn’t for me he might have died. 2. Theoretical Perspectives A relatively popular theory on caring in the nursing profession is that by Jean Watson. As per Watson’s own description, Watson’s theory of caring involves ten aspects (2007, p. 131-132). In the words of Watson (2007, p. 129), the ten are the “core conceptual aspects” of Watson’s theory of caring. The first aspect pertains to humanistic and altruistic values. This dimension involves loving-kindness and equanimity for self and others. The second aspect prescribes instilling and enabling faith and hope. The third aspect requires the cultivation of sensitivity to one’s self and others. The fourth aspect emphasize on the need to develop helping-trusting, human caring relationship. This can apply between the nurse and the patient as well as between the medical professionals and the patients. Although Watson herself has not directly stated the key role of the nurse in bringing this about, the discussion of Watson in several articles can be validly interpreted to mean that nurses have key role in tapping the participation of both patients and relatives in the healing and healthcare process. It is see, for example, that because nurses have more interaction with patients, they are in a better position to educate both patients and relatives and instruct them how the patient can recover faster from an illness or condition. The fifth aspect of Watson’s theory of caring involves the promotion of an environment that encourages expression, both positive and negative feeling s, as a route to establish connections and promote a feeling of being cared for. The sixth aspect of caring involves the systematic or creative use of scientific problem-solving caring processes. The seventh aspect encourages the promotion of transpersonal teaching-learning. This means that nurse contributes to the creation of an environment that promotes a situation of learning from one another. The medical professionals, for example, can learn from the patient the specifics of her illness and the patient can learn from the
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Antinomianism and legalism represent the same basic concepts referred to above as nihilism and absolutism. For Fletcher, “love” is the sole factor in making moral judgments (1966, 26).Situation ethics also rejects any attempt to turn these generalizations into firm and steadfast rules and laws, what Fletcher (1966) called a form of “[ethical] idolatry.” As a Christian, Fletcher came to the conclusion that the “boss principal” should be the Christian notion of love, perhaps better defined as the Greek agape, which we understand to mean a “giving”, non-reciprocal love seeking the best interests of all.
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