Monday, January 8, 2024

A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element



A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework.

The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?
  • A- Erikson
  • B- Maslow
  • C- Rogers
  • D- Watson

Out of the listed theorists, (D. Watson) best supports the concept of caring as a key element in redesigning nursing practice in an acute care setting.

Here's why:

- Jean Watson's Theory of Human Caring:

This theory emphasizes the central role of caring in nursing, viewing it as a moral and scientific ideal rather than just a technical skill. It focuses on understanding the patient's unique needs and experiences, promoting healing, and fostering a therapeutic relationship.

- Alignment with patient, family, and staff feedback:

The fact that feedback highlights caring as a key element aligns well with Watson's theory, which prioritizes patient and family engagement and views nurses as caring partners in the healing process.

- Holistic approach to care:

Watson's theory goes beyond physical well-being and encompasses the patient's psychological, social, spiritual, and cultural dimensions. This aligns with the current emphasis on patient-centered care and comprehensive approaches in modern nursing practice.

- Emphasis on relationships and communication:

Watson's theory underscores the importance of therapeutic relationships between nurses and patients, emphasizing active listening, empathy, and genuine caring. This resonates with the desire to create a more caring and patient-centered environment in the acute care setting.

Care Concept:

While the other listed theorists have valuable contributions to nursing, their focus is not specifically on caring as a central concept:

- Erikson:

His theory focuses on psychosocial development throughout the lifespan, which might be relevant for understanding patients' emotional needs but doesn't directly address the concept of caring.

- Maslow:

His hierarchy of needs prioritizes physiological and safety needs before higher-level needs like belonging and self-actualization. While important for patient wellbeing, it doesn't directly address the specific act of caring as a core nursing practice.

- Rogers:

His person-centered therapy emphasizes unconditional positive regard and facilitating self-exploration, which can inform therapeutic interactions with patients but doesn't specifically focus on the concept of caring in nursing practice.

Therefore, considering the emphasis on caring in the redesign based on feedback and the specific focus of Watson's theory, Jean Watson emerges as the most relevant theorist to support this initiative.

It's important to note that while Watson's theory is influential, other theoretical frameworks can also contribute to redesigning nursing practice. The specific context and needs of the department will ultimately guide the selection and integration of theoretical frameworks for optimal healthcare delivery.