Jean Watson’s Theory of Human Caring/Caring Science is one theoretical framework used throughout the USU College of Nursing courses. The practice implication of Watson’s Human Caring Theory evolves our thinking and approaches to patient care from a mindset of carative (cure) to one of caritas (care). The core principles/practice are founded on a:
Practice of loving-kindness and equanimity
Authentic presence: enabling deep belief of other (patient, colleague, family, etc.)
Cultivation of one’s own spiritual practice toward wholeness of mind/body/spirit—beyond ego
“Being” the caring-healing environment
Allowing miracles (openness to the unexpected and inexplicable life events)
Some individuals are comfortable framing their practice with Watson while others prefer different theories or a collection of theories. However, Watson is based on caring which is a foundation of nursing. Anyone could use the core principles to guide decision making. Select one of the core principles and discuss ways you might be able to apply the principle in guiding your advanced practice nursing practices.
Full Answer Section
Here are some ways to apply the principle of authentic presence in advanced practice nursing practice:
- Be fully present with the patient. This means putting away your phone, making eye contact, and listening attentively to what the patient is saying.
- Be non-judgmental. Accept the patient for who they are, without judgment or criticism.
- Be empathetic. Try to see things from the patient's perspective and understand their feelings.
- Be supportive. Let the patient know that you are there for them and that you care.
- Be genuine. Be yourself and let the patient see the real you.
Here are some specific examples of how to apply the principle of authentic presence in advanced practice nursing practice:
- When meeting with a new patient, take the time to get to know them and their story. Ask open-ended questions and listen attentively to their answers.
- When counseling a patient, be present and engaged in the conversation. Make eye contact and nod your head to show that you are listening. Avoid interrupting or giving advice unless the patient asks for it.
- When providing care to a patient, be gentle and compassionate. Take the time to build a relationship with the patient and their family.
- When working with colleagues, be respectful and supportive. Be willing to listen to their ideas and perspectives.
- When interacting with students or trainees, be patient and understanding. Create a safe and supportive learning environment.
Authentic presence is a powerful tool that can be used to improve communication, build trust, and enhance the quality of care provided to patients and their families.
In addition to the above, here are some other ways to apply the principle of authentic presence in advanced practice nursing practice:
- Be mindful of your own body language and facial expressions. Make sure that you are conveying openness and warmth.
- Be aware of your tone of voice. Speak in a calm and soothing voice.
- Be patient and understanding. Give the patient time to process their thoughts and feelings.
- Be respectful of the patient's privacy.
- Be honest and transparent with the patient.
- Be supportive and encouraging.
- Be willing to go the extra mile for the patient.
Authentic presence is not always easy, but it is essential for effective advanced practice nursing practice. By following the tips above, you can develop your ability to be fully present with your patients and their families, and to create a caring and supportive environment.
Sample Answer
Authentic presence is the ability to be fully present with another person, without judgment, and to accept them for who they are. It is about creating a space where the other person feels safe and supported, and where they can be their true selves.
In advanced practice nursing, authentic presence is essential for building trust and rapport with patients and their families. It is also important for developing therapeutic relationships, which are essential for effective counseling and care planning.