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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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