1. The Caring Occasion

2. Watson Says… “ ”  A poignant human- to human interaction  “manifests within a healing consciousness” (pg. 411)  a Metaphysical Experience (Watson’s use of energy fields and transcendence) (George, 2002) ( www.shiftinaction.com, 2005)www.shiftinaction.com

3. Associated Concepts Healing ConsciousnessTranspersonal Caring  Obtaining a certain method of thinking in the dynamics of transpersonal caring  The state of the nurse’s consciousness affects the energy fields of others  “The caring-healing process is connected with the other human(s) and the higher energy of the universe…” (Watson, 2008)  The deep, connected quality of human-to- human interaction  The sharing of oneself (by both patient and nurse) in the healing process  Healing modalities that are rooted in intentionality and promote human dignity… (George, 2002)

4. Associated Concepts The Ten Carative FactorsThe Postmodern Mindset  1. Practice kindness, 2. presence, 3. transpersonal self, 4. helping-trusting function, 5. feeling expression (+ & -), 6.creative self, 7. teaching- learning function, 8. healing environment, 9. intentional care essentials, 10. existential dimension of life and death (Sitzman & Eischelberger, 2004)  Multiple truths  Physical and nonphysical phenomena  Relativity of time and space  Emerging artistry, spirit- metaphysical, holographic, etc. (George, 2002)

5. How do we facilitate the “ Caring Occasion ”?  The nurse must bring to the table their unique life histories (Sitzman & Eischelberger, 2004).  Transpersonal caring behaviours, in accordance with the 10 Carative Factors  “Emotional catharsis and ‘intersubjective flow’” (Mullaney, 2000).

6. Applying Theory to Practice  Treating Depressed Women, Mullaney’s (2002) Study: (the caring occasion) “ Five themes were: feeling understood; feeling like there was a way out, regaining an empathetic perspective toward self and other; expressing negative feelings that enable self- acceptance; feeling better and able to engage in effective problem-solving and health life ways. Themes were related to carative factors.”  Mullaney also sights the successful use of Waton’s theory with pregnant woman whose fetuses have died in utero, Aids patients, etc.

7. The Watsonian Nurse  Searching for alternative healing modalities that go deeper than the traditional prevention and cure ideals  Application of the “caring science” - CARATIVE FACTORS - TRANSPERSONAL CARING  Creating the ideal environment for the caring occasion to occur  Advance practice, for example with the elderly, to assume the role of the practitioner, educator, and consultant (Bernick, 2004).

8.  the level of development made since 1980’s and international interest  Multidimensional approaches to research on the caring relationship  technological competency is given a high degree of importance in situations of severe health concerns  Watson’s 2002 publishing indicates tools for measuring caring in its scientific understanding (Smith, 2004). Strengths

9.  Disruption of the “mechanistic medical model”  Not in Watson’s work itself but in the way the bureaucratic health care system operates  Trying to mesh together different values and beliefs  Challenge for healthcare provides to adapt to a new role ; shift from “sickness treatment systems” to “ healing/health care systems” (George, 2002). Limitations

10. Proposal (Google Images, 2008).

11. References Bernick, L. (2004). Caring for older adults: Practice guided by Watson’s caring-healing model. Nursing Science Quarterly, 17(2), 128-134. Retrieved October 25, 2008 from CINAHL database. George, J. (2002). Nursing theories: The base for professional nursing practice. Upper Saddle River, NJ: Prentice Hall. Mullaney, J. (2000). The lived experience of using Watson’s actual caring occasion to treat depressed women. Journal of Holistic Nursing, 18 (2), 129-142. Sitzman, K. and Eischelberger, L.W. (2004). Understanding the work of nurse theorists: A creative beginning. Detroit, MI: Jones and Bartlett Publishers. Smith, M. (2004) Review of research related to Watson’s theory of caring. Nursing Science Quarterly, 17(1), 13-25. Retrieved October 25, 2008 from CINAHL database. Watson, J. (2008). The Watson Caring Science Institute. Retrieved November 6, 2008, from http://www.watsoncaringscience.org/index.html http://www.watsoncaringscience.org/index.html