Nursing Model Implementation For Nurse Practitioner

Question: Discuss about the Nursing Model Implementation For Nurse Practitioner. Answer: Introduction The theory of human caring was developed by Jean Watson and published in 1979. In this theory, Watson attempted to make explicit that nursing knowledge, values and practices of human caring should be promoted towards subjective inner healing processes, while including unique caring-healing arts and a framework called carative factors, which complemented conventional medicine but stood in stark contrast to curative factors (Lukose, 2011). According to this nursing model, the nursing process includes four steps of scientific research process including assessment, planning, intervention and evaluation. Assessment is the first step, where the patient is observed; key signs of illness are properly identified and reviewed along with the hypothesis formation (Poghosyan, Nannini Clarke, 2013). In the next step, a care plan is created for helping nurses to determine how variables would be examined or measured. In the next step, the intervention, which is best for the patient, is implemented in favourable condition and then the evaluation step analyzes the data, interprets the results and lead to an additional hypothesis. The model includes seven assumptions, as follows: Effective caring promotes health and individual or family growth Caring can be effectively demonstrated and practiced only interpersonally A caring environment is one that offers the development of potential while allowing the person to choose the best action for himself or herself at a given point in time Caring consists of carative factors that result in the satisfaction of certain human needs Caring responses accept person not only as he or she is now but as what he or she may become (Dossey et al., 2012) The practice of caring is central to nursing Caring is more healthogenic than is curing. A science of caring is complementary to the science of curing The model highlights ten primary carative factors that promote the efficiency of nursing care. These are: The development of a humanistic-altruistic system of values The development of sensitivity to one's self and to others The equipment of faith-hope The establishment of a helping-trust relationship The use of the scientific method for decision-making and problem-solving systematically (Hamric et al., 2013) Figure: Carative factors in Jean Watsons caring theory (Source: Watson, 2011) The acceptance and endorsement of the appearance of both positive and negative feelings The endorsement of interpersonal teaching-learning Support with satisfying human needs according to hierarchy of needs like Maslow's Providing a protective, supportive and corrective physical, mental, spiritual and socio-cultural environment Allowing existential-phenomenological forces The theory underpins four major concepts; i.e. human being, health, environment/society and nursing. Therefore, being a nurse practitioner, these four major concepts should be prioritized. The nurse practitioner is a qualified advance stage registered nurse, who has the capability of treating some medical conditions, through the diagnosis and treatment of acute illness as well as chronic condition, without seeking direct supervision of a physician. Therefore, as the nurse practitioner can provide medical care without the help of physician, the practitioner should follow the four-step nursing process indicated by Jean Watson; while establishing an environment of care through the promotion of ten carative factors (Watson, 2011). For instance, establishment of faith-hope with the patient is crucial for nurse practitioner to promote a sense of well being through the care services. On the other hand, promotion of teaching-learning is important for the continuous professional development of NP, which will improve her critical thinking and problem solving skills, making her able to meet the needs of contemporary situations at health care settings (Poghosyan, Nannini Clarke, 2013). Being an advance stage professional, Nurse practitioner needs to have advance knowledge and skills to potentially handle conflict situations. Moreover, another carative factor informs that it is the responsibility of a nursing staff to provide comfort, privacy and safety to the patient, which can be provided through the promotion of a supportive, protective and corrective physical, mental, spiritual and socio-cultural environment (Alligood, 2014). This environment can be manipulated by the interdependent internal and external variables, which are dealt by the nurse practitioner. According to Watsons caring theory, the NP needs to understand as well as address the basic needs of patients at a given situation, for which a helping-trust relationship needs to be built with the patient, leading to satisfaction of both patient and NP, which in turn improves the health outcomes and overall health care quality (Alligood, 2013). On the other hand, as the soul duty of NP is to ensure health and well being of patients, the NP should have or develop sensitivity to self and others. Therefore, it is revealed that aligning the skills and competence development of NP according to Jean Watsons Caring theory would help to shape her career as well as quality of nursing process. Reference List Alligood, M. R. (2013).Nursing theory: Utilization application. Elsevier Health Sciences. Alligood, M. R. (2014).Nursing theorists and their work. Elsevier Health Sciences. Dossey, B. M., Certificate, C. D. I. N. C., Keegan, L., Co-Director International Nurse Coach Association. (2012).Holistic nursing. Jones Bartlett Publishers. Hamric, A. B., Hanson, C. M., Tracy, M. F., O'Grady, E. T. (2013).Advanced practice nursing: An integrative approach. Elsevier Health Sciences. Lukose, A. (2011). Developing a practice model for Watsons theory of caring.Nursing Science Quarterly,24(1), 27-30. Poghosyan, L., Nannini, A., Clarke, S. (2013). Organizational climate in primary care settings: Implications for nurse practitioner practice.Journal of the American Association of Nurse Practitioners,25(3), 134-140. Watson, J. (2011).Human caring science. Jones Bartlett Publishers.