Jean Watson's classic first edition of Nursing introduced the science of human caring and quickly became one of the most widely used and respected sources of conceptual models for nursing. This completely new edition offers a contemporary update and the most current perspectives on the evolution of the original philosophy and science of caring from the field's founding scholar.
A core concept for nurses and the professional and non-professional people they interact with, "care" is one of the field's least understood terms, enshrouded in conflicting expectations and meanings. Although its usages vary among cultures, caring is universal and timeless at the human level, transcending societies, religions, belief systems, and geographic boundaries, moving from Self to Other to community and beyond, affecting all of life.
This second edition reflects on the universal effects of caring and connects caring with love as the primordial moral basis both for the philosophy and science of caring practices and for healing itself. It introduces Caritas Processes, offers centering and mediation exercises on an included audio CD, and provides other energetic and reflective models to assist students and practitioners in cultivating a new level of Caritas Nursing in their work and world.
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Dr. Jean Watson has been recognized as a Living Legend of the American Academy of Nursing, its highest honor. She is Distinguished Professor and Dean Emerita, University of Colorado Denver, College of Nursing Anschutz Medical Center campus, where she held the nation's first endowed Chair in Caring Science for sixteen years. She also founded the original Center for Human Caring in Colorado. She is founder and director of the nonprofit organization Watson Caring Science Institute (www.watsoncaringscience.org). Watson is a widely published author and has received many awards, including fourteen honorary doctoral degrees from around the world. Her theory of human caring and model of caring science are used across the globe.
Jean Watson's first edition of Nursing, now considered a classic, introduced the science of human caring and quickly became one of the most widely used, respected sources of conceptual models for nursing. This completely new edition offers an update and the most current perspectives on the evolution of the original philosophy and science of caring from the field's founding scholar. It introduces Caritas Processes and other concepts to assist students and practitioners in cultivating a new level of Caritas Nursing in their work and the world. This edition includes an audio CD with centering and meditation exercises specifically for nurses.
Jean Watson's first edition of Nursing, now considered a classic, introduced the science of human caring and quickly became one of the most widely used, respected sources of conceptual models for nursing. This completely new edition offers an update and the most current perspectives on the evolution of the original philosophy and science of caring from the field's founding scholar. It introduces Caritas Processes and other concepts to assist students and practitioners in cultivating a new level of Caritas Nursing in their work and the world. This edition includes an audio CD with centering and meditation exercises specifically for nurses.
Acknowledgments,
Preface: Opening-Entering: A New Beginning Almost Thirty Years Later,
Interlude,
PART I. BACKGROUND,
PART II. CARING SCIENCE AS CONTEXT,
Chapter 1. Nursing: The Philosophy and Science of Caring,
Chapter 2. Carative Factors/Caritas Processes: Original and Evolved Core for Professional Nursing,
Chapter 3. Caritas Processes: Extension of Carative Factors,
PART III. FROM CARATIVE FACTORS TO CARITAS PROCESSES,
Chapter 4. From Carative Factor 1: Humanistic-Altruistic System of Values to Caritas Process 1: Cultivating the Practice of Loving-Kindness and Cultivating the Practice of Loving-Kindness and Equanimity Toward Self and Other as Foundational to Caritas Consciousness,
Chapter 5. From Carative Factor 2: Installation of Faith and Hope to Caritas Process 2: Being Authentically Present: Enabling, Sustaining, and Honoring the Faith, Hope, and Deep Belief System and the Inner-Subjective Life World of Self/Other,
Chapter 6. From Carative Factor 3: Cultivation of Sensitivity to Oneself and Others to Caritas Process 3: Cultivation of One's Own Spiritual Practices and Transpersonal Self, Going Beyond Ego-Self,
Chapter 7. From Carative Factor 4: Developing a Helping-Trusting Relationship to Caritas Process 4: Developing and Sustaining a Helping-Trusting Caring Relationship,
Chapter 8. Theoretical Framework for Caritas/Caring Relationship,
Chapter 9. From Carative Factor 5: Promotion and Acceptance of the Expression of Positive and Negative Feelings to Caritas Process 5: Being Present to, and Supportive of, the Expression of Positive and Negative Feelings,
Chapter 10. From Carative Factor 6: Systematic Use of the Scientific Problem-Solving Method for Decision Making to Caritas Process 6: Creative Use of Self and All Ways of Knowing as Part of the Caring Process; Engage in the Artistry of Caritas Nursing,
Chapter 11. From Carative Factor 7: Promotion of Interpersonal Teaching and Learning to Caritas Process 7: Engage in Genuine Teaching-Learning Experience That Attends to Unity of Being and Subjective Meaning — Attempting to Stay Within the Other's Frame of Reference,
Chapter 12. From Carative Factor 8: Attending to a Supportive, Protective, and/or Corrective Mental, Physical, Societal, and Spiritual Environment to Caritas Process 8: Creating a Healing Environment at All Levels,
Chapter 13. From Carative Factor 9: Assistance with Gratification of Human Needs to Caritas Process 9: Administering Sacred Nursing Acts of Caring-Healing by Tending to Basic Human Needs,
Chapter 14. Administering Sacred Nursing Acts — Further Development of Carative Factor / Caritas Process 9,
Chapter 15. From Carative Factor 10: Allowance for Existential-Phenomenological Forces to Caritas Process 10: Opening and Attending to Spiritual/Mysterious and Existential Unknowns of Life-Death,
PART IV. EXPANDING KNOWLEDGE-BUILDING FRAMEWORKS FOR RECONSIDERING CARITAS NURSING: THE ENERGETIC CHAKRA-QUADRANT MODEL,
Chapter 16. Integral Model for Grasping Needs in Caritas Nursing,
Chapter 17. The Seven Chakras: An Evolving Unitary View of the Basic Needs Energy System,
Chapter 18. The Caritas Nurse/Caritas Nursing and the Chakra Systems,
PART V. HEALTH, HEALING, HUMANITY, AND HEART-CENTERED KNOWING FOR CARITAS NURSING,
Chapter 19. Human Experiences: Health, Healing, and Caritas Nursing,
PART VI. CRITIQUING NURSING EDUCATION,
Chapter 20. Caritas Curriculum and Teaching-Learning,
Epilogue,
ADDENDA,
Postscript: Prescript,
Bibliography,
Index,
PART I Background
Nursing: The Philosophy and Science of Caring (1979) was my first book and my entrance into scholarly work. This book was published before formal attention was being given to nursing theory as the foundation for the discipline of nursing and before much focus had been directed to a meaningful philosophical foundation for nursing science, education, and practice.
The work "emerged from my quest to bring new meaning and dignity to the work and the world of nursing and patient care" (Watson 1997:49). The theoretical concepts were derived and emerged from my personal and professional experiences; they were clinically inducted, empirically grounded, and combined with my philosophical, ethical, intellectual, and experiential background (Watson 1997). My quest and my work have always been about deepening my own and everyone's understanding of humanity and life itself and bringing those dimensions into nursing. Thus, the early work emerged from my own values, beliefs, perceptions, and experience with rhetorical and ineffable questions. For example, what does it mean to be human? What does it mean to care? What does it mean to heal? Questions and views of personhood, life, the birth-death cycle, change, health, healing, relationships, caring, wholeness, pain, suffering, humanity itself, and other unknowns guided my quest to identify a framework for nursing as a distinct entity, profession, discipline, and science in its own right — separate from, but complementary to, the curative orientation of medicine (Watson 1979). My views were heightened by my commitment to (1) the professional role and mission of nursing; (2) its ethical covenant with society as sustaining human caring and preserving human dignity, even when threatened; and (3) attending to and helping to sustain human dignity, humanity, and wholeness in the midst of threats and crises of life and death. All these activities, experiences, questions, and processes transcend illness, diagnosis, condition, setting, and so on; they were, and remain, enduring and timeless across time and space and changes in systems, society, civilization, and science.
The original (1979) work has expanded and evolved through a generation of publications, other books, videos, and CDs, along with clinical-educational and administrative initiatives for transforming professional nursing. A series of other books on caring theory followed and have been translated into at least nine languages. The other major theory-based books on caring that followed the original work include:
• Nursing: Human Science and Human Care. A Theory of Nursing (1985). East Norwick, CT: Appleton- Century-Crofts. Reprinted/republished (1988). New York: National League for Nursing. Reprinted/republished (1999). Sudbury, MA: Jones & Bartlett.
• Postmodern Nursing and Beyond (1999). Edinburgh, Scotland: Churchill-Livingstone. Reprinted/republished New York: Elsevier.
• Assessing and Measuring Caring in Nursing and Health Science (ed.) (2002). New York: Springer (AJN Book of Year award).
• Caring Science as Sacred Science (2005). Philadelphia: F. A. Davis (AJN Book of Year award).
Other caring-based books I coedited or coauthored are extensions of these works but are not discussed here (see, for example, Bevis and Watson [1989], Toward a Caring Curriculum, New York: National League for Nursing [reprinted 1999, Sudbury, MA: Jones & Bartlett]; Watson and Ray [1998] [eds.], The Ethics of Care and the Ethics of Care, New York: National League for Nursing; Chinn and Watson [1994], Art and Aesthetics in Nursing, New York: National League for Nursing). See also Web site (Watson 2004a) for...
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