MIDTERMS Flashcards
when was patricia benner born
august 31, 1942
where was patricia benner born
hampton, virginia
patricia benner retired from full time teaching as professr emertita from USCF
2008
patricia benner moved to the department f social and behavioral sciences at UCSF first occupant of the thelma shobe coke
2002
patricia benner became a tenured professor at UCSF
1989
patricia benner phd in stress, coping, and health - university of california
1982
she created the book “from novice to expert: excellence and power in clinical nursing practice”
patricia benner
she proposed that as learners attempt to develop competency, they move through 5 stages
patricia benner
what are the 5 stages of patricia benner’s theory
novice
advanced beginner
competent
proficient
expert.
novice to expert is a _ process
circular and not linear
in patricia benner’s theory, the person has no background experience of the situation he or she is involved
novice
in patricia benner’s theory, context free rules and objective attributes must be given to guide performance
novice
in patricia benner’s theory, this applies to students of nursing ; there s difficulty discerning between relevant and irrelevant aspects of a situation
novice
in patricia benner’s theory, the person can demonstrate marginally acceptable performance, having coped with enough real situation to note, or to have pointed out by a mentor, the recurring meaningful components of the situations
advanced beginner
in patricia benner’s theory, has enough experience to grasp aspect of the situation
advanced beginner
in patricia benner’s theory, nursing at this level are guided by rules ad are oriented by task completion
advanced beginner
in patricia benner’s theory, newly graduated nurses are at this level
advanced beginner
in patricia benner’s theory, through learning from actual practice situation and by following the actions of others
competent
in patricia benner’s theory, learner begins to recognize patterns and determine which elements of the situation warrant attention and which can be ignored
competent
in patricia benner’s theory, the learner has been on job for 2-3 years and is able to see actions in terms of goals or plans and works in an efficient and organized manner
competent
in patricia benner’s theory, the person perceives the situation as a whole rather than in terms of aspects and performance guided by maxims
proficient
in patricia benner’s theory, the learner has an intuitive grasp of the situation based on background understanding
proficient
in patricia benner’s theory, learners no longer rely on preset goals for organization and demonstrate increased confidence in their knowledge and abilities
proficient
in patricia benner’s theory, this is achieved when the expert performer no longer relies on analytical principle (guide maxim) to connect a understanding of the situation to an appropriate action
expert
in patricia benner’s theory, the learner grasps the situation and understands what need to be accomplished beyond rules, guidelines, and maxims
expert
a distinguished professor, nurse theorist, and founder and director of the nonprofit watson caring science institute
jean watson
best known for her theory of human caring and 10 caritas processes
jean watson
was born in a small town in the appalachian mountains in the city of welch of west virgina
jean watson
when was jean watson born
1940s
carative process:
“Practice of loving-kindness and context of caring consiciousness”
The formation of a humanistic-altruistic system of value
carative process: Being authentically present and enabling and sustaining the
deep belief system
and subjective life-
world of self and one
being cared for.”
“the instillation of faith-hope.”
carative process: being authentically present and enabling and sustaining the deep belief system and subjective life-world of self and one being cared for
the cultivation of sensitivity to one’s self and others.”
carative process: development of a helping-trust relationship became developemtn of a helping-trusting, human caring relation
developing and sustaining a helping trusting, authentic caring relationship
carative process: the promotion and acceptance of the expression of positive and negative feelings
being present to, and supportive of, the expression of positive and negative feelings as a connection with deeper spirit and self and the one-being-cared for
carative process: the systematic use of scientific problem-solving method for decision making became systematic use of a creative problem solving caring process
creative use of self and all ways of knowing as part of the caring process ; to engage in the artistry of caring-healing practices
carative process: the promotion of transpersonal teaching-learning
engaging in genuine teaching-learning experience that attends to the unity of being and meaning, attempting to stay within other’s frame of reference
carative process: the provision of the supportive, protective, and corrective mental, physical, societal, and spiritual environment
creating healing environment Creating healing environment at all levels (physical as well as the nonphysical, subtle environment of energy and spiritual environment.”
consciousness, whereby
wholeness, beauty,
comfort, dignity, and
peace are
potentiated)”
carative process: the assistance with the gratification of human needs
assisting with basic
needs, with an
intentional caring consciousness,
administering ‘human
care essentials,’ which
potentiate alignment of
mind-body-spirit,
wholeness, and unity of
being in all aspects of care
carative process: the allowance for existential phenomenological forces become allowance for existential-phenomenological spiritual forces
opening and attending to spiritual mysterious and existential dimensions of one’s own life-death; soul care for self and the one being cared for
Humanistic and altruistic values are learned early in life but can be influenced greatly by nurse educators and clinical experience. This process can be defined as satisfaction through giving and extension of the sense of self and an increased understanding of the impact of love and caring on self and other (Watson, 2008, 2017).
Sustaining Humanistic-Altruistic Values by Practicing Loving-Kindness, Compassion, and Equanimity With Self/Other (Embrace)
This process, incorporating humanistic and altruistic values, facilitates the promotion of holistic nursing care and positive health within the patient population. It also describes the nurse’s role in developing effective nurse-patient interrelationships and in promoting wellness by helping the patient adopt health-seeking behaviors (Watson, 2008, 2017).
Being Authentically Present; Enabling Faith, Hope, and Belief System; Honoring Subjective Inner, Life World of Self/Others (Inspire)
The recognition of feelings leads to self- actualization through self-acceptance for both the nurse and patient. As nurses acknowledge their sensitivity and feelings, they become more genuine, authentic, and sensitive to others. The nurse also goes beyond feelings in a lifelong exploration of personal values and belief systems with the goal of increased mindfulness in caring actions (Watson, 2008, 2017)
Being Sensitive to Self and Others by Cultivating Own Spiritual Practices, Beyond Ego-Self to Transpersonal Presence (Trust)
The development of a helping-trust relationship between the nurse and patient is crucial for transpersonal caring. A trusting relationship promotes and accepts the expression of both positive and negative feelings. It involves congruence, empathy, nonpossessive warmth, and effective communication. Congruence involves being real, honest, genuine and authentic. Empathy is the ability to experience and thereby understand the other person’s perceptions and feelings and to communicate those understandings. Nonposessive warmth is demonstrated by a moderate speaking volume, a relaxed open posture, and facial expressions that are congruent with other communications. Effective communication has cognitive, affective, and behavior response components (Watson, 2008, 2017).
Development and Sustaining Loving, Trusting-Caring Relationships (Nurture)
The sharing of feelings is a risk-taking experience for both nurse and patient. The nurse must be prepared for either positive or negative feelings. The nurse must recognize that intellectual and emotional understandings of a situation differ (Watson, 2008, 2017).
Allowing for Expression of Positive and Negative Feelings-Listening Authentically to Another Person’s Story (Forgive)
The process of nursing requires application of various ways of knowing, including “creative, intuitive, aesthetic, ethical personal and even spiritual” (Watson, 2008, p. 107). This process moves most significantly away from a singular perspective on scientific knowledge as essential for nursing practice and calls upon the nurse to use knowledge creatively in practicing caritas nursing (Watson, 2008, 2017)
Creative Problem-Solving-“Solution- Seeking” Through Caring Process, Full Use of Self and Artistry of Caring-Healing Practices via Use of All Ways of Knowing/Being/Doing/Becoming (Deepen)
This process is essential in differentiating nursing as casing and away from the curing focus of medicine. It allows the patient to be informed and shifts the responsibility for wellness and health to the patient. The nurse facilitates this process with teaching- learning techniques that are designed to enable patients to provide self-care, determine personal needs, and provide opportunities personal growth (Watson, 2008, 2017).
Engage in Transpersonal Teaching and Learning Within Context of Caring Relationship, Staying Within Other’s Frame of Reference (Balance)
Nurses must recognize the influence that internal and external environments have on the health and illness of individuals. Concepts relevant to the internal environment include the mental and spiritual well-being and sociocultural beliefs of an individual. In addition to epidemiological variables, other external variables include comfort, privacy, safety, and clean, esthetic surroundings (Watson, 2008).
Creating a Healing Environment at All Levels, a Subtle Environment for Energetic, Authentic Caring Practice (Co- Create)
The nurse recognizes the biophysical, psychophysical, psychosocial, and intrapersonal needs of self and patient. Patients must satisfy lower-order needs before attempting to attain higher-order needs. Food, elimination, and ventilation are examples of lower-order biophysical needs, whereas activity, inactivity, and sexuality are considered lower-order psychophysical needs. Achievement and affiliation are higher order psychosocial needs. Self-actualization is a higher-order intrapersonal-interpersonal need (Watson, 2008, 2017).
Reverentially Assisting With Basic Needs as Sacred Acts, Sustaining Human Dignity (Minister)
Watson considers this process the most difficult to understand and can be best understood through her own words. “Our rational minds and modern science do not have all the answers to life and death and all the human conditions we face: thus, we have to be open to unknowns we cannot control, even allowing for what we may consider a ‘miracle’ to enter our life and work. This process also acknowledges that the subjective world of the inner-life experiences of self and other is ultimately a phenomenon, an ineffable mystery, affected by many, many factors that can never be fully explained.”
Opening and Attending to the Spiritual, Mystery, Unknowns-Allowing for Miracles (Open)
she believes that Caring responses accept the patient as he or she is now, as well as what he or she may become.
jean watson
The science of caring is complementary to the science of curing. The practice of caring is central to nursing.
jean watson
Nursing consists of “knowledge, thought, values, philosophy, commitment, and action, with some degree of passion. Nurses are interested in understanding health, illness, and the human experience; promoting and restoring health and preventing illness
jean watson
she uses interchangeably the terms human being, person, life, personhood an self. She viewed person as “a unity of mind/body/nature”
jean watson
defined health as originally derived from the WHO, as “The positive state of physical, mental, and social well- being with the inclusion of three elements:
1. A high level of overall physical, mental
and social functioning
2. A general adaptive-maintenance level
of daily functioning
3. The absence of illness
jean watson
madeleine leininger was born on
july 13, 1925
madeleine leininger died on
august 10, 2012