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Abigail A Volk
Carroll University
JEAN WATSON’S NURSING THEORY 2
Abstract
There are many different theories in nursing all emphasizing various ways to promote healing
and wellness of a patient. The theories can range from altering temperatures, to sanitation
procedures, to self care and even a change in the lighting. Parts of many theories are factored
into today’s nursing practices for a more holistic and adaptable approach to address the needs of
a patient. In choosing a theory I think is most important, I came across Jean Watsons’ ideas of
human caring implemented in nursing. Instantly I knew this is the theory I would most like to
emulate when working with patients. Her theory is challenging and motivating, but can never
completely be accomplished because it is overly idealistic to be connected and involved with all
the patients at that level. However, it is possible to continually strive to care deeply for each
client. Understanding the client and having a personal connection with them is much more
important in the healing process than following procedures. Anyone can implement a predefined
set of tasks. A truly gifted nurse can relate to patients by providing emotional and spiritual well-
being which in turns affects their physical well-being. Watson believes that faith, hope, and a
positive outlook can greatly affect wellness even more so than medicine and tasks. This is why I
picked Jean Watson’s theory. She believes in what I strive to achieve when working with people.
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In West Virginia a driven and accomplished woman was born. In 1988, forty years later,
her nursing theory of “human science and human care” was published (Smith, 2004). This
outstanding woman is Jean Watson. She began her education with a BSN from the University of
Colorado then went on to earn her MS and PhD in educational psychology and counseling
(Smith, 2004). During that time she was learning and developing her ideas and perspectives on
nursing. After Watson became well educated she founded the original center for human caring.
She has also held positions such as Dean of Nursing, a Fellow in the American Academy of
Nursing, and is a previous President of the National League for Nursing. Among those
accomplishments she also is a published author that has received a number of honors for her
Before her theory was developed, she first published a book called “The Philosophy and
Science of Caring”, she believes this is only a perspective of nursing not a theory. The main
focus in Watson’s nursing perspective is “that nursing is a human process and places a high
value on the caring relationship between the nurse and the recipient of care” (Sourial, 1996). To
Watson, philosophy and a strong value system make up the practice of caring. Watson values a
humanistic approach when caring for clients. She believes that today the concept of true care is
being overlooked by the technology and responsibilities involved with nursing (Sourial, 1996).
Watson takes this point seriously because at this time in history technology was booming.
Televisions became common and computers were now vital to society. Watson made a list of ten
‘carative factors’ to bring us back to a more humanistic approach. When technique and
technology are removed, this list it is the core of nursing (Sourial, 1996). These factors include
her beliefs, concepts, knowledge and principals relating to clients behavior. Watson’s second
JEAN WATSON’S NURSING THEORY 4
book titled, “Nursing Human Science and Human Care - A Theory of Nursing”, had many of
her previous perspectives of caring but is now integrated into a theory (Sourial, 1996).
Overall Jean Watson believes that caring is the central concept in healing and nursing.
The first three points in her theory have to do with “the human care process” (Berman, Snyder,
Kozier, Erb, 2008, p.47). The second three concepts relate to transactions of human care, this is
where the caring goes to another level of mind, body and soul to connect with a client. Having a
strong foundation of trust with the patient can relieve the client of stress. This way the patient
can concentrate on healing. Watson believes that the only way to show someone you care is to
display it interpersonally. When caring for a patient Watson gives the client the opportunity to
choose the best action for them at that point in time. She believes that the client can evaluate
The structure of caring is based off of the ten ‘carative factors’. The first of the factors is
humanistic and altruistic value system (Berman, 2008, p.47). She believes that kids share values
with their parents and will show the characteristics of altruistic behavior that has been modeled
for them. She also believes that an effective nurse has an altruistic mind set towards others. The
second factor is faith-hope and how they contribute to the healing process (Berman, 2008, p.47).
Nurses can use faith to heal the soul and bring peace to the mental state of a patient. The third is
sensitivity to others. Watson believes that a nurse needs to be able to feel emotion as it is meant
to be felt and be considerate of the situation. A great nurse will strive to be genuinely sensitive.
Personal growth and self-actualization is realized between the nurse and the patient (Sourial,
1996).
theory she says that congruence, empathy, warmth, and communication will develop a trusting
JEAN WATSON’S NURSING THEORY 5
and authentic relationship. The fifth is expressing feelings both positive and negative. If the
patient is expressing positive feeling then the nurse is to be encouraging. If the patient is
expressing negative feelings then the nurse is to be compassionate. In return it will help the nurse
understand the reasons to the client’s behavior. The sixth ‘carative factor’ is the use of creative
problem solving methods (Berman, 2008, p.47). Creativity in applying methods allows for
control, prediction and promotes self correction. It is important to try various methods and test
out what works best in a variety of situations. The seventh factor explains how important it is to
educate the patient. While educating, observe clients feelings about the procedures. This will
give you insight on their feelings. The eighth factor involves creating a healing environment. A
major part of the theory is to provide the client with a safe feeling and privacy. The ninth has to
do with assistance with gratification (Berman, 2008, p.47). Watson thinks that there is a
hierarchy of needs. A caring nurse will evaluate all the needs of the client and put them in order
(Berman, 2008, p.47). This means understanding situations from another point of view.
Watson theory adds a very human dimension to nursing that is satisfying yet challenging.
She wants every nurse to be the best in order to give the client what is deserved. The emphasis of
her theory is on caring for the client rather than the science, technology and process. The quality
of care is greatly altered when implementing Watson’s human caring theory by using her
‘carative factors’. Both the nurse and the patient benefit by the spiritual emotional and physical
healing. Watson’s unique approach changed the focus of nursing today and for generations to
come.
JEAN WATSON’S NURSING THEORY 6
References
Berman, A., Snyder, S. J., Kozier, B., & Erb, G. (2008). Kozier and Erb’s fundamentals of
nursing: Concepts, process, and practice (8th ed.). Upper Saddle River: Pearson and
PrenticeHall.
Smith, M. (2004). Review of Research Related to Watson's Theory of Caring. Nursing Science
Sourial, S. (1996). An analysis and evaluation of Watson's theory of human care. Journal of