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Nursing Theoretical Framework



Nursing Theoretical Framework

Subscribing to a theoretical framework helps strengthen clinical practice by providing structure and language to describe, explain, support and guide professional nursing practice. A sound theoretical framework is an essential component of a Professional Practice Model.

Baptist Health Louisville nurses base their practice on the life work of Dr. Jean Watson, a Distinguished Professor of Nursing and renowned nursing thinker. In 1985, Dr. Watson published the 10 carative factors:

  • Formation of a humanistic-altruistic system of values.
    Treat each person as he is and respect his values as different from our own. Treat each patient and staff member as if they are a member of your own family.

  • Instillation of faith, hope.
    Incorporation of individual cultural faith traditions in assisting patients with acceptance of current health status.

  • Cultivation of sensitivity to one’s self and others.
    Identifying personal needs/values as different from patients and other staff members.

  • Development of a helping/trusting, human caring relationship.
    Consciously becoming involved with patient and other staff lives and issues.

  • Promotion and acceptance of the expression of positive and negative feelings.
    Allow patients and staff to tell you how they really feel without judging, realizing “it's not all about me.”

  • Systematic use of a creative, problem-solving caring process.
    Promoting shared problem-solving, teaching and self-care; coaching, guiding, informing, explaining, and giving feedback.

  • Promoting transpersonal teaching and learning.
    Continuous education of staff and patients. We can all learn from each other. No one of us knows it all.

  • Provision for a supportive, protective, and/or corrective mental, physical, societal and spiritual environment.
    Safe emotional spiritual and physical environment for healing, incorporation of all disciplines in care. Multidisciplinary team involved in care.

  • Assistance with the gratification of human needs.
    Allow for gratification of human needs both emotional and physical. Work for psychological, safety, belonging, status needs to be met.

  • Allowance for existential-phenomenological spiritual forces.
    Acceptance of spiritual beliefs, which may be different from our own. Allowance for beliefs in things we can’t explain.

Baptist Health Louisville nurses employ these carative factors as they deliver relationship-based patient and family-centered care. Dr. Watson asserts: “Caring is the essence of nursing and the most central and unifying focus for nursing practice.” This belief aligns with the mission, vision and values of Baptist Health Louisville and furthers our Christian heritage.