Most women who have experienced amissed miscarriage suffer from grief and some may need professional support [4]. I had a great amount of pain and bleeding.. 25. Some women may require counseling to work through their issues with their predicament. 741-747. The reason for selecting Swanson's caring theory is that it is an evidence-based theory, empathetic patient-directed care, and has improved the level of interaction and support provided to patients. Following the seventh carative factorit would be imperative to engage Mrs. Crane in transpersonal teaching and learning to find solutions to how she can participate fully in fulfilling her daily activities. Group one (women) included the women who had experienced a miscarriage and participated in the structured followed-up visit that included a tape recorded interview four weeks after early miscarriage. http://www.nursingtheory.org/theories-and-models/watson-philosophy-and-science-of-caring.php, Torheim, H. & Kvangarsnes, M. (2014). 451-464. Doing for the other as he/she would do for the self if it was at all possible. 156-178. This initial phase is followed by a period of reflection and reorientation [5]. Emotional support was provided through listening and accompaniment. If it is determined that an evacuation procedure is needed the caregiver may be in the position to make a phone call to arrange an earlier scheduled appointment to reduce the stressful waiting time for the woman. Watson, 1985) Furthermore, Watson (1985) defined a connection between health and illness. Keywords: Swansons Middle Range Caring Theory, Miscarriage, Missed Miscarriage, Qualitative Method. We try to make sure that they dont experience pain. 339-345. Gastroenterology Nursing, 29(4), 283-88. Understanding these factors and building up tolerance that aligns with her values will help Mrs. Crane feel more comfortable in completing her activities when discharged. 2, 1986, pp. MCN Am J Matern Child Nurs. Study design and methods: A. Most women have normal grief reactions after a miscarriage such as being distraught emotionally, feeling ill at ease and other accompanying health ailments. Normal extensions of this discussion are about what possibly went wrong in the pregnancy and also discussing the possibility of a future pregnancy. The inclusion criteria were a minimum of two years professional experience and having cared for women who had been diagnosed with missed miscarriage during a routine ultrasound-scan in pregnancy week eighteen to twenty [4]. Swanson's caring theory outlines five caring processes: knowing, being with, doing for, enabling, and maintaining belief (p. 163). (2013). In 2002 - 2003 one of the interviews was conducted with the women who had experienced miscarriage [6] and in 2007 with the nurses and midwives who cared for the men and women who shared the experience as a couple of late missed miscarriage [4]. Retrieved from https://pdfs.semanticscholar.org/54cc/4b87b15a735581daec5a14a6d1c84da9355e.pdf, FotokianZ, Mohammadi ShahboulaghiF, Fallahi-KhoshknabM, & PourhabibA (2017)The empowerment of elderly patients with chronic obstructive pulmonary disease: Managing life with the disease. When delivering patient care, nurses employ the nursing process to conduct clinical reasoning and make clinical judgments. Enabling is defined as: Facilitating the others passage through life transitions and unfamiliar events [13]. (1983).Maslows hierarchy of needs.Retrieved from https://www.communicationtheory.org/maslows-hierarchy-of-needs/, My name is Megan and I am a blogger, registered nurse, and mental health advocate. Type it into Google, and the figure . Email: caroline.jansson@karolinska.se, annsofie.adolfsson@his.se. 1.Swanson's Middle-Range Caring Theory. Please try again soon. Swanson's theory of caring has application to nursing care of women experiencing stillbirth. Well-being after miscarriage involves being in a safe place, receiving information, reducing the pain of fear, sadness, and expressing yearning for the lost and for the loved. Introduction: Patients who are suffering from breast cancer have numerous problems. (Karen Swanson Theory Of Caring) Karen Swanson Theory Of Caring The author presents that the theory applies to the caregiver to be emotionally present, give the women support with respect for their dignity, to be competent, and meet the needs of individual women. 6, 2006, pp. No. The theories presented by Swanson have been adopted by various hospitals to guide their nurses' practice. It has been proven to be strongly oriented in the path of human science and focuses on the humanitarian facet of caring processes, occurrences and experiences and has been capable of successfully encapsulate the science of . Clipboard, Search History, and several other advanced features are temporarily unavailable. It was noted on her admission to the emergency room (ER) that Mrs. Crane has been consistently losing weight over the past month. The implementations of the ten carative factors, inherent in the theory, to provide a supportive nursing care are chronicled. Understanding her life story, perhaps her role in her family or community, would be important to address including the introduction of energy conservation techniques to help her accomplish or participate in things that are meaningful to her (Fotokian, 2017). Once applied to nursing practice, each of these five categories can fuel the caregiver 's attitude and improve in general patient well-being. The care provider plays an important role in alleviating the experience of the miscarriage [25]. Women are generally in various states of emotional distress. THEORY OF CARING - A CRITIQUE 2 Kristen Swanson's Middle Range Theory of Caring: A Critique Introduction Caring Profession - Definition " A profession that involves taking care of other people. K. M. Swanson, Empirical Development of Middle Range Theory of Caring, Journal of Nursing Research, Vol. K. M. Swanson. Please enable scripts and reload this page. Epub 2015 Dec 1. The caring processes outlined in Swanson's theory of caring provide a valuable guide that can be used when caring for women experiencing stillbirth. Empirical studies were used to develop Swanson's Mid-dle Range Caring Theory. A secondary analysis of qualitative in-depth interview data from 20 labor and delivery nurses obtained during a recent grounded theory study was conducted using the directed content analysis method. J. Watson, Nursing: The Philosophy and Science of Caring, Little. The nature the miscarriage experience may cause the woman to be distressed about future pregnancies, lost expectations for a baby and may trigger disturbing memories of past problems with pregnancy or child bearing. Providing a blanket and controlling food and drink intake. The nurse assessed the patient's relationships with the self, with others, with the environment, and with God in accordance with Stoll's spiritual interrelatedness hypothesis. being competent, meeting each individual womans needs and being objective. Swanson's (1993) Theory of Caring is structured around five principles that encompass the overall definition of caring in nursing practice. The Kristen Swanson's Theory of Caring incorporates five main processes. When patients feel cared for and included in their treatment plan, there is more space for increasing their knowledge and understanding of their illness (Torheim & Kvangarsnes, 2014, p 747). -Centering on the one cared for. The main question in the interview that was asked of the participants was to relate to the interviewer the experience of their miscarriage (Table 1). You just need to slow down. It would be most efficient if you use the theory from your group presentation, but this is not required. Conclusions: Swansons Middle Range Caring Theory as applied to the caregiver includes being emotionally present, giving support with respect for the womans dignity, being competent, meeting each womans own individual needs. In addition, the patient was encouraged to participate in strength . Accessibility Keywords Watson's idea behind using human caring" as the tenets of theory was to acknowledge the involvement nurses have with humans (Chinn & Kramer, 2017). Watson, J. 3, 2006, pp. The follow up examination has been determined to be a positive contribution in the healthcare system to the wellbeing of the women who have suffered a miscarriage [6,8]. Through the interplay between research, theory and practice Dr. Swansons theory has been translated into practice at University of North Carolina. A Compilation of Experiences and Articles From a Registered Nurse. because the miscarriage can be a very painful experience.. An official website of the United States government. These facilities are located within sixty miles of each other in large urban areas. Methods: Twenty-five tape recorded interviews with women four weeks after their early miscarriages and thirteen tape recorded semi-structured . Statistics of participants in Group Two, The participants in group two (caregiver) were the nurses and midwives selected from these three domains: four midwives at an ultrasound department, five midwives at. The midwife maintains and instills a positive attitude and realistic optimism. Swanson's background is in the perinatal setting but the model is adaptable to any. A sound relationship between the midwife and the woman is important irrespective of how the situation develops in order to help the woman find meaning and relevance to the unfortunate event as a valuable learning experience in her life. 85. The interviews were transcribed verbatim and interpreted deductively from the text using the theory. She assists the grief stricken women to accept the diagnosis in spite of her shock. Other nursing theories, such as Swanson's theory of caring, have also focused on nursing presence as the main concept in building a therapeutic relationship between nurses and patients.. The inclusion criteria included only participants who had a miscarriage diagnosed before the thirteenth week in the pregnancy term by an ultrasound examination. 40, No. K. M. Swanson-Kauffman, A Combined Qualitative Methodology for Nursing Research,. 1, April 2010, pp. The caregiver normally asks about their feelings and concerns, or is just nearby. A middle-range theory of caring was inductively derived and validated through phenomenological investigations in three separate perinatal contexts and the empirical development and refinement of the theory is discussed. 8, August 2009, pp. For more information, please refer to our Privacy Policy. R. K. Simmons, G. Singh, N. Maconochie, P. Doyle and J. All interviews were transcribed and analyzed deductively according to Swansons Middle Range Caring Theory [14]. The nurse regularly checks the couple as often she can to give them information even if they do not summon her and she gives the women pain relief. The definition of caring and the caring process inductively derived by Swanson from research with samples of women in a perinatal context have relevance for both formal and informal caregivers of persons with dementia. No. 2.3. Oftentimes, anger can accompany illness, particularly with chronic illness and the sense of helplessness in relying on other individuals, being able to keep open dialogue and paying close attention to Mrs. Crane would facilitate the introduction of Watsons fourth and eighth carative factor (helping-trust relationship and supportive and protective environment). Additionally, Swanson's theory was developed from three separate perinatal contexts, and although Mrs. Herrera is not pregnant, her caring needs involve women's health and the impact her breast cancer will have on . Given the proper care after a miscarriage every woman has the power within herself to improve their wellbeing. A. Adolfsson, C. Berter and P. G. Larsson, Effect of Structured Follow-up Visit to a Midwife on Women with Early Miscarriage: A Randomized Study, Acta Obstetricia et Gynecologica Scandinavica, Vol. Epub 2015 Aug 24. codes. The Caring Process according to Swansons Middle Range Caring Theory Maintaining Belief. The. Interviews marked with were held in Stockholm. but they were not believed. Knowing is the first process, which entails the nurse seeking to understand as much detail as possible about the situation. The third stage of the analysis consisted of the discussion and coding of the linguistic units. Personal experience of wellbeing involves living subjectively, meaningfully and experiencing a feeling of wholeness 11,13-16. To quality foods that she can allow her social network that includes family and friends to talk about known. 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