Swanson's Middle Range Nursing Theory Of Caring

4375 Words 18 Pages
Register to read the introduction… Her theory was formed from three descriptive phenomenological studies from perinatal nursing. The five processes that help explain the concept of this theory has subcategories. The theory has four phenomena of concern: nursing, person, health and environment. Theory concepts of nursing are informed caring for the well-being of others. (Beatty, 1984) Person in theory concept is unique beings who are becoming and whose wholeness is manifested in thoughts, feelings, and behaviors. Health in theory is related to having meaning filled experience with wholeness. Environment is any situation that is influenced by the client or influences the client. Knowing is the first process of caring. Knowing is striving to understand the meaning of the event in the life of the other, avoiding assumptions, focusing on the person cared for, seeking clues, assessing thoroughly, and engaging both the one caring and the one cared for in the process of knowing. (Swanson 1991) The second caring concept, being with emotionally present to the other. It involves simply “being there”, conveying ongoing availability and sharing feelings whether joyful or painful. Monitor so that the one caring does not ultimately burden the one cared for. The third concept is doing for others what would do for the self at all possible, including anticipating needs comforting, performing skillfully and unconditionally, and protecting the one cared for while preserving his or her dignity (Swanson, 1993) Enabling is the fourth concept. It is facilitating the others passage through life transitions and unfamiliar events by focusing on the event, informing, exploring, supporting, validating feelings, generating alternatives, thinking through, and giving feedback (Swanson, …show more content…
The initial investigation that launched this program of clinical research was a phenomenological pilot study of five women who had miscarried within fourteen weeks of participating in the study. The research questions were: “What is the meaning of miscarriage to the woman who has recently experienced it?” Another study was a phenomenological study of twenty women who had miscarried two specific aims were (a) to describe the human experience of miscarriage and (b) to describe the meaning of caring as perceived by women who had miscarried. This research study shifted the program of research from a qualitative, interpretative approach to a descriptive quantitative design. (Kyle, 1995) Swanson was able to develop instruments to assist in the measuring of her results. The Impact Miscarriage Scale was delivered from her research. (Swanson, 1999) The scale was developed in three phases, it was repeated, measures, and randomized. This scale measures significant aspects of suffering from a miscarriage. She developed an Emotional Strength Scale that measures the extent of how individuals view themselves emotionally and the Caring Other Scale which measures the received after miscarriage from one’s significant other and “others”. The Caring theory postulates that nurses demonstrating they care about it is as crucial to patient well-being for them through clinical activities such as preventing infection and administration medications. ( Bulfin, 2005)

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