Creating a Healing Environment

Caruso, Eva M.; Cisar, Nancy; Pipe, Teresa Britt

doi:10.1097/01.naq.0000314541.29241.14

Cited by 18 publications

(8 citation statements)

References 2 publications

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“…Jean Watson’s Theory of Human Caring describes caring as inclusive, circular, and expansive (McEwen & Wills, 2011). Watson’s theory serves as a framework that provides awareness of how individual values guide practice and emphasizes nurses engage in self-care (Caruso, Cisar, & Pipe, 2008). Watson’s Theory of Human Caring was incorporated into this pilot mindfulness intervention as it promotes self-care, mindfulness, and integrative interventions.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Watson’s Theory of Human Caring was incorporated into this pilot mindfulness intervention as it promotes self-care, mindfulness, and integrative interventions. Watson’s 10 Caritas Processes serve as the guideline to creating this type of environment (Caruso et al, 2008).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Watson’s Clinical Caritas signify the importance of being authentically present, cultivating one’s own spiritual practices, being present and supporting positive and negative feelings, and creating a healing environment at all levels (Caruso et al, 2008). Devoting resources that promote self-care is indicated for those who wish to reduce environmental stress and is an essential aspect when targeting to improved nurse resilience.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

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Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout

et al. 2018

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Section: Theoretical Frameworkmentioning

confidence: 99%

Section: Theoretical Frameworkmentioning

confidence: 99%

Section: Theoretical Frameworkmentioning

confidence: 99%

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Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout

et al. 2018

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“…This constitutes a central result considering the numerous benefits to be had from implementing a patient-centered practice that integrates both physical and relational care in treatments constitutes the very essence of a holistic approach. In her Theory of Human Caring, Watson presents an approach that takes account of the uniqueness and individuality of each patient ( Caruso et al, 2008 ; Watson, 2012 ). Instead of staying focused solely on physical symptoms, health professionals take into consideration the patient's personal values, singularity and preferences and thus demonstrate empathy.…”

Section: Discussionmentioning

confidence: 99%

Transformation of Clinical Nursing Practice Following a Caring-based Educational Intervention: A Qualitative Perspective

et al. 2022

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Introduction Hemodialysis (HD) patients experience numerous physical and psychological symptoms on a daily basis. These symptoms have a heavy impact on their quality of life, which is a key indicator of their survival in the short term. Numerous empirical studies have shown that the quality of the nurse-patient relationship (NPR) is essential in promoting positive outcomes for patients. When patients receive caring, their autonomy and independence grows, their sense of hope increases, their quality of life improves, and their sense of satisfaction with nursing care received rises. Inversely, the presence of dehumanizing practices in hemodialysis settings can contribute to delay healing for patients. In light of the importance of the quality of the relationship between nurses and HD patients and of the benefits to be had from a quality relationship, an educational intervention based on Watson's Theory of Human Caring was delivered to HD nurses. Objective The purpose of this study was to explore qualitatively the perceptions of nurses working with HD patients in French-speaking Switzerland regarding changes to their clinical practice after receiving an educational intervention intended to reinforce caring attitudes and behaviors towards patients. Methods The method used was that of consensual qualitative research (CQR). Sixteen semi-structured interviews were conducted with hemodialysis nurses post-intervention. Results The results evidence a transformation of clinical nursing practice illustrated by three core ideas: (1) caring practice was reinforced; (2) new practices emerged; and (3) some limitations appeared. Conclusion In these times of global pandemic where the issue of the humanization of nursing care is front and center, this professional development activity helped reinforce caring-based practice. This practice needs to be developed within the various care units in order to guarantee and promote quality of care and patient safety.

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“…According to the theory, caring for one's self is a prerequisite to providing authentic care to others. Thus, the theory serves as a framework to identify how values guide practice and elucidate the importance of nurses and nurse leaders prioritizing care for themselves (Caruso, Cisar, & Pipe, 2008). The theory includes 10 caritas processes, with clinical caritas two (being authentically present) particularly applicable to the AC intervention employed in this study.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Authentic Connections Groups: A Pilot Test of an Intervention Aimed at Enhancing Resilience Among Nurse Leader Mothers

Chesak

Cutshall

Ingram

et al. 2020

Worldviews Ev Based Nurs

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Background Nurse leaders who are mothers are at significant risk for experiencing stress, burnout, and occupational fatigue. Authentic Connections (AC) Groups is an intervention shown to be effective for fostering resilience among at‐risk moms, including physicians; however, it has not previously been tested with nurse leaders. Aims Our aims were to test the feasibility and acceptability of the AC Groups intervention with nurse leader mothers and examine its effects on participant resilience, as measured by increased self‐compassion and decreased distress, depression, perceived stress, and burnout. Methods A randomized controlled trial design was employed for this pilot study, with 36 nurse leaders at Mayo Clinic. AC participants attended group sessions for an hour per week for 12 weeks. Control group members were provided 1 hr per week of free time over 12 weeks. Multiple self‐report psychological measures were completed at baseline, post‐intervention, and 3‐month follow‐up. Results The AC Groups intervention was feasible and well‐received by nurse leaders. Session attendance rates averaged 92%. Despite the small n’s, repeated measures of Analysis of Variance showed significantly greater improvements (p < .05) for participants in the AC Groups than control condition for depression, self‐compassion, and perceived stress, with large effect sizes (ηp2 0.18–0.22). In addition, effect sizes for anxiety and feeling loved approximated the moderate range (ηp2 0.05 and .07). Linking Evidence to Action The AC intervention shows promise as a feasible intervention for mitigating nurse leader mothers’ stress by positively impacting indices of well‐being, including depression, self‐compassion, and perceived stress. Given, the prevalence of stress and burnout among nurse leaders, the effectiveness of the AC intervention in fostering resilience in this population has significant implications for research and practice. Further research is warranted with larger numbers from multiple sites, longer follow‐up periods, and biomarker measures of stress.

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Creating a Healing Environment

Cited by 18 publications

References 2 publications

Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout

Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout

Transformation of Clinical Nursing Practice Following a Caring-based Educational Intervention: A Qualitative Perspective

Authentic Connections Groups: A Pilot Test of an Intervention Aimed at Enhancing Resilience Among Nurse Leader Mothers

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