Page 54 - Nursing: The Philosophy and Science of Caring

Table 2.2 Original Carative Factors and Evolved Caritas Processes
Carative Factors 1979 Caritas Processes 2002–2007
1. Humanistic-altruistic values 1. Practicing loving-kindness and equanimity for
self and other
2. Instilling/enabling faith and hope 2. Being authentically present; enabling/sustain-
ing/honoring deep belief system and subjective
world of self/other
3. Cultivating sensitivity to oneself 3. Cultivating one’s own spiritual practices; deep-
and other ening self-awareness, going beyond “ego-self”
4. Developing a helping-trusting, 4. Developing and sustaining a helping-trusting,
human caring relationship authentic caring relationship
5. Promoting and accepting 5. Being present to, and supportive of, the expres-
expression of positive and sion of positive and negative feelings as a con-
negative feelings nection with deeper spirit of self and the one-
being-cared-for
6. Systematic use of scientific 6. Creative use of self and all ways of know-
(creative) problem-solving ing/being/doing as part of the caring process
caring process (engaging in artistry of caring-healing practices)
7. Promoting transpersonal 7. Engaging in genuine teaching-learning experi-
teaching-learning ences within context of caring relationship—
attend to whole person and subjective meaning;
attempt to stay within other’s frame of refer-
ence (evolve toward “coaching” role vs. conven-
tional imparting of information)
8. Providing for a supportive, 8. Creating healing environment at all levels (phys-
protective, and/or corrective ical, nonphysical, subtle environment of energy
mental, social, spiritual and consciousness whereby wholeness, beauty,
environment comfort, dignity, and peace are potentiated
9. Assisting with gratification of (Being/Becoming the environment)
human needs 9. Reverentially and respectfully assisting with
basic needs; holding an intentional, caring con-
sciousness of touching and working with the
embodied spirit of another, honoring unity of
Being; allowing for spirit-filled connection
10. Allowing for existential- 10. Opening and attending to spiritual, mysterious,
phenomenological dimensions unknown existential dimensions of life-death-
suffering; “allowing for a miracle”*
* Idea courtesy Resurrection Health, Chicago.
Sources: J. Watson (1979). Nursing: The Philosophy and Science of Caring. Boston: Little, Brown;
www.uchsc.edu/nursing/caring.