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Guide to deliver the elements of the Clinical Caritas Process

Guía para la realización de los elementos del Proceso Clinical Caritas

Abstract

Objective:

To introduce a guide to apply the elements of the Clinical Caritas Process.

Methods:

It is a study introducing a guide developed to identify the necessary caring actions, aiming to provide transpersonal care. It was designed from a bibliographic review and discussion with peers, who apply the theory underpinning the present study.

Results:

The instrument features a layout with ten lines and two columns, decoding each structural component in its enunciation with its respective care manifestations. Additionally, it showed to be a facilitator for the use of the Human Caring Theory.

Conclusion:

It is believed that the guide can be reproduced in order to direct the practice of transpersonal care in different settings of Brazilian nursing. Moreover, it can also be used to teach this theory.

Keywords:
Nursing Theory; Nursing Care; Nursing Education

Resumen

Objetivo:

Presentar una guía para la aplicación de los elementos del Proceso Clinical Caritas.

Métodos:

Se trata de un estudio que presenta una guía desarrollada con el objetivo de identificar acciones de cuidados necesarios para realizar la atención transpersonal. Fue elaborado después de la revisión bibliográfica y la discusión con colegas que utilizan la teoría de Jean Watson, adoptada en este trabajo.

Resultados:

El instrumento se presenta en layout con 10 líneas y dos columnas, decodificando cada componente estructural en su enunciado con sus respectivas manifestaciones de cuidado, demostró ser facilitador para la utilización de la Teoría del Cuidado Humano.

Conclusión:

Se considera que la guía podrá reproducirse para orientar la práctica del cuidado transpersonal en la Enfermería brasileña en diferentes contextos y lugares, y puede utilizarse inclusive en la enseñanza de esta Teoría.

Palabras-clave:
Teoría de Enfermería; Cuidados de Enfermería; Educación en Enfermería

Resumo

Objetivo:

Apresentar um guia para a aplicação dos elementos do Processo Clinical Caritas.

Métodos:

Trata-se de um estudo que apresenta um guia desenvolvido com o intuito de identificar ações de cuidado necessárias para realizar o cuidado transpessoal. Foi construído após revisão bibliográfica e discussão com pares que aplicam a teoria de Jean Watson adotada no presente trabalho.

Resultados:

O instrumento apresenta-se em layout com 10 linhas e duas colunas, decodificando cada componente estrutural no seu enunciado com suas respectivas manifestações de cuidado, demonstrou ser facilitador para a utilização da Teoria do Cuidado Humano.

Conclusão:

Acredita-se que o guia, poderá ser reproduzido para orientar a prática do cuidado transpessoal na Enfermagem brasileira em diferentes cenários, e pode ser utilizado inclusive no ensino desta Teoria.

Palavras-chave:
Teoria de Enfermagem; Cuidados de Enfermagem; Educação em Enfermagem

INTRODUCTION

Caring is the core of nursing and this action can be understood as the basis of knowledge about this discipline. It is both the practice and theory founded on the form and diversity of care provided.11 Waldow VR. Enfermagem: a prática do cuidado sob o ponto de vista filosófico. Investig Enferm Imagen Desarr [Internet]. 2015 Jan/Jun; [cited 2016 Jul 22]; 17(1):13-25. Available from: http://www.redalyc.org/articulo.oa?id=145233516002. DOI: 10.11144/Javeriana.IE17-1.epdc
http://www.redalyc.org/articulo.oa?id=14...

Aiming to enable nursing care to be effective, it must be based on theoretical frameworks, i.e. on a Nursing theory, which directs the way care is provided so that the objectives can be achieved.22 Favero L, Pagliuca LMF, Lacerda MR. Cuidado transpessoal em enfermagem: uma análise pautada em modelo conceitual. Rev Esc Enferm USP [Internet]. 2013 Apr; [cited 2016 Jul 22]; 47(2):500-5. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000200032. http://dx.doi.org/10.1590/S0080-62342013000200032
http://www.scielo.br/scielo.php?script=s...

According to Meleis (2012), a Nursing theory can be defined as interrelated concepts that are connected to an organized, logical and systematic group of statements associated with significant questions about a discipline, linked and shared in a meaningful whole, explicitly aimed at explaining or predicting facts/events.33 Meleis AI. Theoretical nursing: development and progress. 5th ed. Pennsylvania: Lippincott Williams & Wilkins; 2012.

As practical human sciences, Nursing theories enable expansion and guide care. To understand the universe of individuals, their contact with the environment and the manifestations that this relationship has in health helps to develop the clinical practice and establish what the most relevant types of care are.44 Queirós PJP, Vidinha TSS, Almeida Filho AJ. Autocuidado: o contributo teórico de Orem para a disciplina e profissão de Enfermagem. Rev Enferm Ref [Internet]. 2014 Nov/Dec; [cited 2016 Jul 22]; 4(3): 157-64. Available from: http://www.scielo.mec.pt/scielo.php?script=sci_abstract&pid=S0874-02832014000300018. DOI: http://dx.doi.org/10.12707/RIV14081
http://www.scielo.mec.pt/scielo.php?scri...

The Human Caring Theory described by theoretician Dr. Jean Watson is one of the several Nursing theories, which has contributed to the increase in knowledge about Nursing since 1979, when her first book was released, "Nursing: the philosophy and science of caring".55 Watson J. Nursing: The philosophy and Science of Caring. Boston: Little, Brown and Company; 1979. 321 p.

However, Watson does not consider this to be a verifiable, measurable and testable theory, but rather a theory that helps professionals to consider human beings in their transcendence in the phenomenon of human experience. In other words, this theory is centered on the importance of care, on existential phenomenological assumptions and the search for an interconnection of concepts, a human science adequate for Nursing, which is transformed through connection, between the one that cares and the one cared for.66 Watson J. Nursing: The Philosophy and Science of Caring. Revised ed. Boulder: University Press of Colorado; 2008. 313 p.

The use of Watson's Theory allows a "sacred" meeting between the one that cares for and the one cared for to take place in each interaction, enabling a healing care environment to be developed, capable of supporting transpersonal care in several contexts.77 Norman V, Rossillo K, Skelton K. Creating Healing Environments Through the Theory of Caring. AORN J [Internet]. 2016 Nov; [cited 2017 Jan 22]; 104(5):401-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27793250. http://dx.doi.org/10.1016/j.aorn.2016.09.006
https://www.ncbi.nlm.nih.gov/pubmed/2779...

Thus, productive care can be evidenced and developed in a transpersonal way, when perception goes beyond the physical proportion and is capable of surpassing this moment and the cosmos.88 Watson J. Human caring science: a theory of nursing. 2nd ed. Sudbury: Jones & Bartlett Learning; 2012.

As a result, we have the essence of the Human Caring Theory and transpersonal care, which can be effective through the use of the Clinical Caritas Process elements, a process that enables its application in practice. These elements originate from the theoretician's assumptions that direct one towards the achievement of transpersonal care.55 Watson J. Nursing: The philosophy and Science of Caring. Boston: Little, Brown and Company; 1979. 321 p.,66 Watson J. Nursing: The Philosophy and Science of Caring. Revised ed. Boulder: University Press of Colorado; 2008. 313 p. This is because Watson does not advocate the use of a Nursing process for such, leaving professionals free to make choices when using them, which can lead to questions in some situations.99 Watson Caring Science Institute. 10 Caritas Processes® [Internet]. 2016 [cited 2016 Aug 10]. Available from: https://www.watsoncaringscience.org/jean-bio/caring-science-theory/10-caritas-processes/
https://www.watsoncaringscience.org/jean...

Thus, the Clinical Caritas Process is comprised of the following ten elements:99 Watson Caring Science Institute. 10 Caritas Processes® [Internet]. 2016 [cited 2016 Aug 10]. Available from: https://www.watsoncaringscience.org/jean-bio/caring-science-theory/10-caritas-processes/
https://www.watsoncaringscience.org/jean...
Practicing love/kindness and equality in the context of awareness of care; Being truly present, strengthening, supporting and honoring the deep system of beliefs and the world of subjective life of the one cared for; Fostering transpersonal self and personal spiritual practices and going beyond the ego; Developing and supporting an authentic relationship of care, help and trust; Being present and supporting the expression of positive and negative feelings as a deep connection with one's own spirit and that of the one cared for; Using the self and all ways of knowledge creatively, as part of the care process, engaging in artistic practices of healing care; Being truly involved with teaching/learning experiences that serve an individual as a whole and their meanings, seeking to remain inside the other's perspective; Creating a healing environment on all levels (physical and non-physical), a subtle environment of energy and awareness, where beauty, comfort, dignity and peace are enhanced; Supporting basic needs, with the intentional awareness of care, managing "essential human care", which strengthens the mind-body-spirit alignment, the totality and unity of being in all aspects of care; and Being open to and paying attention to the spiritual mysteries and existential dimensions of life-death, caring for one's own soul and that of the one cared for.a a See at website Watson Caring Science Institute. 10 Caritas ProcessesTM [internet]. [Boulder, Colorado, EUA]: 10 Caritas ProcessesTM; c 2016 [cited 2016 Aug 10]. Available from: https://www.watsoncaringscience.org/jean-bio/caring-science-theory/10-caritas-processes/

Understanding that the practice of Nursing care is capable of transcending and uniting humanistic factors with scientific knowledge in accordance with world trends coherently, responsive to the health needs of patients, family and the community,1010 Cypress BS. The emergency department: experiences of patients, families and their nurses. Adv Emerg Nurs J [Internet]. 2014 Apr/Jun; [cited 2017 Jan 15]; 36(2):164-76. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24785669. DOI: 10.1097/TME.0000000000000017
https://www.ncbi.nlm.nih.gov/pubmed/2478...
the Jean Watson's Human Caring Theory was selected as the theoretical framework of a dissertation and thesis that dealt with the theme of home care.

The objectives of these postgraduate studies are as follows: interpreting the patients' experience with home care and validating a health care model in this area, following the assumptions of the selected theoretician, adopting Grounded Theory and research-care. In view of the need to prepare instruments to collect data from these studies, the authors identified the need to interpret the Clinical Caritas Process in such a way that it answered the following questions: What Nursing actions/attitudes are required to perform the Clinical Caritas Process? How to identify whether the process elements are present in professionals' actions? What health care action needs to be performed to provide transpersonal care?

Several studies on the theme of Clinical Caritas Process elements can be identified.77 Norman V, Rossillo K, Skelton K. Creating Healing Environments Through the Theory of Caring. AORN J [Internet]. 2016 Nov; [cited 2017 Jan 22]; 104(5):401-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27793250. http://dx.doi.org/10.1016/j.aorn.2016.09.006
https://www.ncbi.nlm.nih.gov/pubmed/2779...
,1111 Mathias JJS, Zagonel IPS, Lacerda MR. Processo Clinical Caritas: novos rumos para o cuidado de Enfermagem transpessoal. Acta Paul Enferm [Internet]. 2006 Jul/Sep; [cited 2016 Jul 22]; 19(3):332-7. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002006000300013&lng=en&nrm=iso. DOI: 10.1590/S0103-21002006000300013. ISSN 1982-0194
http://www.scielo.br/scielo.php?script=s...

12 Gomes IM, Silva DI, Lacerda MR, Mazza VA, Méier MJ, Mercês NNA. Teoria do cuidado transpessoal de Jean Watson no cuidado domiciliar de Enfermagem à criança: uma reflexão. Esc Anna Nery [Internet]. 2013 Jul/Aug; [cited 2017 Jan 25]; 17(3):555-61. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452013000300555. DOI: 10.590/S1414-81452013000300021.
http://www.scielo.br/scielo.php?script=s...

13 Savieto RM, Leão ER. Assistência em Enfermagem e Jean Watson: Uma reflexão sobre a empatia. Esc Anna Nery [Internet]. 2016 Jan/Mar; [cited 2016 Aug 10]; 20(1):198-202. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452016000100198&lng=en&nrm=iso. DOI: 10.5935/1414-8145.20160026
http://www.scielo.br/scielo.php?script=s...
-1414 Medeiros FAL, Félix LG, Nóbrega MML. Processo Clinical Caritas em oficinas para cuidadores de idosos institucionalizados. Rev Bras Enferm [Internet]. 2016 Nov/Dez; [cited 2017 Jan 25]; 69(6):997-1004. Available from: http://www.scielo.br/pdf/reben/v69n6/0034-7167-reben-69-06-1059.pdf. DOI: 10.590/0034-7167-2016-0359
http://www.scielo.br/pdf/reben/v69n6/003...
However, there are no studies aimed at the description, decoding and understanding of manifestations of care that each of these elements involves, thus revealing a gap of knowledge to which the present study is dedicated.

METHODS

The present study introduces a guide designed to support the actions of researchers in the application of the Clinical Caritas Process, thus putting the Human Caring Theory into practice, aiming to achieve transpersonal care as proposed by Jean Watson. This study is part of a large research project approved by the Research Ethics Committee under official opinion number 1200886. It was performed between March and December 2016 and it resulted from an ongoing dissertation and thesis, associated with the Grupo de Estudos, Pesquisa e Extensão em Cuidado Humano em Enfermagem (NEPECHE - Study, Research and Extension Group on Human Care in Nursing) of the Postgraduate Program in Nursing of the Federal University of Paraná).

A total of two stages had to be covered to perform the study in question. The first stage included delving into the theoretical framework of this study. To achieve this, an extensive bibliographical review was performed to identify the basic assumptions presented by the theoretician and the interpretations from different authors.22 Favero L, Pagliuca LMF, Lacerda MR. Cuidado transpessoal em enfermagem: uma análise pautada em modelo conceitual. Rev Esc Enferm USP [Internet]. 2013 Apr; [cited 2016 Jul 22]; 47(2):500-5. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000200032. http://dx.doi.org/10.1590/S0080-62342013000200032
http://www.scielo.br/scielo.php?script=s...
,66 Watson J. Nursing: The Philosophy and Science of Caring. Revised ed. Boulder: University Press of Colorado; 2008. 313 p.,88 Watson J. Human caring science: a theory of nursing. 2nd ed. Sudbury: Jones & Bartlett Learning; 2012.,1515 Watson J. Human Caring and Human Science: A Theory of Nursing. 15th ed. Norwalk: Appleton-Century-Crofts; 1985.

16 Watson J. Enfermagem pós-moderna e futura: um novo paradigma da Enfermagem. Loures: Lusociência; 2002.

17 Watson J. Caring science as sacred science. 1st ed. Philadelphia: Davis Company; 2005.

18 Watson J. Watsons theory of human caring and subjective living experiences: carative factors/caritas processes as a disciplinary guide to the professional nursing practice. Texto Contexto Enferm [Internet]. 2007 Jan/Mar; [cited 2016 Apr 15]; 16(1):129-35. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072007000100016&lng=en&nrm=iso. DOI: 10.1590/S0104-0707200700010006
http://www.scielo.br/scielo.php?script=s...
-1919 Urra EM, Jana AA, Garcia MV. Algunos aspectos esenciales del pensamiento de Jean Watson y su teoría de cuidados transpersonales. Cienc Enferm [Internet]. 2011; [cited 2016 Sep 15]; 17(3):11-22. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95532011000300002. DOI: 10.4067/S0717-955320000300002
http://www.scielo.cl/scielo.php?script=s...

Thus, apart from the bibliographical review of the theoretical framework, the following was required to develop this instrument: studies on methodological frameworks; data collection instruments that can be used in these research projects; and studies on the Human Caring Theory written in Portuguese, English and Spanish that were published in journals, reliable websites and online annals of congresses and forums on Nursing, emphasizing the elements of the Clinical Caritas Process.

The authors of the present study participated in an international event with the presence of Dr. Jean Watson herself, when they could effectively understand the explanation about the previously mentioned process. Based on what has been described, a guide was designed to direct and identify Nursing Caritas actions, aiming to support the practice of this Theory in routine Nursing care.

The procedure following the guide design occurred through an event named "Seminar - Jean Watson's Human Caring Theory", organized by the abovementioned research group, including the participation of doctors, postgraduate program students and nurses from different institutions in the state of Paraná, Southern Brazil, experts in theoretical framework. The designed guide was presented to these professionals for improvement and validation.

RESULTS AND DISCUSSION

The guide was designed to direct and identify the main Nursing actions, aiming to execute the Clinical Caritas Process elements in such a way that these actions result in transpersonal care. Consequently, this Theory is put into practice, which was here named "Care Manifestations", according to table 1.

Table 1
Guide to execute the Clinical Caritas Process elements.

Comprised by all Clinical Caritas Process elements, the guide was designed in a layout with ten lines and two columns, decoding each structural component in its enunciation with its respective manifestations of care.

This instrument was applied to 15 participants (ongoing) from the previously mentioned PhD and Master's research projects. Additionally, this guide has proved to be simple to perform activities and identify manifestations of care, especially with significant results.

The traditional methods applied to experimental sciences result in reductionist attitudes at the moment when life and health situations are interpreted. Thus, one must gain a holistic and contextualized perspective of phenomena in health care.88 Watson J. Human caring science: a theory of nursing. 2nd ed. Sudbury: Jones & Bartlett Learning; 2012.

There are several health institutions that are currently using Human Caring Theory and studies showing the efficacy and importance of investing in its use. Moreover, it has quality of knowledge and prioritizes transpersonal care to further increase the quality of service in the workplace and guarantee that all health professionals have the required skills to provide such care in a productive way.77 Norman V, Rossillo K, Skelton K. Creating Healing Environments Through the Theory of Caring. AORN J [Internet]. 2016 Nov; [cited 2017 Jan 22]; 104(5):401-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27793250. http://dx.doi.org/10.1016/j.aorn.2016.09.006
https://www.ncbi.nlm.nih.gov/pubmed/2779...
,2020 Greaves J, Watson J, Keen H. An Evaluation of short course in Mindfulness for Health Visitor Practive Teachers. Health Education England, Project Report. (Unpublished); 2016. 64 p.

21 Emoto R, Tsutsui M, Kawana R. A Model to Create a Caring and Healing Environment for Nurses in Child and Family Nursing. Int J Hum Caring [Internet]. 2015; [cited 2017 Jan 15]; 19(1):8-12. Available from: http://internationaljournalforhumancaring.org/doi/abs/10.20467/1091-5710-19.1.8?code=iahc-site. DOI: http://dx.doi.org/10.20467/1091-5710-19.1.8
http://internationaljournalforhumancarin...

22 Durant AF, McDermott S, Kinney G, Triner T. Caring Science: Transforming the Ethic of Caring-Healing Practice, Environment, and Culture within an Integrated Care Delivery System. Perm J [Internet]. 2015; [cited 2017 Jan 15]; 19(4):e136-42. Available from: http://www.thepermanentejournal.org/files/Fall2015/NursingResearch.pdf. DOI: http://dx.doi.org/10.7812/TPP/15-042
http://www.thepermanentejournal.org/file...
-2323 Swengros D, Herbst AM, Friesen MA, Mangione L, Anderson JG. Promoting caring-healing relationships: bringing healing touch to the bedside in a multihospital health system. Holist Nurs Pract [Internet]. 2014 Nov/Dec; [cited 2017 Jan 23]; 28 (6): 370-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25314110. DOI: 10.1097/HNP.0000000000000051.
https://www.ncbi.nlm.nih.gov/pubmed/2531...

Nonetheless, there is more emphasis on the international literature, where there is a presentation and use of validation scales for transpersonal care through the application of Clinical Caritas Process elements.2424 Troncoso MCP, Valenzuela-Suazo SV, Merino JM. Validación de dos escalas utilizadas en la medición del cuidado humano transpersonal basadas en la teoría de Jean Watson. Aquichan [Internet]. 2012 Abr; [cited 2017 Jan 25]; 12(1):1-14. Available from: http://aquichan.unisabana.edu.co/index.php/aquichan/article/view/8-21/html. DOI: 10.5294/aqui.2012.12.1.1
http://aquichan.unisabana.edu.co/index.p...
,2525 Arslan-Özkan İ, Okumuş H, Buldukoğlu K. A randomized controlled trial of the effects of nursing care based on Watson's Theory of Human Caring on distress, self-efficacy and adjustment in infertile women. J Adv Nurs [Internet]. 2013 Nov; [cited 2017 Jan 25]; 70(8):1801-12. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24372443. DOI: 10.1111/jan.12338
https://www.ncbi.nlm.nih.gov/pubmed/2437...
However, there are no instruments in Portuguese. Thus, the present instrument showed to be a facilitator for the use of the Human Caring Theory, as it is the foundation for Nursing actions. This is because Watson does not support a Nursing Process, understood as a hindering factor by certain professionals when using this Theory.2626 Favero L, Mazza VA, Lacerda MR. A vivência da enfermeira domiciliar no cuidado transpessoal às famílias de neonatos egressos da unidade de terapia intensiva. Acta Paul Enferm [Internet]. 2012; [cited 2017 Jan 25]; 25(4):490-6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000400002. DOI: http://dx.doi.org/10.1590/S0103-21002012000400002
http://www.scielo.br/scielo.php?script=s...

As a result, knowledge and the function of Nursing need to be progressively absorbed as the foundation of any and all theoretical and care action, as they are the ones that include and give visibility to this profession's actions.2727 Backes DS, Grando MK, Gracioli MSA, Dall'asta-Pereira A, Colomé JS, Gehlen MH. Vivência teórico-prática inovadora no ensino de enfermagem. Esc Anna Nery [Internet]. 2012 Sep; [cited 2017 Feb 2]; 16(3):597-602. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452012000300024. DOI: http://dx.doi.org/10.1590/S1414-81452012000300024
http://www.scielo.br/scielo.php?script=s...
,2828 Cowden TL, Cummings GG. Nursing theory and concept development: a theoretical model of clinical nurses' intentions to stay in their current positions. J Adv Nurs [Internet]. 2012 Jul; [cited 2017 Feb 02]; 68(7):1646-57. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22256884. DOI: 10.1111/j.1365-2648.201105927.x
https://www.ncbi.nlm.nih.gov/pubmed/2225...

It should be emphasized that the application of theoretical and methodological components in Nursing care is essential for its strengthening. As a result, one must continue to incorporate knowledge into new strategies based on scientific evidence and theoretical instruments, as the use is restricted to the practice of health institutions associated with complexity and difficult understanding.2828 Cowden TL, Cummings GG. Nursing theory and concept development: a theoretical model of clinical nurses' intentions to stay in their current positions. J Adv Nurs [Internet]. 2012 Jul; [cited 2017 Feb 02]; 68(7):1646-57. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22256884. DOI: 10.1111/j.1365-2648.201105927.x
https://www.ncbi.nlm.nih.gov/pubmed/2225...
,2929 Morales-Aguilar RdS, Lastre-Amell GE, Pardo Vásquez AC. Application of theoretical and methodological components of nursing care. Cienc Cuid [Internet]. 2016; [cited 2017 Feb 02]; 13(2):107-20. Available from: http://revistas.ufps.edu.co/ojs/index.php/cienciaycuidado/article/view/766
http://revistas.ufps.edu.co/ojs/index.ph...

Thus, the development of instruments, explanatory models and studies on Nursing theories, associated with their application to practice and adequacy to distinct experiences, is increasingly required, as this enables the theoretical basis for professional performance and helps to bring change to the modern world.3030 Mete S, Gokçe İsbir G. Using a nursing theory or a model in nursing PhD dissertations: a qualitative study from Turkey. Int J Nurs Knowl [Internet]. 2015 Apr; [cited 2017 Feb 3]; 26(2):62-72. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24870356. DOI: 10.1111/2047-3095.12036
https://www.ncbi.nlm.nih.gov/pubmed/2487...

To achieve this, the guide designed helps researchers to understand the theoretician's assumptions with an emphasis on the subjective world of each human being; it focuses on the depth of the relationship between human beings and translates the moment of care. This is a research tool with the possibility of practical application, thus enabling one to understand the intersubjective, interpersonal and transpersonal relationship located in a cosmic sphere. Additionally, it directs one towards the responsibility of using the Human Caring Theory and, consequently, caring in a transpersonal way, as a deep ethical content that guides the relationship between the one caring and the one cared for.

CONCLUSIONS

Considering the objective of the present study, the results obtained help to direct Nursing care and research, based on the Human Caring Theory. Additionally, it enables each structural component of the Clinical Caritas Process elements to be decoded.

We believe this guide can be reproduced to instruct and provide resources for the practical application of transpersonal care to Brazilian Nursing in different contexts, including its use in the teaching of such Theory. As this is made available for the Nursing community, the inclusion of other experiences and contributions to its improvement are expected.

Finally, we hope to have shown the Theory and encouraged the academic world to develop new studies on the application of Clinical Caritas Process elements, in addition to these manifestations being an inspiration and promotion of new ways of doing Nursing.

REFERENCES

Publication Dates

  • Publication in this collection
    2017

History

  • Received
    15 Mar 2017
  • Accepted
    19 July 2017
Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
E-mail: annaneryrevista@gmail.com