Watson İnsan Bakım Teorisi’nin Perspektifinden: Demans Hastalığı Olan Bireye Bakımverenlerin Bakımı

Yıl 2017, Cilt: 4 Sayı: 1, 62 - 72, 18.05.2017

Seher Gönen Şentürk , Özlem Küçükgüçlü , Jean Watson

Öz

Bakım verme süreci bakım vereni biyo-psiko-sosyo-kültürel boyutlarda etkilemektedir. Bu nedenle bakım verenlere uygulanacak hemşirelik bakımının bireyin bütününe hizmet eden bir şekilde planlanması ve uygulaması gerekmektedir. Hemşirelik bakımını, bedensel, akılsal, ruhsal ve sosyokültürel yollarla iki kişinin karşılıklı etkileştiği bilimsel, etik, estetik, profesyonel bir süreç olarak tanımlayan Watson İnsan Bakım Teorisi, hemşirenin bakım verdiği bireyi sadece fiziksel değil sosyal, psikolojik, kültürel ve spiritüel yönden de ele almayı sağlayan bütüncül bir bakım modelidir. Bu makalenin amacı; Watson İnsan Bakım Teorisi’nin bakım verenlerin bakımında nasıl kullanılabileceği ile ilgili bir yol haritası çizmek, bir bakış açısı geliştirmektir.

Anahtar Kelimeler

Bakımveren, demans, hemşirelik bakımı, Watson İnsan Bakım Teorisi

Caring For Caregivers of Individuals With Dementia: From the Perspective of Watson’s Theory of Human Caring

Öz

The caregiving process affects caregivers at bio-psycho-socio-cultural dimensions. Therefore, nursing care that will be carried out for caregivers should be planned and implemented in a way that cares for the whole of individuals. Watson’s Theory of Human Caring that defines nursing care as a scientific, ethical, esthetic and professional process during which individuals have a physical, mental, spiritual and socio-cultural interaction is a holistic caring model that requires taking the person into cosideration not only physically but also socially, psychologically, culturally and spiritually.  The purpose of this article is to provide a road map, create a new perspective about how to use Watson’s Theory of Human Caring as a guide for caring for caregivers of individuals with dementia.

Anahtar Kelimeler

Caregivers, dementia, nursing care, Watson’s Theory of Human Caring

Kaynakça

• 1. Sussman T, Regehr C. The influence of community-based services on the burden of spouses caring for their partners with dementia. Health Soc Work 2009 Feb; 34(1): 29-39.
• 2. World Health Organization (WHO). Alzheimer’s Disease International. Dementia: a public health priority 2012. URL:http://www.who.int/mental_health/publications/dementia_report_2012/en/. Accessed February 03, 2016.
• 3. Prince M, Bryce R, Albanese E, Wimo A, Ribeiro W, Ferri CP. The global prevalence of dementia: a systematic review and meta-analysis. Alzheimers Dement 2013 Jan; 9(1): 63-75.
• 4. Alzheimer Europe 2012. The prevalence of dementia in Europe for Turkey. URL:http://www.alzheimereurope.org/Policy-in-Practice2/Country-comparisons/The-prevalence-of-dementia-in-Europe/Turkey. Accessed February 03, 2016.
• 5. Ornstein K, Gaugler JE. The problem with “problem behaviors”: a systematic review of the association between individual patient behavioral and psychological symptoms and caregiver depression and burden within the dementia patient-caregiver dyad. Int Psychogeriatr 2012 Oct; 24(10): 1536-52.
• 6. The Alzheimer’s Foundation of America [AFA]. Alzheimer’s disease facts and figures. Alzheimer’s & Dementia 2014; 10(2): 5-63.
• 7. Akyar İ, Akdemir N. Alzheimer hastalarına bakım verenlerin yaşadıkları güçlükler [Strains of caregivers of Alzheimer patients]. Journal of Hacettepe University Faculty of Nursing 2009; 16(3): 32-49.
• 8. Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues Clin Neurosci 2009 Jun; 11(2): 217–28.
• 9. Givens JL, Mezzacappa C, Heeren T, Yaffe K, Fredman L. Depressive symptoms among dementia caregivers: role of mediating factors. Am J Geriatr Psychiatry 2014 May; 22(5): 481-8.
• 10. Sangeeth GS, Solomon MD. Psycho-social problems and coping mechanisms in caregiver’s of dementia patients. Indian Journal of Applied Research 2014; 4(5): 1-4.
• 11. Fortinsky RH, Delaney C, Harel O, Pasquale K, Schjavland E, Lynch J et al. Results and lessons learned from a nurse practitioner-guided dementia care intervention for primary care patients and their family caregivers. Res Gerontol Nurs 2014 May-Jun; 7(3): 126-37. 
• 12. Reuben DB, Ganz DA, Roth CP, McCreath HE, Ramirez KD, Wenger NS. Effect of nurse practitioner co-management on the care of geriatric conditions. J Am Geriatr Soc 2013 Jun; 61(6): 857-67.
• 13. Cara C. A pragmatic view of Jean Watson’s Caring Theory. International Journal for Human Caring 2003; 7(3): 51-61.
• 14. Fawcett J. (2006). Watson’s theory of human caring. In J. Fawcett (Eds.) Contemporary nursing knowledge: analysis and evaluation of nursing models and theories (pp. 553-585). Philadelphia: F.A. Davis Company.
• 15. Jesse, E. Watson’s philosophy in nursing practice. In: Alligood MR, Tomey AM, editors. Nursing theory utilization and application. St. Louis: Mosby; 2006. p.103-29.
• 16. Watson J. Holistic nursing and caring: a value based approach. Journal of Japan Academy of Nursing Science 2002 Jan; 22 (1): 69-74.
• 17. Watson J. Watson’s philosophy and theory of human caring in nursing. In: Riehl-Sisca J, editors. Conceptual models for nursing practice. Norwalk, CT: Appleton & Lange; 1989. p. 219-36.
• 18. Lukose A. Developing a practice model for Watson’s theory of caring. Nurs Sci Q 2011 Jan; 24(1): 27-30.
• 19. Watson J. Jean Watson: Theory of Human Caring. In: Parker ME, editors. Nursing theories and nursing practice. Philadelphia: FA Davis Company; 2005. p.296-307.
• 20. Watson J. The philosophy and science of caring. Boulder, CO: University Press of Colorado; 2008.
• 21. Watson J. Postmodern nursing and beyond. Edinburg, UK: Churchill Livingstone; 1999.
• 22. Bernick L. Caring for older adults: Practice guided by Watson’s caring-healing model. Nurs Sci Q 2004 Apr; 17(2): 128-34.
• 23. Watson J. Watson’s Theory of human caring and subjective living experiences: carative factors/caritas processes as a disciplinary guide to the professional nursing practice. Texto Contexto – Enferm 2007 Jan/Mar; 16(1): 129-35.
• 24. Watson J. Caring as the essence and science of nursing and health care. O Mundo da Saude Sao Paulo 2009; 33(2): 143-9.
• 25. Watson Caring Science Institute [WCSI]. Core concepts of Jean Watson’s Theory of Human Caring/ Caring Science 2010. Accessed April 03, 2016.
• 26. Halldorsdottir S. The dynamics of the nurse-patient relationship: introduction of a synthesized theory from the patient’s perspective. Scand J Caring Sci 2008 Dec; 22(4): 643-52.
• 27. Hunt CK. Concepts in caregiver research. J Nurs Scholarsh 2003; 35(1): 27-32.
• 28. Shipley SD. Listening: a concept analysis. Nurs Forum 2010 Apr-Jun; 45(2): 125-34.
• 29. Bank AL, Argüelles S, Rubert M, Eisdorfer C, Czaja SJ. The value of telephone support groups among ethnically diverse caregivers of persons with dementia. Gerontologist 2006 Feb; 46(1): 134-8.
• 30. Butcher HK, Holkup PA, Buckwalter KC. The experience of caring for a family member with Alzheimer’s disease. West J Nurs Res 2001 Feb; 23(1): 33-55.
• 31. Piccinato JM, Rosenbaum JN. Caregiver hardiness explored within Watson’s Theory of Human Caring in nursing. J Gerontol Nurs 1997 Oct; 23(10): 32-9.
• 32. Bull M. Strategies for sustaining self-used by family caregivers for older adults with dementia. J Holist Nurs 2014 Jun; 32(2): 127-35.
• 33. Liptak A, Tate J, Flatt J, Oakley MA, Lingler J. Humor and laughter in persons with cognitive impairment and their caregivers. J Holist Nurs 2014 Mar; 32(1): 25-34.
• 34. Quinn C, Clare L, Woods RT. What predicts whether caregivers of people with dementia find meaning in their role? Int J Geriatr Psychiatry 2012 Nov; 27(11): 1195-202.
• 35. Masten AS, Coatsworth JD. The development of competence in favorable and unfavorable environments: lessons from research on successful children. Am Psychol 1998 Feb; 53(2): 205-20.
• 36. Bush E. The use of human touch to improve the well-being of older adults: a holistic nursing intervention. J Holist Nurs 2001 Sep; 19(3): 256-70.
• 37. Chang SO. The conceptual structure of physical touch in caring. J Adv Nurs 2001 Mar; 33(6): 820-7. 38. Coppa D. The internal process of therapeutic touch. J Holist Nurs 2008 Mar; 26(1): 17-24.