There are many tools that I have used along the way to help me “see”; see myself, see what’s going on around me, see my emotions and how they impact me and others, etc.
This has been a part of my own personal growth.
And it’s not over.
In my early days of reckoning with myself, I became aware of the times when I felt gut-grip after an event or conversation. These were emotions. I caught on that this gut-grip happened when my behaviors did not match my self-image. That’s when I started becoming more honest with myself. I was not handling situations as well as I thought I was.
Whoa! This rocked me to my core. Guilt and shame followed for a bit. Then I asked myself, How often? How bad is it?
To right myself, I created a self-assessment table that I kept in my journal. It was like this,
|Situation description||My goal behavior||My behavior met goal||My behavior- OK direction||I really blew it|
I have since learned that this is a good mechanism for gaining perspective. It helps expand self- awareness and uses mindfulness. It helps us change our mindset by opening the door to more details and thoughts. It helped me then and still does.
Caring Behaviors –
What if we had a tool to evaluate our caring behaviors, to see our behaviors in more detail, for clarity?
We all know, not all caring behaviors are equal.
Caring consciousness is a good place to start; it’s the energetic core of the nurse-patient relationship.
S. Halldorsdottir’s described the Development of the Nurse-Patient Relationship in 1991. Jean Watson (2012) has referenced Halldorsdottir’s work in her writings.
Watson used this classic clinical research on caring from a patient’s experiential view to explain the ideals, directions and consequences of caring. This research revealed a continuum from uncaring to caring (2012, p.45).
The AAACN uses this continuum as its theoretical construct in its CCTM (Care Coordination and Transition Management) core curriculum.
The reason this is important to me is that, as a nurse leader, tools to describe the concrete aspects of caring delivery from the patient’s perspective are needed to help us as nurses to see ourselves and grow.
Halldorsdottir’s work provides the levels of caring with concrete detail that illuminate what human caring is and is not to the patient.
Halldorsdottir’s nurse-patient relationship levels:
- Biocidic: life destroying; leading to anger, despair, and decreased well-being
- Biostatic: life restraining; patient experienced the nurses as cold and treatment as a nuisance
- Biopassive: life neutral; nurse apathetic and detached (just doing the job)
- Bioactive: life sustaining; reflected in the classic nurse-patient relationship and as kind, concerned benevolent, and responsive
- Biogenic: highest level of human-to-human caring; life giving and life receiving for both nurses and patient (Watson, 2012, p.45)
To apply this framework to practice, nurses seeking self-awareness can use this tool to evaluate your practice. It can help you see more details about yourself.
|Date||Work day description-||% of time Biocidic||% of time Biostatic||% of time Biopassive||% of time Bioactive||% of time Biogenic|
What it does is, it unpacks your caring behaviors and puts them on a continuum. It can help you see in more detail your caring behaviors. This can open up your world to noticing more about yourself, which is a good thing.
J Watson (2012) Human caring science, A theory of nursing (2nd ed). Sudbury, MA: Jones & Bartlett Learning.