Self Care and Orem's Theory for Nurses

Wit and Nursing

In the film Wit, Nurse Susie Monahan represents the concept of compassionate care. Her interactions with Vivian show how important empathy, kindness, and compassion actually are in nursing. Unlike other healthcare professionals in the film who often focus on Vivian as a case study or even as a guinea pig, Susie sees her as a person, not just a patient or an illness. This distinction gets to the heart of the difference between the art of nursing and the science of nursing. The art focuses on the human side; the science on the intervention side. What is needed, however, is a balance of the two.

Key Takeaways

The film shows the contrast between the compassionate care provided by Nurse Susie and the clinical detachment exhibited by Dr. Kelekian and Dr. Posner. Their focus on research and treatment outcomes, sometimes at the expense of patient comfort and dignity, represents some of the dangers of depersonalizing patients. Their approach reveals the need for healthcare professionals to balance clinical objectives with empathy and respect for patient autonomy and dignity.

Communication, or rather the lack thereof, also plays a part in Wit. Vivian's doctors often speak in medical jargon and fail to fully explain procedures or consider her comfort; their lack of communication and her confusion illustrates the importance of clear, compassionate interactions in healthcare. Nurses and other healthcare providers should make an effort to help patients be informed, comfortable, and respected in their wishes and concerns.

Vivian's experience, moreover, through her cancer treatment reflects on themes of autonomy, identity, and the human experience in facing mortality. Her character goes from a successful, independent, career-focused individual to someone who just needs some simple human kindness and connection speaks volumes. It really draws light on the need for nurses and healthcare professionals to see and support the patient emotionally and psychologically.

Theories

Several nursing theories and theorists that emphasize the importance of compassion, patient-centered care, and the therapeutic relationship between nurse and patient are relevant here. Watson’s theory of human caring, Benner’s novice to expert theory, Peplau’s theory of interpersonal relations, Leininger’s theory of cultural care, Orem’s self-care theory—they are all applicable to this film.

Watson's theory focuses on the relationship between patient and nurse and the deep respect for the individual and their subjective experience with health (Akbari & Nasiri, 2022). The caring moments between Susie and Vivian can be seen as examples of Watson's "Carative Factors," particularly the promotion of an environment of comfort, peace, and support. Watson emphasizes the importance of caring and empathetic relationships in the healing process, reflecting Susie's approach to Vivian's care.

Benner's theory also points to the importance of experiential learning and the development of an intuitive grasp on nursing situations. Susie demonstrates characteristics of an "expert" nurse in her intuitive, empathetic approach to patient care, showing a deep understanding of Vivian's needs that goes beyond technical skills or procedural knowledge.

Likewise, Peplau's theory, which emphasizes the nurse-patient relationship as the foundation of nursing practice, is highly relevant to Susie's interactions with Vivian. The theory identifies phases of the interpersonal process that include orientation, identification, exploitation, and resolution (Yang et al., 2022). Susie's ability to connect with Vivian, understand her needs, and provide both emotional support and information exemplifies this theory in action.

Leininger's theory focuses on the importance of cultural sensitivity in nursing and healthcare. While the film "Wit" does not delve deeply into cultural issues, the underlying principle of understanding and respecting each patient's unique background, values, and needs is relevant. Susie's approach to caring for Vivian, with attention to her individuality and dignity, can be seen as aligning with the spirit of Leininger's emphasis on personalized, culturally competent care.

There is also Orem's theory, which revolves around the idea that nurses should assist individuals in their self-care activities to improve their health. Susie supports Vivian in achieving as much autonomy as her condition allows, respecting her dignity and encouraging her involvement in her own care decisions, which aligns with Orem's philosophy of promoting and supporting a patient's self-care agency (Hellqvist, 2021).

Art and Science

The character of Nurse Susie Monahan embodies this balance between art and science in nursing. In the film, the science of nursing is depicted through the clinical aspects of Vivian's care. The film accurately portrays medical procedures, treatments, and the clinical environment, highlighting the technical and scientific knowledge required in nursing. Nurse Susie, alongside the medical team, is involved in the administration of chemotherapy, management of side effects, and monitoring of Vivian's condition. This aspect of nursing is grounded in evidence-based practice, requiring a deep understanding of physiology, pharmacology, and medical protocols.

The scientific foundation of nursing is also evident in the critical thinking skills displayed by the nursing staff. Nurse Susie's ability to assess Vivian's physical condition, recognize symptoms, and implement appropriate interventions demonstrates the application of scientific principles in clinical decision-making. This includes her vigilance in monitoring for complications, adjusting care plans based on Vivian's response to treatment, and collaborating with physicians to ensure that care is both effective and evidence-based.

Conversely, the art of nursing in Wit is beautifully illustrated through the holistic, compassionate care provided by Nurse Susie. The art of nursing is less tangible but equally vital, encompassing the ability to connect with patients on a human level, to empathize with their experience, and to provide support that addresses not just the physical but also the emotional, social, and spiritual needs.

Nurse Susie's interactions with Vivian Bearing exemplify this artistic dimension. She demonstrates an intuitive understanding of Vivian's needs for dignity, respect, and human connection. For example, Susie's decision to hold Vivian's hand, engage in genuine conversation, and honor her wishes at the end of life reflects a deep commitment to patient-centered care that goes beyond technical competency. This compassionate approach is what often gives comfort and solace to patients during their most vulnerable moments.