Marion Conti-O'Hare's Theory of The Nurse As Wounded

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King Saud University

Marion Conti-O'Hare's Theory of The Nurse As


Wounded Healer
Submitted by: Nasser Saed Alossime
Meaning of the Theory

 Main Ideas
 Assumptions
 Main Concepts
 Relationship Among Concepts
Main Ideas

 Nurses and healthcare individuals are labeled "walking wounded" having


experienced their own trauma in life
 After dealing with and healing from their experiences they become "wounded
healers“
 Wounded healers are able to use their own experiences in caring for others
 This type of care will have a positive and direct impact on healthcare,
society, and nursing
Assumptions

 All people experience traumatic experiences in their lives


 Trauma may be personal, professional, or both
 How a nurse copes with their own trauma directly impacts patient care
 Trauma does not resolve on its own
 A nurse needs to transform themselves from "walking wounded" to "wounded
healer“
 The nursing profession is wounded in itself and needs to heal from within
Main Concepts

1. Healthcare worker: Nurse, Physician, Nurse's Aide, Social worker, Anyone


with direct patient contact
2. Trauma: Physical, Emotional, Mental, Illness, Death, Dying, Addiction
3. Healing: Free from injury or disease, Make whole, Overcome, Restore sense
of self and health, Positive, Individualized therapy
4. Patients care: Physical care, Listening/Identify, Trust, Attentiveness,
Relate, Compassion, Bundle care, Whole family-centered care.
Relationship Among Concept

 Theory starts with the healthcare worker and their personal experiences
 Without proper healing patient care will be provided by "walking wounded“
 To create a "wounded healer" all concepts must be present: healthcare
worker, trauma, healing, patient
Origins of the Theory

1. What was cited as support?


 Values: "If trauma is dealt with effectively, the pain is consciously recognized, transformed, and
transcended into healing... it will have been sufficiently understood and processed and will not
interfere with providing care" (Christie & Jones, 2014).
 Theories: Carl Jung theorized every person has experienced some kind of trauma in life.
Whether they realize it or not, it drove a person's behavior. As part of realizing this fact, one
must come to terms with it and live in harmony with it. Jung referred to this as "transcendence".
Origins of the Theory ( cont.)

 Evidence: In 1970, a psychiatrist named Fordham determined a wounded


healer could better relate to a patient's situation if they had experienced the
same problem. However it was also discovered if the damaged portion of the
wounded healer was not dealt with correctly, there could be negative
experiences for both the healer and the patient.

 Existing knowledge: Currently used in the fields of psychology, psychiatry,


and religion doctor/patient relationshipspastor/disciple relationships
Origins of the Theory ( cont.)

2. What was the motivation:


Marion Conti-O'Hare felt people were drawn to specific professions based on
traumatic events in their own lives and the desire to help others with similar
suffering.
Origins of the Theory ( cont.)

3. What was the approach:


 An individual's coping strategies have one of two outcomes:
 Effective:
 become a "wounded healer“
 provide positive therapeutic care
 identify with patient's pain/suffering
 Ineffective:
 remain a "walking wounded“
 pain remains
 problems socially, professionally and personally
Usefulness of the theory

 In practice:
Effective therapeutic relationship between provider and patient trust
 Transparency
 Empathy
 Dialogue
 understanding
Usefulness of the theory ( cont.)

To nursing:
Within the profession of Nursing:
 pain is part of human growth and development
 the profession alone exemplifies this process
 nurses need to consciously recognize this trauma and pain
 nurses demonstrate therapeutic use of self
Usefulness of the theory ( cont.)

 To understanding and outcome:


More positive outcomes due to patient/provider understanding, empathy, ability
to relate, and guide in healing .
Testability

 Research generated:
The majority of the research done on this theory have outcomes that are
qualitative in nature. Empathy and therapeutic measure is more subjective.
In 2015, 125 patients and 361 practitioners surveyed regarding their views on
doctor/patient relationships.
In 2012, past reflection on psychotherapists struggles with patient relationships
were reviewed and summarized
Testability ( cont.)

 Published research studies:

"Empathy is increasingly being recognized as a crucial component for an effective doctor-patient

relationship. Using a mixed method approach, we surveyed 125 patients and 361 medical

practitioners (doctors and medical students) views of the doctor-patient relationship. We

qualitatively assessed patients' views of what constituted a good doctor and qualitatively

measured empathy using a validated scale in medical practitioners. Patients desire a doctor that

is both clinically proficient 66 (55%) and caring 32 (27%). Doctors who have a personal experience

of illness have a statistically higher empathy score. These doctors may be well placed to help

develop and foster empathy in our profession" (Brady, Bambury & O’Reilly, 2015).
Overall Evaluation

 Comprehensive theory:

 This theory is comprehensive in nature due to it's multifaceted understanding

and interchangeability of... empathy, pain, trauma, transcendence, personal,

professional, social, conscious or subconscious trauma.


Overall Evaluation ( cont.)

 Strength and Weakness:


 Strength:
 If conscious of transcendence, therapeutic patient care and great
provider/patient relationships were reported.
 Support from prior theorist, Carl Jung.
 Weakness:
 Limited research reported.
 Qualitative, subjective results.
Overall Evaluation ( cont.)

 Use in practice?:
 The ability to relate to patients and their experiences are an important
benefit regarding patient care.
 This theory has a great potential to keep healthcare workers mindful of their
own life experiences and encourage them to constantly process and work
through issues with compassion fatigue, lateral violence, and resilience.

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