Marion Conti-O'Hare's Theory of The Nurse As Wounded
Marion Conti-O'Hare's Theory of The Nurse As Wounded
Marion Conti-O'Hare's Theory of The Nurse As Wounded
Main Ideas
Assumptions
Main Concepts
Relationship Among Concepts
Main Ideas
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
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.)
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.)
relationship. Using a mixed method approach, we surveyed 125 patients and 361 medical
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:
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.