Paper
Sunday, November 13, 2005
This presentation is part of : Community and Collaboration
Critical Caring: The Dialectic of Meeting the Needs and Building the Capacity of Communities and Their Members
Adeline Falk-Rafael, RN, PhD, School of Nursing, York University, Toronto, ON, Canada
Learning Objective #1: Identify the tenets of Watson's caring science and feminist critical theories that underpin the mid-range theory of critical caring
Learning Objective #2: Articulate the seven carative health promoting processes that represent the "core" of public health nursing

Critical caring has been proposed as a mid-range theory for public health nursing, building on nursing science and critical feminist theories. It identifies 7 core carative health promoting processes that together provide a framework for holistic nursing care. As such, it has the potential to root practice in an expanded nursing caring science that re-incorporates the social justice agenda characteristic of Nightingale and early nursing leaders. After providing a brief overview of the theory, this paper will focus on one of the theory's seven core carative health promoting processes: meeting the needs and building the capacity of communities and their members. The two aspects of this process demonstrate the synchronous relationship between advocacy and empowerment identified in the literature. The carative process builds on nursing research findings that empowerment, in public health nursing practice, occurs within the context of a trusting relationship, characterized by mutuality, that develops as nurses engage with clients to assist them in meeting their needs. This paper will provide a synthesis of literature and empirical evidence of public health nurses' roles in meeting the needs and building capacity of: (a) individuals and families , (b) vulnerable populations, such as survivors of mental illness, homeless persons, and other socially excluded groups, and (c) communities and aggregates in specific settings, such as schools, workplaces, and rural localities.