Other Titles

Global Nursing Leadership Through the Balance Theory of Wisdom: Represent, Reflect, Respect, Respond [Symposium Title]

Other Titles

Symposium Presentation

Abstract

The intersection of caring science and the balance theory of wisdom reveals profound connections between therapeutic practice and theoretical frameworks of human understanding. We examine how caring science inherently encompasses explicit knowledge—systematic, teachable aspects of healthcare—and tacit knowledge—intuitive, experience-based understanding practitioners develop over time. Exploring these knowledge domains with the lens of the balance theory of wisdom aligns caring science with the theory's core principles of balancing multiple interests, adapting to environmental contexts, and pursuing the common good (1).
Practicing through the lens of caring science implicitly aligns with wisdom-based decision-making by balancing intrapersonal (self), interpersonal (others), and extrapersonal (institutional) interests in daily practice. We use a nursing practice exemplar to show how the tacit knowledge developed in caring relationships—including intuitive understanding of patient needs, cultural sensitivity, and emotional intelligence—mirrors the adaptive expertise emphasized in the balance theory of wisdom. We explore the explicit knowledge base of caring science, including theoretical frameworks and evidence-informed practices, in providing the foundation for wise decision-making in healthcare settings. Leadership builds on skills of influence and relationships defined in caring science: caring for self and others acting from universal values of kindness, concern, love for self and others, and respect for diversity and individuality of each person, deepening one’s connection to what it is to be human, generating renewal and energy (2). Caring science embodies wisdom theory by integrating complex knowledge in practice, while the balance theory of wisdom offers a theoretical framework for understanding this integration. These complementary perspectives have important implications for education and practice illustrated in the Sigma call to action.


(1) Pesut, D. (2015). Avoiding derailment: Leadership strategies for identity, reputation, and legacy management. In Leadership & nursing contemporary perspectives (pp. 251-261). Elsevier Churchill Livingston.

(2) Freshwater, D., Horton-Deutsch, S. & Sherwood, G. (2024). Reimagining Ourselves: The role of reflection on critical caritas consciousness and knowledge development. In S. Horton-Deutsch & G. Sherwood (Eds) Reflective Practice: Reimagining Ourselves, Reimagining Nursing. 3rd Ed. Sigma Theta Tau Press. Pp.3-18

Notes

References:

Freshwater, D., Horton-Deutsch, S. & Sherwood, G. (2024). Reimagining Ourselves: The role of reflection on critical caritas consciousness and knowledge development. In S. Horton-Deutsch & G. Sherwood (Eds) Reflective Practice: Reimagining Ourselves, Reimagining Nursing. 3rd Ed. Sigma Theta Tau Press. Pp.3-18

Sherwood, G. & Horton-Deutsch, S. (2024). Reimagining reflection to develop and sustain personal and professional practice. In S. Horton-Deutsch & G. Sherwood (Eds) Reflective Practice: Reimagining Ourselves, Reimagining Nursing. 3rd Ed. Sigma Theta Tau Press. Pp. 19-42.

Horton-Deutsch, S. & Sherwood, G. (Eds.) (2023). Re-Imagining Reflective Practice Learning Guide and Journal, Companion: Reflective Practice: Reimagining Ourselves, Reimagining Nursing. Sigma Theta Tau Press.

Linderman, A., Pesut, D., & Disch, J. (2015). Sense making and knowledge transfer: Capturing the knowledge and wisdom of nursing leaders. Journal of Professional Nursing, 31(4), 290-297.

Pesut, D. (2015). Avoiding derailment: Leadership strategies for identity, reputation, and legacy management. In Leadership & nursing contemporary perspectives (pp. 251-261). ElsevierChurchill Livingston.

Watson, J. (2016). Human caring literacy. In S. Lee, P. Palmieri & J. Watson (Eds.). Global advances in human caring literacy (pp. 3[nd]20). New York, NY: Springer Publishing Company.

Wei, H., & Horton-Deutsch, S. (2022). Visionary Leadership in Healthcare. Sigma Theta Tau Press.

Description

Overall Symposium Summary: Three presentations apply the Balance Theory of Wisdom framing intelligence, creativity, and knowledge work for balancing intrapersonal, interpersonal, and extra-personal needs and respecting values shaping the environment: 1) Ways the balance theory of wisdom develops values-based leadership, 2) How explicit and tacit knowledge defining caring science are embodied in the balance theory of wisdom, 3) Collectively responding to overarching reflective questions recreating nursing's global future.

Note: The attached slide deck is a combined symposium presentation containing the slides of all featured symposium speakers.

To locate the other presentations in this symposium, search the repository by the Symposium Title shown in the Other Title field of this item record.

Author Details

Sara Horton-Deutsch, PhD, RN, FAAN, ANEF, SGAHN - Professor University of San Francisco; Director, University of University of San Francisco/Kaiser Permanente Partnership; Faculty Associate, Watson Caring Science Institute

Sigma Membership

Beta Gamma

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Expert Opinion (nationally/internationally recognized)

Research Approach

Other

Keywords:

Global Leadership, Workforce, Mentoring and Coaching, Leadership, Leadership Initiatives, Wisdom, Caring, Caritas, Caring Science

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-12-11

Click on the above link to access the slide deck.

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Caring Science as Embodied Wisdom: Balancing Intrapersonal, Interpersonal, and Extrapersonal Factors

Indianapolis, Indiana, USA

The intersection of caring science and the balance theory of wisdom reveals profound connections between therapeutic practice and theoretical frameworks of human understanding. We examine how caring science inherently encompasses explicit knowledge—systematic, teachable aspects of healthcare—and tacit knowledge—intuitive, experience-based understanding practitioners develop over time. Exploring these knowledge domains with the lens of the balance theory of wisdom aligns caring science with the theory's core principles of balancing multiple interests, adapting to environmental contexts, and pursuing the common good (1).
Practicing through the lens of caring science implicitly aligns with wisdom-based decision-making by balancing intrapersonal (self), interpersonal (others), and extrapersonal (institutional) interests in daily practice. We use a nursing practice exemplar to show how the tacit knowledge developed in caring relationships—including intuitive understanding of patient needs, cultural sensitivity, and emotional intelligence—mirrors the adaptive expertise emphasized in the balance theory of wisdom. We explore the explicit knowledge base of caring science, including theoretical frameworks and evidence-informed practices, in providing the foundation for wise decision-making in healthcare settings. Leadership builds on skills of influence and relationships defined in caring science: caring for self and others acting from universal values of kindness, concern, love for self and others, and respect for diversity and individuality of each person, deepening one’s connection to what it is to be human, generating renewal and energy (2). Caring science embodies wisdom theory by integrating complex knowledge in practice, while the balance theory of wisdom offers a theoretical framework for understanding this integration. These complementary perspectives have important implications for education and practice illustrated in the Sigma call to action.


(1) Pesut, D. (2015). Avoiding derailment: Leadership strategies for identity, reputation, and legacy management. In Leadership & nursing contemporary perspectives (pp. 251-261). Elsevier Churchill Livingston.

(2) Freshwater, D., Horton-Deutsch, S. & Sherwood, G. (2024). Reimagining Ourselves: The role of reflection on critical caritas consciousness and knowledge development. In S. Horton-Deutsch & G. Sherwood (Eds) Reflective Practice: Reimagining Ourselves, Reimagining Nursing. 3rd Ed. Sigma Theta Tau Press. Pp.3-18