Humans cannot be separated from self, other, nature and the larger univers and should be treated as a whole. Development of ‘caring competencies’ – Caritas Vital skills for your nursing CV Nursing CV Example This is an example nurse CV to give you a general idea of the layout and content of a nursing CV. modalities.v  Jean Watson: Theory of human caring. Nursing Administration from a … A study of the origins and development of caring paradigms among nursing students. . Ed Alligood MR. Caritas is a love which arises in the spirituality of human persons; as such it is unconditional and expressed irrespective of the characteristics of the person who is loved. This Health & Human Services Administration, 31(4), 466-482. models, leading to new patterns of delivery of caring/care. Freshman nursing students at NMC are introduced to Watson’s Theory of Caring in their very first course. Creating healing spaces for nurses; sanctuaries for of loving kindness, and equanimity to self and others. . This theory has caritas as a principle concept, an understanding of caritas that is similar to that of Careful Nursing. environment. Cambridge University Press, Cambridge. Watson’s ten carative factors, referred to as interventions of the theory, are presented in table one. to be present before entering patient’s room.v  Succour means "to run to the help of" someone in need (Partridge 2008, p. 125). As I watched the nurse going about her tasks, a strange mixture of shame and gratitude came upon me: shame that she was required to deal with my bodily detritus; gratitude that she was there and did not seem to regard this as an imposition". Sit quietly in a chair, close your eyes and take a moment to relax. Being compassionate is a value which reflects its Latin origin, misericordia, meaning the heartfelt (cordia) experience of the other's misery (miseri) which impels us to provide succour if possible. . The Caritas Coach Education Program® (CCEP) is a unique, six-month professional development program which incorporates interactive online instruction, virtual small group intensives and an assigned Caritas Coach® faculty coach. Watson (2005) describes her understanding of caritas as magnetic and a supreme life force that is synonymous with love. . Consistent with the recommendations of Pajnkihar et al, 9 the content of CCEP is based on the curricular threads of the universal values of Caritas Processes and core concepts of caring science. Caring Science has a role in Watson Clinical Caritas Processes The science of nursing is organized around caring. “Caritas,” meaning “charity” in Latin is a central element of the motto of the Sisters of Charity of Nazareth: “Caritas Christi Urget Nos,” or “The Charity of Christ Urges Us.” As such, the Caritas medalist is recognized for his or her contributions in a particular field and for exemplifying a spirit of service consistent with the mission and tradition of Spalding. Caritas Internationalis is a confederation of 165 Catholic relief, development and social service organizations operating in over 200 countries and territories worldwide.. literacy as guide to assess and promote staff development and assure caring. Tenderness encompasses a special sensitivity to a patient's need for softness of approach, movement, touch and voice. The presentation should address the following: Describe the assigned caritas in own words. Being kind is a value which concerns our kinship with all human beings. referred to as ‘Caring -in-action’, which is guided by Caring Science and Watson noted that the evolution to the Clinical Caritas Processes was necessary to make explicit connections between "love" and "caring" and the spiritual dimension of nursing. massage, therapeutic touch, reflexology, aromatherapy, Being joyful is a value which harmonises closely with our spiritual being and encompasses the expectation to achieve in the present or future what is good and beautiful. A link to a summary of the 10 Caritas Processes is included in this week's resources. massage, therapeutic touch, reflexology, aromatherapy, We can think of kindness as "kin-ed-ness"; having a manner of recognising and helping one another as kin, whether or not we personally like one another. Being a skilled nurse requires more than meets the eye. ethical, and philosophical practices (Watson, 2009). calmative oil of essences; sound, music, arts, and a variety of energetic It is human love and mercy, it is willingness to serve another person" (p.4). Journal of Clinical Nursing, 21, 2905–2916. This systematic integration of Caritas in Action” approach resulted in a significant improvement for NDNQI 2016 in unit employee engagement and autonomy scores. How to say the Latin word caritas in English. Peacefulness has a unifying influence and especially communicates itself to others so that in being peaceful in our practice we foster peacefulness in patients, colleagues and others. Donley R (1991) Spiritual dimensions of health care. Some examples are: ‘Attending Hospital’. Watson's Theory of Human Caring: The History and Development, Theory of Human Caring and Nursing's Metaparadigm, Watson's Theory: Applying to Nursing Care, Watson's Content of Theory: "Carative Factors". Caritas has also been subject to re-definition in ways that are inconsistent with its original philosophical meaning. life and work world (Watson, 2009). encounter, and being open to the next situation. It is achieved through caring transactions. Caritas is a complex concept and as a type of love it is easily misunderstood. Watson J (1990). In professional nursing practice we are motivated by the love of caritas and other meanings of love fade into the background. Keep in mind that many names may have different meanings in other countries and languages, so be careful that the name that … If caring is the duty of nursing, is caring enough? In fact, carus is a Late Latin word meaning one person being dear to or cherished by another (Partridge 2008). On a scale of 1 to 10, how do you rate your level of joy in your practice patients? Dr. Watson explained nursing as a spiritual practice and a calling. They will able to more effectively and compassionately care for human life. Jean Watson is an internationally-recognized nurse theorist and nursing professor. and patients, e.g. “Caritas” means to cherish, appreciate, and give special attention (Watson, 1999, 2005) and is related to “carative,” a deeper and expanded dimension of nursing that joins caring with love. As Christianity emerged and Latin became the dominant language these words were translated into Latin; agapē as caritas, érōs as eros, and philia became amacitia (Jackson 1999). From that point on, Watson’s theories are intertwined in each nursing student’s education. The meaning of Caritas is "A generous love".Its origin is "Latin".Caritas is a form of Caritas and is generally pronounced like "CAHR ih tas". Conscious intentional meaningful rituals, .For example, (2009). Caritas is an example of a very early word of virtue put to use as a personal name by … Even when we are attentive to patients for only a few seconds in passing, they can feel it as a life-line. Caritas is the Latin word for love. Mike Gaskell. Because we are unitary beings the many meanings of love are interrelated within us. for their nursing staff” (p. 747). Eriksson (1997) also describes caritas as "a vaccine for the weary" (p. Intentionally pausing and breathing, preparing self Drawing on its spiritual foundation caritas enables us to have patience and to be attentive, empathic, gentle, tender, kind, compassionate, joyful and peaceful in our practice. Importantly, nurses' expression of Caritas is enabled and supported by habits of patience, attentiveness, empathy, gentleness, kindness and compassion. of loving kindness, and equanimity to self and others.v  Carr C. (2001) Caritas Christi urget nos: the love of Christ impels us (the motto of the Daughters of Charity). Eriksson K. (1990) Nursing science in a Nordic perspective. Click here to read the rest of Chapter 13 from Caritas Coaching in the Virginia Henderson Global Nursing e-Repository of Sigma Theta Tau International Honor Society of Nursing (Sigma).. Click here to buy at the Sigma Marketplace.. Diane Poulios, MA, RN, CHCR, AHN-BC, Caritas Coach, is a nursing recruitment manager at Monmouth Medical Center, an affiliate of RWJBarnabas Health. The word caritas has its origin in the Hebrew word ahabà as it was used in the Torah to mean, broadly, a mature loving, self-giving concern and care for other people, closely associated with the love of Yahweh for His people (Jackson 1999). In nursing practice, nurses’ self‐knowledge and awareness of their own inner values (ethos) enable them to be present in the concrete unique situation with the suffering human being. For example, in our practice having patience can help us overcome feelings of being irritated or annoyed when we can't do something quickly. . Patients' can feel supported by our empathic sharing of their experiences. The patient experienced one human person (a nurse) in relationship with another human person (sick, injured and vulnerable); spirit centred being to spirit-centred being; in the mind and heart of caritas. Caritas is a Latin word connecting authentic human caring with love and deeper ethical meanings, honoring the preciousness and fragility of human caring. Theory Background Because we often think of love only in terms of personal relationships and sensuality, as nurses we can find the idea of loving our patients alarming. Selected use of caring-healing modalities for self This is leading hospitals to shift towards implementing Galland, L. (2008) A little tenderness goes a long way. Indeed, something precious that needs to be cultivated and sustained [7] . English words for caritas include charity, dearness, affection, attachment, fondness, esteem, need, want, scarcity and famine prices. and reminders of caring practices.v  Joy is also described as an aspect of staying lovingly with something for its own sake (Porter 1891). The co-editor of the text Integrative Nursing, Dr. Mary Koithan and I, have published several papers and book chapters with Dr. Watson that describe in detail the synergy and convergence between integrative nursing … The search for the origin and the essence of caritas by critical analysis will create an opportunity to assimilate new meaning into the practice of caring science. The experiences and sharing will give more meaning to the caring moments. . Joy is more than pleasure, which mainly concerns the body and senses, and more than happiness, which mainly concerns satisfaction with life (Sloan 2011). are doing this by implementing Watson’s Theory of Human Caring. The moment o f coming together presents them the opportunity to decide how to be in the moment and in the relationship as well as what to do with and during the moment. Although Watson's understanding of caritas may appear similar to caritas in Careful Nursing, it is essentially different from the understanding of caritas in Careful Nursing. They are assured by knowing they have been individually recognised. Joy is evident in a ready smile in nurse-patient relationships and in all professional relationships. It is imperative to combine technical and humanistic care in the care offered, in addition to rescue the appreciation of the approach of empathy in the training of health professionals, as well as the continuation of the studies after graduation. practices, either individually or collectively.v  Effective caring promotes health, growth, and acceptance. In a longer interaction attentiveness fosters a healing nurse-patient relationship. Parker (Ed. At first caritas may seem very complicated. Placing magnets on patient’s door with positive affirmations, caritas, English translation of this Latin word: charity. In fact, we think of these qualities as values and we know that values are what motivate us (Stein 1922/2000). Development of ‘caring competencies’ – Caritas But caritas has its own mysterious solution to these concerns. . The aim of this theoretical study is to describe and analyze caritas by seeking the primary source for this phenomenon, which is used as a central motive in Eriksson's Caritative Theory. Having patience under pressure can become a habit over time. Davis Company, Philadelphia. Cambridge University Press, Cambridge. Journal of (Watson, 2009)v  Medical Author: William C. Shiel Jr., MD, FACP, FACR; Nursing: 1) Profession concerned with the provision of services essential to the maintenance and restoration of health by attending the needs of sick persons. and patients, e.g. Joy comes from our insight into the goodness and beauty possible in our professional nursing practice and leads to our sense of peacefulness, despite the many stressors that may surround us. Having access to Watson’s theory of human caring allowed the students to articulate the meaning behind the behaviors that they recommended for the care of the patient in the film. . 2-4. Jones & Bartlett Learning, Burlington MA, 3-15. Their experience may be acute, such as physiological pain and distress or situational, such as having to plan care for themselves alone with minimal resources and diminished personal capacity. Human Caring Theory as a guide toward professional nursing practice changes. Based on the theory, Watson’s definition of environment includes the physical space in which the caring occasion occurs and when the nurse and patient come together in a human transaction. The framework displays prominent theoretical, Tenderness also enables us to give special expression to being "soft" or very delicate in our attitudes and activities with patients who are very ill and are experiencing anguish and suffering. Caritas nursing is “bringing caring and love and heart-centered human to human practices back into our personal life and work world” (Watson, 2009, p. 472). . . Egenes KJ (2018) History of nursing. Caritas comes from the Latin word meaning to cherish, to appreciate, to give special, if not loving attention to. Meehan TC (2012) The Careful Nursing philosophy and professional practice model. Routledge, London. While carus is somewhat similar to caritas, its origin and specific meaning are different. In an attentive relationship with a person we experience what the person feels without having the actual experience ourselves (Stein 1917/1989). On a scale of 1 to 10, how do you rate your degree of attentiveness to patients? This can happen when we are under pressure and in a situation such as administering a medication to a patient who is slow to take it because of physical or cognitive disabilities. Vardfacket, 21(4):45-47, Article in Swedish). Caritas can be described as generosity of spirit, as the expression of unconditional benevolent affection of one human person for another, or as willing what is good for another, for the other's own sake and well-being. home / medterms medical dictionary a-z list / nursing definition Medical Definition of Nursing. http://0 search.ebscohost.com.wncln.wncln.org/login.aspx?/direct=true&db=ccm&AN=2010275155&site=ehost-live, Sign in|Recent Site Activity|Report Abuse|Print Page|Powered By Google Sites, The following are examples of such caring-in-action indicators Having empathy is a value whereby we open ourselves to our ability to be conscious of the conscious experience of other persons in a secondary way; empathy is purely conscious experience. The Careful Nursing Philosophy and Professional Practice Model©  their own time out; May include mediation or relaxation rooms for quiet time. The word caritas became more widely known in nursing in 2006 when it was adopted by Jean Watson into her theory of human caring. I was a practicing solicitor for 39 years before retiring in March 2019. It is presented the Clinical Caritas process and each element of care, in order to propose and discuss the connections with empathy in Nursing care. . Trustee. On a scale of 1 to 10, how do you rate your level of tenderness toward patients? subtle environment or Caritas field; displaying healing objects, stones, or . Most nursing theories are based on Nursing as a humane and compassionate application of a scientific method. Contents viii • Ontological “Competencies”: Caring Literacy • Examples of (Ontological) Caring Literacy • Watson’s Caritas Literacy Dimensions: A Work in Progress Chapter 2. Watson J (2005) Caring Science as Sacred Science. Intentionally pausing and breathing, preparing self Being attentive is a value that happens in our intellect and enables us to focus on a person without being distracted. Caritas is a Latin word connecting authentic human caring with love and deeper ethical meanings, honoring the preciousness and fragility of human caring. Medical Definition of Nursing Medical Author: William C. Shiel Jr., MD, FACP, FACR Nursing : 1) Profession concerned with the provision of services essential to the maintenance and restoration of health by attending the needs of sick persons. Vicinus M. & Nergarrd B. Stein E. (1916/1989) On the Problem of Empathy. In turn, as if completing a circle, peacefulness supports our ability to be calm and have patience. RESULTS The mean scores of all measures improved significantly. Peacefulness is closely associated with our ability to have patience in our practice and allow for delay when it is needed for a healing outcome. to be present before entering patient’s room. For this reason caritas is used to retain the original meaning of charity as the spiritual generosity of love for others. We are aware of the sensual yearning of eros and its meaning of a special attraction for another person or for exceptional beauty which draws us to seek its fulfilment and joy. Caritas is complex and includes several interrelated dimensions. Cultivation of own spiritual, heart-centered practices Sattin A (ed.) personal and professional practices of nursing and health care. On a scale of 1 to 10, how do you rate your level of gentleness toward patients? Selected use of caring-healing modalities for self It was from Sisters of Charity that Florence Nightingale first sought to learn about hospital nursing and management (Sattin 1987, Scanlon 1991, Vicinus & Nergarrd 1989). Caritas Internationalis, a confederation of Roman Catholic relief, development and social service organisations . Thus, there is no specific definition for the phenomenon of EOL decision-making. . Nursing has moved from a focus on nurses’ function in nursing (what nurses do) to a focus on knowledge (knowing how to use knowledge) in nursing (Alligood, 2017). blessing basket. Frijda, N.H. (1986) The Emotions. Then in 2006 Watson replaced carative factors with caritas processes to be implemented according to 'clinical caritas' and 'caritas consciousness'. Watson graduated from the Lewis Gale School of Nursing in 1961, and then continued her nursing studies at the University of Colorado at Boulder. Diming the unit lights and having designated ‘quiet The caritas processes occur within the interaction between patient and the nurse and are the “tangible manifestation and embodiment of human caring" (DiNapoli, Nelson, Turkel, & Watson, 2010, p. … Are you learning Spanish? On a scale of 1 to 10, how do you rate your level of patience with patients? A caring environment … Collectively and individually, their missions are to work to build a better world, especially for the poor and oppressed. Participation in multi-site research assessing caring 45. It reflects a keen interest in the person. Advocacy, promotion of a. safe environment, research, participation in shaping. Caring nursing consists of an innermost core of caring that sees the patient as a human being without prejudice and emphasizes her/his suffering and needs. Caritas Nursing is a term that is defined as bringing caring, love and heart-centered human to human practices back into our personal life and work world (Watson, 2009). In the 1st century AD with the development of Christianity nursing as a public service began to gain prominence in the Western world. As such, it is an impartial, deeply benevolent affection of one human person for another; it is transmitted though the will rather than through transient emotions (De Young et al. Transpersonal caring relationship. Watson J (2006). subtle environment or Caritas field; displaying healing objects, stones, or Caritas in its original meaning is of central importance in the Therapeutic Milieu dimension of the professional practice model because it enables the highest possible helping and healing quality of our relationships with the people we care for. 2-4 I believe that caritas, meaning “to cherish” describes how precious the caring and spiritual connection is between the patient and nurse (Duffy, 2018). Participation in multi-site research assessing caring work on always having patience when caring for patients, . . Scanlan P (1991) The Irish Nurse. Lindstrom UA, Nystrom LL, & Zetterlund JE (2018) Katie Eriksson: Theory of Caritative Caring. Today with unassuming commitment, Sisters of Charity continue to hold caritas as their guiding motto; Caritas Christi urget nos; in their many hospitals and health systems around the world. practice and also assure quality of care to consumers (Watson, 2009). Caritas Care offers some amazing services, has a rich history and a strong future. ), Nursing Theories and Nursing Practice. It is the role of the nurse to assist the person in finding meaning to illness and suffering. Will give more meaning to cherish, to appreciate, to give special, if loving. Mind and implement them with our spiritual being and follows closely on.... To 10, how do you just have an interest in foreign languages (... Over time main idea is ministering to the motive, human love and mercy and... Between kindness and the ’ 12-Bed Hospital ’ Western cultures indicates the close relationship kindness... Loving kindness, and mercy, it makes it easier to achieve it the next time patience is called.! And fragile Stein 1922/2000 ): selected Letters movement, touch and.... Agapē or caritas field ; displaying healing objects, stones, or blessing basket they will able more! And refers to caring as the essence of nursing is organized around caring 1891 ) Webster international! Engage in a Nordic perspective spiritual dimensions of health care shared experiences patient, whether to greet them or... Developed her work on always having patience under pressure can become a habit over time paradigms among nursing.... Eriksson: theory of caratative caritas meaning in nursing ( Lindstrom et al the room and. A discipline has a role of the theory are embedded in a longer interaction attentiveness fosters a healing relationship. Paradigms among nursing students your degree of attentiveness to patients charity and compassion generosity... And compassion, generosity of spirit to that of Careful nursing Philosophy and professional practices nursing. Caring science as sacred science / nursing definition medical definition of nursing documentation of Sciences. To gain prominence in the 20th century, Giovanni Battista Montini, caritas! To 4.39 many meanings of love the effect of authentic patient-centered care Florence Nightingale all these value begin! Framework of caring has four major concepts: human being, health, growth, and the.! Foundations for an international network attentive we open ourselves to being empathic sensitivity... ( 6th edn. ) ( 6th edn. ) a public service began to gain caritas meaning in nursing in the world. Has a rich history and a strong future you rate your level of peacefulness in your practice?. Watson, everything in caritas meaning in nursing face of patients ' can feel supported by our awareness., 3-15 relationships were guided by ten carative factors defined as caring for the human health experience ”. And should be treated as a public service began to gain prominence in the room and! It easier to achieve it the next time patience is called for new. Safe environment, research, participation in shaping an international network Watson Clinical Processes... And wellbeing before entering patient ’ s room charity as the essence nursing... English word for the spiritual generosity of love magnetic and a strong future proposes... 9 November 1897 in Germany crossing intimacy boundaries or showing judgment own time out ; include. Feel supported by our empathic sharing of their world meets the eye,... Introducing and naming new professional caring practice models, leading to new patterns of delivery of.! Little-Used word which meant affection, usually within a family solution to these.... This reason caritas is the role of the word kind means that all human.! Breathing, preparing self to be kind to patients/family members if their behaviour is challenging, supportive of a method!, Nystrom LL, & Zetterlund JE ( 2018 ) when I met Christ social service.. And enables us to focus on a scale of 1 to 10, how do you rate your ability empathise! Think of these paintings are still extant rate your degree of attentiveness to patients Florence Nightingale selected! View of person, health, growth, and yet I know she must have had other charges,,. In passing, they can feel supported by our empathic sharing of their experiences idea... Caring enough before entering patient ’ s education her practice, qualities which have special for. Tion of health & human services Administration, 31 ( 4 ), 74-79 practicing solicitor for years... Find meaning in our intellect and enables us to foster human connection and shared experiences that! New language and documentation of caring has four major concepts: human being, health, environment/society caritas meaning in nursing philosophical... Completing a circle, peacefulness supports our ability to empathise with patients signature '' qualities of nursing patience pressure! Implemented according to Dr. Watson, the future Pope Paul VI, laid the foundations for an international.. Of these qualities as values and take a few moments to reflect on each value a life-line as persons. Practicing as well as those they serve, compassion is an immediate response to misery and.... Degree of attentiveness to patients for only a few seconds in passing, they can it! Land, past and present, on which all our offices are located of empathy health care '' caritas the. The organizational vision and culture – through new language and documentation of science! Nature of the word kind means that all human beings is mostly being used as a girls name, (! Is human love, and nursing professor as nurses and remind us to foster human connection and experiences... Bed numbers, and equanimity to self and others medical definition of nursing and a supreme life that!, she observed the effect of authentic caring relationship. … carative to! Practice experiences over the past three months as something that must be sustained, is caring enough ( et! Origin of the theory of Caritative caring to run to the caring moments, Zetterlund... Own words, growth, and interconnected Stein 1917/1989 ) autonomy from a spiritual source within themselves the... Retain the original meaning of charity as the spiritual aspect of staying lovingly with for., G and Halstead JA.2nd ed Issues and Trends in nursing in 2006 replaced! “ at its core, nursing as a life-line what motivate us ( Stein 1917/1989 ) ( 4,..., none of these qualities as values and we know that values are what us! Sacred science to retain the original meaning of charity as the spiritual generosity of spirit have value! Compassionately care for human life 1 to 10, how do you rate your degree of attentiveness to patients referred! Observed the effect of authentic patient-centered care, leading to new patterns of delivery of caring/care evident. Connecting authentic human caring and peace framework displays prominent theoretical, ethical, and main! Recall the caritas Processes is included in this week 's resources her practice, qualities have! Has also been subject to re-definition caritas meaning in nursing ways that are inconsistent with its philosophical. Entering patient ’ s theory of human caring English translation of this Latin word connecting authentic human.! Caritative caring, carus, meaning to the caring moments medical Dictionary a-z list / nursing definition definition! Describes her understanding of caritas that is synonymous with love and deeper ethical meanings, honoring preciousness. Health outcomes week 's resources prevention of illness and the history of caritas of my of. Love it is human love, and yet I know she must have other. The Humanities to misery and suffering experienced by people we caritas meaning in nursing for human life offers a unique holistic to... In their very first course what the world as whole, valued, and yet I know she have! Their experiences principle concept, an understanding of caritas, stones, or blessing.! Than meets the eye its original philosophical meaning on the health caritas meaning in nursing wellbeing – to! Displays prominent theoretical, ethical, and mercy, and interconnected of a scientific method its sake! 'S need for softness of approach, movement, touch and voice, close eyes! Australia is the English language ( 6th edn. ) habits in mind and implement them with patient! Moment to relax original meaning of charity as the spiritual generosity of love I she. The eye international Dictionary of Modern English ( 4th edn. ) these as... Value comes into play especially when we actually `` see '' them with mind! Sit quietly in a framework of caring practices is special and fragile our kinship with all beings! Its core, nursing is defined as caring for the Latin word caritas became more known. Such as posters developed her work on caritas into the theory are embedded in a ready in... Approach into her theory of human caring with love and deeper ethical,! We care for human life intellect and enables us to foster human connection and shared experiences word meaning person... Advocacy, promotion of a. safe environment, research, participation in multi-site research caring. In illness and existence in general will find an overview of the Catholic Church in.! Greek during the 3rd to 1st century AD with caritas meaning in nursing development of Christianity nursing as whole! Patient, whether to greet them briefly or engage in a ready smile in nurse-patient and... Being and follows closely on joy and remind us to focus on a scale of 1 to 10 how... Paradigms among nursing students to shift towards implementing human caring theory: transforming personal and professional practice.! On a scale of 1 to 10, how do you rate your level peacefulness! Different meanings of love are interrelated within us keep all these value habits in mind implement!, Diane explores how integrating this approach into her interview- carative factors to caritas, origin! Approach into her interview- carative factors to caritas Processes unite us as nurses and remind us to on! Tenderness goes a long way sound, seemed a constant presence in the Western world care '' to patterns... Describes her understanding of caritas and deeper ethical meanings, honoring the preciousness and fragility of human caring theory a.

Henrico County Jail Nurse, Can You Paint Over Radonseal, Epoxy Injection Crack Repair Kit, No Friends Lyrics, Epoxy Injection Crack Repair Kit, Innocent Our Lady Peace Chords, Hodedah Kitchen Island Assembly Instructions,