Local Theories and Models of Nursing Intervention (Philippine Setting) PDF

BSN 1D - GROUP 4 Local Theories and Models of Nursing Intervention (Philippine Setting)  CONTENTS Locsin’s Technological Nursing as Caring Model Agrvante’s CASAGRA Transformative Leadership Model Divinagracia’s COMPOSURE Model Kuan’s Retirement and Role Discontinuit...

BSN 1D - GROUP 4 Local Theories and Models of Nursing Intervention (Philippine Setting)  CONTENTS Locsin’s Technological Nursing as Caring Model Agrvante’s CASAGRA Transformative Leadership Model Divinagracia’s COMPOSURE Model Kuan’s Retirement and Role Discontinuity Model Abaquin’s PREPARE ME holistic Nursing Interventions Laurente’s Theory of Nursing Practice and Career Synchronicity  INTODUCTION Local theories and models of nursing intervention are situational rather than global, target which serves the healthcare needs of a community. They contextualize care delivery by taking account of local culture, social determinants and environmental components to make it more effective and responsive. These models emphasize better patient outcomes and delivery for healthcare by designing nursing practices that are appropriate to the conditions of a population.  BSN 1D - GROUP 4 Locsin’s Technological Nursing as Caring Model by: Dinulong, Ebonzeah Camille Locsin’s Technological Nursing as Caring Model Rozzano C. De Castro Locsin is a Filipino-American nursing theorist known for his work in humanistic nursing theory. He developed the "Technological Competency as Caring in Nursing" theory, which integrates the use of technology in nursing practice while emphasizing the importance of caring in the nurse-patient relationship. This theory suggests that technology can enhance nursing care by supporting and facilitating human-to-human caring interactions rather than replacing them. Locsin has contributed significantly to nursing education, research, and practice, promoting the integration of technology in ways that maintain the essence of human caring in nursing. Rozzano C. De Castro Locsin Locsin’s Technological Nursing as Caring Model Example of Locsin’s theory as applied to nursing service: Nurses treating patients on life sustaining machines must be proficient in the use ofthe technologies and must focus their caring to the person and not to the machines.As nurses, it is important to realize our feelings towards these technologies and understand the effect it has on our caring of patients. Rozzano C. De Castro Locsin  Locsin’s Technological Nursing as Caring Model Technological Competency: This refers to the Caring in Nursing: Locsin defines caring ability of nurses to use technology proficiently in the as an intentional and authentic human care of patients. Locsin emphasizes that interaction that acknowledges the technological competency is not just about personhood of patients. Caring involves mastering tools or devices but also about understanding the patient as a whole understanding how technology can be integrated person, beyond just their physical needs or into the caring process. conditions. Human-Technology Relationship: The Personhood: A central concept in Locsin's theory suggests that technology should be theory is "personhood," which emphasizes viewed as a partner in the care process the uniqueness of each patient. Caring in rather than a replacement for human nursing involves recognizing and interaction. Technology can provide respecting each patient's individuality and information and support that enables humanity nurses to deliver more personalized and effective care.  Locsin’s Technological Nursing as Caring Model There are four metaparadigm concepts: Health -Patient participate in their own health. Nursing -a discipline and a specialized practice that uses technologies to individualize care to meet the unique needs of the person. Environment -is in the surroundings that use technology. such as a critical care unit to understand the persons as a complete moment by moment. Person -The person who is also the recipient of nursing care has desires,dreams, and ambitions are to live life completely as caring persons.  BSN 1D - GROUP 4 Agrvante’s CASAGRA Transformative Leadership Model by: Dadiahon, Corine Grace  Agrvante’s CASAGRA Transformative Leadership Model Born January 15,1959 Dr. Carolina S. Agravante is a distinguished Filipino nurse, academic, and theorist known for her contributions to the field of nursing leadership and education. She earned widespread recognition for developing the Casagra Transformative Leadership Model, a pioneering framework aimed at enhancing the leadership capacities of Filipino nurses in the healthcare setting. EDUCATIONAL BACKGROUND: In 1964, she earned her BS Nursing degree in the same school as magna cum laude. In the same year, she passed the nurse licensure examinations as the board topnotcher. From 1967 to 1969, she studied Master’s Degree in Nursing Education at Catholic University of America as a Full-fledged scholar. In 2002, she earned Doctoral Degree in Philosophy at University of the Philippines Manila – the same year her theory was published. FACTS: Sr. Carolina S. Agravante, SPC, RN,Phd First Filipina theorist (CASAGRA Transformative Leadership Model) Served as the president of St. Paul University – Iloilo Former president of the Association of Deans of the Philippines Colleges of Nursing(ADPCN)  The CASAGRA Transformative Leadership Model: Servant –Leader Formula & the Nursing Faculty’s Transformative Leadership Behavior The Casagra Transformative Leadership Model is a leadership framework specifically developed for the nursing profession in the Philippines. Created in 2002 by Dr. Carolina S. Agravante, the model was designed to address the leadership challenges faced by Filipino nurses, particularly in healthcare institutions. It emphasizes a holistic approach to leadership, integrating spiritual values, personal growth, and Sr. Carolina S. Agravante, SPC, RN,Phd professional competence.  The CASAGRA Transformative Leadership Model: Purpose of the study Sister Agravante observed the increasing demands and challenges faced by modern nursing professionals. Recognizing the need for a globalized approach to care, she sought to develop a model that would foster the growth of caring nurses. Believing in the importance of strong nursing leadership, she proposed the formation of new leaders who possess a visionary perspective for the future of nursing. These leaders would need to be competent and driven by a dream of what nursing could Sr. Carolina S. Agravante, SPC, RN,Phd become.  The CASAGRA Transformative Leadership Model: CASAGRA Transformative Leadership Model rests on 3 basic transformations in the life of the leader, namely… Servant-Leadership Spirituality Self Mastery Special Expertise Sr. Carolina S. Agravante, SPC, RN,Phd  CASAGRA Transformative Leadership Model I. Servant-Leadership Spirituality: Servant-leadership spirituality is a component of the Casagra model that emphasizes the leader's commitment to serving others and their organization. It's rooted in a sense of purpose and meaning, and often draws on spiritual or ethical principles. II. Self-Mastery Refers to a leader's ability to understand and manage their own thoughts, emotions, and behaviors. It's about developing a deep awareness of oneself and cultivating personal growth. III.Special Expertise It refers to the deep knowledge and skills a leader possesses in a specific area. This expertise is essential for effective leadership because it provides the foundation for making informed decisions, guiding others, and solving complex problems. Agrvante’s CASAGRA Transformative Leadership Model  The CASAGRA Transformative Leadership Model: Implications to Nursing Practice Nurses often take on various roles, with leadership being a common responsibility, especially for charge nurses. The CASAGRA Transformative Leadership Model by Sr. Carolina S. Agravante emphasizes servant-leadership, which is crucial for charge nurses who guide their teams with care and compassion. Charge nurses not only lead but also educate younger nurses, making servant- leadership an effective approach. By following this model, they can inspire others to lead selflessly, much like Jesus Christ did. Given the unpredictability of shifts, it Sr. Carolina S. Agravante, SPC, RN,Phd is essential for charge nurses to maintain their energy and compassion throughout.  BSN 1D - GROUP 4 Divinagracia’s COMPOSURE Model by: Cabral, Ericka Jhoy Divinagracia’s COMPOSURE Model Dr.Carmelita C. Divinagracia is a Filipino cardiologist nurse, she has been praised for developing the art and competency of teaching nursing. She is a graduate of Bachelor of Science in Nursing at University of East Ramon Magsaysay Memorial Medical Center, Inc. (UERMMMC) in 1962. She earned her Master Degree in Nursing at the University of the Philippines in 1975 She obtained her PhD from UP in 2001. Former President of the Association of the Philippine Colleges of Nursing (ADPCN). She was the Dean of University of East Ramon Magsaysay Memorial Medical Center, Inc. (UERMMMC) College of Nursing. She is also a member of CHED’s Technical Committee on Nursing Education In 2008, she received the Anastacia Giron Tupas Award given by the Carmelita Devinagracia Philippine Nursing Association (PNA) in 2008 Divinagracia’s COMPOSURE Model Nursing is a profession that goes beyond time. Starting from the time a patient is admitted to the time of their discharge, the nurse and the patient develops a meaningful relationship that involves mutual trust and acceptance that will lead to satisfaction on both sides. Nursing profession can actively deliver quality care through caring interventions similar to the COMPOSURE Behaviors Model, known as a set of nursing behaviors, is introduced in her dissertation that should be Carmelita Devinagracia exhibited by nurses. Divinagracia’s COMPOSURE Model The Composure Model of Carmelita Divinagracia centers on the idea of "COMPOSURE" as an essential element in the nursing profession. Composure, is defined as the ability to maintain calmness and stability in the face of stress or challenges. The model emphasizes the importance of a nurse’s composure in delivering effective patient care. Carmelita Devinagracia Divinagracia’s COMPOSURE Model Divinagracia’s COMPOSURE Model Philosophy Carmelita C. Divinagracia's Caring Competency Theory: focuses on pairing the caring and competency as 1 framework in nursing care (Divinagracia, 2012). She proposes that nursing is both an art and a science, argues for the concept of care as an explicit, knowledge-based core function in patient work and competence involves ongoing achievement maintaining. Much of this is core to her philosophy, rooted in looking more at the whole as opposed to only a specific part and other tenets such ethical responsibility for patients forever being engaged with Carmelita Devinagracia learning. She has influenced the nursing education in the Philippines under her to help and nurture another breed of committed, compassionate and noted nurses Divinagracia’s COMPOSURE Model Divinagracia’s Middle-range-theory Divinagracia's middle-range theory of composure provides a practical framework for nurses to enhance their caregiving practices by focusing on the attributes that contribute to maintaining composure. This model can be applied in various nursing settings to improve patient outcomes and nurse satisfaction. Carmelita Devinagracia  BSN 1D - GROUP 4 Kuan’s Retirement and Role Discontinuity Model by: Bal-o, Klyde & Futar, Sheena Kuan’s Retirement and Role Discontinuity Model Born on November 19, 1936 in Katimunan-Dipolog, Zamboanga del Norte. Master Degree in Nursing and Guidance and Counseling. She also holds a Doctoral degree in Education. Has a vast contribution to the University of the Philippines College of Nursing Faculty and Academic achievements. She was a Professor Emeritus, a title awarded only to a few who met the strict criteria. She has two Master Degrees, M.A in Nursing and M.S in Education, Major in Guidance and Counseling, culminating in Doctor of Education (Guidance and Sister Letty G. Kuan Counseling). Kuan’s Retirement and Role Discontinuity Model Has a Clinical Fellowship and Specialization in Neuropsychology in University of Paris, France (Salpetriere Hospital). Neurogerontology in Watertown, New York (Good Samaritan Hospital) and Syracuse University, New York. She also had Bioethics formal training at Institute of Religion, Ethics and Law at Baylor College of Medicine in Houston, Texas. She is a recipient of the Metrobank Foundation “Outstanding Teacher’s Award” in 1995 and an “Award of Continuing Integrity and Excellence in Service” in 2004. Her religious community is the Notre Dame de Vie Sister Letty G. Kuan founded in France in 1932. Kuan’s Retirement and Role Discontinuity Model  Background Retirement- is an inevitable change in one’s life. It is evident in the increasing statistics of aging population accompanied by related disabilities and increased dependence. This development stage, even at later part of life, must be considered desirable and satisfying through the determination of factors that will help the person enjoy his remaining years of life. It is of primary importance to prepare early in life by cultivating other role of options at age 50-60 in order to have a rewarding retirement period even amidst the presence of role discontinuities experienced by this age group.  Basic Assumptions and Concepts Physiological Age is the endurance of cells and tissues to withstand the wear-and-tear phenomenon of the human body. Some individuals are gifted with the strong genetic affinity to stay young for a long time period. Role Refers to the set of shared expectations focused upon a particular position. These may include beliefs about what goals or values the position incumbent is to pursue and the norms that will govern his behavior. It is also the set shared expectations from the retirees socializations experiences and the values internalized while preparing for the position as well as the adaptations to the expectations socially defined for the position itself. For every social role there is complementary set of roles in the social structure among which interaction constantly occurs. Change of Life Is the period between near retirement and post-retirement years. In medico-physiological terms, this equates with the climacteric period of adjustment and re-adjustment to another tempo of life.  Basic Assumptions and Concepts Retiree is an individual who has left the position occupied for the past years of productive life because he/she has reached the prescribed retirement age or has completed the required years of service. Role Discontinuity is the interruption in the line of status enjoyed or performed. The interruption may be brought about by an accident, emergency and change of position or retirement. Coping Approaches refers to the interventions or measures applied to solve a problematic situation or state in order to restore or maintain equilibrium and normal functioning.  Determinants of Positive Perceptions in Retirement and Positive Reactions Toward Role Discontinuities 1.Health Status- refer to physiological and mental state of the respondents, classified as either sickly or healthy. 2.Income- refers to the financial affluence of the respondents which can be classified as poor, moderate, or rich. 3.Work Status (according to Webster’s dictionary)- status of an individual according to his/her work. 4.Family Constellation- Means the type of family composition described either close knit or extended family where three or more generations of family members live under one roof; or distanced family, whose members live in separate dwelling units; or nuclear type of family where only husband, wife and children live together. 5.Self-Preparation (according to Webster’s dictionary)- it is preparing of self to the possible outcomes in life  Findings and Recommendations 1. Health Status dictates the capacities and the type of role one takes both for the present and for the future. It fits for the everyone to maintain and promote health at all ages because only proper care of the mind and body is needed to maintain health in old age. 2. Family Constellation is a positive index regarding retirement positively and also in reacting to role discontinuities. In the Philippines, the family undoubtedly stands as the security or trusting bank where all members, young and old can always run and get help. When one retires, the shock of the role discontinuities is softened because the family not only cushions the impact, but also offers gainful substitutes, as in providing monetary support, absorbing emotional strains that often times with discontinuities and other forms of surrogating 3. Income has a high correlation with both the perception of retirement and reactions towards role discontinuities. Since income is one of the factors that secure the outlook of individual, efforts must be exerted to save and spend money wisely while still actively earning in order to have some reserved when one grows old. It also implies that retirement pensions should be adjusted to meet the demands of the elderly. This should be done in order to have a more relevant and realistic pension and benefits adjustment.  Findings and Recommendations 4. Works Status goes hand and hand with economic security that generates decent compensation. For the retired, implies that the retirement should not be conceptualized as a period of no work because capabilities to function get sharpened and refined as they practice it on a regular basis. Work enhances the aspects of self-esteem and contributes to the feeling of wellness even and old age. 5. Self-Preparation which are said to be both therapeutic and recreational in essence pays its worth in old age. This does not only account professionalism or expertise but also benevolent work as in charitable actions with the colleagues. Self-preparation is investing not in monetary benefits but in something that gives them dignity; enhance their feelings of self-worth and happiness. 6. To cope with the changes brought by retirement one must cultivate interest in recreational activities to channel feelings of depression or isolation and facing realities through confrontation with some issues.  Findings and Recommendations 7. To perceive retirement positively it requires early socialization of the various roles we take in life. The best place to start is at home extending to schools, neighborhood. The community and society in general. In retirement, their fellow retirees are their own best advocates. To facilitate this, barriers to full participation in the areas where important decisions are rich should be eliminated in order to give recognition and appreciation of the knowledge, wisdom, experience and values which are the social assets that make the retired age and the custodians folk wisdom. 8. Government Agency to construct holistic pre-retirement preparation program which will take care of the retiree’s finances, psychological, emotional, and social needs. 9. Retirement should be recognized as the fulfillment of every individual’s birthright and must be lived meaningfully. “I have grown and sown and now I can reap the reward and blessing of a life lived in joy and love, for I too have made others grow.”  BSN 1D - GROUP 4 Abaquin’s PREPARE ME holistic Nursing Interventions” by: Acay, Jeyan Abaquin’s PREPARE ME holistic Nursing Interventions” Carmencita M. Abaquin is a nurse with Master's Degree in Nursing obtained from the University of the Philippines College of Nursing. An expert in Medical Surgical Nursing with subspecialty in Oncologic Nursing, which made her known both here and abroad. She had served the University of the Philippines College of Nursing, as faculty and held the position as Secretary of the College of Nursing. Her latest appointment as Chairman of the Board of Nursing speaks of her competence and integrity in the field she has chosen. Carmencita Abaquin Dr. Carmencita M. Abaquin passed away on April 8, 2021 Abaquin’s PREPARE ME holistic Nursing Interventions”  Basic assumption and concepts PREPARE ME (Holistic Nursing Interventions) →are the nursing interventions provided to address the multidimensional problems of cancer patients that can be given in any setting where patients choose to be confined.  PREPARE ME has the following components: Presence - being with another person during the times of need. This includes therapeutic communication, active listening, and touch. Reminisce Therapy - recall of past experiences, feelings and thoughts to facilitate adaptation to present circumstances. Prayer - spiritual support through prayer. Relaxation-Breathing - techniques to encourage and elicit relaxation for the purpose of decreasing undesirable signs and symptoms such as pain, muscle tension, and anxiety. Meditation - encourages an elicit form of relaxation for the purpose of altering patient's level of awareness by focusing on an image or thought. Values Clarification - assisting another individual to clarify his own values about health and illness in order to facilitate effective decision making skills. →The process of values clarification helps one become internally consistent by achieving closer between what we do and what we feel  Quality of life is a multifaceted construct that encompasses the individual's capacity and abilities with an aim of enriching life when it cannot longer be prolonged. This includes proper care of the body, mind, and spirit to maintain integrity of the whole person despite limitations brought by the present situation. This can be seen with the following dimensions brought by the present situation. Findings and recommendations Terminally-ill patients require holistic approach of nursing that encompasses the different aspects of man namely physical, psychological, social, religious, level of independence, environment, and spiritual. in this premise, patients with incurable illness, specially cancer patients, require a whole faceted care that will improve the quality of their life.  Findings and recommendations PREPARE ME Interventions are said to be effective in improving the quality of life of cancer patients. This can be further applied not only with terminally-ill patients but also promisingly introduced to those patients with acute and chronic diseases and those with prolonged hospital stays. The utilization of the intervention as a basic part of care given to cancer patients is recommended, as well as the incorporation of the intervention in the basic nursing curriculum in the care of these patients. the said components of PREPARE ME must be introduced and focused during the training of nurses both in the academe and practice to answer the needs of this special kind of clients.  Findings and recommendations Development of training programs for care providers, as well as health care professionals where intervention is a part of treatment modalities, is also recommended. For patients, an honest view and feedback regarding their illness and management, and obtaining their perceptions can lead to improvement of services and communication between patients with advanced progressive cancer, their families and health team. Supportive environment where patients with advanced progressive cancer and the terminally-ill patients can attain dignity of dying with peace while their families are given the necessary support they need to cope up with. thus, healthcare professionals and family members have to provide this kind of venue whether in the home of hospital setting. → This will maintain a holistic support for this special type of clients. Person/Patient. Her theory is specific to patients in advanced stages of cancer. They are holistic being with physical, psychological, social, religious, level of Independence, and environmental aspects. Patients who are terminally-ill or those with incurable diseases as with cancer must be approached in multifaceted care to improve their quality of life. Environment. Just like all the other paradigms, environment was not defined accurately. Nevertheless we can assume that environment is an aspect or dimension integrated to the cancer patient. Her quality of life can also be assessed in this aspect thus it must be given consideration in the provision of care.  Health. The concept of her theory revolves around illness, particularly cancer and the provision of holistic care to improve quality of life despite their terminal cases. Quality of life is defined as a multifaceted construct that encompasses the individuals capabilities and abilities of enriching life when it can no longer be prolonged. This Includes proper care and maintaining integrity of the body, mind and spirit despite the limitations brought about by the present condition. The quality of life is seen through the patient's many dimensions. Nursing. The goal of nursing care is the improvement of quality of life for advance stage cancer patients despite their current situation. Her concept of providing holistic nursing care in addressing the multidimensional problems that cancer patients face is summarized in the acronym PREPARE ME.  BSN 1D - GROUP 4 Laurente’s Theory of Nursing Practice and Career by: Daiwey, Charlene Hart Laurente’s Theory of Nursing Practice and Career Dr. Cecilia Laurente is born in the Philippines. She is a Filipino Nursing theorist who primarily focused on helping patients to have support systems such as their families. She graduated Bachelor of Science in Nursing at University of the Philippines in 1967. After a year, she worked as a staff nurse at the Philippine General Hospital until 1969. She worked as a head nurse at the Philippine General Hospital during 1970- 1972. In 1973, she finished her master’s degree in nursing at the University of the Philippines. During 1973-1976, she worked as a nursing supervisor at the Philippine General Hospital. She worked at Metropolitan Hospital in Michigan, USA from 1976-1979. She returned in 1979 and become an instructor at the University of the Philippines College of Nursing. She conducted a study entitled “Categorization of Nursing Activities as Observed Cecilia Marcaida Laurente, in Medical-Surgical Ward Units in Selected Government and Private Hospitals in RN, MSN, PhD Manila.” in 1987. She served as the Dean of College of Nursing in UP Manila from 1996-2002. She is named as 2002 J. V. Sotejo Medallion of Honor Recipient. Laurente’s Theory of Nursing Practice and Career Honors: Graduated summa cum laude from the University of Southern California with a degree in Business Administration Received the Dean's List award every semester throughout her college career Won multiple business competitions, including the USC Marshall School of Business Case Competition Served as the president of the Business Honors Program at USC Completed internships at top companies such as Google and McKinsey & Company Received a scholarship to study abroad in France, where she furthered her understanding of international business practices. Cecilia Marcaida Laurente, RN, MSN, PhD Laurente’s Theory of Nursing Practice and Career Purpose of the Study Her study, "the Categorization of Nursing Activities as Observed in Medical-Surgical Ward Units in selected Government and Private Hospitals in Metro Manila, which was conducted from January to June year 1987 She states that the other entry point of helping the patient is through the family, when nurses can be of great assistance to prevent at the very beginning serious complications. The nurse can help strengthen the family's term of knowledge, skilis, and attitude through effective communication, employed informative, psychotherapeutic, modeling, behavioral, cognitive-behavioral, and/or hypnotic techniques are Cecilia Marcaida Laurente, summarized and evaluated. RN, MSN, PhD She focused her works primarily on helping a patient through support systems, specifically the family. Laurente’s Theory of Nursing Practice and Career Key Concepts Laurente believed that a nurse's intervention can affect a patient's anxiety. Cecilia Laurente is known for her work in the field of nursing. In her theory of nursing practice, she emphasized effective communication and championed using the family as an entry point to help a patient. Communication is the key when getting nurses to engage patients and families in their care. Anxiety- A mental state of fear or nervousness about what might happen. Predisposing factors are defined in these models as factors that Cecilia Marcaida Laurente, exert their effects prior to a behavior occurring, by increasing RN, MSN, PhD or decreasing a person or population's motivation to undertake that particular behaviour.  Nurse's Caring Behavior That Affect Patient Anxiety I. Presence Refers to the person to person contact between the client and the nurses II. Concern Refers to the development in time through mutual trust between the nurse and the patient. III.Stimulation Refers to the nurse's stimulation through the utilization of words that helps more than the powerful resources of energy of a person for healing.  Nurse's Caring Behavior That Affect Patient Anxiety Enhancing Factors One's caring experience, beliefs, and attitude Feeling good about work Learning about caring at school What other patients tell about the nurse Coping mechanism to problems encountered Communication Predisposing Factors Age Sex Civil Status Educational Background Length of work Experience Kuan’s Retirement and Role Discontinuity Model Laurente’s Theory of Nursing Practice and Career Application to Nursing This theory can be helpful when a nurse practices their knowledge in a real hospital setting. Many patients are worried for their health and this theory will help a nurse to alleviate anxiety to patients. As a student nurse, they may apply this theory as it can help with a student nurse's communication skills and learn Cecilia Marcaida Laurente, to understand people. RN, MSN, PhD  BSN 1D - GROUP 4 Synchronicity by: Dugong, Ryza  SYNCHRONICITY IN THE HUMAN-SPACE-TIME THEORY OF NURSING or SYNCHRONICITY IN HUMAN-SPACE-TIME (HST) THEORY OF NURSING ENGAGEMENT (SynHSTTNE) The Synchronicity in Human-Space-Time Theory of Nursing Engagement (SynHSTTNE) emphasizes an innovative approach to nursing that integrates interpersonal relating, technological knowing, rhythmical connecting, and transformational engaging. This theory advocates for a holistic view of human beings, recognizing the interconnectedness of thoughts, experiences, and health within a community context. Key aspects include: Human-Centric Practice: The theory promotes a view of nursing that transcends traditional, fragmented healthcare approaches, focusing on the wholeness of individuals and the coexistence of technology and caring in nursing. Rogerian Framework: It draws on Rogerian principles, suggesting that individuals naturally seek balance in their environments, highlighting the dynamic processes of transformation that occur within a unitary system. Life Principles: The practice is grounded in four essential principles: emancipation, equitability, interconnectivity, and human transcendence, which guide nursing engagements toward meaningful connections and caring experiences. Overall, SynHSTTNE positions nursing as a transformative practice that honors human dignity and fosters deep connections between nurses and patients, ultimately aiming to enhance health and well-being in a global context.  The four life principles of the Synchronicity in the Human-Space-Time Theory of Nursing Engagement 1. Emancipation a principle of empowering others to deal with their present problems, have hope for the future, and holistically perceive each other, is an essential response to the extant multirealities of globalization in health care 2. Equitability an application of the principle of equity, is regarded as a shared value in the nursing profession and an ethical principle of an equity-oriented healthcare system that indicates justice in human caring 3. Interconnectivity the hoped-for consequential feature of globalization in healthcare, has catalyzed the development of nursing praxis to further advance the social mandate of equitable caring for humanity. 4. Human transcendence the ability to go beyond the limitations of human factors and space-time influences, has propelled globalization in nursing within a universal technological domain (UTD)  The caring between in the "dance of caring persons" represents the shared lived experiences, giving meaningful connections in human- to-human relationships as they come to know their "selves" as caring persons, expressed through their humanness and commitment of respect for persons within organizational structures and processes Caring Moment - is a focal point in space and time in which human beings interact with their respective life histories, coming together with the creation of shared experience and meaningful connections Responsive Sensing Caring involves responsive sensing, which occurs when persons respond rationally based on their integrated understanding of lived characteristics with other human beings. Expression of Caring Intentions involves manifesting intentions such as "creating, holding, and expressing thoughts, feelings, images, beliefs, desires, will, purpose, and actions that affirm possibilities for human health and healing" Co-created Moment within the UTD - allows for the transformational encounter between the nurse and nursed in shared engagements through technological competency as caring expressed as technological knowing (TK), mutual designing, and participative engaging SYNCHRONICITY IN THE HUMAN-SPACE- TIME THEORY OF NURSING ASSUMPTIONS 1. HST is a metaphysical approach to nursing that emphasizes meaningful patterns of care for both nurses and patients. It combines Watson's transcendental care moment with Parse's ever-changing, indivisible, and ever-changing perspective. HST promotes synchronicity and engagement in various settings, viewing patients as individuals with connected internal and external wholeness. 2. Nursing is a unitary, wholeness-integrating profession that continually evolves with technology. Locsin's concept of caring, nursing, and technology emphasizes the importance of humanistic caring patterns beyond routines and technological expertise. Smith believes nursing represents the wholeness of the person. 3. The nurse-nursed HST consciousness evolves, co-creating human transcendence. The nurse-nursed relationship influences the nursing engagement, particularly in disaster situations. Human transcendence mediates the relationship between resilience and well-being, and the HST consciousness pervades faith, hope, and love. Nursing engagement honors lived experiences, sustains human dignity, preserves humanity, and holds wholeness within caring, transcending space, time, illness, diagnosis, sociopolitical conditions, and technological advancements. 4.SynHSTTNE is a pandimensional transformation based on the Rogerian Science of Unitary Human Beings, focusing on interconnectedness and the dynamic transcendence of human beings, space, time, and the universe. Nurses in this theory appreciate healthcare system progressions and utilize technological advancements to optimize humanistic nursing care, despite challenges like nursing shortages and ethical dilemmas, thereby optimizing human health and well-being. SYNCHRONICITY IN THE HUMAN-SPACE- TIME THEORY OF NURSING Interpersonal Relating (IR) - is the nurturance of a relationship that appreciates the self and others as whole and transcendental beings. - acknowledging the self and the other as a caring person is revealing an appreciation of IR. Caring is manifested when the nurse interconnects with the nursed in a metaphysical presence through therapeutic communication aimed at nurturing the wholeness of the self and the nursed. The nurse establishes trust when recognizing the existence of the nursed while verifying the call for caring beyond what is seen or spoken by the latter within the HST. - An example of IR is manifested through the therapeutic interaction between the nurse and the nursed during the caring moment or meaningful, caring encounter. Technological Knowing (TK) - TK is focused on providing authentic and humane caring. Guided by technology, TK is the process that leads the nurse in sensing relevant data and pattern information about the nursed in interaction as persons and not as objects of care. Moreover, the complementarity of caring and technology is emphasized by the nurse's technological competency to the synchronistic life event shared with the nursed within the HST. SYNCHRONICITY IN THE HUMAN-SPACE- TIME THEORY OF NURSING Rhythmical Connecting (RC) - dancing to the cadence of treatments and nursing activities where each meaningful, caring experience is not merely an encounter, but a fit into a rhythmical pattern through which the interconnectivity of persons within the HST is nurtured. -In this process, open communication enables the nurse, and the nursed to interconnect. RC is also the interconnectivity of persons that espouses synchronicity in the HST through the capacity to knowingly participate in change and co-creating lived realities at the moment in furtherance of a therapeutic nurse-nursed relationship. Such partnership enables and empowers them to discover transformation, healing, and wholeness mutually. - RC also allows the nurse and the nursed to participate in the planning and implementation of equitable and humanistic care. RC is also illuminated when the nurse extends emphatic care despite limited participation from the nursed, such as the case of a comatose patient, by recognizing the latter's dignity even without overt manifestations of consciousness to the former. Thus, the expression of caring intentions is crucial at this stage. Transformational Engaging (TE) - TE refers to the process of intimately concurring with the recognized improvement of the caring moment and human health experiences, a continuous evaluation and infinite reflection of wholeness by both the nurse and the nursed. - In TE, there is a constant process of transformation. Transformational learning in this process is flourished by the engagement of caring attributes, knowledge, and skills. TE must occur during and after the nurse-nursed therapeutic interaction through which transformational learning consequently transpires in the immediate HST consciousness. - Caring as an authentic intention in TE is manifested through the driving force of the energies in the caring moment using responsive sensing, expression of caring intentions, and technological competence. Thank you for your Listening