Rozzano Locsin's Technological Competency As Caring PDF

## Theoretical Foundations In Nursing ### Module #17 Student Activity Sheet #### Lesson Title: * Rozzano Locsin's Technological Competency As Caring * Carolina S. Agravante's Casagra Transformative Leadership Model **Learning Targets:** At the end of the module, students will be able to: * Ack...

## Theoretical Foundations In Nursing ### Module #17 Student Activity Sheet #### Lesson Title: * Rozzano Locsin's Technological Competency As Caring * Carolina S. Agravante's Casagra Transformative Leadership Model **Learning Targets:** At the end of the module, students will be able to: * Acknowledge the background and credentials of these local nursing theorists * Identify the major concepts as utilized in their respective theories or models * List down their specific theoretical assertions or assumptions * Highlight their major contributions in the nursing field * Describe each of these theories in view of their implications in the nursing field * Apply the significance of these theories in the nursing today and * Recognize the application of these theories in nursing today and in the clinical setting. **Materials:** Book, pen and notebook **References:** * Alligood, M. (2018). *Nursing theories and their work* (9th ed.). Singapore: Elsevier. **A. Lesson Review/Preview** Let us have a review of what you have learned from the previous lesson. Kindly answer the following questions on the space provided. You may use the back page of this sheet, if necessary. Have fun! * How do you assess the significance of Local Nursing Theories in nursing today? **B. Main Lesson** You will study and read their book, if available, about this lesson. **Rozzano Locsin's Technological Competency As Caring And The Practice Of Knowing Persons In Nursing:** "The practice of knowing persons as whole, frequently with the use of varying technologies." **Life Story:** * 1976 - BSN & 1978 - MAN, Silliman University of the Philippines * 1988 - PhD, University of the Philippines * 1991 - Professor, Christine E. Lynn College of Nursing, Florida Atlantic University * Program of Research: "Life transitions in the health- illness experience" **Theory Description:** * Technological competency as caring in nursing is the harmonious coexistence between technologies and caring in nursing. **Locsin's Theory** * The harmonization of these concepts places the practice of nursing within the context of modern healthcare and acknowledges that these concepts can co-exist. * Technology brings the patient closer to the nurse. Conversely, technology can also increase the gap between the nurse and the nursed. * When technology is used to know persons continuously in the moment, the process of nursing is lived. **Assumptions of the Theory:** * Technological Competency as Caring in Nursing is a middle range theory grounded in Nursing as Caring (Boykin & Schoenhofer, 2001). * It is illustrated in the practice of nursing grounded in the harmonious coexistence between technology and caring in nursing. * Persons are caring by virtue of their humanness. * Persons are whole or complete in the moment. * Knowing persons is a process of nursing that allows for continuous appreciation of persons, moment to moment. * Technology is used to know the wholeness of persons, moment to moment. * Nursing is a discipline and a professional practice. **Dimensions of Technological Value in the Theory:** * **Technology as completing human beings:** To re-formulate the ideal human being such as in replacement parts, both mechanical (prostheses) or organic (transplantation of organs). * **Technology as machine technologies:** Examples are computers and gadgets enhancing nursing activities to provide quality patient care such as Penelope or Da Vinci in the Operating Theatres. * **Technologies that mimic human beings and human activities:** To meet the demands of nursing care practices, examples are cyborgs (cybernetic organisms) or anthropomorphic machines and robots such as 'nursebots'. **Major Concepts & definitions::** * **Focus of nursing:** A human being whose hopes, dreams, and aspirations are to live fully as a caring person * **Intention of nursing:** To know human beings fully as a whole person: * By affirming, appreciating, and celebrating personhood * Through expert and competent use of nursing technologies * **Technology of competence:** Conceptualized as an expression of caring (co-existence of technology and caring in nursing) and providing a framework for practice * Purposes; * Acknowledge wholeness of persons as a focus of nursing * Technological means are used to know wholeness more fully * Technology used to know "who is person" rather than "what is person" * **What is a Person?** Empirical facts about the compositions of the person; persons as objects * **Who is Person?** Understanding the unpredictable, irreducible person who is more and different than the sum of his or her empirical self; persons as unique individual **Wholeness Paradox:** * Because persons are unique and unpredictable * Persons can only be fully known in the moment, if the nurse chooses to enter the world of the other, and if the person allows the nurse to know him/her. **Nursing Situation:** * Shared lived experience between the nurse and nursed * Condition in which the nurse and the other allow each other to know one another * The nurse's responsibility to know the person's hopes, dreams, and aspirations **Vulnerability:** * The nurse and nursed become vulnerable as they enter each other's world and move toward continuous knowing of one another * **Vulnerability in caring situations** * Allows participation * Embodiment of vulnerability enables recognition of it in others * Allows engagement of "power with" rather than "power over" * Nurses' work is to ameliorate vulnerability (Daniels, 1998) * **The entirety of nursing:** This is to direct, focus, sustain, and maintain the person through calls and responses for nursing. **Person are Complete and Whole in the Moment:** * Persons are complete, unique and unpredictable. Expressions of completeness vary from moment to moment * Nursing interventions are not focused on "fixing" or making persons "whole again." * Nurses come to know persons as whole. * Nursing responses are based on the persons' uniqueness. **Focusing on Received Technological Data Alone to Know Person:** * Provides the nurse with an understanding of persons as objects who need to be fixed or made whole again. **Process of Knowing Person as a Whole and Complete in the Moment:** * Persons choose whether or not to allow nurses to know them fully. * In holding the idealization of persons as "complete in the moment", nurses must: * Choose to enter the world of the other * Establish rapport, trust, confidence, commitment, and compassion **Knowing is the Primary Process of Nursing:** * **Knowing Nursing:** "All at once" knowing of personal, ethical, empirical, and aesthetic realms. * Continuous knowing of person * Occurs moment to moment * Deters objectification * Overpowers the motivation to prescribe and direct the person's life **The Process of Nursing** This is a dynamic unfolding of situations encompassing knowledgeable practices. * **Knowing:** The process of knowing a person is guided by technological knowing in which persons are appreciated as participants in their care rather than as objects of care. The nurse enters the world of the other. In this process, technology is used to magnify the aspect of the person that requires revealing - a representation of the real person. The person's state change moment to moment - person is dynamic, living, and cannot be predicted. * **Designing:** Both the nurse and the one nursed (patient) plan a mutual care process from which the nurse can organize a rewarding nursing practice that is responsive to the patient's desire for care. * **Participation in appreciation** The simultaneous practice of conjoined activities which are crucial to knowing persons. In this stage of the process is the alternating rhythm of implementation and evaluation. The evidence of continuous knowing, implementation and participation is reflective of the cyclical process of knowing persons. * **Verifying knowledge:** The continuous, circular process demonstrates the ever-changing, dynamic nature of knowing in nursing. Knowledge about the person that is derived from knowing, designing, and implementing further informs the nurse and the one nursed. **Calls for Nursing:** * Nurses rely on the person for calls * Knowing persons allows the nurse to use technologies in articulating calls * Illustrations of the person's unique hopes, dreams, and aspirations * Individual expressions such as desire to go home & wishing to die peacefully **Nursing Responses:** * Nurses respond to calls from persons. * Nurses respond with authentic intentions to fully know persons continually in the moment.