Nursing Theorists 6 - Local Theories and Models of Nursing Intervention (Philippine Setting)

Rozzano Locsin, et. al

Rozzano Locsin

(Rozzano Locsin)

■Born in 1954 in Dumaguete City, Philippines.

■1976 earned his BSN from Silliman University

■1978- Master of Arts in Nursing

■1988 - Doctor of Philosophy in Nursing degree from the University of the Philippines

■ Resides and practices his nursing profession Tokushima University, Tokushima, Japan

■ He joined Florida Atlantic University, Christine Lynn College of Nursing in 1994 when he was tenured Professor of Nursing and currently Professor Emeritus

Rozzano Locsin

(Rozzano Locsin)

Theory of Technological Competence as Caring in Nursing

Theory of Technological Competence as Caring in Nursing

(Rozzano Locsin)

R. Locsin: Theory of Technological Competence as Caring in Nursing

Technology competence - defined as "proficiency in devices such as machines, instruments, and tools, and a manifestation of being caring in nursing"

Dimensions of Technological Value in the Theory

(Rozzano Locsin)

Dimensions of Technological Value in the Theory

Technology as completing human beings to re-formulate the ideal human being.

■ Technology as machine technologies.

■ Technologies that mimic human beings and human activities to meet the demands of nursing care practices.

Metaparadigm in Nursing Person

(Rozzano Locsin)

Metaparadigm in Nursing Person

Person

- viewed as "participants in their care rather than objects of nurse care"

- described as human beings who are whole and complete in any moment.

Environment

- the technological world in which we live in

- technology is everywhere

Health

- Humanity is preserved by technology An experience that is often expressed in terms of wellness and illness, and may occur in the presence or absence of disease.

Nursing

- Caring in which "nursing is expressed as the simultaneous, momentary interconnectedness between the nurse and the nursed".

- Nurses value technological competency expression of caring in nursing.

Carolina S. Agravante

(Carolina S. Agravante)

1964 - earned her BS Nursing degree in St. Paul University, Manila as magna cum laude.

- passed the NLE as the board topnotcher in the same year.

1969 - finished her Master's Degree in Nursing Education at Catholic University of America.

2002 - received her Doctoral Degree in Philosophy at University of the Philippines Manila

- theory was published in the same year

Carolina S. Agravante

(Carolina S. Agravante)

CASAGRA Transformative Leadership Model

CASAGRA Transformative Leadership Model

(Carolina S. Agravante)

C.S. Agravante:

CASAGRA Transformative Leadership Model:

Servant-Leader & the Faculty's Transformative Leadership Behavior

- was considered a practice theory

- is a psycho-spiritual model

- focus of the theory → type of leadership in nursing that can challenge the values of the changing world.

CASAGRA Transformative Leadership Model

(Carolina S. Agravante)

■Elements of the theory

1. servant-leader spirituality

a) leadership role enables the nurse to follow the footsteps of Jesus Christ

b) this connotes caring and service

2. self-mastery

a) has something to do with one's formal learning

b) requires continuous learning

3. special expertise

a) nurse's level of competence in the practical artic nursing area

Theoretical Paradigm for CASAGRA Transformative Leadership Model

(Carolina S. Agravante)

CARE COMPLEX - Transformative Teaching

Creative

Caring

Critical

Contemplative

Collegial

Theoretical Paradigm for CASAGRA Transformative Leadership Model

(Carolina S. Agravante)

Implications to nursing education

- For nurse educators, they can apply this concept by being passionate about their craft. They can also show willingness to impart their acquired knowledge to their students and colleagues in a selfless way. These educators, contemplate first by attending a variety of workshops regarding new trends in nursing, applying evidenced-based practices through patient simulation, and cascading it to the target learning group.

Carmelita C. Divinagracia

(Carmelita C. Divinagracia)

■Master in Nursing in 1975

■Doctoral Degree holder in 2001

■Cardiologist nurse

■Advance nurse practitioner

■Dean & College of Nursing 'president(UERM Memorial Medical Center, ADPCN Aurora -lvd. /ue0on Cit1. Philippine

Carmelita C. Divinagracia

(Carmelita C. Divinagracia)

Composure Model

Composure Model

(Carmelita C. Divinagracia)

■ Composure behaviors - are sets of behavior or nursing measures that the nurse demonstrates to selected patients

■ COMPOSURE is an acronym which stands for

COMpetence.

Presence and Prayer.

Open-mindedness.

Stimulation.

Understanding.

Respect and Relaxation.

Empathy

Composure Model

(Carmelita C. Divinagracia)

Composure Model Theoretical Paradigm

Composure Model

(Carmelita C. Divinagracia)

Three Main Themes and sub themes were identified:

Coordination

- Intra-Organizational Coordination

- Inter-Organizational Coordination

- Reciprocal Interdependence

Communication

- Environmental factors

- Personal factors

Interpersonal Relationship

- Engagement Esprit (morale)

- Concern Support

Composure Model

(Carmelita C. Divinagracia)

Major Theme - Communication

Minor Themes

ENVIRONMENTAL FACTORS

- Power and Status relationship between Nursing Education and Nursing Service

- Common Language

- Complementary Philosophy

PERSONAL FACTORS

- Trust

- Openness

- Harmony/Unity

Composure Model

(Carmelita C. Divinagracia)

Major Theme - Interpersonal Relationship

Minor Themes

- Engagement

- Esprit (Morale)

- Concern

- Support

Sister Letty Kuan

(Sister Letty Kuan)

Born on November 19, 1936 in Katipunan-Dipolog, Zamboanga del Norte

■Earned two (2) Master's Degrees, MA in Nursing and MS in Education major in Guidance & Counseling.

■Holds a Doctoral Degree in Education major in Guidance Counselling. All postgraduate studies were obtained from the University of the Philippines - Diliman, Quezon City

■Sept. 2004-was awarded the distinctive post of Professor Emeritus by the University of the Philippines.

Sister Letty Kuan

(Sister Letty Kuan)

Retirement and Role Discontinuity Model

(Sister Letty Kuan)

Kuan: Retirement and Role Discontinuity Model

■Theory is about "Graceful Aging". Her interest in old people initiated her to formulate a theory for the purpose of knowing the reasons and variables on how to make people happy at retirement.

■ The nurse helps the person survive the struggles and crisis in life to person attaining graceful aging.

Retirement and Role Discontinuity Model

(Sister Letty Kuan)

CONCEPTUAL MODEL (as studied and researched by the author)

Determinants of Fruitful Aging

Prepared retirement

Health Status

Income

Family Constellation

Self-Preparation

Retirement Role Discontinuities (Aging Process) -Change of Life - Outcome Fruitful Retirement and Aging

Metaparadigm in Nursing

(Sister Letty Kuan)

Metaparadigm in Nursing

Person

- refers to the elderly who is classified under age group of mid 70s up to the 80s

- Used the term "gerone" to describe people who are old but gracefully able to function as useful citizens at home and in the community and an exempl in fidelity to prayer life.

Nursing

- is preparing the older person to have fulfilment in their retirement years, and assisting them in their elderly years in leaving a legacy.

(Camencita Abaquin)

(Camencita Abaquin)

■ Nurse with Master's and Doctoral Degree in Nursing obtained from the University of the Philippines College of Nursing.

She is an expert of 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, her Alma Matter, as faculty and held the position as Secretary of the College of Nursing.

Her latest appointment as a Chairman of the Board of Nursing speaks of her competence and integrity in the field she has chosen

Camencita Abaquin

(Camencita Abaquin)

Theory - PREPARE ME Holistic Nursing Intervention

PREPARE ME theory

(Camencita Abaquin)

■ PREPARE ME theory provides a framework on non-pharmacologic, non-surgical approach of care to advanced cases of cancer patients. The focus is not on cure but on assisting the patient to explore her humanity and internal serenity as one is faced with the challenge of life and death. Nurses must be seen not as mere caregiving facilitators of peaceful acceptance of company.

PREPARE ME theory

(Camencita Abaquin)

SYMPTOM RELIEF QUALITY OF LIFE

HOLISTIC NURSING INTERVENTION "PREPARE ME Presence

- Reminisce Therapy

- Prayer Relaxation Activities

- Meditation

- Value Clarification

TERMINALLY ILL PATIENTS (Cancer)

- Physical

- Psychological

- Social

- Religious

- Level of Independence

- Environment

- Spiritual

Metaparadigm of Nursing

(Camencita Abaquin)

Metaparadigm of Nursing

Person/Patient

- patient who is terminally-ill or one with incurable disease as in advanced stages of cancer.

- considered as holistic being with physical, psychological, social, religious, level of independence, and environmental aspects.

Environment

- Not clearly defined Presumed to be an aspect or dimension integrated to the cancer patient.

Health

- 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

Nursing Goal of nursing care

→ the improvement of quality of life for advanced stage cancer patients despite their current situation.

- How to provide holistic nursing care in addressing the multidimensional problems that cancer patients face is summarized in PREPARE ME theory.

PREPARE ME theory

(Camencita Abaquin)

Presence

Reminisce Therapy

Prayer Relaxation-Breathing

Meditation Values

Clarification

Cecilia Laurente

(Cecilia Laurente)

■ 1967 - earned her BSN degree at UP

■ 1973-received her MN

■ 1977-1979-worked at Metropolitan Hospital in Michigan, USA

■ 1966 to 2002

- became the Dean of UP College of Nursing

■ Her work focused primarily on helping patient through support system specifically the family.

Theory of Nursing Practice and Career

(Cecilia Laurente)

Theory of Nursing Practice and Career

Theory of Nursing Practice and Career

(Cecilia Laurente)

■ Theory was based on her research study entitled "Categorization of Nursing Activities as Observed in Medical-Surgical Ward Units in Selected Government and Private Hospitals in Metro Manila".

■The study was undertaken to determine the effects of nurses caring behaviors on the clients. Specifically, the following questions were asked:

1) what are the perceptions of the clients of what a caring nurse is to them?

2) what are the perceptions of the clients effects on them of the nurses caring?

Theory of Nursing Practice and Career

(Cecilia Laurente)

■ The first 5 caring behaviors cited by patients are:

a) respectfulness

b) patience

c) helpfulness

d) gentleness

e) guidance

■ Other caring behaviors:

a) competence

b) therapeutic touch

c) verbal communication

d) close proximity/is accessible

e) active listening

f) smiling/ cheerful/ with humor

g) encouragement

Synchronicity in Human-Space- Time: A Theory of Nursing Engagement in a Global Community

(KILAT, Cliford Masayon, Locsin, Rozzano, Lim-Saco, Freslyn)

Synchronicity in Human-Space- Time: A Theory of Nursing Engagement in a Global Community

KILAT, Cliford Masayon RN MA

Locsin, Rozzano, RN, PhD, FAAN

Lim-Saco, Freslyn, RN, MN

Synchronicity in the Human-Space-Time Theory of Nursing

(KILAT, Cliford Masayon, Locsin, Rozzano, Lim-Saco, Freslyn)

Synchronicity in the Human-Space- Time Theory of Nursing undergirds the innovative process of nursing engagement expressed as:

a) interpersonal relating

b) technological knowing

c) rhythmical connecting

d) transformational engaging

Interconnectivity

(KILAT, Cliford Masayon, Locsin, Rozzano, Lim-Saco, Freslyn)

Interconnectivity

- is a principle of human interconnectedness of energy.

- leads to the understanding of holism that the bio-psycho-social-spiritual dimensions of persons are interrelated (Lai & Hs 2003) and that the whole being is more than the sum of its organs or systems.

- The nurse does not focus only on biological but considers the healing aspect of the whole person's being.

Equitability

(KILAT, Cliford Masayon, Locsin, Rozzano, Lim-Saco, Freslyn)

Equitability

■ It is a principle of justice and fairness in human caring across healthcare systems.

■ Revolves around the value-based concept of equity implying fairness in access to health care related to the situated context despite differences in methods, utilization, and outcomes (Cloninger et al., 2014).

■It can also mean fairness within an organization.

Emancipation

(KILAT, Cliford Masayon, Locsin, Rozzano, Lim-Saco, Freslyn)

Emancipation

■It is a principle of liberating the self and others from the limits of human-space-time realities.

■Human-space-time realities of health care could include human factors or attributes such as fear, shame, lack of communication skills, lack of knowledge, powerlessness, and human resources.

Human Transcendence

(KILAT, Cliford Masayon, Locsin, Rozzano, Lim-Saco, Freslyn)

Human Transcendence

■Human transcendence indicates personal growth of persons and professional growth among nurses.

■ Human transcendence is "when people transcend (go beyond) their own egos, dedicate their energy to something greater than the individual self, and learn to build order against the trend of disorder" (Pharris, 2015, p. 285)