Rozzano C. Locsin: Technological Nursing As Caring

ROZZANO C.
LOCSIN
TECHNOLOGICAL NURSING AS CARING
OUR ACTIVITY
Background
Background
Discussion
Theory
Background
1976 – BSN & 1978 – MAN
- SILLIMAN UNIVERSITY OF THE PH
1988 – PHD
- UNIVERSITY OF THE PH
1991 – PROFESSOR
CHRISTINE E. LYNN COLLAGE OF
NURSING, FLORIDA ATLANTIC
UNIVERSITY
PROGRAM OF RESEARCH : “ LIFE

TRANSITIONS IN THE HEALTH
ILLNESS EXPERIENCE ”
Awards
• 2000 – Full bright Scholar to Uganda
• 2004-2006 – Full bright Alumni Initiative Award to Uganda
• Full bright Senior Specialist in Global and Public and Lastly
International Development
• Edith Moore Copeland Excellence in Creativity Award:
Sigma Theta International
• Lifetime Achievement Awards from Schools of Nursing in
the Philippines
BOOK PUBLICATIONS
• Advancing Technology, Caring and Nursing ( 2001 )

• Technological Caring in Nursing : A Modelfor Practice
( 2005 )
• A Contemporary Process of Knowing : The (
Unbearable ) Weight of Knowing in Nursing ( 2009 )
YOU WILL BE ABLE TO :
 Define Locsin’s Theory

 Identify Nursing Metaparadgim Conceps
 Identify the Criteria for evaluating Locsin’s
Theory
 “ Technological competency as caring is the skilled demonstration of
intentional, deliberate, and authentic activities by experienced nurses who
practice in environments requiring technological expertise.”
Four Phase of Nursing Process :
 Knowing
 Designing
 Implementing & Evaluating
 Verifying Knowledge
4 PHASE OF NURSING PROCESS
KNOWING
 Understanding of the Patient as participant rather than options of their care, Technology is use to
gain further knowledge essentially become a representation of a real version but only in a
moment of time
DESIGNING
 Both Nurse and Patient usually plan care activities in respond of the patient desired
Implementing & Evaluating
 Is where the nurse follows through on the decided plan of action. This plan is specific to each
patient and focuses on achievable outcomes, as for Evaluating the nurse applies all that is known
about a client and the client's condition, as well as experience with previous clients,
to evaluate whether nursing care was effective.
Verifying Knowledge
 The ways knowing a person is made known through the use of technology and nursing, the nurse
gave a appreciation of expertise and economy and knowledge of persons in a moment
PARADIGM CONCEPTS
Health
Nursing
Environment
Person
Locsin’s Theoretical Framework

Accuracy
Technology continues to evolve and encompasses the
majority of functional activities that nurses are
expected to perform, especially in a clinical setting.
Simplicity
 The relationship noted in Locsin’s theory include
three main components of “ caring in nursing, beings
as persons, and technological competence.”
ROZZANO LOCSIN’S ASSUMPTIONS:
• Persons are whole or complete in the

moment (Boykin and Schoenhofer, 2001)
• Knowing persons is a process of nursing

that allows for continuous appreciation of
persons moment to moment (Locsin, 2005)
• Nursing is a discipline and is a discipline and a professional practice (

Boykin and Schoenhofer, 2001 )
• Technology is used to know persons as whole moment to moment (
Locsin, 2004 ).
FOCUS & INTENTION OF NURSING
• Focus of nursing
A human being whose hopes, dreams, and aspiration are to live
fully as caring person (Boykin & Schoenhofer, 2001 )
• 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 COMPETENCY
Conceptualized as:
• An expression of Caring
Co-existing of technology and caring in nursing
• Providing a framework for practice

Purpose:
• 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 person”
THE WHAT IS / WHO IS PERSON
• What is 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
PERSON ARE COMPLETE AND WHOLE IN THE MOMENT
• Persons are complete, unique and unpredictable

Expression 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
COMPELETE IN THE MOMENT
• Persons choose whether or not to allow nurses to them fully.
• In holding the Idealization of persons as “ complete in the

moment,” nurses must :
Choose to enter the world of the other

Establishment rapport, trust, confidence, commitment, and
compassion
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
- If the person allows the nurse to know him/her
FROM THIS PRESPECTIVE
• The condition in which the nurse and

other allow each other to come to
know one another is the nursing
situation.
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
• 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 participant
• Embodiment of vulnerability enables recognition
of it in others
• Allows engagement of “power with” rather than “
power over”
• Nurse’s work is to ameliorate vulnerability
(Daniels, 1998)
PROCESS OF NURSING
• The process of nursing is a dynamic unfolding of

situations encompassing knowledgeable practices (Locsin,
2005)
• Knowing and appreciating uniqueness of persons
• Designing participation in caring
• Implementation and evaluation
• Verifying knowledge of person through continuous
knowing (Swanson, 1991)
KNOWING IS THE PRIAMRY PROCESS OF NURSING
• Knowing nursing
- “ All at once “ knowing of personal, ethical, empirical,
and aesthetic realms (Boykin & Schoenhofer, 2001)
• Continuous knowing of person

- Occurs moment to moment
- Deters objectification
- Overpowers the motivation to prescribe and direct
the person’s life
THE ENTIRETY OF NURSING
• Is to direct, focus, sustain, and

maintain the person
(Locsin,2005)
• Through calls and responses for
nursing
CALLS FOR NURSING
• Calls
- Nurses rely on the person for calls
- Knowing persons allows the nurse to use
technologies in articulating calls
- Illustration of the person’s unique hopes, dreams,
and aspirations
- Individual expressions
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.
THANK YOU

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What are the main concepts of Locsin's Theory?

What are the main concepts of Locsin's Theory?

What are the four phases of the nursing process according to Locsin's Theory?

What are the four phases of the nursing process according to Locsin's Theory?

ROZZANO C.

- SILLIMAN UNIVERSITY OF THE PH

PROGRAM OF RESEARCH : “ LIFE

• Advancing Technology, Caring and Nursing ( 2001 )

 Define Locsin’s Theory

Four Phase of Nursing Process :

Locsin’s Theoretical Framework

• Persons are whole or complete in the

• Knowing persons is a process of nursing

• Nursing is a discipline and is a discipline and a professional practice (

By affirming, appreciating, and celebrating personhood

• Providing a framework for practice

• Acknowledge wholeness of persons as a focus

• Persons are complete, unique and unpredictable

• Nursing interventions are not focused on “fixing” or making

• Nurses come to know persons as whole.

• Nursing responses are based on the persons uniqueness.

• Provides the nurse with an understanding of

• Persons choose whether or not to allow nurses to them fully.

• In holding the Idealization of persons as “ complete in the

Choose to enter the world of the other

• Because persons are unique and unpredictable

• Persons can only be fully known

• The condition in which the nurse and

• Shared lived experience between the nurse

• The nurse and nursed become

• The process of nursing is a dynamic unfolding of

• Continuous knowing of person

• Is to direct, focus, sustain, and

• Nurses respond to calls from

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