Locsin

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ROZZANO LOCSIN

ROZZANO LOCSIN
 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 n the healthillness
experience”
AWARDS
 2000 - Fullbright Scholar to Uganda
 2004–2006 - Fullbright Alumni Initiative Award
to Uganda
 Fullbright Senior Specialist in Global and
Public Health and 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 Model
for Practice (2005)
 A Contemporary Process of Knowing: The
(Unbearable) Weight of Knowing in Nursing
(2009)
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 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
aspirations are to live fully as a 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-existence 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 is 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
◦ 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
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 PERSPECTIVE

 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 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)
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 PRIMARY
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
◦ Illustrations 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.

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