DIVINAGRACIA COMPOSURE MODEL
alternate tension and relaxation of selected group of
Assumptions- the wellness outcome of a patient will
depend on the intervention the nurse has when
administering the client.
Objective and significant- to determine the effects of
the composure behavior of the advance nurse
practitioner on the wellness outcome of the selected
cardiac patients
Nursing as a healthcare profession would prove its
worth of being at PAR in quality performance with
other health care professionals
MAJOR CONCEPTS
Composure behavior- a set of behaviors determined
by dr. divinagracia that would be demonstrated by
advanced nurse practitioners to see how it would
affect the recovery of the patients in the coronary
care unit of the Philippine heart center
Composure stands for
Competence: nurses should be equipped with
knowledge and expertise in consistency in caring for
their patience.
Presence and prayer: pertain to the availability of
the nurse in time of need not only physically but also
holistically. Utilization of therapeutic communication
techniques are also included.
Open mindedness: nurse should be receptive to
different ideas such as opinions and preferences
regarding the patient’s medical status. It also
conveys the manner of being flexible to
accommodate the views of other.
Stimulation: is an act of providing encouragement
and appreciation that delivers hope and guidance in
the form of positive encouraging remarks.
Understanding: an approach that conveys interest
and acceptance to the patient’s holistic being.
Respect: acknowledging the presence of the patients
and showing positive regard.
Relaxation: entails a form of exercise that involves
muscles.
Empathy: empathetic nurse perceives the current
thought and feelings and communicates by putting
himself in the patient’s place
Patients wellness outcome:
Physiological outcome
 Vital signs-clinical measurements,
specifically pulse rate, temperature,
respiration rate, and blood pressure, that
indicate the state of a patient’s essential
body functions
 Chest pains- pain in the chest
 Hemoglobin-blood count
Behavioral outcome
 Physical-concerned or pre-occupied with
the body and its needs
Includes: muscle strength, mobility posture,
gait exercise, and activity tolerance and
cardio respiratory endurance
 Emotional-relating to a persons emotion
Includes: awareness orientation,
understanding of own and other personal
feelings and ability to control and cope with
emotions
 Intellectual- relating to the ability to think
and understand things, esp. complicated
ideas. Refers to knowledge and perceptions
 Spiritual- relating to religious belief and also
defined as the development of inner self or
one’s soul through a relationship with God
METAPARADIGM

Nursing: the quality of nursing care could be improve

using an intervention

Person: each individual needs humane, caring,

spirituality-oriented intervention that can facilitate
wellness regardless of creed, social class, gender,
age, and nationality.

3 group: orthopedic patients

Composure behavior of novice nurses

Patient’s wellness outcome