Local

Theories and
Models of
Nursing
Intervention
( Philippine
Setting)
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TECHNOLOGICAL COMPETENCY
AS CARING IN NURSING: A MODEL
FOR PRACTICE

Rozzano C. Locsin
Technological Competency as Caring in
Nursing
• Technological competency as caring in nursing is
the harmonious coexistence between
technologies and caring in nursing.
• Technology brings the patient closer to the nurse.
Conversely, technology can also increase the gap
between the nurse and nursed.

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1
The Process of
Nursing

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A. Knowing: The process of knowing 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.

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B. 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.
C. 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.

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 D. 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.

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The CASAGRA
Transformative Leadership
Model

Sr. Carolina S. Agravante, SPC, RN, PhD

Key Concepts

• The CASAGRA Transformative Leadership Model

have concepts of leadership from a psycho-spiritual
point of view, designed to lead to radical change
from apathy or indifference to a spiritual person.

Three concepts of the CASAGRA transformative

leadership model
1. the care complex primer
2. a retreat-workshop on Servant-leadership
3. a seminar-workshop on Transformative Teaching
for nursing faculty.
Key Concepts
▪ Special expertise is the level of competence in
the particular nursing area that the professional
nurse is engaged in workshop

is the spiritual exercise organized in an

ambience of prayer where the main theme is the
contemplation of Jesus Christ as a
Servant-leader.
 Key Concepts
• Servant-leadership behavior refers
to the perceived behavior of nursing
faculty manifested through:
✔ the ability to model the servant
leadership qualities to students
✔ ability to bring out the best in students
✔ competence in nursing skills
✔ commitment to the nursing profession
✔ sense of collegiality with the school,
other health professionals, and local
community.
 Key Concepts
• Nursing leadership is the force within the nursing
profession that sets the vision for its practitioners, lays
down the roles and functions, and influences the
direction toward which the profession should go.
• Transformative teaching may also be termed
Reflective teaching, an umbrella term covering ideas,
such as thoughtful instruction, teacher research,
teacher narrative, and teacher empowerment.
• Care complex is the nucleus of care experiences in
the personality of a nurse formed by a combination of
maternal care experiences, culture based-care
practices indigenous to a race and people, and the
professional training on care acquired in a formal
course of nursing.
 Three-Fold Transformative Leader Concept
I. The Servant-Leadership Spirituality
here is prescribed to run parallel to the
generic elements of the transformative
leadership model.

•The servant-leader formula prescription

includes a spiritual retreat that goes
through the process of awareness,
contemplation, storytelling, reflection,
and finally commitment to become
servant-leaders in the footsteps of Jesus
Three-Fold Transformative Leader Concept

II. The Self-Mastery consists of a vibrant care

complex possessed to a certain degree by all who
have been through formal studies in a care giving
profession such as nursing.

III. The Special-Expertise level is shown in a

creative, caring, critical, contemplative and
collegial teaching of the nurse faculty who is
directly involved with the formation of the nursing.
 • The conceptual framework is logical
• A person with dynamic care complex
The Paradigm • The framework explains and predicts
of the Theory • Servant-leadership formula
• Transformative teaching
• Expertise
 ADVANCE NURSE
PRACTITIONERS’ COMPOSURE
BEHAVIOR AND PATIENT’S
WELLNESS OUTCOME

Carmelita Divinagracia
 Carmelita 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 Blvd. Quezon
City. Philippines)

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 OBJECTIVE and SIGNIFICANCE OF THE STUDY

❑ 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.

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 COMPOSURE is an acronym which stands for:
“ COM - petence
P-resence & Prayer
O-penmindedness
S-timulation
U-nderstanding
R-espect and Relaxation
E-mpathy

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COMPOSURE A condition of being
BEHAVIORS in a state of
well-being, a
coordinated and
integrated living
pattern that involves
the dimension of
wellness

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 Adult Cardiac Patients
COMpetence - the ability to do something successfully or efficiently
Presence and Prayer - the state or fact of existing, occurring, or being
present in a place or thing and a religious service, especially a regular one,
at which people gather in order to pray together.
Openmindedness - receptiveness to new ideas.; the willingness to search
actively for evidence against one's favoured beliefs, plans, or goals, and to
weigh such evidence fairly when it is available
Stimulation - the raising of levels of physiological or nervous activity in the
body or any biological system.
Understanding - the ability to understand something; comprehension.
Respect and Relaxation - the process of honouring someone by exhibiting
care, concern, or consideration for their needs or feelings and decreases
the effects of stress on your mind and body
Empathy - the ability to understand and share the feelings of another.

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Aim of nursing Divinagracia would like to
prove the worth of Nursing
as a healthcare profession
of being par in quality with
other healthcare
professionals.

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Results The nursing profession can
actively deliver quality care
through caring interventions
like the COMPOSURE
behavior. Regardless of
creed, social class, gender,
age and nationality, each one
needs humane, caring,
spirituality-oriented
intervention that can facilitate
wellness.

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Thanks!!
Any questions?

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