Rozzano Locsin

Technological Competency as Caring and the Practice of Knowing Persons in Nursing

“The practice of knowing persons as whole, frequently with the use of varying technologies” (Locsin,
2001).

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 health- illness 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)

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
a) By affirming, appreciating, and celebrating personhood
b) 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.