ROZZANO C.

LOCSIN(2005)

“TECHNOLOGICAL COMPETENCY
AS CARING IN NURSING: A MODEL
FOR PRACTICE"

Created by: Aaron, Mariel

and Quinee
According to Rozzano Locsin
"Technological Competency as caring in nursing
is a conceptual model that presents the link
between technology and caring in nursing as
coexisting harmoniously" (Locsin, 2005, p.b)
ROZZANO LOCSIN
MARCH 25, 1954
 History and Background
Born in 1954
A native of Dumaguete City, Philippines who resides and practices his
nursing profession at Tokushima University, Tokushima, Japan as
Professor Nursing.
He is Professor emeritus of Florida Atlantic University in Boca Raton,
Florida, USA.
Earned his Doctor of Philosophy in Nursing degree from the
University of the Philippines in 1988, and his Master of Arts in Nursing
and Bachelor of Science in Nursing from Siliman University in 1978 and
1976 respectively in the Philippines.
MEDICAL SERVICES
Rozzano Locsin’s theory is known as the Technological
Competency as Caring in Nursing(TCCN).

TCCN is a mid-range theory based on Boykin and

Schoenhofer's (2001) Nursing as Caring. It is exemplified
in nursing practice, which is founded on the peaceful
coexistence of technology and compassion in nursing.
TCCN is defined as:
•Technological competency as caring in nursing is the
harmonious coexistence between technologies and caring
in nursing.
•The harmonization of these concepts places the practice of
nursing within the context of modern healthcare and
acknowledges that these concepts can co-exist.
•Technology brings the patient closer to the nurse.
Conversely, technology can also increase the gap between
the nurse and nursed.
"Technological Competency as Caring in Nursing" is
a middle - range theory grounded in Nursing as
Caring (Boykin and Schoenhofer, 2001.). It is
illustrated in the practice in nursing grounded in the
harmonious coexistence between technology and
caring in nursing
ASSUMPTIONS

• Persons are caring by virtue of their humanness (Boykin

and Schoenhofer, 2001).
• 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).
• Technology is used to know wholeness of persons
moment to moment (Losin, 2004)
• Nursing is a discipline and a professional practice (Boykin
and Schoenhofer, 2001).
Dimensions of Technological Value in the Theory

• Technology as completing human beings to re-formulate the ideal human

being such as in replacement parts, both mechanical (prostheses) or organic
(transplantation of organs).
• Technology as machine technologies, e.g., computers and gadgets
enhancing nursing activities to provide quality patient care such as Penelope or
Da Vinci in the Operating
theaters.
• Technologies that mimic human beings and human activities to meet the
demands of nursing care practices, e.g., cyborgs (cybernetic organisms) or
anthropomorphic machines and robots such as nursebots (Locsin and Barmard,
2007).
TECHNOLOGICAL COMPETENCY AS CARING IN
NURSING
• Technological competency as Caring in nursing is the
harmonious coexistence between technologies and
caring in nursing.
• The harmonization of these concepts can co-exist.
• Technology brings the patient closer to the nurse.
Conversely, technology can also increase the gap
between the nurse and nursed.
• When technology is used to know persons continuously
in the moment, the process of the nursing is lived.
 THE PROCESS OF NURSING
A. Knowing: The process of knowing person is guided by
technological knowing in which persons are appreciated as
participants in their care rather than 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. The person's state change
moment to moment - a person is dynamic, living, and can not be
predicted.

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 the implementation and evaluation.
The evidence of continuous knowing, implementation and participation
is reflective of the cyclical process of knowing persons.

D. Verifying knowledge: The continuous, circular process demonstrate

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.
 METAPARADIGM CONCEPTS
• Nursing
"Nurses value technological competency as an expression of caring
in nursing" (Locsin, 2013).

• Health
"Humanity is preserved by technology."
An experience that is often expressed in terms of wellness and
illness, and may occur in the presence or absence of disease"
(Nursing people and standards of Practice, 2010, p.65).
• Environment
"Environment as the technological world in which we live."

• Person
Patient seen as " participants in their care rather than object of nurse
care" (Locsin, 2013).
Describes person as "human beings who are whole and complete in
any moment" (Locsin, 2005)
IN CAPSULE: LOSIN'S "TECHNOLOGICAL
COMPETENCY AS CARING IN NURSING: A
MODEL FOR PRACTICE”
Dr. Losin's middle- range nursing theory is an interesting discussion of
the correlation between hands-on patient care and the use of technology.
Technology is defined as anything that makes things efficient - from basic
diagnostic technologies to therapeutic practices familiar to all nurses.
Specifically, he discusses the importance of understanding the need for
knowing "high-tech" instruments e.g. monitors, implants, and devices that
are a part of patient care as these will provide opportunities for the nurse
to know the patient fully as person.
Nurses use and encounter technology in nearly every aspect of their
profession. What does it mean to be technologically competent? What
does it mean to be a caring nurse? How does technology support
nursing work? How does it hinder nursing work? How can nurses care
for their patients as technological advancements are introduced nearly
every day? Technological competency as Caring in Nursing: A Model
for Practice provides insight and answers into how nurses can express
their nursing by being technologically competent. As such, Losin
sustains the understanding that being technological competent is being
caring.
Dr. Losin's work is obviously guided by the question asked by
thoughtful nurses everywhere: How can I satisfactorily reconcile the
idea of competent use of technology with the idea of caring in
nursing? His theory significantly describes a practical understanding
of the solution enriching the practice value of all of the general
theories of nursing which are grounded in caring. Technological
competency as caring in nursing informs nursing as a critical
process of knowing person's wholeness. Dr. Losin's theory book
explores, clarifies, and advances the conception of technological
competency as caring in nursing. His theory is essential to modeling
a practice of nursing from the perspective of caring. It is a practical
illumination of excellent nursing in technological.
 End

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