Carmelita C.

Divinagracia

Divinagracia’s
COMPOSURE
Model
by: SEREÑO, Jenny Grace & SIH, Nadeen
 Who she?

Carmelita C.
Davinagracia
• RN, PhD
• Master’s degree in Nursing in1975
• Doctoral degree in Nursing in 2001
• Filipino Nurse Theorist-Association of
the Deans Philippine Colleges of
Nursing (ADPCN)
• Member of Ched’s Technical
Committee on Nursing Education.
Composure
Behaviour
• Set of behaviors or nursing
measures that the nurse
demonstrates to selected cardiac
patients.
 Theory of Composure
Behaviour
O-penmindedness
COM-petence P-resence and
Prayer

S-timulation U-nderstanding R-espect and E-mpathy

Relaxation
 Definition of Terms:
Competence
- In depth knowledge and expertise of the Advance Nursing Practitioner.
- Consistency and congruency of word and actions by the Nurse.

Presence and Prayer

- Care in the form of “being-there” during desperate times.
 Definition of Terms:
Open-mindedness
- Able to accept opinions and methods supplied by the patient or
other co-worker.

Stimulation
 - Provision of motivation to the patients.

Understandin
g situation the patient is in and able to show
- Able to grasp the
concern and compassion.
 Definition of Terms:
Respect
 - Acknowledgement of the patient’s needs.

Relaxation
  - Allowance of resting periods for the patient.

Empathy
 - Able to relate to the hardship the patient is going through.
Patients Wellness Outcome
Physiological
1 - Refers to the perceived wellness of patient in
terms of VITAL SIGNS, CHEST PAIN
and COMPLETE BLOOD COUNT
(Hemoglobin).

Biobehavioral
2 - Refers to the perceived wellness of patients in
terms of PHYSICAL, INTELLECTUAL,
EMOTIONAL, and SPIRITUAL  aspects.
 Physiological Biobehavioral
Outcome
Vital Signs: clinical measurements,
Outcome
Physical: concerned or preoccupied
specifically pulse rate, temperature, with the body and its needs.
respiration rate and blood pressure, that
indicate the state of the patient’s Emotional: relating to a person’s
essential body functions. emotions.

Chest pain: pain in the chest of the Intellectual: relating to your ability to
patient. think and understand things, especially
complicated ideas.
Hemoglobin: blood count of the
patient. Spiritually: relating to religion or
religious belief.
 Metaparadigm of the Theory

PERSON
- Each individual needs
humane, caring, NURSING
spiritually-oriented - The quality of
ENVIRONMEN
intervention that can HEALTH nursing care could be
T
facilitate wellness Not Stated. improved using an
Not Stated.
regardless of creed, intervention.
social class, gender, age
and nationality.
Theoretical Paradigm Physiological
Outcome:
Vital Signs
“COMPOSURE
Chest Pains
BEHAVIOUR”
Hemoglobin
Competence
Presence & Prayer WELLNESS
Open-mindedness OUTCOME Biobehavioral
Stimulation Outcome:
Understanding Physical
Respect and Emotional
Relaxation Intellectual
Empathy Spiritual
 Yey!

Conclusion - The socio-demographic characteristics of the participants

specifically gender and age are related to the wellness
outcome of adult cardiac patients.

- A significant difference exist in the pre-test and post-test

scores of the wellness outcome after the COMPOSURE
behavior intervention

- The nursing profession can actively deliver quality care

through bio-behavioral caring interventions like the
COMPPOSURE behaviors regardless of creed, social class,
gender, age and nationality. Each one needs humane caring
spiritually-oriented interventions.
Thank you for listening! :D

References:
https://prezi.com/p/zplexutsaapz/carmelita/ 000000
https://www.scribd.com/presentation/438458130/
Divinagracias-Composure-Model 00000
https://www.coursehero.com/file/106841055/divina-
gracia1docx/
https://www.youtube.com/watch?v=FWFfIDB3VAg