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TECHNOLOGICAL COMPETENCY AS CARING IN NURSING

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iwayan antariksawan

on 30 September 2015

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Transcript of TECHNOLOGICAL COMPETENCY AS CARING IN NURSING

TECHNOLOGICAL COMPETENCY AS CARING IN NURSING
CRITIQUE
BIOGRAPHY
LOCSIN THEORY
Dr. Rozzano Locsin
Advance Theoretical and Philosophical Foundation of Nursing
Antariksawan, I Wayan
Dr. Rozzano Locsin 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 Silliman University in 1978 and 1976 in the Philippines. He joined Florida Atlantic University, Christine E. Lynn College of Nursing in 1991 where he is a tenured Professor of Nursing.
Dr. Locsin's research and scholarly works concerning technology and caring in nursing converge on the theme "life transitions in human health." Four books attest to this thematic focus. In 2001, he edited the book Advancing Technology, Caring, and Nursing published by Auburn House, Connecticut, USA; In 2005, his middle range theory Technological Competency as Caring in Nursing was published by Sigma Theta Tau International Press; in 2007 a co-edited book Technology and Nursing: Practice, Concepts, and Issues was released by Palgrave-Macmillan Co., London, UK, and with Dr. Marguerite Purnell as co-editor, the book entitled, A Contemporary Nursing Process: The (Un)Bearable Weight of Knowing in Nursing was released in April 2009 by Springer Publishing Co.
Dr. Locsin's scholarly and creative works focus on using the arts as healing modalities, and the arts as aesthetic expressions in studying nursing. His passion for the arts in nursing earned him the Edith Moore Copeland Excellence in Creativity Award from Sigma Theta Tau International Honor Society of Nursing in 2003.
His international commitments are illustrated in continuing global initiatives. Through the Fulbright Scholar Award, he developed the first Masters program in Nursing in Uganda while researching the phenomenon "waiting-to-know" and the lived experiences of persons exposed to patients who died of Ebola Hemorrhagic Fever. With Mbarara University and the Fulbright Alumni Initiative Award, he established the first Community-based University Nursing Education Program
Currently, as Fulbright Senior Specialist in Global and Public Health, he continues to lead collaborative research studies advancing the development of models of nursing practice in Uganda, Thailand, and the Philippines. He maintains Visiting and Honorary professorial appointments in nursing in the Philippines, Uganda, and Thailand.
He was the first recipient of the Lillian O. Slemp Endowed Chair in Nursing at the University of Texas-Pan American in Edinburg, Texas in 2007. In August 2009, he was the first recipient of the John F. Wymer, Jr. Distinguished Professor in Nursing at Florida Atlantic University. In 2006, Dr. Locsin was inducted as Fellow of the American Academy of Nursing (FAAN).
Other awards attesting excellence in his work include the Outstanding Sillimanian Award and the Outstanding Paulinian Award in the field of Nursing Education from renowned Philippine schools. The Julita V. Sotejo Medallion of Honor was awarded by the University of the Philippines College of Nursing Alumni Association International in Los Angeles, California.
Locsin's theory: Technological competence as caring in nursing
1. Technological competency in nursing fosters the recognition and realization of persons as participants in their care rather than as objects of care
2. The idea of "participation in their care" stems from active engagement; the nurse enters the world of the one nursed, through available appropriate technologies, attempting to know the nursed more fully in the moment
3. In this practice, the assumption is understood that the one nursed allows the nurse to enter his or her world so that together, they may mutually support, affirm and celebrate each other's being
4. In this relationship of the "knower" and the "known", technology provides the efficiency and the value that marks their mutual and momentary reality
1. Persons are whole or complete in the moment
2. Knowing persons is a practice process of nursing that allows for continuous appreciation of person moment to moment
3. Nursing is a discipline and a professional practice
4. Technology is used to know persons fully in the moment
Locsin's assumptions
1. Technological competence: assists the nurse in acknowledging the person as a focus of nursing; using technology competently to compliment or assist the nurse in knowing the patient in the moment
2. Caring in nursing: authentically knowing the person in the moment, to the extent to which they wish to be known
3. Human beings as persons: knowing the patient in the moment as whole and complete persons, despite their condition
ex. Amputees, hysterectomy, etc. these people are still whole or complete as human beings, even if using technology to live ex. pacemaker, dialysis machine, prosthetic limbs
Locsin: Knowing the other person
Key points from Locsin's theory
1. "The nurse can know the person fully only in the moment"
2. "It is not entirely possible for the nurse to fully know another human being, except in the moment and only if the person allows the nurse to know him/her by entering into the other's world"
3. "The expectation is that the nurse is to use multiple ways of knowing competently in using technologies in order to know the other fully as a person"


Risks with technology in nursing
1. Doctor Google - patients diagnosing or misdiagnosing themselves based on information from the Internet
2. Confidentiality - the widespread availability of private information
ex. staff/patients posting on social media, systems hacking, laptops stolen
3. EMR - Permanent, nationally accessible health record. Does physiotherapist need to know about STI you had in 2009
Technological competence key points summarized
1. Technological competency is seeing people as participants in their care
2. The Idea of participation in their care stems from an active engagement; the nurse enters the patient's world through technology in an attempt to know the patient fully in the moment
3. Assumption: The patient consents to the nurse entering his world so that together, they may mutually support, affirm and celebrate each other's being
4. Technology provides efficiency and value that marks mutual and momentary reality between the knower and the known
Relationship Between Structure & Function
Diagram of Theory
Circle Of Contagiousness
Usefulness
External
Components
Clarity
Simplicity/Complexity
Tautology/Teleology
Personal values
Congruence with other professional values
Congruence with social values
Social significance

Locsin define a Technological competence as caring in nursing
Locsin Theory are simple using on Knowing framework nursing care
Locsin theory have no different to their theoretical framework
Practice
Research

Education

Administration
ex. Amputees, hysterectomy, etc. these people are still whole or complete as human beings, even if using technology to live ex. pacemaker, dialysis machine, prosthetic limbs
Technology is used to know persons fully in the moment
Technological competency in nursing fosters the recognition and realization of persons as participants in their care rather than as objects of care
Have no specifics order to allow the Locsin framework or model just using the device procedure
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