Rozzano Locsin

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ROZZANO LOCSIN

TECHNOLOGICAL
COMPETENCY AS CARING IN
NURSING: A MODEL FOR
PRACTICE
Rozzano Locsin is a Professor of Nursing
at Tokushima University (Japan), a
Professor Emeritus of Florida Atlantic
University (United States), and a Visiting
Professor at universities in Thailand,
Uganda, and the Philippines.
 
He has authored a book entitled
Technological Competency as Caring in
Nursing: A Model for Practice, edited
and co-authored three more books,
including one entitled A Contemporary
Nursing Practice: The (Un)Bearable
Weight of Knowing in Nursing.
EARLY LIFE

■ Locsin was born in 1954. He is a registered nurse, a native of


Dumaguete City, Philippines who resides and practices his
nursing profession at Tokushima University, Tokushima, Japan
as a Professor of Nursing. He is a Professor emeritus of Florida
Atlantic University in Boca Raton, Florida, USA. Dr. Rozzano
Locsin earned his PhD in Nursing from the University of the
Philippines in 1988, and his MA in Nursing and Bachelor of
Science in Nursing from Silliman University in 1978 and 1976
respectively in the Philippines
ACADEMIC CAREER

■ In 1991, Locsin joined Florida Atlantic University, Christine E.


Lynn College of Nursing, where he was a tenured Professor of
Nursing, and now a Professor Emeritus
■ Locsin'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, Locsin
sustains the understanding that being technological competent is
being caring.
■ Locsin'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 persons’ wholeness. Locsin'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 a technological world.
ASSUMPTIONS
■ Technological Competency as Caring in Nursing is a middle range
theory grounded in Nursing as Caring (Boykin & Schoenhofer), 2001). It
is illustrated in the practice of nursing grounded in the harmonious
coexistence between technology and caring in nursing. The assumptions of
the theory are:
■ Persons are caring by virtue of their humanness (Boykin & Schoenhofer,
2001).
■ Persons are whole or complete in the moment (Boykin & 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
(Locsin, 2004).
■ Nursing is a discipline and a professional practice (Boykin & 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 Theatres;
■ 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 & Barnard, 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 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.
■ When technology is used to know persons continuously in the
moment, the process of 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 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. The person’s state change
moment to moment - 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
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
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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