ROZZANO LOCSIN
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 healthillness
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)
ROZZANO LOCSIN’S 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
By affirming, appreciating, and celebrating
personhood
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.