TECHNOLOGICAL COMPETENCY AS CARING IN NURSING BY ROZZANO C. LOCSIN Ferris State University Nursing 501 Reviewed by Jennifer Scott, Constance Vanderboon, Sandra Hannon 1 OBJECTIVES The student will be able to: Define Locsin’s theory Identify nursing metaparadgim concepts Identify the criteria for evaluating Locsin’s Theory Describe the purpose of research article 2 OBJECTIVES CONTINUED Identify how Locsin’s Theory was reflected in the research article Identify how in the research article would have been different without the framework Describe how the theory could be applied in practice Identify the tie between theory and practice Identify the importance to differentiating nursing knowledge from other disciplines 3 OVERVIEW OF THEORY “Technological competency as caring is the skilled demonstration of intentional, deliberate, and authentic activities by experienced nurses who practice in environments requiring technological expertise.” Knowing Designing Implementing & Evaluating Verifying Knowledge Locsin & Waraporn, 2011, p. 30 4 PARADIGM CONCEPTS Health Nursing Environment Person Locsin’s Theoretical Framework Locsin, 2006, p. 381 Masters, 2012, p. 48 Future, 2011 5 EVALUATION Accuracy Technology continues to evolve and encompasses the majority of functional activities that nurses are expected to perform, especially in a clinical setting. Simplicity The relationships noted in Locsin’s theory include three main components of “caring in nursing, human beings as persons, and technological competence” Dudley-Brown, 1997, p. 80 Locsin, 2006, p. 382 6 EVALUATION CONTINUED Scope The scope of Locsin’s theory is narrow using technology, caring, and knowing persons Acceptance The broad concepts of caring and technology have been applied to nursing and critical care practice by a number of authors, including Locsin. These authors have taken the use of caring and technology in the direction of an optimistic, holistic view. Price, 2013, p. 280 Dudley-Brown, 1997, p. 80 7 EVALUATION CONTINUED Socio-cultural Utility Nursing occurs in critical care settings when technologies are used competently with the genuine purpose to know patients wholly, who are in the course of living and growing in caring. Locsin, 1998, p. 55 Dudley-Brown, 1997, p. 80 8 VALUING CARING BEHAVIORS WITHIN SIMULATED EMERGENT NURSING SITUATIONS' Terry Eggenberger, RN, PhD(c), Kathryn Keller, RN, PhD, & Rozzano C. Locsin, RN, PhD, FAAN. 9 OVERVIEW Students demonstrate caring behaviors with patients in emergent situations using a simulation lab THEORY REFLECTED Locsin presented a foundational viewpoint of technological competency as caring in nursing in which technological knowing demonstrates the focused attention that the nurse makes toward persons as contributors in their care rather than objects of their care. 10 QUESTIONS “How can a student be taught caring using simulation technology? “Can caring nursing be taught using simulation technology?” METHODS Qualitative focus group research method Semi structured group sessions Integrating, n.d. 11 HOW THE STUDY WOULD HAVE BEEN DIFFERENT Find another study that would have addressed caring and technology Getting to know the patient No framework to balance nursing care and technology Eggenberger, T., Keller, K., & Locsin, R. (2010). 12 THEORY IN PRACTICE Using technologies in nursing practice is only one way to know persons as whole Understand data is only current in the moment Invasive lines Focus on person in the moment to individualize care Vital signs 13 THEORY IN PRACTICE CONTINUED Maintain current in technologies Simulated learning Medication scanners Databases No technology should be the focus of care. Technologies provide one component to knowing persons complete and in the moment. 14 THEORY VS. PRACTICE Nursing Theory Conclusions of real events and conditions Nursing Practice Actual work performed by nurses. Relationship, (n.d.). 15 IMPORTANCE OF NURSING KNOWLEDGE Nursing’s unique body of knowledge Theories act as the foundation for nursing practice Butts, Rich, & Fawcett, 2012 Carper, 1978 Knowledge, 2005, November 29 Mallik, Hall, & Howard, 2009, p. 1 Profession, n.d.. 16 REFERENCES Butts, J. B., Rich, K. L., & Fawcett, J. (2012). The future of nursing: how important is discipline-specific knowledge? A conversation with Jacquelin Fawcett. Nursing Science Quarterly, 25(2), 151154. Retrieved from http://dx.doi.org/10.1177/0894318412437955 Carper, B. A. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 13-24. Retrieved from http://journals.laww.com/advancesinnursingscience/Citation/1978/ 10000/Fundamen tal_Patterns_of_Knowing_in_Nursing.4aspx. Defining nursing knowledge. (2005, November 29). Nursing times. Retrieved from http://www.nursingtime.net/nursingpractice/clinical-zomes/educators/defining-nursingknowledge/203491.article. 17 REFERENCES CONTINUED Eggenberger, T., Keller, K., & Locsin, R. C. (2010). Valuing caring behaviors within simulated emergent nursing situaions. International Journal for Human Caring, 14(2), 23-29. Future of nursing [Drawing]. (2011). Retrieved from http://magazine.nursing.jhu.edu/wpcontent/uploads/2011/07/p30_FutureofNursing.jpg. Integrating technology into nursing [Photograph]. (n.d.). Retrieved fromhttp://www.nursingknowledge.org/integrating-technology-innursing.html. 18 REFERENCES CONTINUED Locsin, R. C. (2006). Technological Competency as Caring and the Practice of Knowing Persons as Whole. Parker, M.E. (2nd ed.) In Nursing Theories & Nursing Practice. Philadelphia, PA: F. A. Davis Company. Locsin, R. C., & Waraporn, K. (2011). The invisible person in a technological world of nursing practice. UPNAAI Nursing Journal, 7(1), 27-31. Locsin, R. (1998). Technologic competence as caring in critical care nursing. Holistic Nursing Practice, 12(4), 50-56. Masters, K. (2012). Nursing theories: a framework for professional practice. Retrieved from http://samples.jbpub.com/9781449691509/81982_CH02_Pass1.pdf. 19 REFERENCES CONTINUED Price, A. M. (2013). Caring and technology in an intensive care unit: an ethnographic study. Nursing in Critical Care, 18: 278–288. doi: 10.1111/nicc.12032. Profession. (n.d.). Retrieved March 22, 2014, from http://www.merriam-webster.com/dictionary/profession. What is the relationship between nursing theory and nursing practice. (n.d.). Retrieved from http://www.wisegeek.com/what-is-therelationship-between-nursing-theory-and-nursing-practice.htm. 20