One of the Filipino nurse theorists who contributed to the advancement of nursing knowledge and practice is Dr. Carmelita C Divinagracia. She is a former president of the Association of Deans of Philippine Colleges of Nursing (ADPCN), a dean of University of the East Ramon Magsaysay Memorial Medical Center College of Nursing, a member of the Technical Committee on Nursing Education of the Commission on Higher Education (CHED), and a recipient of the Anastacia Giron Tupas Award given by the Philippine Nursing Association (PNA) in 2008. She is also an expert in research and education who has lectured and written about her work as a nurse and has used her hands-on experience to develop better ways to teach nursing.
What is the Nursing Theory Of Carmelita C Divinagracia?
The Nursing Theory Of Carmelita C Divinagracia is based on her dissertation titled "Advance Nurse Practitioners' Composure Behavior and Patients' Wellness Outcome". In this study, she aimed to determine the effects of composure behavior of the advance nurse practitioner on the wellness outcome of selected cardiac patients admitted and confined at the Philippine Heart Center, Coronary Care Unit.
Composure behavior is a set of behaviors or nursing measures that the nurse demonstrates to selected cardiac patients. It is a mnemonic for an intervention that stands for Competence, Presence, Prayer, Open-Mindedness, Stimulation, Understanding, Respect, Relaxation, and Empathy. These behaviors are explained as follows:
Competence: An in-depth knowledge and clinical expertise demonstrated in caring for patients. It also stands for consistency and congruency of words and deeds of the nurse.
Presence and Prayer: Being with another person during times of need and reciting prayers that are made through the nurse's personal relationship and faith in God. It also involves therapeutic communication, active listening, and touch.
Open-Mindedness: Being receptive/open to new ideas or reason. Considering the patient's preferences and opinions related to his or her current health condition. Flexibility of the nurse to accommodate patient's views.
Stimulation: Providing encouragement that conveys hope and strength. Giving explanation and supervision when doing certain procedures to patient. Use of complimentary words or praise and smile whenever appropriate.
Understanding: Conveys interest and acceptance of patient's condition and his or her entire being.
Respect and Relaxation: Acknowledging the patient's presence. Use of preferred naming in addressing the patient ("po" and "opo" are signs of positive regard). Involves alternate tension and relaxation of selected group of muscles.
Empathy: Senses accurately another person's inner experience. Perceives the current positive thought or feeling and communicates by putting themselves in the patient's place.
How does the Nursing Theory Of Carmelita C Divinagracia benefit cardiac patients?
The Nursing Theory Of Carmelita C Divinagracia proposes that composure behavior can positively affect the wellness outcome of cardiac patients. Wellness outcome is a condition of being in a state of well-being, a coordinated and integrated living pattern that involves the dimension of wellness. The dimensions of wellness include physical, emotional, social, intellectual, spiritual, occupational, environmental, financial, cultural, ethical/legal aspects.
According to Dr. Divinagracia, composure behavior can enhance the quality of nursing care by providing bio-behavioral caring interventions that address the needs of cardiac patients. By demonstrating composure behavior, nurses can establish mutual trust, acceptance, and satisfying relationships with their patients. They can also promote patient empowerment, self-care management, coping skills, resilience, hopefulness, and positive outcomes.
In her study, Dr. Divinagracia found that there was a significant relationship between composure behavior and wellness outcome among adult cardiac patients. She also found that gender, age, and other socio-demographic characteristics were related to the wellness outcome of adult cardiac patients. She concluded that composure behavior was an effective intervention that could be applied by advanced nurse practitioners in caring for cardiac patients.
How can nurses apply the Nursing Theory Of Carmelita C Divinagracia in their practice?
The Nursing Theory Of Carmelita C Divinagracia can be applied by nurses who have advanced in their profession in terms of practice and education. They can use composure behavior as a guide for their clinical decision making and actions when caring for cardiac patients. They can also use composure behavior as a framework for developing nursing policies, programs, curricula, research projects, and evaluation tools that are relevant to cardiac care.
Composure behavior of advanced nurse practitioner
Wellness outcome of cardiac patients
Bio-behavioral caring interventions
Philippine Heart Center Coronary Care Unit
Association of Deans of Philippine Colleges of Nursing
Competence, presence and prayer, open-mindedness, stimulation, understanding, respect and relaxation, empathy
Therapeutic communication, active listening, and touch
Flexibility and receptivity of the nurse
Acknowledging the patient's presence and preferences
Senses accurately another person's inner experience
Carmelita Divinagracia's theory flashcards
Carmelita Divinagracia's PDF document
Carmelita Divinagracia's nursing education and awards
Carmelita Divinagracia's research and publications
Carmelita Divinagracia's influence on Filipino nursing
Effects of composure behavior on patient recovery
Composure behavior as a nursing measure
Composure behavior as a form of art and science
Composure behavior as a demonstration of caring
Composure behavior as a source of hope and strength
Wellness outcome as a condition of well-being
Wellness outcome as a coordinated and integrated living pattern
Wellness outcome as a multidimensional concept
Wellness outcome as a goal of nursing care
Wellness outcome as a reflection of patient satisfaction
Bio-behavioral caring interventions as quality care delivery
Bio-behavioral caring interventions as evidence-based practice
Bio-behavioral caring interventions as holistic approach
Bio-behavioral caring interventions as patient-centered care
Bio-behavioral caring interventions as ethical responsibility
Philippine Heart Center Coronary Care Unit as study population
Philippine Heart Center Coronary Care Unit as clinical setting
Philippine Heart Center Coronary Care Unit as specialized facility
Philippine Heart Center Coronary Care Unit as cardiac care provider
Philippine Heart Center Coronary Care Unit as nursing education partner
Association of Deans of Philippine Colleges of Nursing as professional organization
Association of Deans of Philippine Colleges of Nursing as academic network
Association of Deans of Philippine Colleges of Nursing as advocacy group
Association of Deans of Philippine Colleges of Nursing as leadership development platform
Association of Deans of Philippine Colleges of Nursing as nursing standards setter
To apply composure behavior effectively, nurses must ensure that they have adequate knowledge and skills in caring for cardiac patients. They must also be aware of their own values, beliefs, attitudes, emotions, biases, strengths, weaknesses, limitations, and potentials. They must respect the diversity and uniqueness of each patient and consider their preferences and opinions when planning and implementing care. They must also communicate clearly and empathically with their patients and collaborate with other members of the healthcare team.
By applying composure behavior in their practice, nurses can demonstrate their professionalism, competence, compassion, commitment, integrity,
and excellence in nursing care. They can also contribute to the advancement of nursing theory and practice by generating new knowledge and evidence based on their experiences with composure behavior.
Conclusion
The Nursing Theory Of Carmelita C Divinagracia is a model of intervention for cardiac patients that involves composure behavior as a set of behaviors or nursing measures that affect wellness outcome. It is based on Dr. Divinagracia's dissertation that aimed to determine the effects of composure behavior on selected cardiac patients at the Philippine Heart Center. Composure behavior stands for Competence,
Presence,
Prayer,
Open-Mindedness,
Stimulation,
Understanding,
Respect,
Relaxation,
and Empathy.
These behaviors can enhance the quality
of nursing care by providing bio-behavioral caring interventions that address
the needs
of cardiac patients.
The Nursing Theory Of Carmelita C Divinagracia can be applied by advanced nurse practitioners who have adequate knowledge
and skills
in caring
for cardiac patients.
They can use composure behavior as a guide
for their clinical decision making
and actions,
as well as a framework
for developing nursing policies,
programs,
curricula,
research projects,
and evaluation tools
that are relevant
to cardiac care.
The Nursing Theory Of Carmelita C Divinagracia is a valuable contribution
to nursing knowledge
and practice
that can benefit both nurses
and cardiac patients.
What are the implications of the Nursing Theory Of Carmelita C Divinagracia for nursing education and research?
The Nursing Theory Of Carmelita C Divinagracia has implications for nursing education and research as well. As a nurse educator, Dr. Divinagracia has been lauded for developing the art and competency of teaching nursing. She has lectured and written about her work as a nurse and has used her hands-on experience to develop better ways to teach nursing. She has also been a member of the Technical Committee on Nursing Education of the Commission on Higher Education (CHED) and has contributed to the development of nursing curricula and standards.
The Nursing Theory Of Carmelita C Divinagracia can be used as a framework for teaching and learning nursing concepts, skills, values, and attitudes. It can also be used as a guide for developing nursing competencies and outcomes that are relevant to cardiac care. It can help nursing students and educators to appreciate the importance of composure behavior as a bio-behavioral caring intervention that can enhance the quality of nursing care and patient outcomes.
The Nursing Theory Of Carmelita C Divinagracia can also inspire nursing research that can generate new knowledge and evidence based on composure behavior and its effects on wellness outcome. It can provide a basis for developing research questions, hypotheses, objectives, methods, instruments, data analysis, and interpretation. It can also help nursing researchers to identify gaps in knowledge and practice that need further investigation. It can also facilitate the dissemination and utilization of research findings that can inform nursing practice, education, policy, and theory development.
What are the challenges and limitations of the Nursing Theory Of Carmelita C Divinagracia?
The Nursing Theory Of Carmelita C Divinagracia is not without challenges and limitations. One of the challenges is how to apply composure behavior in different settings and contexts that may have different cultures, values, beliefs, norms, expectations, resources, and constraints. Another challenge is how to measure composure behavior and wellness outcome objectively and reliably using valid and reliable instruments. A third challenge is how to ensure the ethical conduct of research involving composure behavior and wellness outcome that respects the rights, dignity, privacy, confidentiality, autonomy, and consent of the participants.
One of the limitations of the Nursing Theory Of Carmelita C Divinagracia is that it is based on a single study that involved a small sample size of 31 adult cardiac patients at the Philippine Heart Center. Therefore, the generalizability of the findings may be limited to similar settings and populations. Another limitation is that it does not account for other factors that may influence composure behavior and wellness outcome such as personality traits, coping styles, social support, environmental factors, co-morbidities, medications, interventions, etc. A third limitation is that it does not address the possible negative effects or risks of composure behavior such as burnout, compassion fatigue, emotional distress, role conflict, role ambiguity, etc.
How can the Nursing Theory Of Carmelita C Divinagracia be improved?
The Nursing Theory Of Carmelita C Divinagracia can be improved by conducting more studies that can test and validate its assumptions, concepts,
propositions,
and relationships.
It can also be improved by expanding its scope
and applicability
to other settings
and populations
that may have different needs
and characteristics.
It can also be improved by incorporating other factors
that may affect composure behavior
and wellness outcome
such as biological,
psychological,
social,
cultural,
spiritual,
ethical,
legal,
and political aspects.
It can also be improved by addressing the possible negative effects
or risks
of composure behavior
and providing strategies
to prevent
or mitigate them.
Conclusion
The Nursing Theory Of Carmelita C Divinagracia is a model of intervention for cardiac patients that involves composure behavior as a set of behaviors or nursing measures that affect wellness outcome. It is based on Dr. Divinagracia's dissertation that aimed to determine the effects of composure behavior on selected cardiac patients at the Philippine Heart Center. Composure behavior stands for Competence,
Presence,
Prayer,
Open-Mindedness,
Stimulation,
Understanding,
Respect,
Relaxation,
and Empathy.
These behaviors can enhance the quality
of nursing care by providing bio-behavioral caring interventions that address
the needs
of cardiac patients.
The Nursing Theory Of Carmelita C Divinagracia can be applied by advanced nurse practitioners who have adequate knowledge
and skills
in caring
for cardiac patients.
They can use composure behavior as a guide
for their clinical decision making
and actions,
as well as a framework
for developing nursing policies,
programs,
curricula,
research projects,
and evaluation tools
that are relevant
to cardiac care.
The Nursing Theory Of Carmelita C Divinagracia has implications for nursing education and research as well. It can be used as a framework for teaching and learning nursing concepts, skills, values, and attitudes. It can also inspire nursing research that can generate new knowledge and evidence based on composure behavior and its effects on wellness outcome. The Nursing Theory Of Carmelita C Divinagracia is not without challenges and limitations. It requires further testing and validation in different settings and contexts. It also needs to account for other factors that may influence composure behavior and wellness outcome. It also needs to address the possible negative effects or risks of composure behavior.
The Nursing Theory Of Carmelita C Divinagracia is a valuable contribution
to nursing knowledge
and practice
that can benefit both nurses
and cardiac patients.
It is a model of intervention that reflects the dynamic discipline, art, and science of caring that nursing embodies. It is also a model of intervention that respects the diversity and uniqueness of each patient and considers their preferences and opinions when planning and implementing care. It is also a model of intervention that promotes patient empowerment, self-care management, coping skills, resilience, hopefulness, and positive outcomes. We hope that this article has provided you with useful information about the Nursing Theory Of Carmelita C Divinagracia and has inspired you to learn more about it and apply it in your practice. If you have any questions or comments, please feel free to contact us.
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