Rozzano C. Locsin

Music listening as a nursing intervention: a symphony of practice.

This article presents the use of music listening as an effective, noninvasive intervention designed to assist nurses in creating a healing environment to promote health and well-being. Music has demonstrated effectiveness in reducing pain, decreasing anxiety, and increasing relaxation. In addition, music has been used as a process to distract persons from unpleasant sensations and empower them with the ability to heal from within. As nurses develop practice patterns that are evidence based, the use of music listening could become an integral nursing intervention. To develop a guide for using music listening as a nursing intervention, six principles of practice are identified: intent, authentic presence, wholeness, preference, entrainment, and situating the client.

The effect of music on pain and acute confusion in older adults undergoing hip and knee surgery.

The purpose of this study was to examine the effects of music listening in older adults following hip or knee surgery. Acute confusion and pain after surgery can increase length of stay and reduce function. Study results demonstrate a reduction in acute confusion and pain and improved ambulation and higher satisfaction scores in older adults who listened to music.

Technologic competence as caring in critical care nursing.

&NA; The article describes technologic competence as caring in critical care nursing, a framework grounded in the perspective of nursing as caring. The achievement of technologic competence is an exercise in the process of knowing the wholeness of persons in the moment. Nurturing persons toward well‐being is the focus of nursing. Technology, caring, and competence are core concepts that constitute the framework of technologic competence as caring in critical care nursing. Technologic competence epitomizes critical care nursing and assumes an indispensable position in contemporary nursing practice.

Culture-centrism and holistic care in nursing practice.

Rozzano C. Locsin, RN C, PhD Fulbright Scholar, Visiting Professor of Nursing Faculty of Medicine, Mbarara University of Science and Technology Mbarara, UGANDA and Associate Professor of Nursing Florida Atlantic University Boca Raton, FL CERTAIN DISEASES are more common in some cultures than in others. Hypertension, for example, is the most common cardiovascular disease in black Africans, occurring in more than 15% of the adult population. Hypertension in black Africans appears at a younger age (compared with the fourth and fifth decades in Western countries) and rapidly causes significant mortality and morbidity. In contrast, however, black Africans have developed an altered transport mechanism for sodium that enables them to survive in a subtropical or tropical environment. 1,2

Thai nurses' experience of caring for persons with life-sustaining technologies in intensive care settings: A phenomenological study

Technological competency as caring in nursing is grounded in the viewpoint that health care technologies are used to know persons. This study described the experiences of eight Thai nurses caring for persons with life-sustaining technologies in adult intensive care settings. Using individual semi-structured interviews, Van Manens hermeneutic phenomenological approach was used to analyse the data. Nine thematic categories formed the description of the experience of caring for. The experience of caring for is described as valuing competency to care despite differing insecurities in the use of technology. Influenced by relationships and compassion, the risk that technology prevented an appreciation of persons as wholes is embodied in the encouraging collaboration of fostering time to care regardless of being in a restricted space surrounded with technology. Locsins theory of Technological Competency as Caring in Nursing serves as theoretical lens through which findings are discussed. These findings should assist nurses achieve quality human care in intensive care settings.

Culture of nursing, preoccupation with prediction, and nursing intention.

Culture is a series of rules and methods that a society has evolved to deal with the recurring problems it faces. These have become so basic that, like breathing, we no longer think about how we approach or resolve them.

The dilemma of decision-making: processing thinking critical to nursing.

Rozzano C. Locsin, RN-C, PhD Fulbright Scholar and Visiting Professor Department of Nursing, Faculty of Medicine Mbarara University of Science and Technology Mbarara, Uganda and Associate Professor of Nursing Florida Atlantic University Boca Raton, Florida I propose that within the ambiguous and uncertain world of nursing practice, a scientific and rational approach to decision-making is inappropriate. More importantly, professional judgment in the decisionmaking process cannot be prescribed, as practitioners cope with the uncertainties and challenges of everyday clinical practice in a very complex and individual way.1(p. 289)

The culture of technology: defining transformation in nursing, from "the lady with a lamp" to "robonurse"?

Rozzano C. Locsin, RN-C, PhD Fulbright Scholar and Visiting Professor of Nursing Faculty of Medicine Mbarara University of Science and Technology Mbarara, Uganda and Associate Professor of Nursing Florida Atlantic University Boca Raton, Florida T HE issues of learning, education, practice, and leadership heighten the appreciation of transformations in professional nursing. A critical issue taking center stage is the continuously debated association among the concepts of technology, caring, and nursing. Often, it is awareness of the “culture of technology in nursing” that upholds the transformation of professional nursing as an imperative for contemporary knowledgeable practice. Culture is “how a group of people think, believe, and behave,” (1,p.13) while technology refers to the Greek concepts techne, the know-how of making things, and logus, the study or rational order of things. 2

Aesthetic expressions illuminating the lived experience of Thai ICU nurses caring for persons who had a peaceful death.

This article, through art and aesthetic expression, illustrates and illuminates the experiences of persons caring for those who had peaceful deaths in intensive care units (ICUs) in southern Thailand. Aesthetic expression, categorized as a descriptive thematic experience, enhanced the appreciation of the experiences, which has implications for holistic end-of-life care.

Measuring quality of sleep and autonomic nervous function in healthy Japanese women

The purpose of this study was to determine the relationship between quality of sleep and autonomic nervous functioning in healthy adult Japanese women using three measures, namely, the Pittsburgh Sleep Quality Index (PSQI) for subjective assessment of sleep quality, actigraphy for objective assessment of sleep, and heart rate variability using high frequency and low frequency domains. Participants were 31 healthy women in their 20s to 40s who met the selection criteria, including having normal monthly menstrual periods. Participants were categorized as good or poor sleepers according to their PSQI score. Median correlation coefficients of activity count and high frequency were −0.62 (range −0.43 to −0.84) for good sleepers and −0.45 (range 0.003 to −0.64) for poor sleepers. Good sleepers showed a significantly higher correlation of activity count and high frequency (Z=−2.11, P<0.05). Median correlation coefficients of activity count and low frequency/high frequency were 0.54 (range 0.29–0.73) for good sleepers and 0.41 (range 0.11–0.63) for poor sleepers. The PSQI, actigraphy data, and heart rate variability results showed positive correlations between sleep time as measured by PSQI and duration of inactivity as measured by actigraphy (r=0.446, P<0.05) and sleep time as measured by actigraphy (r=0.377, P<0.05), and a negative correlation between sleep time as measured by PSQI and the correlation coefficients of activity count and high frequency (r=−0.460, P<0.01). These results support the finding that sleep-wake rhythms can be monitored efficiently with actigraphy, providing accurate data that can support the diagnosis of sleeping disorders. Furthermore, actigraphy data were associated with heart rate variability and PSQI findings, but only in subjects who were poor sleepers. Actigraphy is an accurate, efficient, rapid, and inexpensive test for determining objective and subjective sleeping problems, and can also be used in clinical tests for sleep assessment.