Laguna State Polytechnic University - SCC

NURSING THEORIES

College of Nursing and Allied Health

CASAGRA

Transformative

Leadership Model
(sister carolina agravante)
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Prepared By:
Erica Eguia Velasco
SISTER CAROLINA AGRAVANTE

BIOGRAPHY
She is famous for being the first Filipina
theorist for writing the CASAGRA
Transformative Leadership Theory.
The title of the theory was derived from
her name CArolina S. AGRAvante. The
theory focus on the type of leadership in
nursing that can challenge the values of
the changing world.
She finished her secondary education at
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St. Paul University - Manila (formerly St.

Paul College - Manila) as class
salutatorian.
SISTER CAROLINA AGRAVANTE

BIOGRAPHY
In 1964, she earned her BS Nursing degree in
the same school as Magna Cumlaude. In the
same year, she passed the nurse licensure
examinations as the board topnotcher.
From 1967 to 1969, she studied Master's
Degree in Nursing Education at Catholic
University of America as a full-fledged
scholar.
In 2002, she earned her Doctoral Degree in
Philosophy at the University of the
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Philippines Manila - the same year her

theory was published.
SISTER CAROLINA AGRAVANTE

THE MODEL IS A THREE-FOLD TRANSFORMATION LEADERSHIP

CONCEPT ROLLED INTO ONE, COMPRISING OF THE FOLLOWING
ELEMENTS:
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Servant - Leader Self - Mastery Special Expertise

Spirituality
SISTER CAROLINA AGRAVANTE

THREE-FOLD TRANSFORMATIVE LEADER CONCEPT

1. Servant-Leadership Spirituality here is
prescribed to run parallel to the generic elements
of the transformative leadership model.

This formula consists of a spiritual exercise, the

determination of the vitality of the care complex
in the personality of an individual and finally a
seminar workshop on transformative teaching.

The servant-leader formula prescription

includes a spiritual retreat that goes through the
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process of awareness, contemplation, story

telling, reflection, and finally commitment to
become servant-leaders in the footsteps of Jesus.
SISTER CAROLINA AGRAVANTE

THREE-FOLD TRANSFORMATIVE LEADER CONCEPT

2. Self-Mastery consists of a vibrant
care complex possessed to a certain
degree by all who have been through
formal studies in a care giving profession
such as nursing.

3. Special-Expertise level is shown in a

creative, caring, critical, contemplative
and collegial teaching of the nurse
faculty who is directly involved with the
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formation of the nursing.

 CONCEPTS
SISTER CAROLINA AGRAVANTE

The CASAGRA Transformative Leadership Model have concepts of

leadership from a psycho-spiritual point of view, designed to lead to radical
change from apathy or indifference to a spiritual person.

THE CONCEPT IS CLASSIFIED AS

PRACTICE THEORY
a. Complexity/Abstractness, Scope - Focuses on a narrow view of
reality, simple and straightforward.
b. Generalizibility/Specificity - Linked to a special populations or an
identified field of practice.
c. Characteristic of Scope - Single, concrete concept that is
operationalized.
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d. Characteristic of Proposition - Propositions defined

e. Testability - Goals or outcomes defined and testable
f. Source of Development - Derived from practice or deduced from
middle range theory or grand theory.
 KEY CONCEPTS:
SISTER CAROLINA AGRAVANTE

Servant-Leader Formula
is the enrichment package prepared as intervention for
the study which has three parts that parallel the three
concepts of the CASAGRA Transformative Leadership
Model, namely: the care complex primer, a retreat-
workshop on Servant-Leadership, and a seminar-
workshop on transformative Teaching for nursing faculty.

Special Expertise
is the level of the competence in the particular nursing
area that the professional nurse is engaged in
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workshop is the spiritual exercise organized in an

ambience of prayer where the main theme is the
contemplation of Jesus Christ as a Servant-Leader.
 KEY CONCEPTS:
SISTER CAROLINA AGRAVANTE

Servant-Leadership Behavior
refers to the perceived behavior of nursing faculty
manifested through the ability to model the servant
leadership qualities to students, ability to bring out the
best in students, competence in nursing skills,
commitment to the nursing profession, and sense of
collegiality with school, other health professionals, and
local community.

Nursing Leadership
is the force within the nursing profession that sets the
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vision for its practitioners, lays down the roles and

functions, and influences the direction toward which
the profession should go.
 KEY CONCEPTS:
SISTER CAROLINA AGRAVANTE

Transformative Teaching
may also be termed Reflective teaching, an umbrella
term covering ideas, such as thoughtful instruction,
teacher research, teacher narrative, and teacher
empowerment.

Care Complex
is the nucleus of care experiences in the personality
of a nurse formed by a combination of maternal
care experiences, culture based-care practices
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indigenous to a race and people, and the

professional training on care acquired in a formal
course of nursing.
SISTER CAROLINA AGRAVANTE
THE CASAGRA TRANSFORMATIVE LEADERSHIP MODEL: SERVANT -
LEADER FORMULA AND THE NURSING FACULTY'S TRANSFORMATIVE
LEADERSHIP BEHAVIOR
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SISTER CAROLINA AGRAVANTE
THE CASAGRA TRANSFORMATIVE LEADERSHIP MODEL: SERVANT -
LEADER FORMULA AND THE NURSING FACULTY'S TRANSFORMATIVE
LEADERSHIP BEHAVIOR
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 REFERENCES
SISTER CAROLINA AGRAVANTE

Alolod, J. et al. (n.d.). Sister Carolina Agravante. Retrieved from

January 12, 2022 from
https://www.academia.edu/37549548/Sister_Carolina_Agravante?
fbclid=IwAR0tg9c7YapbpFyzu5nAuF5pxD_ph01oMqBX8urcgzJXay
NNE7xcPucLUGo

CASAGRAModel.Blogspot.com (2016). Meaning and

Paradigm. Retrieved from January 12, 2022 from
http://casagramodel.blogspot.com/search/label/Key
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%20Concepts
 Laguna State Polytechnic University - SCC
NURSING THEORIES
College of Nursing and Allied Health

Composure

Model
(Carmelita A. Divinagracia)
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Prepared By:
Erica Eguia Velasco
CAR MELI T A DI VI N A GR AC I A

BIOGRAPHY
Filipino Nurse Theorist
Master in Nursing in 1975
Doctoral Degree Holder in 2001
Cardiologist Nurse
Advance Nurse Practitioner
Dean of University of the East Ramon Magsaysay
Memorial Medical Center (UERMMMC) College of
Nursing
Former President of The Association of the Philippine
Colleges of Nursing (ADPCN)
She has been a clinic staff and head nurse, instructor,
assistant dean and dean.
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She lectured and wrote about her work as a nurse and

she used her hand- on experiences to develop better
ways to teach nursing.
CAR MELI T A DI VI N A GR AC I A
“ADVANCE NURSE PRACTITIONERS’ COMPOSURE BEHAVIOR
AND PATIENT’S WELLNESS OUTCOME”
Objective
Determine the effects of the “COMPOSURE”
behavior of the advanced nurse practitioner on
the wellness outcome of the selected cardiac
patience.
Significance of the Study
Nursing as a healthcare profession would prove
its worth of being at PAR in quality performances
with other healthcare professionals.
Study Population
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Adult Cardiac Patients---- admitted and

confined at the Philippine Heart Center, Coronary
Care Unit
CAR MELI T A DI VI N A GR AC I A
DEFINITION OF TERMS
Advance Nurse Practitioners
BSN graduate
Licensed and has a clinical experience of at least
2 years in the clinical area
Has undergone special training in a critical area

Wellness Status
A condition of being in a state of well-being, a
coordinated and integrated living pattern that
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involves the dimension of wellness

CAR MELI T A DI VI N A GR AC I A
DEFINITION OF TERMS
COMPOSURE BEHAVIORS
Set of behaviors or nursing measures that the
nurse demonstrates to selected cardiac patients
COMPOSURE is an acronym which stands for:
COM – pretense
P-resence & Prayer
O-penmindedness
S-timulation
U-nderstanding
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R-espect and Relaxation

E-mpathy
CAR MELI T A DI VI N A GR AC I A

CONCLUSIONS
1. The socio-demographic characteristics specifically
gender, and age are related to the wellness outcome
of adult cardiac patients
2. A significant difference exists in the pre-test, post-
test scores of the wellness outcome after the
COMPOSURE BEHAVIOR intervention in 3 groups.
3. Nursing Profession can actively deliver quality care
through biobehavioral caring interventions like the
COMPOSURE BEHAVIOR because regardless of
creed, social class, gender, age, and nationality,
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each one needs a humane, caring, spiritually-

oriented intervention that can facilitate wellness
WEEK 14 CAR MELI T A DI VI N A GR AC I A
 REFERENCES
CAR MELI T A DI VI N A GR AC I A

Jalas, F. M. K. & Javier, E. (2019). Divinagracias

Composure Model. Retrieved from January 12, 2022 from
https://www.scribd.com/presentation/438458130/Divinag
racias-Composure-Model.

Sangreo, M. (2019). Carmelita Divinagracia.

Retrieved from January 12, 2022 from
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https://prezi.com/1_sxyayejjcw/carmelita-
divinagracia/