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Patient-centered care nursing
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Patient-centered care (PCC) is a healthcare model focused on actively involving the patient in all aspects of planning, implementation and monitoring of care. It integrates respect for the patient’s needs, values and beliefs into the health care process. Important aspects of PCC are collaborative care, Family-centered care, and comfort. PCC allows the patient to have autonomy and a more collaborative role in making decisions regarding their treatment.
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
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When a patient is unable to make care decisions for themselves, it is necessary to involve those closest to them, most often family members. Providing a supporting environment to family members is another way that the best interest of the patient can be maintained. Families and friends can make a huge difference in the life of the patient after discharge. Instructing families in a way that is easy to understand helps eliminate potential barriers to communication. Families should be aware of what things to look for, what would constitute an emergency, and how to safely handle
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
Health behaviors of the family directly impact the continued wellbeing of the patient. The exposure to secondhand smoke and smoking in the presence of medical oxygen are the most frequent environmental concerns on discharge. Impacting the culture of an entire family, during one brief hospital stay is difficult. Reliance on community resources is essential to continued well-being for our patients. Equally important is the accessibility of those resources. Often, patients have limited access to resources due to mobility or transportation issues unless family members take an active role in the process.
nurses who frequently enhance the communication problems in discharge planning, and who strive to improve the working relationship, collaboration and who use the teamwork approach to patient and family centered discharge planning will greatly reduce patient readmission (Lo, Stuenkel, and Rodriguez, 2009, p. 160). Lo, Stuenkel and Rodriguez (2009) emphasize that an organized and well prepared discharge planning, education of patients with multi-lingual services and use of different methods of teaching greatly improves the patients’ outcome (p.157). These include an experienced and well-taught phone call follow-up sessions after discharge along with ensuring the extension of adequate postoperative care. Another way nurses can deliver a planned discharged teaching is by providing direct checklist for patient and family to follow. One must understand that these approaches will enforce the staff nurses and other health care providers to develop the safe patient transition to home.
Ignatavicius, D.D. & Workman, M.L.(2010). Medical-Surgical Nursing: Patient-Centered Collaborative Care. (6th ed.). St. Philadelphia PA: Saunders Elsevier
Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier University. Taylor, C. (2011). The 'Standard'. Introduction to Nursing -.
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
According to The Department of Health (2009) care planning is essentially about addressing an individual’s full range of needs. It takes into account their personal, social, economic, educational, cultural and mental health needs. After initially discussing this assignment with John
Discussion Questions 1. Upon completion of the activities listed above, define in your own words the quality of patient centered care. The quality of patient centered care is the measurement of how well a healthcare team is keeping the patients’ needs as the main goal.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
Good communication encourages collaboration and helps prevent errors. Strategies to help promote good communication and collaboration should include concepts such as self-awareness, creating opportunities for different ideas to come together and clarifying communication. “Respecting the views of other disciplines and communicating in an organized, thoughtful manner has an impact on how practitioners from other disciplines perceive the nurse’s role and value as a competent health care professional” (Arnold & Boggs, 2011). AD identified strategies such as; resourcefulness, teachable moments, a good work ethic and strong leadership as being important to her teams as well. Teams that are effective are characterized by common purpose and intent, trust, respect, and collaboration. Team members value familiarity over formality and watch out for each other to make sure mistakes are not made. A collaborative experience shared by AD, was working with an LPN that was diligent in asking questions and providing information to AD and other team members. This LPN was also good at listening to what others had to say and incorporating suggestions into her care practices. AD believes that because this LPN did her job in regards to knowing her abilities and communicating relevant information that potential near misses were avoided. AD felt that because of this LPN’s
Involvement of the family is a big part of the collaboration and also with patient-centered care. Family at that moment may have in site information that the patient isn’t sharing
Patient-centered care is an easy nursing competency for me as now. As a student nurse on the floor, I found that I gave my best nursing care delivery by recognizing that each patient is unique and that each has different needs, values, and preferences. After the end of baccalaureate program, I will be at 9/10 rating and a year after pre-licensure program, I will be very competent on the floor delivering respect and compassion to my
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier Saunders, p. 93.
The patient centered care is one of the main concepts to achieve an overall goal of health advocacy, in attributing to the safer medical system, whilst involving the patient interaction and involvement in the health care delivery and design. The patient centered care involves the integrating concept to educate the consumers about their health conditions, whilst guiding them to unbiased information about the benefits and risk of their health outcome.