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Critical essay on person centred care
Guide the provision of person centered care
Critical essay on person centred care
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In order to become a health care provider, people-centered care is heavily incorporated into our education, highlighting the importance of people-centered care while working in the field of health care. In respect to this, it is evident that there is a major lack of understanding and application of people-centered care by the health care staff in the movie WIT. Person-centered care is “… underpinned by values of respect for persons, individual right to self-determination, mutual respect and understanding” (Smith-Trudeau, 2016, pg. 18). In this paper I will discuss how the staff in the movie fails to practice people-centered care, as well as how watching the film has altered my perception of how often people-centered care is not utilized in …show more content…
As mentioned by Smith-Trudeau, people-centered care is a means of practice designed by forming and encouraging advantageous connections among health care professionals and clients, as well as people who may be of significance to the client (Smith-Trudeau, 2016). In order to make the change toward people-centered care, I plan to make it a point to create therapeutic relationships with my clients as well as their families in an effort to make them feel as though I care about what they have to say, and what they want from their treatment. It is vital to me that the client does not have to withstand unnecessary treatment, this is promted by English who affirms: “Nobody wants to go through unnecessary tests, avoidable readmissions, or other forms of waste that burden their lives while achieving no health benefit” (English, 2016, pg. 295). I will strive to promote a safe atmosphere where the client understands what health care professionals are saying, contrasting the health care staff in WIT. This movie has also opened my eyes to the fact that health care providers often take part in conversation that is not professional with colleagues and clients. I will remain professional throughout my career, avoiding inappropriate conversation with other health care providers, as well as with clients in order to avoid potential feelings of insignificance. The movie WIT as well as the research performed surrounding people-centered care has made me understand that in order for the client to feel comfortable and respected, it is vital that I as a nurse provide a safe environment for them, as well as offer information that may be required for the client to fully understand their diagnosis and treatment
In order to effectively guide practice, it is essential that nurses understand and critique different theories to evaluate them for use in practice. For this paper I have selected Jean Watson’s Human Caring Theory: regarding transpersonal human caring. The rationale for selecting this theory is that it is central to nursing. Watson believes that caring is shared by nurses, as curing is shared by medicine (Dunlap, 1998). This theory is based on authentic caring to maintain the dignity of the individual (Green & Robichaux, 2009).
The aim of this essay is to reflect on the person-centred care I provided to a client in my Practice Learning Environment (PLE). I will demonstrate the practical application of Module 3 (Involving People) of the 10 Essential Share Capabilities and how they influenced my delivery of person-centred care. The Ten Essential Shared Capabilities were established to support the growing importance of person-centred care and values based practice (NHS Education for Scotland (NES), 2012a). The essential shared capabilities, which I will focus on, are working in partnership and person-centred care. I have selected the Gibb’s (1988) framework to guide me through the reflective process. Furthermore, to reinforce the Nursing and Midwifery Council (NMC) (2011) confidentiality guidelines, I have used the pseudonym “Thomas”.
Swankin, J.D. (2002). Patient-centred care. Current reality, barriers and proposed actions. http: www. iom.edu/iom/iomhome.nsf/Wfiles/ swankin/$file/ swankin.Patient-CtrdCare.ppt-.html.
An Epidemic of Empathy in Healthcare: How to Deliver Compassionate Connected Patient Care that Creates a Competitive Advantage was the book I chose to read for this assignment. I chose this book because in reading the reviews of the book and the summary, I found it to be a topic of current discussion among my associates and colleagues. The title of this book stood out to me and, after further inquiry, I realized it gave insight to one of the major problems in the delivery of healthcare today.
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.
My philosophy of nursing incorporates knowledge, compassion, competence, and respect for each patient. It is based on my personal and professional experiences, both of which have helped me to positively contribute to a patient’s recovery and wellness. These are the attributes that give me a sense of pride and strengthen my commitment to the nursing profession. This paper explores my values and beliefs relating to a patient’s care, as well as, the responsibilities of health professionals.
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care.
For over a century the improvement of health care has been championed by individuals and groups from Florence Nightingale to The Institute of Medicine (IOM). In the time of Ms. Nightingale, cleanliness and nutrition became the focus of improvement. Now, in the twenty and twenty-first century, the IOM has established guidelines and practices that bring the greatest balance between patient centered care and organized medicine since the early days of reform. Utilizing science to identify practices that produce measurable and quantifiable for the patient, six fundamental values called Aims, were developed to create a safe, effective, accessible healthcare system. Theses Aims state that Health Care must be safe, effective, patient centered,
According to Cronenwett et al. (2007) patient-centered care can be outlined as delivering care with respecting the patient’s predilections, beliefs, and necessities (p.123).
...ated a generation of providers who place all of their trust and reliance in the technologies and procedures that they utilize. They have dissociated themselves from the provider-patient bond, so much so, that they are unable to be receptive to their patients. Tenets such as humanism and professionalism, however, are vital to the effective practice of medicine and can counteract the disengaged culture of care. This film was an important reminder that providers are entrusted with the duty to observe, listen, and use their knowledge in a meaningful way. By listening to the patient and keeping their needs at the forefront of everything that we will do as providers, we will ensure that we are always practicing to the full extent of our capabilities. Patients will not struggle to receive effectual care, as they will be reinstated as the core of the healthcare experience.
My most valuable work with patients is to listen and learn from each one, and let them determine their goals. The person in person-centered in care is more of an expert in what’s best for them than I am. As shocking as this fact was to me, it’s been liberating to let go of having to know everything about a patient that I just met. As a result of my experience with my therapy patients, person-centered care has now become the foundation of my practice.
This week’s competency is no. 7 - A competent nurse practices relationship-centered care (OCNE, 2013). This week I was at the medical floor at Mercy and the client I focused on was someone with several complications, not to mention unable to speak for himself and confined to his bed. I was very interested in his profile and I thought it was my opportunity to challenge myself. Using the competency between the client and myself was difficult because of the situation, however, I was able to make a relationship-centered care with the client’s wife. The client’s wife was also the decision-maker and she’s by his side day and night. Although it seemed that the wife was difficult to work with because she basically did everything for him regardless of the physician’s orders, this did not stop me from creating a working relationship with her.
I do think that our group did work together well in finding a topic to research. There weren't any issues in communicating in our group. I do agree that the classes we are in right now has greatly helped guide our project. We have been able to figure out topics that are very prevalent in the medical system and also very interesting to learn about. I think that focusing on how family centered care affects health outcomes will be very beneficial because we will be able to apply it in our practice as nurses. I also felt that picking research studies was very difficult because there are so many studies, but it is hard to find ones that will really support our topic. I think we are in a very good position for our project right now and we will
Overall, your post was very insightful, as it informed me of tools available to assess and identify elder abuse. Your group’s discussion was also very relatable to my current nursing practice as well. Recently, a unit at my hospital transitioned from being a medicine unit, to a more-or less extended care facility for long term placement patients that are waiting for Title 19. That unit has since become very complex due to convoluted social contexts and complicated family dynamics. Now that many hospitals identify as supporting patient and family-centered care, it is imperative that we take our patients, and their family members safety and well-being into account.
Reflecting on the Person-Centered Therapy, it is similar to the Existential Therapy because it focuses on the client/therapist relationship, where the therapist needs to be totally genuine, empathetic and non-judgmental toward their clients in order to gain the client’s trust. I like the fact that the Person-Centered Therapy views the client as their best authority on their own experience, and being fully capable of fulfilling their own potential for growth. I also like the fact that the therapist is non-directive, does not give advice and there is no specific technique involved. Person Centered Therapy can basically develop their own technique as their relationship develop with the client.