Improving Health in the Primary Care Setting "I order to improve health in the primary care setting you need to work collaboratively with others" Throughout the discussion I will analyze the above statement highlighting the professional issues raised, involving the nurse working in the primary care setting. Within this I will distinguish exactly what primary care is and the relation to the importance of collaboration in this particular setting. Leading onto how we/nurses collaborate in primary care. I will also investigate what a clients roll is in the promotion of the populations health. Included within this are recent policies applicable to this setting. To conclude I will critical analyze examples of my own personal experience in the primary care situation, analyzing the competencies and inequalities that I feel occurred, linking to the appropriate theories to practice. Primary care is basically, care that is based within the community. It has been stated that although the view of primary care being, care for the chronically disabled and mild self limited disorders it has evolved to be at least as complex and diverse as in hospital care. Primary care is however difficult to define but according to the World Health Organization (1978) it is the provision of health services for individuals, the family and the community… bringing health care as close as possible to where people live and work and constitutes the first element of continuing the health care process. Primary care has been distinguished as having three main sectors and these are Preventative Care, Intermediate Care, and also Accute Care. " Working within the prim... ... middle of paper ... ...f agencies to provide a whole service. According to DOH (2002) primary care should aim to work within a collaborative model "This approach is a proven method of spreading and adapting existing knowledge to multiple sites to achieve a common aim". Working within a collaborative practice provides participants with a set of principles, ideas and actions that will lead to improvements. "Collaboration is not only useful but essential to providing high quality, seemless health care" Stated Cook (2002). According to Steel (1999) "Collaboration implies partnership". From these statements it is possible to conclude that a basic meaning for collaboration is teamwork. In the health profession it is the multi disciplinary team working together to meet the needs of a individual whether these needs are social, physical or emotional.
This entails that the professional nurse provide not only ordinary but extraordinary care and support to make it possible for these individuals to achieve their requirements for self-care. Furthermore, the professional nurse judiciously and collaboratively partakes in the individual’s health care provided by the medical doctor. Dorthea Orem understood that individuals possess the natural capability of self-care, and nurses have a duty to place emphasis on enhancing that capability. Nurses who deliver direct care can support these capabilities by offering learning opportunities and teaching methods that enhance self-care activities, therefore contributing a positive and encouraging influence on the individuals and caregivers quality of
The term interdisciplinary refers to situations in which various disciplines are involved in reaching a common goal with each contributing his or her specific expertise. Teamwork is essential to reach any set goals or objectives. Every team member should have specific characteristics and functions in order for the team to function properly. Collaboration is important to ensure quality in completion of the task. In health care an interdisciplinary team is a group of health care professionals from diverse fields who work in a coordinated fashion toward a common goal for the patient/client and the patient’s families. During the coordination of care we may come across barriers making the goals tougher to achieve. As health care professionals we
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the other hand, this has ignited the need for advanced practiced registered nurses to unveil the profession’s fullest potential. Nurse practitioners have been called to the public to meet the demand for safe and convenient healthcare. These academically and clinically well prepared nurse practitioners demonstrate their knowledge, skill and leadership in the communities (Hansen-Turton, Miller, Nash, Ryan, & Counts, n.d.). Due to the magnified concerns for additional access to healthcare, ANA has supported nurse practitioners’ ongoing work in retail-based health clinics to reflect a positive movement towards accurate, quality medical care for all citizens.
Rashid, C., (2010). Benefits and limitations of nurses taking on aspects of the clinical role of doctors in primary care: integrative literature review. Journal of Advanced Nursing 66(8), 1658-1670. doi: 10.1111/j.1365-2648.2010.05327.x
Primary health care is the essential step to the Canadian health system. It is often associated with other specialized health care sectors, and community services. Many patients visit various services under primary health care such as family doctors' offices, mental health facilities, nurse practitioners' offices; they make phone calls to health information lines, for example, Tele-health; and receive suggestions from physicians and pharmacists (First Ministers; meeting on healthcare, n.d.). This service can prevent patients from visiting the emergency department, when all that is required is some guidance and advice. Having primary care services can reduce the consumption of acute beds, where only seriously ill patients can use the acute beds when it is available. Primary care not only deals with sickness care, but it helps patients receive preventable measures; it promotes healthy choices (Primary health care, n.d.). The focus on appropriate health care services, when and where they are needed, enhanced the ability of individuals to access primary care in various settings: at home, in a hospital or any number of family health care venues, such as Family Health Teams (FHTs), Community Health Centres (CHCs), or Nurse Practitioner- led clinics. This paper will look at the litigious heated argument in the Romanow Report concerning primary care. It will begin with a discussion of the outcome of the Accord on Health Care Renewal (2003) and The First Ministers' Meeting on the Future of Health in Canada (2004), both referring to primary care, which will then be followed with an assessment and analysis of the different ways in which the accords have been addressed in support of primary care. Followed by a discussion about the changes on ...
The World Health Organization (2010) defines interprofessional collaboration in health care as occurring “when multiple health workers from different professional backgrounds provide comprehensive services by working with patients, their families, carers and communities to deliver the highest quality of care across settings” (p. 7) and IPE as occurring “when two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes” (p. 7). Interprofessional collaboration is contingent on IPE; education promotes collaborative patient-centered care by strengthening communication skills and teamwork. This paper discusses the importance of interprofessional collaboration in healthcare by examining
Patient-centered care is a broad topic that can be discussed on a daily basis within the healthcare world. Patient-centered care is when healthcare providers and facilities provide care that is respectful to the patient’s preferences, needs and values. It can also be described as physicians who practice patient-centered care can improve their patients’ clinical outcomes and satisfaction rates by improving the quality of the doctor-patient relationship, while at the same time decreasing the utilization of diagnostic testing, prescriptions, hospitalizations, and referrals (Rickett, 2013). Unfortunately, ideal patient-centered care is hard to come by, especially in all 50 states because there is a shortage of money and proper resources needed
The health care system of today will be invaluable without the help of well-trained registered professional nurses. According to Wilkinson, Treas, Barnett, Smith (2016) registered nurses in today’s health care have the training required to develop a care plan with other health care workers that is specific for each patient in their care, instead of the same general approach for every patient. This is known as patient centered care because each patient is different from the other and the registered nurse role includes developing a good plan for every patient they care for. In performing such duties, registered nurses tend to create a strong bond with their patients by caring for their patients by all means possible. By caring for their patients, they tend to gain their patients and their families trust. According to Wilkinson et al. (2016) There are many support systems for patients in our communities that have good intentions of assisting sick people and those in need. Most of them are not known by the patient or their families. The registered nurse is the one who is in the position to inform the patient or family about such resources that may be very helpful for them if they are interested. By doing so, the patient knows that the nurse really cares about him/her and that feels very comforting and may help the patient get well
Disease management, as defined by the Care Continuum Alliance (CCA), 2011, is a multi-disciplinary, comprehensive, continuous, and coordinated method to achieving desired outcomes by utilizing preventive measures and evidence-based practice guidelines to alter the natural course of the disease; therefore, improving the overall health for a population. These outcomes include processes of reducing healthcare costs while improving the quality of life for individuals by preventing or minimizing the efforts of a disease through integrative care (CCA, 2011). Program success relies that a comprehensive system be in place that incorporates the patient, physician, and health plan into one system with one common goal (Menon, 2002).
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
To attain this goal, nurses must work in collaboration with other members of the health care team. To improve efficiency, the health care environment must foster the development of collaborative relations among health care professionals. Trust, open communication, commitment, and shared goals must be present to support collaborative relations and effective teamwork. Health care organizations continue to place a greater demand on health care professionals while often working with limited resources. In a recent study focused on determining if there was a current or impending shortage of nurses in care settings throughout the United States, 81% of the 178 hospitals sampled indicated they have or are an... ...
As a future nurse practitioner, I have given immense thought in the selection of a clinical practice based on the primary care setting that utilizes the collaboration model. I have selected this type of clinical practice because it best suits my professional and personal goals. I value autonomy while having the ability to work within a healthcare team and enjoying teach my patients. Nurse practitioners (NP) are a valuable part of the healthcare team. In 1960s, from a vision to improve primary healthcare to under-serviced communities the development of the first NP program developed out of need as a public service and focused on the care of pediatrics and since then the care of other specific populations such as families, adults, geriatrics, and women health has emerged (Anderson & O’Grady, 2009, p. 380).
A very important concept that needs to be implemented world-wide is collaboration. Collaboration can be defined as “working with other individuals or groups to achieve a common goal. It differs from cooperation which involves groups working together to achieve their own individual goals’’ (Tomajan, 2012). This concept is critical in making the nursing image as clear and accurate as possible while also properly representing the profession. Worldwide, if nurses can represent themselves in a particular way, having the same ideals, morals, and knowledge, there would be little room for people to criticize the profession. Collaborating also allows for the formation of new ideas and discoveries, strengthening the knowledge of nurses and creating the opportunity for more authority. The entire profession as a whole need to help everyone understand what nurses really do for patients. Nurses are the invisible hand behind the success in every hospital or health-care facility. From a quick visit to the doctors to an emergency room visit, the ones the patients interact with and grow a relationship with are the nurses. The nurses know the ins and outs of every patient and have the direct connection with the patient along with tremendous knowledge and skills. This needs to be addressed in the media rather than challenging the nursing image. Giving
Quality improvement is critical in primary care services where patient-centered quality health care and safety are prioritized, to achieve improved patient experiences and outcomes, improve the health of the identified population, and reduce costs of health care. The collaboration of nurses with other medical professionals, quality improvement organizations, insurance companies, medical suppliers, and other stakeholders is critical to ensuring that primary care is of high quality. New skills are required, especially among nurses who are at the center of primary care to meet quality improvement goals and objectives. Some of the required skills are how to identify areas for improvement, understanding data, planning and implementing changes, as well as evaluating performance to inform quality improvement (Taylor et al.
...ommunity nurse which would make sound health decision in everyday life. The main focus of primary health care is to empower public to have control over their decision which health care and their families. Primary health care also reflects the principles, components and values which have always guided the nurses in their everyday practice such as preventing diseases, promoting health and work with other staff members as a team.