7. PERSON-CENTREDNESS The focus for nursing care is to ensure that the patient takes center stage in the scheme of things in our practice. Person-centeredness is used by nurses to develop a therapeutic relationship with the patient in the course of care delivery. With the advent of Patient’s Right in our hospitals, patients are more and more involved in decision making as regards their care. This concepts has helped in ensuring that patients receive holistic care having in mind the core values of life, such as respect for persons, the right for self-determination and the right to be cared for with compassion. This has been advocated for by nurse theorist (FLORENCE NIGHTENGALE) especially the concept of person which is the basis for person-centeredness. …show more content…
There are four concepts to person-centered nursing -a) being in relation which lays emphasis on the creation of therapeutic relationship between the nurse and the patient, b) being in a social world connotes the ability of the person to connect with the world and make meaning out of it ,c) being in place encourages us to focus on the care experiences we receive anywhere and finally d) being with self is the knowing of self and the values we hold dear in life.
PERSONAL LIFE
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There is actually nothing wrong with that because patients would love to have better food served .another hospital also taught their doctors to sit down and not interrupt their patients while talking with them. This is good as well but not person- cantered-- until the patient and family are made part of the care team. Making the non-medical patient part of the care team and deciding what is best for him is the change that is needed. However it is obligatory to do so in cases of notifiable diseases.
APPLICATION OF CONCEPT OF THE CURRENT JOB PERSON -CENTREDNESS):
My job as a nurse entails my meeting the needs of my patients, colleagues and other health care practitioners.
Patients: our patients sometimes make demands that are outside the hospital policy and routines. For instance a patient would want to take her bath at 12 midday instead of 5.30am -6am or Patients not eating meals at stipulated times. This impacts on our schedule, since bed baths are usually done in the morning before handing off to the next shift. Food trays are sent back to the kitchen for more flexibility and individualized care .I need to recognize that individuals act out sometimes and there should be some flexibility to give the patient a sense of belonging. This is an area where person-centeredness has
The main tenants of Katherine Kolcaba’s theory can be summarized and defined in the four concepts in the metaparadigm of nursing. The first concept is Person. This can be defined as any individual or group in need of health care and is not restricted to the patient.
These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
Including family members in the care of the patient helps them cope better with the patient’s illness and helps them plan ongoing care when the patient goes home. Gaining both the trust of the patient and family can help the health care team get any details that may have been missed on admission, such as medications the patient takes, or special diet, or spiritual needs. Also, the family may provide pertinent information that the patient may not have divulged to the nurse. Encouraging the patient and family to voice their concerns will help implement a safe plan of action.
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
The concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Person refers to the person undergoing nursing care which includes individuals, families, groups, and communities (MacIntyre & McDonald, 2014, p.63). It is evident that each person may be unique with different biological, psychological, social, and spiritual depth (Thorne, 2010, p.66). Therefore, it is necessary for nurses to realize that each person at the centre of any nursing care will experience different feelings in regards to their body as a whole. The theorist, Parse, defines the concept of person as being “linked to an unfolding process, the relating of value priorities, meaning, and quality of life” (Wu, 2008, p.6). Also those human beings are free and choose in situations that arise from personal experience and becoming with the universe (Thorne, 2010, p.71). The nurses’ role in regards to this theory is to act encourage individuals in their human becoming process. Wu (2008) looks at the p...
In 2007 one theorists identified and explained an aspect of concept and nursing (George, 2011). The concept identifies the central domain within nursing, meaning that nursing consists of parts, such as: the nursing client, the nurse/client transitions, nursing process, the nursing client environment, and the therapeutic and health aspects of nursing (George, 2011).
The fundamental assumptions of the theory are that to be human is to be caring, and the purpose of the nursing profession is to come to know persons and to nurture them as persons living caring and growing in caring (Alligood 2014). The assumptions give way to the concept of respect for persons as caring individuals and respect for what matters to them; respect is the starting place for all nursing caring activities (Alligood 2014).
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 be 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. The Health Foundation describes patient centred care as being a type of health system where patients take control of their own care.
To ensure quality nursing care, I will make sure that I communicate adequately with patients by spending time with them and get to know them further instead of just doing nursing tasks. I will also provide information to patients about their illness or condition including treatments and medication. I will also gain consent before undertaking any tasks or procedures with patients thereby giving them choice.
The concept of person refers to the recipient of nursing care, such that no person is the object of care and no aspect of wellbeing is left out (Arnold & Boggs, 2001; Thorne, Canam, Dahinten, Hall, Henderson, & Kirkham, 1998). This not only includes disease and illness states, but also psychological, social and spiritual dimensions. Therefore, factors such as gender, lifestyle, behaviors, beliefs, values, coping skills, habits, perceptions and lived experiences are considered (Arnold & Boggs, 2011). This holistic and multi-centered approach also extends to families, communities, and populations (Schim et al., 2007). The concept of person is central to nursing theory and research, and is fundamental to the, “Code of Ethics for Registered Nurses,” as outlined by the Canadian Nurses Association (2008). In practice, ‘person’ is used to guide client teaching and nursing interventions (Kozier, Berman, Snyder, Buck, Yiu, & Stamler, 2014).
Nursing and Qualities That I Possess to become a Good Nurse Nursing is the act of safely caring, protecting and improving our clients’/patients’ health and ability without causing any further harm or disability to them. Our primary goal is to restore and maintain good health physically, spiritually and psychologically. It is a science, such that one has to apply the nursing knowledge and technical aspects of practice. However, it is important to incorporate the act of patient-centered care, which is defined according to QSEN/NOF, as holistic care that recognizes the patient as the source of control and full-partner in providing compassionate and coordinated care with respect for the patient’s desire, values, needs and preferences. It has to incorporate with the nurse’s personality, i.e., certain qualities that the individual possess.
As a nurse, we must know right from wrong and hold true to our judgments on certain issues. Therefore, nurses must
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...