Article: Conceptualization and Development Of Nursing Theory Or Analysis. The development of a framework for person-centred nurse.
The person-centred culture of your specialization is required for students.
The results of this analysis should be used to help you propose a project that can have a positive effect on the person-centred nature of this practice environment.
Your report should include the following:
Here is a summary of the areas you have worked in. Cancer nursing.
A summary of the person-centered Nursing Framework
The framework has pre-requisites. Now, consider the benefits for your future practice as a nurse.
Consider the care environment as it relates to the implementation and effectiveness of person-centred services.
These data will give you an overview of the current state of your practice in relation to the outcome within the person-centred health care framework.
Conclusion: Make suggestions for improving the person-centredness culture within this practice setting
Answer to Question: SNPG903 Developments Nursing Care
Person-centered care is one way to ensure safe and competent nursing care.
This care model treats patients as equal partners when providing healthcare.
They involve patients in the development, planning and monitoring of healthcare professionals’ care (Brownie & Nancarrow 2013, pp. 1).
This type of care is primarily about putting patients and their family at the centre of the decisions. It sees them as expert alongside healthcare professionals in order to achieve the best result.
This type care is based on the patient’s desires, values, circumstances, and lifestyles. The team works together to find the right solution. 201, pp- 49-59).
These care models require the healthcare professional to be kind, compassionate, and sensitive to the dignity and autonomy as well as the patients’ points of view (Edvardsson Sandstorm & Borrll 2014 pp. 1171).
Here’s a short assignment that will illustrate how nurses can use a person-centered approach to care delivery.
The Care Specialty I Work In:
An aged care services is essentially the type of healthcare services in which nursing professionals are constantly challenged to provide care for seniors.
Van Haitisma et. al. (2005). Elderly patients tend to be fragile and weak. They might need support to manage their symptoms and their ability to live their lives. 2014, pp.34).
Sometimes, aged care services must deal with patients suffering from Parkinson’s Disease, dementia, or other neurological conditions that render them completely dependent on the healthcare professionals.
Because each patient is different, it becomes crucial that nurses give individual care.
Two patients with dementia could have different care requirements for healthcare professionals, so the nurse can’t simply provide traditional rule-based care. 2016, pp. 216).
They will need to know the specific needs of each patient, and be able to provide care individually.
It is vital to ensure that aged care centers are person-centered in order to meet the needs of each patient and increase patient satisfaction, and thus the reputation of the institution.
What are the duties of nurses in patient centered care?
Research has provided their findings that have identified the many aspects associated with person-centered care provided to older patients by nurses.
This type of nursing care to older patients is praised for respecting patients’ values and putting them in the center. (Li & Porock 2014 pp.1395)
A nurse working in aged care is trained to listen to the patient’s wishes and assist them in expressing those needs.
Healthcare professionals need to coordinate their care and incorporate it into a treatment plan that addresses all of the needs of the patient.
The nurse will work with patients to ensure communication, education, as well as information, is maintained.
The nurse ensures that patients feel safe and comfortable.
Many times, nurses use restraints when caring for older patients at risk of falling.
This form of nursing care has been severely criticised as it can cause injury to the patient’s dignity, and compromise safety concerns.
In addition to providing safety for patients, nurses also offer emotional support to many patients.
Many older patients are suffering from depression, often due to the loss of mobility, loss or inability to care for themselves, as well as missing their loved ones and losing their independence.
Person-centered care gives patients the opportunity to feel empowered and can help them live a good quality life.
Researchers also enjoy this type of care. It often includes family members and friends to ensure that patients do not feel deprived of their autonomy.
Aged care nurses often include loved ones in decision making and educate them about health literacy.
They ensure there is continuity among and within the services and ensure that patients have proper access to appropriate treatment when they need it (Roberts. 2015, pp.106).
Impacts of person-centered Care on Aged Care Patients:
Researchers believe that the quality of aged care services can be affected by the person-centered approach to care (Zoffman, et al. 2016, pp.400).
It has been shown that this type care improves the quality of life for the elderly and makes them happier.
It is believed that patients who are happier and more satisfied with their care will experience better outcomes.
This type care can also encourage older patients to live healthier lives by providing education and health literacy to suit their needs.
Healthy living includes exercise, as well as helping them to understand the positive effects of healthy eating.
Lines et.al. 2015, pp.561).
This helps them get the right support and services they need.
Researchers found that it has positive effects on people’s overall health, which includes their blood pressure.
Also, healthcare professionals tend to feel more confident in their abilities and are happier with the quality of the care they provide.
One of the key components to positive outcomes is taking a holistic view in assessing people’s needs.
All of the above-mentioned outcomes are why this type of care is so highly appreciated in aged care homes as well in many community and acute care services. (Van Haitisma; et. al. 2014, pp.671).
Framework Available for Person-Centered Healthcare
The framework must be part of every practice providing nursing care.
This framework acts as a guidebook for nursing professionals and allows them to choose the appropriate course of action.
McCormack (2006) created a helpful person-centered framework that has been followed by many nursing professionals for many years.
This framework includes four essential constructs that nurses must include in their care to ensure quality and safety.
The first is the prerequisites. They primarily focus on the attributes of nurses that help them provide the best care.
The second is the care setting, which allows healthcare professionals to concentrate on the context in care delivery.
The third construct, the person-centered process, helps in focusing on delivering high quality care through a variety activities.
The fourth construct, the expected results, focuses on the outcome of person-centered nursing.
The prerequisites, which are primarily about the attributes of healthcare professionals, is the first construct.
This refers to the skills and abilities of healthcare professionals.
It is about being committed to your job and displaying clarity, values, and knowing yourself.
Proffessionally competent means that nurses have the necessary knowledge, skills, and attitude to be able to negotiate care options and provide holistic healthcare (Entwistele & Watt 2013, p.29).
This involves nurses being able to take correct decisions and prioritize care.
They must also develop good interpersonal skills to be able communicate with patients at different levels.
Effective communication skills are essential in order to communicate with patients at all levels.
A nursing professional must be able reflect on their own life and get to know themselves.
Laird, et al. (2015). Nurses need to be able make sense of themselves and thus become person-centered caregivers. 2015, pp.1454).
Nurses should also do their best to keep clear beliefs and values.
Nurses need to be aware and sensitive to the influence of professionals’ beliefs and those of service users. It is important that they reconcile values and beliefs in a way that maintains person-centeredness.
A nursing professional should demonstrate their commitment to their job by showing compassion for patients and their families.
This can be achieved through intentional engagement with patients and families that provides holistic evidence-based care (Sullivan et.al. 2013, pp.165).
The care environment is second in importance.
To provide the best patient-centered care, nurses must ensure the proper skill mix.
It is important to take the appropriate steps to ensure the proper ratio between registered nurses and non-registered nurse in the ward. 2013, pp.763).
An appropriate multidisciplinary team should be in place. It will consist of a variety staff members who have the knowledge and skills required to care for old patients admitted to the aged services.
Next is the decision-making system.
Every nurse must show organizational commitment in order to foster collaboration, inclusion, as well as participation between the teams.
A teamwork that is strong will result in the development of decision making skills. This ensures the best possible care for the elderly.
Another important aspect of creating a person-centered environment is the development of good staff relationships (Sloanne und al. 2013, pp.1158).
Research suggests that the best staff relationships between all stakeholders in the care will lead to better interpersonal care relationships.
This will ensure holistic care.
Power sharing is essential for a positive care environment.
It is important to ensure that power sharing does not promote conflict in order to develop a person-centered care environment on the wards.
Workplace professionals should have non-dominant and non-hierarchical relationships.
This will stop the individuals being exploited.
This will enable us to achieve the best mutually agreed outcomes using agreed values, values, goals and values.
This will result in a more comprehensive treatment approach that is person-centered.
The next step in developing the ideal care environment is to create the physical environment. (Flag 2015: pp.75).
It is essential to create a healthcare environment that balances aesthetics with functionality.
By paying attention to how the design, dignity safety choice, sanctuary and universal access would affect the patient’s health and the ability of staff and patients to achieve the best possible outcomes, this can be achieved.
It is important that the organization takes active measures to create a care environment that promotes person-centered care.
If properly designed and implemented, organizational systems can encourage creativity, initiative and freedoms as well as safety (Olssen et. al. 2013, pp.456).
This could be supported by proper governance that stresses culture, relationships, communication and accountability.
In order to create an environment conducive to innovation and risk-taking, the last component is care.
It is vital to have professional accountability for decisions that are based on the best evidence, local knowledge, professional judgment, family preferences, and local data (Howrah Warne & Haigh 2014 pp.340).
Person-centered care processes are the third important construct that nursing professionals should focus on in order provide personal care to older patients.
The person-centered processes are the first aspect that nurses should consider.
To make patients feel respected, the nurse must first work effectively with their beliefs and values.
The nurses should try to understand the values of their patients so they can make sense out what is happening emotionally, socially and physically.
Barbosa et. al. recommend that nurses try to see the patient’s perspective and try to understand their psychosocial context. 2015, pp.713).
All of these factors will assist the nurse in developing a therapeutic relationship between the patient and the nurse. The patients will also be an effective partner.
By involving the patient and their loved ones in decision making, nurses should consider the future aspirations, values, and past experiences.
This will allow patients to feel valued and honored, which will lead to positive outcomes for their health.
In order to establish a trusting partnership with the patients, the nurses should ensure that they are able to effectively engage them.
Connecting with patients and others is a key goal for healthcare professionals.
This kind of connectedness is solely based on the nurse’s knowledge of patients, their values and cultural preferences (Zimmerman. 2014, pp.S1).
When the nurse recognizes the importance of each patient’s life, she can achieve this.
Person-centered care can be completed in the aged care by healthcare professionals who provide holistic care that integrates all aspects of the patients’ lives.
According to Herlitz et.al., patients perceive nurses as their true companions. They feel the pain of their patients and do their best in trying to reduce it. 2016, pp.964).
In developing a person-centered care program for elderly patients, the most important construct is the person-centered outcomes.
It is important that nurses keep this in mind when preparing interventions to ensure the best possible outcome for patients. This will help them live longer and healthier lives.
The nurses must ensure that patients’ experiences at the aged care facility are not only pleasant and satisfying, but also provide them with a great time.
Sullivan et.al. 2013, pp.165).
This would allow for the best possible care and ensure patients’ stay.
The active involvement of service users as well as healthcare professionals ensures that both parties are involved in care and partnership building. This results in better care for patients and providers.
A person-centered approach to healthcare can only be made and recognized as successful when both service users and their healthcare providers are happy with their care. The latter must feel valued and able to provide the best possible care.
A good healthcare culture can also guarantee person-centered outcomes (Sloane, et al. 2013, pp.1158).
To provide the best healthcare to patients, the healthcare professionals must have a great working environment.
Also, professionals need to have good experiences with the workplace culture. This could include proper decision making, team bonding, and proper leadership.
The professionals should be able to offer person-centered care, which allows for flourishing.
Conclusion and Recommendation
This discussion makes it clear that the person-centered approach to healthcare allows the organization to offer services that are both accessible, responsive, and flexible to patients. It also helps them to cater to the various needs and preferences.
This kind of care is especially suitable for aged services because often these centers are the ones where many older patients are admitted due to various diseases.
These patients are mainly suffering from chronic disorders or age-related dependence that must be taken seriously by healthcare professionals.
Patients have different needs. Careful consideration of their wishes, values, and beliefs is essential when preparing interventions.
These services help maintain dignity and autonomy, and allow patients to choose the care they prefer.
This type care creates a therapeutic relationship between the elderly and the healthcare professional. It not only provides care for their physiological aspect but also takes care of the psychological, emotional, and mental aspects of their lives.
To provide perfect patient-centered healthcare, nurses must be aware of four essential constructs.
These are the conditions, care environment, person-centered processes and patient-centered outcomes.
To ensure proper care, the nurse must maintain these elements.
For nurses who are going to be providing this type of care, the best advice is to develop communication skills.
Effective relationships with patients are possible only if you have the ability to communicate well.
It is also important to keep in mind that person-centered care can require a lot of dedication.
Sometimes this can become exhausting, so they should explore other methods to deal with stress.
As caring for elderly patients is a difficult task, the third recommendation would be to improve your patience skills (Flagg 2015: pp79).
The third recommendation is to develop patience in person-centered elderly care so that the elderly can receive compassionate care. This will ensure a better quality life.References:Barbosa, A., Sousa, L., Nolan, M. & Figueiredo, D., 2015.
Study of the effects on staff of person-centered dementia care: A systematic review.
American Journal of Alzheimer’s Disease & Other Dementias, Vol 30, No. (8), pp.713-722.Brooker, D. & Latham, I., 2015.
A VIPS framework for person-centered dementia care. Jessica Kingsley Publishers.Brownie, S. & Nancarrow, S., 2013.
The systematic review of the effects that person-centered care has on aged-care residents and staff:
Clinical interventions in Aging 8: p.Edvardsson, D., Sandman, P.O. & Borell, L., 2014.
Implementing national guidelines in person-centered care of persons with dementia in residential aged homes: Effects on perceptions of person-centeredness, stress of conscience, and staff strain
International Psychogeriatrics. Vol 26, No. (7), pp.1171-1179Entwistle, V.A. & Watt, I.S., 2013.
Treatment of patients as individuals: A capability approach to support person-centered care delivery.
The American Journal of Bioethics. Vol. 13, No. (8), pp.29-39.Flagg, A.J., 2015.
The role of patient-centered healthcare in nursing. Nursing Clinics, Vol 50 No. (1), pp.75-86.Herlitz, A., Munthe, C., Torner, M. & Forsander, G., 2016.
The counseling, selfcare, and adherence approach to person centered care and shared decisions making: moral psychology. Executive autonomy. Ethic in multi-dimensional healthcare decisions. Health communication, Vol 31 No. (8), pp.964-973.Howarth, M., Warne, T. & Haigh, C., 2014.
Pain from the inside. Understanding how pain teams provide person-centered care. Pain management nursing, Vol 15 No. (1), pp.340-348.Kitson, A., Marshall, A., Bassett, K. & Zeitz, K., 2013.
What are the fundamental elements of patient?centred?care?
An overview and synthesis of literature from nursing, medicine, health policy and health policy.
Journal of advanced nurses, Vol.69 No.1, pp.4-15Kogan, A.C., Wilber, K. & Mosqueda, L., 2016.
Person?Centered Caring for Older Adults with Chronic Conditions or Functional Impairment: An Overview of the Literature.
Journal of the American Geriatrics Society. Vol 64. No. (1) pp. 216-218.Laird, E.A., McCance, T., McCormack, B. & Gribben, B., 2015.
In-hospital care experiences for patients when staff members were engaged in a practice-development programme to promote person centredness: A narrative analysis study.
International journal nursing studies, Vol 52 Number. (9), pp.1454-1462.Li, J. & Porock, D., 2014.
Resident outcomes of person centered care in long term care: A narrative analysis of interventional studies.
International journal nursing studies, Vol 51 (10): pp.1395-1415.Lines, L.M., Lepore, M. & Wiener, J.M., 2015.
These are not the same as person-centered, person centered, and patient-directed care.
Medical care, Vol. 53 No. (7), pp.561-563.Lopez, R.P., Mazor, K.M., Mitchell, S.L. & Givens, J.L., 2013.
What is family-centered dementia care?
American Journal of Alzheimer’s Disease & Other Dementias(r), Vol.28 No.(8), pp.763-768.McCormack, B. & McCance, T.V., 2006.
The development of a framework to support person-centred nurse?s.
Journal of advanced nurses, Vol 56, No. (5), pp.472-479.McCormack, B., 2004.
An overview of literature on Person?centredness and Gerontological Nursing.
Journal of clinical nurses, Vol 13 no. (s1), pp.31-38.
Olsson L.E. Jakobsson Ung E. Swedberg K & Ekman I.
A systematic review of the effectiveness and safety of person-centred health care as an intervention for controlled trials.
Journal of clinical nurses, Vol 22 no. (3-4), pp.456-465.Parnell, T.A., 2014.
Nursing education: Person-centered care.
Springer Publishing Company.Roberts, G., Morley, C., Walters, W., Malta, S. & Doyle, C., 2015.
A composite person-centered approach to caring for seniors with dementia has proven successful. It includes Montessori-based activities.
Geriatric Nursing. Vol 36 No. (2), pp.106-110.Sloane, P.D., Zimmerman, S., Chen, X., Barrick, A.L., Poole, P., Reed, D., Mitchell, M. & Cohen, L.W., 2013.
A person-centered mouthcare intervention has an impact on three nursing homes’ care processes, and their outcomes.
Journal of the American Geriatrics Society. Vol.61 No.(7). pp.1158-1163.Sullivan, J.L., Shwartz, M., Burgess Jr, J.F., Pekoz, E.A., Christiansen, C.L., Gerena-Melia, M. & Berlowitz, D., 2013.
Quality and person-centered practices in Department of Veterans Affairs Nursing Homes: Is there a connection?
Medical care, Vol 51 (2), pp.165-171.Van Haitsma, K., Abbott, K.M., Heid, A.R., Carpenter, B., Curyto, K., Kleban, M., Eshraghi, K., Duntzee, C.I. & Spector, A., 2014.
The consistency and self-reported preferences of everyday living: Implications in person-centered care delivery.
Journal of gerontological nurse, Vol. 40 No. 10, pp.34-46.Van Haitsma, K., Crespy, S., Humes, S., Elliot, A., Mihelic, A., Scott, C., Curyto, K., Spector, A., Eshraghi, K., Duntzee, C. & Heid, A.R., 2014.
New toolkit to assess the quality of person centered care: Pilot evaluation in nursing home communities.
Journal of the American Medical Directors Association. Vol. 15 No. 9, pp.671-680.Vikstrom, S., Sandman, P.O., Stenwall, E., Bostrom, A.M., Saarnio, L., Kindblom, K., Edvardsson, D. & Borell, L., 2015.
Guidelines for person-centered, nursing home care.
International psychogeriatrics. Vol 27 no. (1), pp.49-59.Zimmerman, S., Shier, V. & Saliba, D., 2014.
Transforming nursing home culture. Evidence for policy and practice.
The Gerontologist (54(Suppl_1)), pp.S1–S5.Zoffmann, V., Hornsten, A., Storbaekken, S., Graue, M., Rasmussen, B., Wahl, A. & Kirkevold, M., 2016.
Transforming person-centered health care into practice: A comparative review of motivational interviewing (Illness-integration Support), and guided self-determination.
Patient Education and Counseling. Vol 99 (3). pp.400-407.