...Concept Analysis of Patient Centered Care Monet J. Scott Chamberlain College of Nursing NR: 501 Theoretical Basis Advance Nursing May 2015 Concept Analysis of Patient Centered Care A concept analysis seeks to outline, distinguish, and enhance the clarity of the nursing profession as well as stimulate future research endeavors. Within the development of a concept analysis, notions and thoughts are outlined and examined through the fundamental features of that particular concept. According to Walker & Avant (2011), the seven steps to accomplishing a concept analysis includes the selection of a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case of the concept, identifying antecedents and consequences, and identifying empirical references. Patient centered care is an imperative task performed by not only nurses, but the absolute interdisciplinary staff involved. It is essential to the establishment of quality care with the ultimate goal of positive patient outcomes. Several responsibilities of the nurse for patient centered care may include pain relief, listening, advocating for the patient, disease prevention, health promotion, respect for patient values and preferences, and maintaining patient dignity and identity (Lusk & Fater, 2013). Jean Watson’s theory of caring closes correlates with the concept of patient centered care in respect to the practice of nursing. This concept analysis of...
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...Competency: Analysis of the Concept Michelle Trigg University of South Alabama Abstract Understanding the nature and meaning of nursing competency is the initial step in having an unambiguous definition of its practice. All healthcare professionals, including nurses, may only prove to be proficient in their capabilities if they are able to perform comprehensive assessments related to the provision and maintenance of safe and efficient care, the protection of all members of the general public, and the undertaking of all necessary actions in order to preserve the nursing profession. Any and all standards that are established, based on such a perspective, must be adhered to in practice and for the purpose of nursing evaluation. This paper will evaluate and explore the concept of competency and the ways in which the nursing profession integrates the many aspects of competency. Keywords: competence, competency, concept analysis Competency: Analysis of the Concept The concept of competency in nursing is a professional regulation and is extremely important to patient safety and outcomes. In the past, competency in nursing focused on evaluating clinical skills, and not the actual ability(ies) or comprehension of the science behind them (Allen et al., 2008). Nurse competency is a requirement in the clinical setting, and outlines the dimensions...
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...values are highly intergrated. The treatment of ethical and policy issues depends on the content of the concepts employed and, at the same time, many central concepts are informed by moral opinions and, as a result, contested on ethical grounds. Taking this intergration of conceptual and ethical issues seriously from a research point of view requires that they are very strongly interconnected, i.e. mere studies of the way in which concepts are in fact informed by moral opinions and social values is not siffucient. Outright normative analyses of underlying ethical views need to underpin suggestions with regard to the way in which central concepts should be employed in policy contexts. This has been recognised in research on the basic ethical issue of what should be seen as the basic determinant of the quality of life or well-being (Brülde 1998, 2006), as well as research on applied ethics of relevance for disability (Brülde 2003; Munthe 1996, 1999; Juth 2005; Juth & Munthe 2006), and concepts such as happiness, health, illness, and mental disorder (Brülde 2000, 2006a, 2006b). Research on several of the conceptual issues has demonstrated how they are strongly connected to ethical problems related to health care policies and public health practices, in particular issues about what are the appropriate goals of medicine as a whole, or parts thereof, e.g. the goals of palliative care, psychotherapy, rehabilitation, or treatments of chronic illnesses. Normative theories about appropriate...
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...Taylor Reflection : Insights into primary health care : There is at least one common characteristic between different countries in the field of health is access to care. Needs of health are insufficiently covered by the provision of health services. Several policies have been implemented in this direction. Today, work focuses on the primary health care concept following the Alma Ata Declaration. The philosophy behind PHC (primary health care) is based upon: • holistic understanding and recognition of the multiple determinants of health • equity in health care • community participation and control over health services • focus on health promotion and disease prevention • accessible, affordable, acceptable technology • health services based upon research methods. These philosophical ideals have been variously interpreted into strategies and services which further the ideals. Primary health care strategies include needs based planning and decentralised management, education, intersectoral cooperation, multi-disciplinary heath workers and a balance between health promotion, disease prevention and treatment. Services to provide primary health care should be locally based, affordable and acceptable, well integrated and offer a multi-disciplinary range of care from health promotion to rehabilitation. This original ideal of primary health care has become known as comprehensive PHC. This is in contrast to selective primary health care which is more medically focused with a...
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...Self-Management in Chronic Illnesses: A Concept Analysis Dianne Rinehardt Chamberlain College of Nursing NR501: Theoretical Basis for Advanced Nursing Practice November 2015 Self-management in Chronic Illness: A Concept Analysis Globally, the human species is experiencing longer life-spans. As the number of persons with extended lifespans increases, so does the prevalence of those living with chronic illnesses. With the inception of the Patient Protection and Affordable Care Act (ACA) in 2010, there has been a paradigm shift in the focus of healthcare from treatment to prevention. The origin of this paradigm shift occurred when traditional provider-directed/patient compliant approach failed to produce the outcomes that were expected (Udlis, 2011). Transforming healthcare from a treatment modality to one of prevention assumes that each person will be actively engaged in the prevention of chronic illnesses. Dorothea Orem’s self-care and self-care deficit nursing theory is based on the premise that people are naturally inclined towards self-care and that nursing should be focused on identifying and correcting any self-care deficits. Orem defined self-care as, “care that is performed by oneself for oneself when one has reached a state of maturity that is enabling for consistent, controlled, effective, and purposeful action” (Orem, Taylor & Renpenning, 2001, p 149). Orem’s self-care and self-care deficit theory is directly applicable to the concept of self-management. The process...
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...Services/Intensive Care Nurses/Compassion Fatigue Intervention/BESt 173 Best Evidence Statement (BESt) Date: July 17, 2013 Title: Decreasing Compassion Fatigue* among Pediatric Intensive Care Nurses Using Self-Care Skills* and Compassion Fatigue Training* Clinical Question: P (Population/Problem) I (Intervention) C (Comparison) O (Outcome) Among pediatric intensive care nurses does functional knowledge of compassion fatigue and the practice of self-care skills, compared to not, demonstrate less compassion fatigue? Definitions for terms marked with * may be found in the Supporting Information section. Target Population for the Recommendation: Nurses working in pediatric intensive care settings who provide direct patient care Recommendation: It is recommended that nurses working in pediatric intensive care settings receive training that includes compassion fatigue awareness, coping strategies, stress management, relaxation techniques and self-care interventions to decrease the level of compassion fatigue experienced in the work environment (Marine, Ruotsalainen, Serra, & Verbeek (2009) [1a]; Gunusen, & Ustun (2010) [2a]; Kravits, McAllister-Black, Grant, & Kirk (2010) [4a]; Meadors & Lamson (2008) [4a]). Discussion/Synthesis of Evidence related to the recommendation: The evidence referred to a variety of concepts related to the manifestation of compassion fatigue, including burnout, emotional exhaustion, and workplace stress. The concepts were all similar...
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...for factor analysis (Guadagnoli & Velicer, 1988, Hoelter, 1983; Aday & Cornellius, 2006; Polit & Beck, 2008) other authors appear to not support their use (Gaskin & Happell, 2014). In 2014, Gaskin and Happell published a study to explore the way nursing researchers utilize factor analysis. The focus was on five areas of decisions that are commonly made when doing factor analysis: Sample size; choice between factor analysis and principal component analysis; numbers of factors to be retained; data extraction and method of factor rotation. In order to provide guidance and information to researchers, the authors reviewed the literature regarding the above areas of interest, assessed current and best practice for researchers and, provided recommendations...
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...patient care that is individualized to the needs of each patient. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe nursing care should be holistic while honoring patient values. A crucial aspect of nursing is interprofessional relationships, and collaborative efforts among healthcare professionals promote quality patient care. My philosophy of nursing extends to my community in which health promotion is something I will continually strive for. Personal Philosophy of Nursing For as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. I feel most fulfilled when I am serving and caring for others, and my personal nursing attitude is one that is centered on compassion and service. According to Merriam-Webster’s online dictionary (2012), a philosophy is “an analysis of the grounds of and concepts expressing fundamental beliefs,” and before entering to the profession of nursing, it is important to explore my personal values and principles that will guide my nursing practice. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. My philosophy is one that focuses on the empowerment each patient in the delivery of holistic nursing care. This...
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...Collaboration is commonly understood as a coming together of interested individuals to work on a common project of some kind. Multisectoral collaborations have become a popular strategy to address complex health issues at the local level. Due to their diverse partnerships across varied sectors, it is argued that such collaborations are better able to fulfill their missions, facilitate decision-making, solve more complex problems, respond more rapidly to a changing environment, and are better positioned to identify and influence programs, policies, and broader systems-level change required to realize and maintain health improvements within a community (Butterfoss, 2007; Minkler & Wallerstein, 1999; Roussos & Fawcett, 2000; Siegal, Siegal, & Bonnie, 2009). There is increasing evidence that collaborative partnerships can lead to improvements in social and...
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...Nursing Christle Shavers NR 447 Collaborative Health Care Team-building Leadership Core healthcare competence According to the Institute of Medicine, patient-centered is “health care that establishes a partnership among practitioners, patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions and participate in their own care” (2001). There are many attributes that can be associated with patient-centered care. First, there is the requirement for education and shared knowledge; second is the requirement for the involvement of a patient’s family and friends; and third is collaboration and management of a care team. Since patient-centered care connotes healthcare that is solely focused on the needs of the patient, there is need for nurses and other health care providers to be sensitive to the spiritual dimensions of care as well as to other non-medical attributes of human nature. The patient should be respected and his needs and preferences should form the core of the decisions made by health care providers. As a requirement, and to streamline care, there is need for information to flow from the experts to the patients and to the family and be accessible to the relevant parties. Leadership SMART goal I will learn how to handle a patient’s members through analysis of the nursing codes of ethics, studying examples...
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...Satisfaction with Care at the End of Life Sydney Morss Dy, MD, MSc,Ã wz Lisa R. Shugarman, PhD,§ Karl A. Lorenz, MD, MSHS,§ k Richard A. Mularski, MD, MSHS,# and Joanne Lynn, MD, MA, MS,§ for the RANDFSouthern California Evidence-Based Practice Center (See editorial comments by Dr. Jean S. Kutner, pp 160–162) The objective of this study was to systematically review the literature to better understand the conceptualization of satisfaction with end-of-life care and the effectiveness of palliative care interventions on this outcome. Data sources included Medline and the Database of Reviews of Effects. The review included relevant qualitative studies and intervention studies using satisfaction as an outcome from 1990 to 2005. Reviewing 24,423 citations yielded 21 relevant qualitative studies, four systematic reviews, and eight additional intervention studies. The qualitative literature described the domains of accessibility and coordination; competence, including symptom management; communication and education; emotional support and personalization of care; and support of patients’ decision-making. For collaboration and consultation interventions, eight of 13 studies showed a significant effect on satisfaction. A metaanalysis found that palliative care and hospice teams improved satisfaction, although most studies did not include satisfaction as an outcome. For other types of interventions, only two of six showed a significant effect. For heart failure coordination of care, only seven...
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...Implications of Health Economic Concepts for Health Care Melissa James Strayer University Dr. Wanda Allen Health Economics – HSA 510 February 1, 2015 Assignment # 1 Implication of Health Economic Concepts for Health Care Assess the value of healthcare professionals and decision makers understanding the discipline of health economics. Healthcare is getting gradually complex around the world. The need for technological development, economic support, demographics changes and the study of diseases are shifting at a fast speed. There had been numerous labors in describing collective capabilities and values within the healthcare organizations. It is necessary for learning and training programs to be regulated based on the needs of the humanities they support. Therefore, the institutions that are designing and delivering those activities must take responsibility for the products they manufacture for the use of the society. Hence, Academic institutions that are in charge of educating healthcare professionals together with their various stakeholders must interact in collaboration to create actual and proficient strategies that will promote suitable culture in the healthcare systems. Current medical education process has its origins in the European institutions of higher learning that customarily cherished academic freedom, sovereignty and self-regulating exploration...
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...The Importance of Teams Marleana Reed HCS/325 June 17, 2013 Dr. Marie Gagnon The Importance of Teams If positioned properly within the health care industry great advantage and consumer preference is gained to bolster organizational sovereignty. To do so requires a dynamic plan to incorporate competitive systems, and a workforce of concentrated efforts to overshadow all others. “No Man Is an Island.” (John Donne,) This profound statement can serve as thought provoking cohortative where teamwork is cornerstone to the administration of duties, and project management. This paper details the functionality of processes, for effective teamwork. The Collaborative efforts of teams, benefit any organization, and lead to more successes than not. Teaming serves an additional purpose, whereas participants share experiences, learn to accept and appreciate the contributions of others, while gaining a sense of camaraderie. The organizations goal is to stage teams of workgroups throughout its structure for seamless networking among disciplines. These social interactions promote strengths and talents as significant to individuals as the framework of the team itself. As such, encouragement of individuals in team processes is as much a benefit to the participant as for the organization. Successful team members place into the forefront, the objective, in lieu of a self-serving approach to task, working diligently to accomplish the shared goal. The core values of the organization will be...
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...Concept Comparison and Analysis across Theories UOP Theoretical Foundations of Nursing NUR/513 Concept Comparison and Analysis across Theories Nursing theory is relatively new and as such, it continues to evolve as new knowledge is gained. There are numerous theories of nursing, each of which took years to develop and most of which continue to evolve and adapt. There are commonalities between and among the existing theories although each may focus more heavily on different aspects of responsibilities. It has to do with the philosophical foundations for each theory. Moore, (Moore, 2008) reported a nursing metaparadigm of four basic concepts: "person, health, environment, and nursing." Another author suggested the core concepts of nursing theory and practice are caring, assessment, teaching and learning, collaboration, managing care, communication and professional behaviors, (Opperman Med Law Consulting, 2008). These core concepts as identified by these authors can be found in some fashion in all nursing theories. Orem commented that nurses could do nursing but they could not explain what nursing is (Hartweg, 1991). She was also interested in what conditions had to exist for a person to seek help from nurses (Hartweg, 1991). The first answer she determined was that people sought help when they could not care for themselves (Hartweg, 1991). Orem's work was inspired by those she considered big thinkers, like experts in philosophy, metaphysics and action...
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...As a strategic and change partner of Washington Memorial Hospital, the Human Resources Division (HRD) is leading the organizational renewal to change our image to become a “Center of Excellence” in Cardiac Care and Surgery. HRD outlined the following changes that will be included in the organizational renewal: • Strategic change: change in strategy, mission and vision • Cultural change: adopting new corporate values • Changes in People, Attitudes and Skills: change in employee’s attitudes, behavior and values • Structural change: reorganization of the hospital’s structure, coordination, extent of control, reporting relationships, tasks or decision-making procedures • Technological change: reengineering work processes, modernizing health systems and advancing technology...
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