...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 patient...
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...Patient-Centered Care and Communication in Critical Care Pikes Peak Community College Patient-Centered Care and Communication in Critical Care Introduction Communication is a key component in nursing care. As nurses we must communicate with our patient’s, patients’ families, and a wide variety of healthcare team members. Communication can be vital to patient’s lives, informative to physicians, and calming or educational to families. The communication method, or theme, that a nurse uses as part of her care can positively, or negatively, affect every aspect of patient care. Communication plays a huge role in the way I care for patients and their families. Without positive, supportive communication I would have a very difficult time building a trusting relationship with my patients. My nursing career goal is to one day become a critical care nurse. I chose this article to further educate myself about affective communication and how I can apply this knowledge in a critical care setting. As a nurse working in the Intensive Care Unit, communication has a critical role in patient-centered care. The objective of this study was to perform a qualitative analysis of nurses’ communication behaviors to develop interventions that will improve patient-centered communication in the critical care setting. The theoretical model of patient-centered care contains five domains. The five domains include: the biopsychosocial perspective; the patient-as-person; sharing power and responsibility;...
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...Evidence-Based Practice March 17, 2015 Overview of Quantitative vs. Qualitative Articles Using two research studies selected from the list of articles provided. I choose A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014) and Impact of a Smoking Cessation Educational Program on Nurses' Interventions (2014). The purpose of this paper is to do an overview of both a quantitative and qualitative article. Review each selected article on learning about study design, by identifying information from each component of the study. Then evaluate the strengths and weaknesses of each study. Overview of Quantitative Article Research Question According to the article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), the research question is, does patient hand hygiene included in the bundle strategy help decrease Clostridium difficile infections? According to information found in Chapter 3 (Adams, 2012), using the abstract of problem-solving, nursing process and research process, the information found in this study was impertinent to the outcome. Determining that hand washing does help decrease c-diff infections. Study Design The article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), is a quantitative study, and non-experimental design gathers the information. Non-experimental design as defined in Chapter 6 (Adams,...
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...nursing is a crucial element in improving any patient’s condition. The overall goal of nursing is to provide safe and effective patient centered care in efforts to improve patient condition. Nursing professionals must to be careful when completing interventions, because those interventions could either have a positive or negative effect on the patient condition. Research is a way nurses can validate effectiveness of everyday nursing practices and provide reasoning for the interventions done (Fain, 2015). For example, a bedbound patient needs frequent rotating in an effort to maintain skin integrity and prevent pressure ulcer development. This intervention did not always exist; research findings proposed this intervention. Also, research studies are vital in nursing practices, because it brings the ineffective practices to the forefront and introduce more effective practices (Fain, 2015). In the 1900’s, safety needles, needle boxes, red bags, etc. did not exist. However, these safety techniques have been implemented in today’s nursing practice to ensure patient and nurse safety. The development and progression of nursing practice has been successful thus far due to research....
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... 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 from nursing networks, reading from credible websites and analyzing...
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...outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care 22. Safety Teaching-Learning Strategies * Review course syllabus distributed by instructor * Read requirements and policies related to program found in Nursing Student Handbook (NSH) * Review course supplemental learning guide (SLG) * Text for course * Read definitions of Major Concepts used in the Program...
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...Pharmaceutical Medicine Dictionary (2001) defines Outcome in three different areas: clinical medicine, health economics and clinical trials. For clinical medicine, Outcome is “result or impact of medical or surgical intervention or non-intervention on the health status of an individual or a population” (n.d.), and for clinical trials, an Outcome is a measure and serves as comparison between treatments. In health economics, Outcome is a potential consequence of different interventions, despite their nature, and is associated with costs. These three...
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...the practice of nursing and teaches nurses to learn what is causing an imbalance for the patient in his immediate environment and figuring that out by the nurse interacting with the 2007, p. 338). There are five concepts mentioned by Alligood (2010), they are the following: • Nurses function • Presenting behavior or problem situation • Immediate reaction • Reflective inquiry • Improvement in resolving dilemma (p. 339). In Chitty (2010) one of many theories discussed in nursing explores Ida Orlando’s Theory of the coined process of “Deliberate Nursing (Alligood, 2010, p. 346). Her theory is the cornerstone of the “nursing process” (Chitty, 2010, p. 315). Her theory is one, which has shaped nursing on the premise of “how to improve the patient’s condition by figuring out what they need through the nurses interaction with the patient?” (Chitty, 2010, p. 314). By interactions, verbal and non-verbal can illuminate the problem, which is the immediate concern. Orlando is the one that initiated the patient-centered focus by “involving the patients’ in the decision making process” (Chitty, 2010, p. 315). Her theory provides positive outcomes, as she stated in Chitty (2010) “the process gets to the bottom line” (p. 315) meaning that it finds the problem quickly through the way the patient behaves and the nurses observations centered around listening to the patient, seeing the patient behave, and what they talk about or do not talk about. Theory’s Historical background:...
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...Research Critique, Part 1 XXX Grand Canyon University: NRS 433V XXX Research Critique: A Qualitative Study Researchers completed a study seeking out barriers to the implementation of non pharmacological interventions for patients with dementia by nursing home staff. To better recognize and understand these barriers and to in hopes of providing a stronger evidence base for cultural change, researchers elicited nursing staff, recreational therapists, activity personnel and medical directors in a study titled “Its About Time: Use of Nonpharmacological Interventions in the Nursing Home.” Problem Statement Dementia is one of the most common diagnoses on the rise amongst the geriatric population. Alzheimer’s The most common form of dementia is Alzheimers, affecting well over 5 million people nationally. Institutionalization is common amongst this population as the disease begins to progress, typically bringing on behavioral and psychological symptoms of dementia (BPSD) including agitation, aggression and depression. This population is recognized as vulnerable and fragile, both mentally and physically. Many frequently have physical comorbidities along with dementia. This issue of suffering from comorbidities brings on the prescribing of multiple medications, which over time interact and accelerate their functional decline (Kolanowski, Fick, Frazer, Penrod, 2009). Due to the lack of beneficial effects when weighted against both short and long term adverse effects of various...
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...Patient Centered Medical Home Model Integration pharmacist The traditional health care model for the provision of patient care goes face to face between visits to a doctor and a patient. As the cost of US health continues to skyrocket, health insurance and demand Affordable Care Act as the provision of effective health care (Department of Health and Human Services Social Welfare, 2014). These organizations and regulations require that dollar and the limited resources for health are based on proven, quality health services, focusing deliver measurable benefits and a general improvement in the health of the patient. In order to focus on primary care and preventive health care, medical home (PCMH) patient-centered model in many health interventions...
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...professionals that work together and form a work flow to maintain the proper and correct care given to each and every patient that they rely on each other. If one of the professionals were to fall out of sync with the rest of the team then it causes the patient care to fall. In particularly many do not know of cardiovascular technicians and respiratory technicians they are as equally important as nurses and doctors. In this paper I will explain the roles and scope of practice of both cardiovascular and respiratory technicians have in health care, the skills and education needed, and about patient-centeredness. Respiratory and cardiovascular technicians go hand and hand with each other because our body relies on our heart to pump and breathing is the most important thing we all need, therefore a respiratory and cardiovascular technician work closely together to provide for the patients. The role of a respiratory technician is “Respiratory therapists care for patients with both acute and chronic breathing problems across the entire age spectrum.” (Becker & Nguyen, 2014). The job of an RT is to manage and care for those who have respiratory issues. For a cardiovascular technician they specialize in invasive or noninvasive cardiac catheterizations, vascular interventions, echocardiography studies, holter/stress monitoring and electrocardiogram (ECG) recording and analysis. (Herbst, 2012). To be able to become a respiratory technicians you would need to attend school for two...
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...Principal Fetterolf Healthcare Consulting Robert Fortini VP & Chief Clinical Officer Bon Secours Health System Paul Grundy, MD, MPH Global Director of Healthcare Transformation IBM President Patient-Centered Primary Care Collaborative Richard Hodach, MD, PHD, MPH Chief Medical Officer Phytel Michael B. Matthews Chief Executive Officer Central Virginia Health Network Margaret O’Kane President National Committee for Quality Assurance Andy Steele, MD, MPH, MSC Director, Medical Informatics Denver Health 2 Dear Colleagues, Population health management has been around for a while, but only recently has it gained serious attention from mainstream healthcare organizations. The reason is simple: healthcare reimbursement is changing, and hospitals, healthcare systems, and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, and not just those actively seeking healthcare. The emphasis clearly is shifting from volume to value, and organizations that focus on providing patient-centered, quality healthcare across a population will come out ahead. This guide represents the first comprehensive effort to define a roadmap for providers that are exploring population health management (PHM). The literature on patient-centered medical homes and...
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...Kolcaba’s Theory of Comfort Dana M. Watson Lenoir-Rhyne University Kolcaba’s Theory of Comfort Introduction Today’s healthcare focus is on providing patient-centered, safe and effective care for improved patient outcomes. This focus is not only important for the patient’s health, but has become vital for the financial well-being of healthcare organizations. The United States has consistently ranked among the highest in healthcare costs and the lowest in improving patient outcomes when compared to other industrialized nations (Davis, Stremikis, Squires, & Schoen, 2014). There are multiple national organizations and initiatives designed to improve the state of healthcare in the U.S. and this topic is often debated at all levels of government. The Centers for Medicare & Medicaid Services (CMS), along with the Agency for Healthcare Research & Quality (AHRQ) developed a standard set of survey questions which are publically reported designed to measure patient’s perceptions of their “hospital experience.” The survey instrument is called the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) which allows hospitals and consumers the ability to compare hospitals to one another on topics important to patients. The survey also serves as a tool to enhance accountability through transparency and creates incentives for hospitals to improve the quality of the care they provide (Centers for Medicare & Medicaid Services, 2014). Nursing plays a...
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...to chemical and biological interventions. Psychotherapy is dependent on verbal exchange between the therapist and the person seeking help-commonly referred to as psychoanalysis. Therapeutic relationships are characterized by mutual trust between the two players with the main objective of helping individuals to change unhealthy and/or destructive behaviors, emotions and thoughts. In this pursuit, therapists combine several techniques including psychodynamics, behavioral and cognitive approaches. Anorexia nervosa There are many and varied psychological disorders in this case, I will focus on anorexia nervosa and its treatment. Anorexia nervosa is a condition that is characterized by refusal to maintain a healthy body weight or intense fear of gaining weight. The patient feels inadequate when he senses he is fat. The condition mainly affects young women although other age groups can also be affected (Bateman & Holmes, 2005). When a patent has anorexia, the desire to lose weight becomes one’s most important preoccupation. The patient does not appreciate his/her condition and cannot see himself as he or she truly is. The patient is very disgusted by the way her/her body looks and thought about dieting, food and one’s body take most of their days. The patient has little time for friends, family and other activities that they used to enjoy. The skinnier the patient becomes, the better s/he feels. Mealtimes become very stressful and the patient thinks extensively only on...
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...Clinical Documentation System Excelsior College October 6, 2013 Clinical Documentation System Clinical information system (CIS) collects patient data in real time, stores healthcare data and information using secure access to the healthcare team. (McGonigle & Garver Mastrian, 2012, p. 554). The CIS that is used at Texas Health Dallas is CareConnect. CareConnect is used by all of the Texas Health Resources (THR) encompassing 25 hospitals, affiliated physician offices, and ancillary facilities. CareConnect allows physicians and management to access the system on their mobile devices and home computer for real time data. The shift for CIS is set for implementation throughout the United States by 2015. The clients served are those in the community that THR provides healthcare services to. The electronic health record is shared amongst the healthcare team and other affiliates. Data collection can be continuously updated, used for “statistical evaluation for purposes of quality improvement, outcome reporting, resource management, and public health surveillance.”(Yamada, 2008, p. 5). Data collection is generally initiated in the ER, and other times when the patient is at the physician's office or in the outpatient service line. To reference inpatient services, data collection begins in the ER. The patient's allergies, current medications, medical history, vital signs, immunizations, suicide screening and domestic violence screening are all obtained...
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