...in 2006, ‘the term person-centred care is used…to indicate a strong interest in the patient’s own experience of health, illness, injury or need. It infers that the nurse works with the person’s definition of the situation, as well as that presented through a medical or other diagnosis’. (pg. 49 – 56) The notion of person-centeredness has become well recognized within healthcare and especially within Nursing (Binnie & Tichen 1999, McCormack 2001,2003). Person Centeredness is also ingrained in many policy initiatives within the UK (eg. The National Service Framework for Older People, Department of Health 2001). Evidence has suggested that implementing person centeredness within nursing can provide patients with more holistic style of care and may even increase the patient satisfaction with the level of care. (Binnie & Tichen 1999) There are a variety of frameworks which have been established to aid nurses in implementing Person Centred Care, and although these frameworks differ they all share important components. Person centred care focuses on delivering a standard of care which include incorporating a patients beliefs and values, maintaining a sympathetic presence, sharing and involving client in decision making all whilst providing for the patients physical needs or requirements. (McCormack & McCance, 2006) There are many different concepts which contribute to person centred care; in this essay I am going...
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...INTRODUCTION In recent years, patient-centeredness and cultural competence have been promoted as integral to improving health care quality. Although patient- centeredness and cultural competence have grown out of separate traditions each with its own focus they have many similarities. Health care that is patient-centered is likely also to be culturally competent, and culturally competent care is likely to be patient-centered. Proponents of patient-centeredness may therefore view cultural competence as within its purview; likewise, proponents of cultural competence may view patient-centeredness as an essential element. THE EVOLUTION OF PATIENT-CENTEREDNESS Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment. The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions." The term “patient-centered medicine” was originally coined by Balint in 1969 to express the belief that each patient “has to be understood as a unique human being (Balint)".The concept has evolved and expanded, and today, no one would deny that health care should be patient-centered.2 However, despite universal endorsement of patient-centeredness, there is considerable ambiguity in its definition and use across settings...
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...reduction in avoidable emergency hospitalisation among patients with T2DM. Reference emphasised that this could result in significant reduction in financial cost to the NHS. Clinical studies suggest that specialist diabetes inpatient teams can reduce prescribing errors, improve patients’ outcomes, reduce length of stay, increase day case rates and reduce the number of admissions. This suggests the multifaceted role that the DSNs play in patient care. Bostrom et al (2012) conducted a study to evaluate the perception of DSNs on their multifaceted roles in 23 primary health sectors at a suburb of Sweden with a sample size of 29 DSNs with mean age of 51. Five focus group interviews were conducted to collect data...
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...of messages to the receiver; these messages are sent and received both knowingly and unknowingly (Sully and Dallas, 2005). Nurses evidently deal more with patients than any other health care worker (McCabe and Timmins 2006), therefore it is very important that effective communication skills are developed, as they will be supporting the patients, the relatives and then communicating back to other health care workers. This essay will be looking at the importance of developing effective non verbal communication skills, the effect different levels of communication has on patients, and adapting communication skills where barriers exist. Communication is both verbal and non verbal, Verbal communication is often seen as the most important form of communication (McCabe and Timmins, 2006). However when people are communicating, words make up only seven percent of the message. The other ninety three percent is made up by how the message is said, the tone of the message and body language (Argyle, 1989 cited by McCabe and Timmins, 2006). So from looking at the information Argyle presents, it is clear to see that non verbal communication has much more of an impact than verbal communication. Although what is said will still have to have meaning and be appropriate. Non verbal skills need to be developed to a high standard to ensure patients are always receiving the message the sender wants them to receive. Non verbal communication specifically used by nurses includes listening, touch and body...
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...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
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...and how was it effective? In order to investigate the different views and opinions that patients have in regards to patient- centered care, interpersonal interviews, a research methodology, was utilized. Interpersonal interviews were conducted in this phenomenological study in order to inquire about the “lived experience” or phenomena of patient’s experience of patient- centered care. This methodology ensured reliability and validity. Reliability was achieved through the interpersonal interview technique by using the same interview framework and the same researcher to conduct all of the interviews. This allowed the data that was being extracted to have consistency. All interviews were applied in a ‘coherent and consistent manner’ through the use of open and in depth discussions about the phenomena of patient centered care. This ensured validity and provided a further insight into the participant’s views of patient centered care. The interviews were accurately recorded and interpreted by two researchers separately to identify different meanings of the data. The methodology used was definitely effective, as it allowed data saturation to occur, which meant that no new themes were forthcoming and the data was repeating itself. This signified that all data that was required on the study of patient centered care was collected. How is the study unbiased? The study or phenomena of patient centered care appears to be unbiased. The concept of phenomenology encourages the researcher...
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...improve or build on before I start on my first placement. I will be picking 3 specific areas out of my SWEC table to focus on in this PDP. It is an important skill to be able to identify my strengths and weakness as a student nurse so that I can improve my own skills to give the best patient centred care possible. Code 22.3 of the Nursing and Midwifery Council (NMC) code of conduct (2015) refers to the need for midwives and nurses to keep their skills and knowledge up to date,...
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...Systematic Approach to Care through Effective Person-Centred Care Planning. The NHS places a strong emphasis on delivering person-centred care to patients. Patient-centred planning was adopted as national government policy in 2001 via the “Valuing People” paper and more recently as part of the “Valuing People Now” document (DOH,2009). Person-centred planning is now promoted as a key method in delivering the personalisation objectives of the Governments “Putting People First” programme for social care (DOH, 2007). The Coalition continues this commitment towards personalisation of care with its “Capable Communities and Active Citizens” document (DOH, 2010). One key area to ensure that care is delivered in a systematic person-centred way is through effective care planning that involves the patient in the process as a key stake holder. Several systematic models to nursing care are available that will facilitate practitioners in ensuring that all needs of the individual are identified and met. This essay will define what is meant by the term “person centred care”, will explore the systematic nursing models of care delivery and will highlight good practice in constructing person-centred care plans. This will be done using examples of an original care plan (constructed by the author for a real patient whose name has been changed) - and will draw upon information and evidence from a range of contemporary sources. It is appropriate in the context of this essay to firstly define...
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...Therapeutic communication in its fundamental concept is providing a best treatment for patient based on patient-centre service. On the video case scenario, it is known that the woman is experiencing cerebrovascular attack. CVA or popularly known as stroke, needs a complex care as it involves plenty of communication barriers between patient and healthcare professionals, such as weakness, numbness, vision, and particularly, speech abnormalities (Grear & Bushnell, 2013). As stroke involves difficult communication, healthcare professionals need advanced skills of communication. For the purpose of the essay requirement, I will review how healthcare professional is conducting session with a patient from the therapeutic communication perspective. A patient is recently assigned to a hospital through emergency department. When paramedic team performs clinical handover to a nurse, he describes that the patient is 35 years old, 28 weeks pregnant and has history of hypertension. The nurse learns that she has difficulty in communication and gives a simple guideline. This is where the essence of therapeutic communication plays a great role. Anytime she shakes her head means affirmation and nodding means negation. Afterward, the nurse describes that there will be some other healthcare professionals visiting her. The first healthcare worker coming in after nurse is the radiographer. His intention is to inform and ask a consensual agreement of CT scan to the patient’s brain. The scanning procedure...
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...Module 1 Notes In this essay I will define what Person Centred Therapy (PCT) is and I will look at the origins of this therapy with particular reference to Abraham Maslow and Carl Rogers and examine the fundamental elements necessary for the therapy to be seen as patient centred. I will compare the benefits and disadvantages of Person-Centred Therapy and try to establish whether a therapist can treat all clients effectively using just the one approach or whether it is more beneficial to the client for the therapist to use a more multi-disciplinary approach. To be able to discuss this subject, it is important to describe first what we mean when discussing PCT. Person-Centred Therapy, also known as client-centred, non-directive, or Rogerian therapy, is an approach to counselling and psychotherapy that places much of the responsibility for the treatment process on the client, with the therapist taking a non-directive role. PCT emphasises person to person relationship between the therapist and client and focuses on the clientâs point of view; through active listening the therapist tries This essay is intended to explore the statement that Person-centered therapy offers therapists all they need to treat clients. In order to do this I intend to further explore the opinions of other individuals practicing and researching counseling therapies. My first thoughts are that if the Person centered approach was sufficient, there might not have been such a great variety of...
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...the “Transforming your care “ report (Department of Health Social Service and Public Safety, (DHSSPS) 2011a) made recommendations to increase care in the community, making home the centre of care aiming to reduce the strain on limited resources and give value for money. Within the community care district nurses are vital, there role is autonomous, unique and varied. Furthermore there expert theory, skills, and knowledge of self and practice adds to their advanced interpersonal communication skills to assess clients with increasing complex needs (Blazor et al 2008). Communication is the cornerstone of the nurse patient therapeutic relationship and is the essence of good care (Stein-Parbury, 2009). Within the community care setting, therapeutic relationships are a high priority of the health service to enhance the well-being of the growing ageing population and patients with complex palliative care needs (Bain and Baguley 2012). The Department of Health (2006) acknowledges that communication is paramount for human interaction, otherwise people cannot relate to others effectively, make their needs known and identify what is happening to them. A fundamental aspect for district nursing staff is to ensure the whole family unit is included in the communication process which is an essential part of the therapeutic relationship. The therapeutic relationship is grounded in an interpersonal process that occurs between the nurse and the client. It is a purpose, goal directed relationship...
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...providing good quality *patient/client/service user centred care"...Discuss. Student details: Name Student Number Word Count: 2,976 Module Tutor: The aim of this assignment is to discuss the importance of working inter-professionally within a multidisciplinary team to achieve the best patient-centred care. It will demonstrate developments achieved, and the knowledge gained around this area throughout my training and practice to date. The assignment will focus on the inter-professional care for adults within a hospital environment, as ‘Advanced Diploma in Adult Nursing’ is my course area. Interprofessional collaboration looks at teamwork, communication, professionalism and modern issues which influence practice at present. Various health care professionals have a range of expertise and skills different to others, their experiences and insights into situations capture dissimilar care needs, therefore enabling the patient to receive the best care. Through working in a multidisciplinary team, different professionals can collaborate with each other in order to benefit the patient and deliver person-centred care. The Royal College of Nursing (RCN 2007) describes person centred care as; care which is safe and effective, promotes health and well-being and helps to integrate the patient into today’s society and community. Person-centred care also informs, empowers, is timely and convenient (Kendall and Lissauer 2003). It is an approach, which integrates patient ideas, expectations...
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...Describe the factors that help or hinder person-centred care and interprofessional working in relation to a chosen incident. (Word Count 2,993) In this essay a consultation observed during a Primary Care placement will be described, with the aim of defining person centred care in relation to it. To protect confidentiality and in accordance with the Nursing and Midwifery Council’s code of conduct (NMC, 2008), the names of persons or places are not referred to. The roles and responsibilities of the professions involved, the importance and difficulties of interprofessional collaboration and the effects of this on person centred care will also be explored. A conclusion will be drawn as to whether the event provided a person centred approach. The observed consultation (Appendix 1) took place in an elderly care clinic held in a hospital outpatient department. Outpatients Clinics are provided by the local NHS Primary Care trust on a regular basis as part of ongoing care for clients. A consultant, a nurse, the client and her carer were present. The client had an appointment to review her ongoing treatment of Parkinson’s disease. A publication to support the National Framework for older people (Department of Health, 2001) regarding the implementation of medicines endorses the monitoring of treatment to ensure the medication remains appropriate and to raise awareness of any adverse effects. The lady was in her eighties, frail and hard of hearing. A carer accompanied her from...
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...aid attendance to a patient, Sally, who is 28-weeks pregnant, I was able to identify a range of Therapeutic Communication techniques and have gained to appreciate the significance of Self-Awareness and what it means to be patient-centred. Communicating therapeutically typically uses a combination of techniques such as empathy, touch, active listening, clarifying and open-ended questioning as noted by Day, J., Levett-Jones, T., & Kenny, R. (2015). Ultimately, it aims to create a space in which the patient feels sufficiently safe to express their feelings openly and disclose what may often be private and personal, so that practitioners can make accurate assessments and diagnoses. For example, Sally had difficulty speaking, so James worked around this roadblock by asking close-ended questions and held Sally’s hand before asking, “Have you got a headache? Just squeeze my hands if you’ve got a headache.” So as not to make the history note-taking difficult for Sally, James recruited her husband David, to answer the more probing questions relating to her medical history and genetic predispositions. David in turn responded in a cooperative manner which indicated the beginnings of rapport being established. The tone and quality of his voice projected a sense of concern yet reassurance - that in her moment of medical need, he was right there by her. From James’s verbal and non-verbal communication techniques (open stance, crouched down to be closer to the patient), he demonstrated...
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...Supporting individuals with Dementia Legislations which govern work with of individuals with Dementia Enduring Power of Attorney Act An enduring power of attorney is a legal agreement that enables a person to appoint a trusted person – or people – to make financial and/ or property decisions on their behalf. It is an agreement made by choice that can be executed by anyone over the age of 18, who has full legal capacity. ‘Full legal capacity’ means that the person must be able to understand the nature and effect of the document they are completing and the nature and extent of their estate. An enduring power of attorney cannot be made by another person on behalf of a donor whose capacity might be in doubt due to mental illness, acquired brain injury, cognitive impairment or Dementia. It can be operational while the person still has capacity but may be physically unable to attend to financial matters. The benefit of the ‘enduring power of attorney’ is that unlike an ordinary power of attorney; it will continue to operate even if the donor loses full legal capacity. However, it does not permit an attorney to make personal and lifestyle decisions, including decisions about treatment. The authority of the attorney is limited to decisions about the donor’s property and financial affairs. To cancel (revoke) the ‘enduring’ power of attorney the donor must have full legal capacity. The revocation must be made in writing. If the donor has lost capacity, an application must be made...
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