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 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 An example of this in adult nursing could be in a hospital, during personal care. If a patient is unable to complete their own personal care and hygiene due to physical difficulties, such as if they have suffered a stroke in the past, nurses will help them to complete the care. Respect is used by the nurses when carrying out this task by ensuring they are speaking kindly to the patient, ensuring they feel comfortable, and by receiving permission before performing any task. By gaining the patients permission, they will feel that they have a higher level of control of the care, will feel more respected, and they will begin to develop a trusting relationship with the nurses. Protecting a patients dignity means to respect their privacy, allow them to have control over their own decisions, and to not undermine them at any point. Patients dignity can be protected by nurses by ensuring they only carry out personal care when it is needed, and if possible, have the nurse completing the task be the same gender of the patient. This may make them feel more comfortable and less embarrassed. Dignity and respect for patients is important in adult nursing because without it, it dehumanises them, and creates opportunities for abuse and ill treatment to occur. Lack of dignity and respect can also cause emotional problems for patients, as they are already in a vulnerable state. Lack of respect and dignity
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
Although nursing is universally practiced, not all nurses values and morals are the same. Nurses and nursing students are usually put in situations where they must operate within an ethical structure which is either unfamiliar to their cultural criterion or those of the patients for whom they are taking care of. The most prominent values and morals of nurses are based on human dignity and benevolence. Human dignity is the main component that branches off into other values under caring for health and well-being. Trust, integrity, autonomy, and privacy are one of the many sub-values that fall under human dignity. It is important for the nurses to respect and understand the culture and beliefs of the patient without being judgmental or confrontational. The wellbeing of the patient is priority and so the nurses must focus on gaining the patients trust first by tending to their needs and exhibiting
Person centred care is defined as health care professionals work together for people who use the health care services. Person centred care also helps to support the patient’s knowledge and also helps the patient to develop an understanding of their health condition and also gives them the confidence to effectively manage and make educated decisions about their own health and also the health care in which they receive. (Health Foundation 2014). This suggests that each individual needs to be treated with the same amount of respect and they also need to be treat equally. Furthermore, the RCN (2015) argue that important principles of Person Centred Care are respect, dignity and compassion. As professional it is important that
Person Centred Care (PCC) is an important integrity in care, it develops patient- nurse relationship, enables increase in patient’s healthcare, development and satisfaction in the care provided. Research proves that modern day health care has incorporated the notion of patient-centred practise and empowerment regardless substantial encounters which hinders carrying out PCC in clinical practice (Ekman et al, 2011). To achieve a subsequent experience for a patient, routines need to be established to safeguard, initiate and incorporate consistency in practice. So, this essay will explore the definition of PCC, discuss four examples in context to PCC such as Communication, Confidentiality, Choice, and treating patients with dignity and respect.
The definition of person centred care is to include an individual receiving treatment in all aspects and decisions of both their healthcare treatment and recovery care plan. The Nursing and Midwifery Council (2008) state that nurses should ‘make the care of the people your first concern, treating them as individuals and respecting their dignity’. In 2012, the Scottish government introduced The 10 Essential Shared Capabilities (10 Escs) It has been created to promote and reflect on progressing policy and legislation to improve person centred care, values and beliefs in Scotland. Person centred care is a driving force not only within mental health nursing but all nursing. Whilst the service user and the nurse build a therapeutic relationship and develop a care plan, which is to the service users owns specific needs and wants. It ensures th...
According to the Oxford Dictionary, dignity is “The state or quality of being worthy of honour or respect.” (Oxford Dictionary, 2017). Living a life of dignity is individual to each person, but regardless of who they are, or what illness they may be suffering from, they deserve dignity and respect in the way that they are cared for. The cornerstone of nursing care is providing dignity to our patients. The issue can arise when a patient chooses to end their life versus letting the disease or aging process take its natural course, and the individual beliefs that nurses feel about this very difficult topic.
In order for nurses to practice ethically they must understand the meaning behind each professional value. The first value is human dignity. With each patient we encounter we must show them respect as individuals. It does not matter what the medical condition is, race, ethnicity, culture, religion or gender of the individual. The dignity of a person must be protected. As nurses we must respect the uniqueness of each individual we care for, as this is a fundamental right of all humans. A person with dignity feels a sense of self-worth and as nurses we must do our best to help our patients maintain that feeling of worthiness.
According to Provision 1, “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others
Nowadays the concept of patient-centeredness plays an important role in high-quality health care. Patient-centeredness joins the care the patient is getting together with the care that the patient is willing to receive, giving therefore the patient a certain ethical authority. This particular approach to practice is built upon important concepts such as patient’s preferences respect, whole-person knowledge and creating an effective relationship between the patient and the clinician. These particular concepts might vary taking in consideration the condition of the patient and the patient himself. Patient-centeredness is also known as patient centered care. [1] [2]
The first part of this is respect for human dignity which is the need for and right to health care is universal, transcending all differences (Code, 2015). The second part of the first provision is about relationships with patients. Nurses set up relationships of trust and provide nursing services according to need, setting aside any bias or prejudice (Code, 2015). When a patient choices are risky, nurses have to discuss the behavior and offer opportunities to change the behavior to eradicate the risk (Code, 2015). The third part of the first provision is about the nature of health. Nurses should respect the dignity and rights of all human beings regardless of the factors contributing to the person’s health status (Code, 2015). The fourth part of the first provision is the right to self-determination. Patients have the moral and legal right to decide what will happen with and to their own person (Code, 2015). The fifth and last part of the first provision is the relationship with colleagues and others. This part is about respect for persons extends to all people with whom the nurse interacts (Codes,
Ernst (2013) further points out that SDM helps to develop trust between patients and their health care providers, as it encourages physicians to engage and communicate with their patients more effectively. It is reasonable to conclude that this could result in a higher quality of care by the physician and better health outcomes for the patient since both patient and physician would have a better understanding of the patient’s situation. A report by Saskatchewan Health Quality Council (2010) points to a study which found that “patient perceptions of receiving more patient-centred care were associated with better recovery and emotional health” (p. 10).
This study showed that nurses can communicate well when a patient-center approach is used. There is need within health care for nurses to recognize that patients are more than a task that needs to be completed. That the patient themselves are an important element in their own care. By educating and giving nurses the evidence-based research available they can fill this gap. Continued research needs to be conducted on patient’s experiences of how nurses communicate. Showing us the behaviors that patients place high values on. Thus enabling nurses to use a patient-centered
Brown et al (2017) document dignity was commonly understood as independence, privacy, comfort and care, individuality, respect, communication, physical appearance and being seen as human. To successfully deliver the dignity care to end of life patient, it requires that nurses need to obey the 6Cs of nursing (care, compassion, competence, communicate, courage and commitment) in order to the standard care not fall behind (DH, 2012). By following NMC code (2015) we are now taking forward this work in dignity to explore how to promote dignity in routine care. Then the further researcher should explore whether Dignity Therapy can be routine intervention and integrated into day to day practice of palliative care team or end of life care team.