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What is patient and family centered care in nursing
Patient and family focused care paper
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Patient and Family Centered Care
As our health care system continues to evolve and family members become increasingly involved in their loved ones care, a collaborative partnership must be encouraged and sustained by nursing leaders in order to foster a healthy environment for patients, families, and health care professionals (HCP) (Manojlovich, Barnsteiner, Bolton, Disch, & Saint, 2008, p. S13). That being said, from a nursing leadership perspective, how does patient and family centered care (PFCC), as a nursing leadership issue within a local context, influence the health experience of individuals in an acute care setting? This paper will include a critical analysis of various elements that influence PFCC, will examine potential barriers
450), which involves empowerment and collaboration between all involved partners (Institute for Patient- and Family- Centered Care, 2010a, para. 1). The overall goal is to improve patient and families satisfaction with the health care system while striving for optimal clinical outcomes for patients (Frampton et al., 2008, p. 40). Additionally, the term family is best described as whomever that particular person views as their family, regardless of blood relation or their place of residence (Piper, 2011, p. 128). To me, PFCC plays a substantive part in my nursing practice. Not a workday goes by that I don’t interact with a family member or friend of a patient on my unit in some way. Certain families provide imperative and valuable information about their family members life and illness experience, which could have a positive impact on their health outcomes. For example, if a patient suffers from dementia and is unable to recall the medications that they take at home, the family is often a great resource to find out this information, so that this patient receives the medications that they require while in the hospital. The Registered Nurses’ Association of Ontario (2015) supports the idea of PFCC, as patients and families are viewed as experts on their own life and health, whereas healthcare professionals are viewed as experts when it comes to evidence
This is currently being seen by the implementation of CoACT, which is an Alberta Health Service initiative that ensures that all HCP’s are working with patients and their families in an empowering and collaborative way (The Patient First Strategy, 2015, p. 25). This is being seen by the incorporation of patient white boards in each room, bedside shift report, and overnight accommodations for families (Alberta Health Services, 2015a). Additionally, Alberta Health Services has PFCC week each year, which sends out emails to HCP’s outlining various webinars and educational information regarding PFCC (Patient and Family Centred Care Week, 2016). Despite the efforts that are in place to promote PFCC, I believe that there is substantial room for improvement, such as making PFCC more accepted and embraced within our professional practice. In order to create positive change, education regarding the importance of PFCC and acceptance and incorporation of PFCC techniques within practice, are essential.
Analyzing the Issue of Patient and Family Centered Care
McIntyre and McDonald (2014) outline various elements, such as social, cultural, ethical, and economic perspectives, that influence complex nursing leadership issues (p. 5). For the sake of this paper, the aforementioned elements will be further explored and discussed in relation to PFCC and relevant literature
The government responded to the recommendations of the Francis Inquiry and voiced the recommendations for improving patient involvement in care, including changes to regulations and inspections (DOH, 2014). The NMC also responded to the Francis Inquiry in relation to the role of the nurse which was evaluated and criticised for ways in which it could be improved within the clinical setting, in order to improve nursing practice and knowledge towards patient-centred care. The NMC whole-heartedly agreed that there should be an increased focus in nurse training, education and professional development, in practical aspects in addition to theory (NMC, 2013).
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
The Core Competencies for Interprofessional Collaborative Practice recognizes how communication places responsibility on all team members. Members must have the opportunity to speak up in a respectful way about their concerns and quality of care, and in return be treated with respect. According to the Canadian Nurses Association (CNA) position statement on inter-professional collaboration (2011), it states how the use of interprofessional collaboration is critical for improving client-centred care as well as strengthening effective collaboration with other health professionals (2011). Communication is a common theme that has repeatedly surfaced in my research.
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
Treating the patient and family as one, can have improved outcomes, decrease hospital stays, increased patient satisfaction, and improved reimbursements for the hospital. Developing a relationship with not only the patient, but family as well, can pay off in the long run by providing better communication, better quality of care, and trust. The patient and family can be strong advocates for improved performance improvement efforts. Including family in the treatment of the patient treats the “whole” patient through their hospitalization. Involving the family can enhance the patients care.
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 be 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 own care.
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to...
Leadership is defined by Northouse (2013) as a transactional experience between persons whereby one individual influences a group of individuals who have a mutual goal. Leaders may hold authority attributed to them by the group, substantiated by how they are regarded, whether or not they have positional authority. In contrast to management, where the goal is to provide order through control, leadership is concerned with producing change through transformation and practical adjustments (Northouse, 2013). Because of the nature of nursing, its obligation to promoting health and healing of people, nursing leadership concentrates change efforts based on human needs and concurrently ponders the needs of administrations largely because they understand the interrelatedness of the two influences.
This helps ensure an open line of communication between patient, family, and medical staff which allows for efficient information passing between interdisciplinary teams (Bamm & Rosenbaum, 2008). This communication allows the nursing staff an opportunity to also educate and counsel the family members as needed to prepare them for caring for the patient (Bamm & Rosenbaum, 2008). The value of viewing the patient in context of family from the nursing perspective is the fact that the whole patient is treated by taking into consideration the family environment and it 's affect on the
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
Nurse Family Partnership presented at: University of Washington School of Nursing. Kazloric J, RN, Manager for NFP. November 6, 2013.
...ransformation. However, the power to improve the current regulatory, business, and organizational conditions does not rest solely with nurses; government, businesses, health care organizations, professional associations, and the insurance industry all must play a role. Working together, these many diverse parties can help ensure that the health care system provides seamless, affordable, quality care that is accessible to all and leads to improved health outcomes. Also, the Nurse leader provides the link between management and the frontline staff who personally interact with the public and patients. They are the interface between management and care delivery, and can only be effective if they have the support, time, authority, and respect necessary to competently and visibly lead their teams on the delivery of high-quality care. (Dawes, M., Davies, P., T., 2006).