...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: Core Competency Patient centered care is considered the key competency in which the other four competencies function. The other four competencies include: working with an interprofessional team, employing evidence-based practice, ensuring quality improvement, and utilizing informatics. The Institute of Medicine (IOM) describes patient-centered care as being able to identify, respect and care about patients’ differences, their values, preferences, and expressed needs. Patient-centered care also includes being able to relieve pain and suffering, coordinate continuous care including: listening to, clearly informing, communicating with, educating patients, sharing decision-making and management; and continuously advocating disease prevention, wellness, and the promotion of living a healthy lifestyle, including a focus on population health (Finkelman...
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...Summary and Ethical Guidelines: Person-Centered Interactions Grand Canyon University: NRS-433V 8/23/15 There is an increasing focus on person-centered care in the literature and in the clinical setting. It is proposed that utilizing a person-centered approach during medication related activities has the potential to improve patient experiences and outcomes. This research summary and ethical considerations analysis is based on the article published in the International Journal of Nursing Studies by Bolster & Manias in 2010 “Person-centered interactions between nurses and patients during medication activities in an acute hospital setting: Qualitative observation and interview study.” Background of Study Despite the known benefits of using a person-centered approach to medication related activities nurses continue to routinely use a task-based approach to medication related activities. Most patients have medications administered to them by a nurse while hospitalized. This provides the nurse multiple opportunities to provide education and person-centered care. This is significant to nursing because “previous research has shown that the relationship between the nurse and the patient including how the nurse provides information is critical to enhancing medication adherence and management” (Bolster & Manias, 2010). The objective of the study was to investigate the following scenario: “How do nurses and patients interact with each other during medication...
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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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...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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...team. The patient must first feel that they can trust the physicians and nurses to provide them with optimum care, and act in their best interest; so, they can reach a better out come when providing patient-centered care. It is important for patients to be involved in the care that they receive. Through education and practice patients will be able to make an informed decision about their health care. Mission statement: We, as nurses will provide patient centered care and allow the patient autonomy in decision making. By providing patient centered care to the patients this will allow them the chance to influence their health and well being. See My Vision As I DO I would communicate my vision to the staff, and then sell the vision by first educating them about the vision; in hopes of making it a shared vision for all, take suggestion from the health care team on how to bring the vision to the forefront. Allowing the staff to provide input about the vision is important step, motivating the team by paining a full-size picture, this will help in implementing the vision on the unit. Guide the staff to see your vision as you do. By getting the staff involved will help keep the staff in support of your leadership vision. Provide evidence based literature to support your vision. Listen to your staff, being a good listener will help reduce barrier associated with your vision. I would like my staff to provide patient centered care by being efficient, and supporting the patient and allowing...
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...of patient- care in hospitals, nursing homes, ambulatory care sites, and other health care settings. Penant Hospital is 200- bed hospital located close to the inner city. We serve mainly people from low socio-economic backgrounds, average age 65years. There is a large migrant population in the area, with demography of blacks, whites and Hispanics. Penant hospital was established almost fifty years ago and is part of a large corporation. We are Joint Commission accredited and have over 400 medical staff. Our dedication to providing quality, compassionate, cost effective healthcare that is responsive to the needs of our patients, physicians and community is firmly established in our mission. We provide many services to our community. These services encompass emergency care, breast care, inpatient hospice care, behavioral health, laboratory services, wound care, orthopedics as well as pain management. Penant Hospital has an administrative team which comprises of Chief Executive Officer (CEO), Chief Medical Officer(CMO), Chief Nursing Officer(CNO), Chief Financial Officer (CFO) , Chief Organizational Officer (COO) and Director of Risk Management. Their job expectations and responsibilities include but are not limited to the development of a broader set of leadership and technical skills as well as to increase their understanding of healthcare delivery and its effectiveness (Hospitals, 2014). Critical to care (and the business) is the rights and best interest of the patients, focusing...
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...Results The data collection procedures for this research is by observation of 118 health care professionals preparing medication preparation of intravenous narcotic preparation. Researchers were focusing on 2 potential approaches to reducing medication error, individual error focus and systematic error focus. Observing the health care professionals with different procedural changes, process design, to see if it reduces the possibility of error is the appropriate data collection. This research did not directly involve patient identifiable health information. This study was based off of the data from the original study that used some patient protected health information. This research studied the two possible approaches that would possibly effect the reduction in medication errors. The principles of validity and reliability are essential bases of the scientific method. Validity of research must have been randomization of the sample groups and appropriate care and diligence shown in the allocation of controls (Shuttle, 2008). The research is validated since the sample group is randomized with professionals within their field such as RN’s that are licensed to prepare IV mediations along with hospital pharmacists. Also controls were allocated with diligence. For example, the group in the research were randomly selected and the controls, such as the same medications and stations, were kept the same for each participation as much as possible. The reliability of the research is...
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...The role of nurse managers and nurse leaders extends beyond the delivery of direct patient care. Organizations now utilize experienced nurses in administrative roles because nurses can provide unique insight regarding the resources needed to effectively and safely carryout patient care. As the healthcare industry pushes to improve the quality of care and contain costs organizations are forced to redesign healthcare delivery. Nurse leaders can help organizations find innovative ways to delivery safer and more cost-effective care. This paper will examine the resources necessary for the financial management, material management and personnel management of a Patient Centered Medical Home (PCMH) through a Christian world view. The proposed healthcare...
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...Role of the Provider and Scope of Practice Many only know of doctors and nurses who provide care, but in reality there are many health care professionals behind them that work together to provide them with the proper care they need. There are so many health care 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...
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...structure has allowed them to become one of the prominent organizations for treating cancer, research, and schooling. Since the early 90’s, they successfully restructured from being a physically organized cancer center in regards to clinical fields into a hospital that was structured into disease centered combined practice components termed multidisciplinary centers of care. These components were reinforced by an organizational structure plan in which doctors conveyed information both to management of educational units and disease centered care centers. As their ability to research and at the same time educate future health care personnel keeps them in forefront. Though these multidisciplinary centers of care do not operate simultaneously as one team focus on an individual patient they communicate focusing on particular cancer treatment and research with the same mission and goal. Keywords: cancer, research, students The University of Texas MD Anderson Cancer Center Organization& Stakeholder Relationship Knowledge and Comprehension The University of Texas MD Anderson Cancer Center being one of the United States most valued centers dedicated entirely to the care of patients with cancer, education and research. Located in Houston, Texas Medical Center, established in 1941 MD Anderson was a part of “The University of Texas System”. Further research shows The University of Texas MD Anderson Cancer Center is known to many just as MD Anderson Cancer Center, and “is one of...
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... |Current |Faculty | | |Required | | |Fundamentals of Nursing: The Art and Science of Nursing Care 2011. |2011 |Taylor, Lillis, LeMone ,|9781451130591 |Lippincott, Williams & |Required | | |Bundled with Skills Modules DVD ISBN 9781451118285 | |Lynn | |Wilkins | | | |Any Medical Dictionary | | | | |Required | | | | | | | | | | |ADN 150 Syllabus |2013 |Faculty | | |Required | | |Medical-Surgical Nursing – Patient Centered Collaborative Care, 7th |2013...
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...learner: internship doctors Number of learners: 2 Number of medical staff in the clinic: 1 consultant, 1 nurse, 2 internship doctors. Procedure to be performed: upper limb nerve conduction study (NCS). A non-invasive procedures Time scheduled for each patient: 45 minutes Total number of patient: 5. Clinic time: Wednesday morning 8 am -12pm Duration of placement: 1 month Learning situation (max 500 words) Purpose: At the end of the clinical session, the learner should be able to: 1- Perform a focused patient-centered history and focused physical examination for diverse patient referred to the clinical neurophysiology clinic 2- Perform upper limb nerve conduction studies in patients referred to clinical neurophysiology clinic. 3- Perform analysis ,interpret and report findings of nerve conduction study. 4- Demonstrate...
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...Measurement and Evaluation in Performance Management Within the Patient Centered Medical Home (PCMH) Sharon R. Jones Grantham University Dr. Jacqueline Carrau- Instructor HPI 632 Evaluating Results and Benefits 23 July 2013 Health-care providers each share one common goal, which is to provide high quality care to their patients. A very effective tool to use in accomplishing this task would be to measure the performance of the organization. Measuring performance will help them to determine how well the organization is accomplishing the established goals. It will allow for an analysis of where and what changes are needed to be made in order to improve performance and to improve the quality of the care provided. If the organization measured the performance, they would be able to understand what is working well in the organization and then they would be able to share what they have learned with other like organization in order for them to learn from their successes or failures. In my research, I found that there are several reasons for measuring performance within the healthcare field. The first reason is Quality Improvement, measuring performance will tell you what you are doing well in and will show you the areas where adjustments are needed. Measuring performance in the healthcare field tells you whether or not the organization is achieving the ultimate goal of improving patient care. Transparency is another reason I found for measuring performance...
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