...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...
Words: 1901 - Pages: 8
...Patient-Centered Care Delivery Model, a Multidisciplinary Team Approach NR532 Healthcare Operational Planning and Management Patient-Centered Care Delivery Model, a Multidisciplinary Team Approach Increased emphasis from the Institute Of Medicine (IOM) and the Patient Protection and Affordable Care Act (PPACA) on improving quality, safety and reducing care cost has brought forth challenges among hospital executives (Cama, 2009). Nurse executives must develop low cost, innovative and effective ways to deliver patient care. The focus of this manuscript is to develop and implement a care delivery model emphasized in a patient-centered care delivery model using multidisciplinary team approach. Patient-centered Care Delivery Model According to the Institute of Health Improvement (IHI), “patient-centered family care is care through a patient’s experience that is coordinated, informed and grounded in respectful interactions with providers that are consistent with the patient’s values, expectations and care decisions” (Balik, 2011). Evidence-based practice has drastically increased this past decade with one of its cornerstones being “patient-centered care and nursing being at the frontline to lead this change. Professional nurses are prepared to effectively lead the healthcare team to achieve patient and organizational goals. Patients are unique in every facet of their needs and therefor multiple disciplines are critical to best deliver patient-centered outcome (Cama, 2009)...
Words: 1281 - Pages: 6
...individual patient. All patients are not treated the same. Every patient is unique and needs their own kind individualized care. This allows the patient to feels safe, secure, and comfortable with their particular surroundings. It is important to give this sense of security to the patient because it will allow him to respond to their treatment or medication more effectively. Additionally, it can allow them to feel good about their selves. Another advantage is the development between the doctor and patient. One way of doing this is by using active listening skills. “This means hearing every word, noting the emotion behind the word, hearing the tone of voice, observing facial expressions, dress, posture and demeanor, being aware of one’s own emotions and reactions, and being able to follow the patient’s story plus the unspoken story, the subtheme, that underlies the story” (Branch, 2014, p.3.) This helps to add to their safe, secure, and comfortable feelings. Individuals like to be heard, remembered, understood, and have relations with their particular physician. A difference in one’s culture could alter effective communication and understanding them would allow them for more appreciation for the doctor. Thus, the patient is more likely to follow the doctor’s instructions. However, there are barriers and challenges that may occur during the implementation of the individual-focused care in nursing homes. One of these barriers may include one’s religion. It is vital for the patient to have...
Words: 855 - Pages: 4
...Vulnerable People in the Workplace Vulnerable People in the Workplace Paper Watson is a Nursing theorist who recognizes nursing as the art of caring and the need to treat each patient holistically (Watson, 2007). Leininger is another Nursing theorist who realized caring is unique and the core of nursing. According to Leininger’s Cultural Care Theory as cited by Maier-Lorentz (2008), on Transcultural Nursing, nurses need to be aware of various cultures and how to use this knowledge in their daily practice (Maier-Lorentz, 2008). Leininger’s Cultural Care Theory addresses the need for cultural competency in health care. Communication with a patient can be affected by a patient’s culture. In addition, nurses need to avoid ethnocentric bias. In an effort to achieve a holistic approach to health care one must have an understanding of cultural factors that may affect proposed health care interventions. Leininger’s Cultural Care Theory can be hardwired with Watson’s Theory of Human Care to help achieve holistic care of the patient (Leininger & McFarland, 2002). In this paper I will discuss the design of a teaching program at my workplace to help raise awareness about vulnerable populations. According to De Chesney and Anderson (2008), issues with vulnerability can apply to population groups or individual people. De Chesney and Anderson (2008) discuss vulnerable populations that are at higher risk for health issues related to socioeconomic status, cultural issues, or environmental...
Words: 1187 - Pages: 5
...Student’s Name Instructor’s Name Course Date Reflection Portfolio on Personal Values and NSW Health Values Introduction Values are important in any organization. Values give an organization credibility in the eyes of its clients. Promotion of ethical values is a role of every stakeholder of the organization. At New South Wales (NSW) Health and private employers ensure promotion of value through adherence to their value statements. This reflection portfolio evaluates the said values assuming that one works within that organization. In order to perform this reflection, one has to make sure that personal values are not compromised by the employer. Compromise may hinder independent comparison of one’s personal values and those of NSW Health. This work will analyze the influence of these values on health teams and demonstrate how NSW Health leaders may use these values to impact effectively on patient’s healthcare. An independent evaluator needs to follow the criteria that ensure professional practice. I adopted my values in a collage characterized by strong family bondage and commitment, sharing, love, happiness and family pets. This collage values happiness, wealth and family bondage than other matters in life. I express my vision for a happy family, values and goals to measure progress. My vision aims to ensure family safety, health and togetherness. In order to have a happy family, one must attend to all their needs including...
Words: 2760 - Pages: 12
...In order to provide patient-centered care, nurses must incorporate the patient as a whole. They have to be aware of the differences amongst their patient’s expressed needs, preferences, and values (American Association of Colleges of Nursing, 2008). Cultural beliefs and practices are vital factors to consider when assessing the patient for these things. If a nurse were to just take care of everyone based upon his or her own beliefs, the care provided would not be considered patient-centered at all. So how does one assess a patient’s cultural affiliations? The Heritage Assessment Tool is a great questionnaire that will guide a nurse into the world of the patient. It allows the nurse to look at the patient as a whole, not just looking at his or her medical condition. It assesses the patient’s family history in regards to culture, religion, family, and surroundings. The questionnaire was used to interview a member from three separate cultures. This paper will describe some differences and similarities in health traditions amongst the Muslim, Latino, and Western cultures. The African race is made up of many cultures. B. Babale is a male whom this writer interviewed. His and his family’s beliefs correlate with the Muslim religion, like the majority of the Northern African population. He was born in America; however his parents came here in 1981. Him, and his family have a strong belief in prayer and they have many customs with prayer. They pray many times a day (usually...
Words: 839 - Pages: 4
...Organizational Structure and Culture Student’s Name: Institution: Date: My current service area is the pediatric nursing department. The service area is part of a collection of nursing service areas that operate under the nursing practice department of the teaching hospital. The teaching hospital works under a well-managed structure depicted by the hospital’s organizational chart. The chart is a vertical organizational chart that begins with the highest levels of management and highlights the hierarchy of the levels in a descending order (Ezzat, n.d). The lowest levels of management are shown at the bottom of the chart. The nursing practice department is the largest due to the numerous service areas the department oversees. The head of the service areas are associate directors who report to the chief nursing officer. The chief nursing officer is responsible for the management of the nursing practice department. The organizational chart plays numerous roles within the service charter of the teaching hospital. One of these roles is the creation of a supportive environment that enables the teaching hospital to accomplish a client-centered model of care. The organizational chart meets various demands that support a client-centered care model. These demands collectively make up the clinical dimensions of the client-centered care model (Green et al. 2012). The first demand is the provision of a supportive and actively involved management system. Provision...
Words: 1075 - Pages: 5
...Quality and Patient-Centered Care SO and SO Such and Such University Nurs2263-04 Summary of Service Quality and Patient-Centered Care Quality patient centered care is vital to a hospital or clinic’s ability to treat whole patients. Dabney and Tzeng (2013) address the necessity to implement patient-centered care into clinic and hospital settings. The article clarifies what patient-centered care and service quality is by consolidating many works and sighting benefits medical professionals can observe in their practice. Dabney and Tzang (2013) highlight the importance, sighting the Department of Heath and Human Services heads (2011), urging health care providers to improve their overall quality of health care by making it more patient centered. Patient-centered care, or person-centered care, refers to the therapeutic relationship between health care providers and recipients of health care services, with emphasis on meeting the needs of individual patients (Dabney and Tzang 2013). This process allows the patient to become a more active part of the healing process. By implementing a patient-centered approach a health care provider will increase quality of services offered and also better educate patients in disease prevention (Dabney and Tzang 2013). Moreover, a patient will be more willing to communicate with the clinical staff if they feel they are being cared for in a personalized way. Communication between provider and patient is crucial...
Words: 651 - Pages: 3
...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 or noninvasive cardiac catheterizations, vascular interventions, echocardiography...
Words: 1147 - Pages: 5
...our text, the organization’s mission statement defines their purpose of existence (Parnell, 2014). Methodist Le Bonheur Healthcare or MLH purpose of existence is to be a leader in health through “quality, cost-effective-and family-centered care”. Because the mission of MLH holds all associates accountable for providing quality healthcare to our communities, it has to be concise, clear, and easily remembered. MLH is committed to its mission. In fact, the mission serves as the foundation for the organizational culture experienced at each MLH facility. Through continuous training and accountability, associates are energized, thus buying in and taking ownership of the mission of MLH. MLH is not only the abbreviation for the...
Words: 434 - Pages: 2
...Family • Definition: Family is a set of relationships that the patient identifies as family or as a network of individuals who influence one another’s lives, whether or not there are actual biological or legal ties (Potter & Perry, 2013). • Scope: The emphasis in nursing today is on providing family-centered care. Wherever nurses practice, they will work with families and observe family dynamics across the lifespan (Giddens, 2013). • Attributes: o Nuclear Family – consists of husband and wife (and perhaps one or more children). o Extended Family – includes relatives (aunts, uncles, grandparents, and cousins) in addition to the nuclear family. o Single-Parent Family – is formed when one parent leaves the nuclear family because of death, divorce, or desertion or when a single person decides to have or adopt a child. o Blended Family – is formed when parents bring unrelated children from prior adoptive or foster parenting relationships into a new, joint living situation. o Alternative Family – include multi-adult households, “skip generation” families (grandparents caring for grandchildren), communal groups with children, “non-families” (adults living alone), cohabitating partners, and homosexual couples. (Potter & Perry, 2013) • Context to Nursing: As we enter the professional world of nursing, we must obtain and use the skills, knowledge, and attitudes necessary for different concepts of nursing. The concept we chose to present on for...
Words: 1047 - Pages: 5
...Counseling Theory October 12, 2013 Therapist like Bohart and Watson who runs individual therapies such as, person centered therapy; can greatly assume that clients strive to develop a greater degree of independence and integration for individuals in their surroundings and the people in their lives (Corey, 2013). Clients prepare to be open to the experience of counseling, to trust in them, to evaluate themselves internally, and to pursue willingness towards continued growth. Fear of any of these areas requires addressing prior to moving forward with current issues, as these will impede client growth. According to the text, clients will experience therapy differently depending on perceptions of both the past and the possibilities of future events (Corey, 2013). Exploring a wider range of beliefs and feelings aids clients during this process, helping clients to better appreciate who they are and what they are capable of accomplishing. When clients come to counselors that they just want to talk, so they can sort out things and listen to themselves on what they are saying are on of the problems that they would have to the therapist. As a future counselor I believe that setting a topic therapy for the client is a way that can help the client to talk about how they are feeling. For instance I work at Carrier Clinic as a Mental Health Technician and right now I'm a shadowing group with the clients. And eventually as I will run group by my self one of my topics would be, for...
Words: 1108 - Pages: 5
...Inter-professional Team Development I. Introduction Patient and Family Centered care evolved a relationship that involved the patient and the family in the treatment, decisions and potential outcomes in their medical plans and care. The patient is encouraged to take part in every aspect of their treatment and is empirically empowered through education and understanding to make the best decisions possible in their care and management of their disease process. This evolution has moved the health professional into an open, honest, communicative relationship with the patient and empowered them with a tool that had, until recently, been devoid; they have been given choices. The patient-centered care model addresses the patient's concerns by providing resources and communication concerning the options available to them, and to evaluate their understanding of their diagnosis and how to utilize these resources and understanding to meet their needs. II. Self-Assessment Tool III. Setting Description The present setting where I am employed is a 300 bed academic Level One Trauma Center residing in the heart of the city. We provide many specialties of care which include trauma, stroke--being in the minority as a comprehensive stroke center--high risk obstetric and a state of the art cancer care center, to name of a few of the services provided to a tri-state area. The hospital sees a very diverse population of patients, with a large amount, around 26%, being indigent...
Words: 2546 - Pages: 11
...What is the doctor-patient relationship? The doctor-patient relationship is an important concept in health care. It is a complex topic that means different things to different people. The doctor-patient relationship is a keystone of care. It is the medium in which data are collected, diagnoses and plans are made, compliance is accomplished, and healing, patient activation, and support are provided (Lipkin, 1995). The doctor-patient relationship is a critical factor in people’s decisions to join and stay with a specific organization. This is a big deal for managed care organizations. There are several factors that have impacted the doctor-patient relationship. They are, but not limited to: The medical interview. Eliciting patients’ own explanations of their illness. Giving patients information. Involving patients in developing a treatment plan. The accessibility of personnel and their courtesy level. Reasonable waiting times and attention to personal comfort. Whose doctor is it anyway? (Goold, 1999) It is during the medical interview when patient and practitioner spend most of the medical encounter in discussion. The interview functions to gather information, develop and maintain a therapeutic relationship, and communicate information. If a patient likes and trusts their physician, then they will share openly with their physician. On the other hand, a patient who does not trust or like the physician will not disclose complete information...
Words: 536 - Pages: 3
...RVH uses a patient-centered comprehensive care approach for patient management. All considerations of the patient’s personal preferences and values, their family situations, and their lifestyles are made. The patient and their loved ones are an integral part of the treatment team in that they collaborate with their health care professionals in making clinical decisions for patients. This is evident across the continuum of care with all focus on the patient and by extension to their family. When analyzing this organization using the Patient- and Family-Centered Care Organizational Self-Assessment Tool, low marks are received across the board except in the area of communication with hospital staff. RVH spear headed a Patient-Center bedside report years ago and encourage patients and their family to be actively involved during nurse to nurse report. This has become a standard of care across the continuum of all hospitals and proven to save time, improve communication and care, but most important save lives. Daily meetings or phone calls with family are the expectation for doctors while patients are in the hospital. This coupled with 24 hour visitation on all units encourages family involvement in patient care. In RVH outpatient settings, patient/family centered care is evident with the introduction 3 years ago of MYChart where patients and family can receive up to date information specific to their care, and have direct communication with their doctors. However, patients...
Words: 1595 - Pages: 7
