...Patient-centered practice consists of three main components, philosophy of practice, patient care process and patient management system. Philosophy of practice includes social needs, practitioner’s responsibility, patient-centered approach, and caring paradigm. Additionally, standards of professional behavior consist of quality of care, ethics, collegiality, collaboration, education, research and resource allocation. The patient care process includes assessment, care plan, and evaluation. Drug-related needs (IESC), goals of therapy and drug therapy problems are within the whole process. For drug therapy problems, problem, drug therapy, and relationship should be clarified. For goals of therapy, parameters, value or observable change, and time...
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...and Resources > What is Patient Centered Care and how is it Better? What is Patient Centered Care and how is it Better? By Leslie McKerns On May 11, 2007 With the advent of managed care, more patients are seen in shorter amounts of time and the amount of one-on-one time with the doctor seems to be on the verge of evaporating. Escalating pressures on the physician and the medical staff increase as health care approval agencies mandate more paperwork and justification for procedures. From the patients’ perspective, care has become centered not on the needs of patients, but around the needs of the system itself. Patient-centered care is a quality benchmark actively sought by medical care professionals, eager to deliver dignified care and re-establish patient satisfaction. How do we define Patient-centered care and its goals? Patient-centered care treats the patient with dignity and respect, as one capable of making informed decisions and with the rights to express needs and preferences in treatment and expected outcome. Patient-centered care is based upon communication and involves both patient and their families in the treatment options and potential outcomes. Patient-centered care involves the patient in all aspects of their care and empowers them to seek the best solution for management or treatment. It moves the medical practice away from minimal communication towards open communication. Physicians in patient-centered care practices ask open-ended questions...
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...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 centered...
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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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...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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...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...
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...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)...
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...HLT-307 12/05/2015 Michelle Davis 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...
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...According to Winthrop university hospital, patient and family-centered care gives patients a voice in the planning, delivery, and evaluation of their care which leads to better adherence to the patients’ plan of care (“Winthrop University,”2016). Children’s Mercy Hospital in Kansas City also incorporates the concept of patient and family-centered care in their practice. Children’s mercy hospital define patient and family-centered care based on four key elements which include dignity and respect for patients’ and families’ values and beliefs; information sharing to promote effective participation in health care decisions; encouraging patients and families to participate in decision-making; and collaboration, which incorporates patients, families, healthcare providers along with different departments in the hospital in order to provide the best possible care (“Children's Mercy,”...
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...Nursing practice is the expectation of nurses, established by nursing staff and patients, which is the general standard accepted. Reflection allows a nurse to improve and advance their experiences.This essay aims to discuss patient abuse within aged care facilities and a nurses duty of care are two issues that allow a nurse to reflect and develop their practice skills and person-centered practice. The World Health Organisation (WHO) defines elder abuse as a separate or continuous action, or where care is absent within a relationship that requires trust, resulting in physical and emotional violence towards the patient.(World Health Organization, 2018). Nurses hold a duty of care to their patients. They additionally carry a legal obligation...
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...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...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals annual due...
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...When I think of patient, nurse, environment and health, I think of the role of being a nurse and the nursing process. My meaning of patient, nurse, environment and health is the concept or framework for the nursing profession. As nurses we must evaluate each aspect of the concept and implement them in our daily practice. Patient: The patient is a person or an individual with feeling and emotions. The patient, a person, is a holistic being. Person is viewed as holistic being with social, cultural, personal need. During the nursing process the nurse must understand that each patient/person seeking health care have unique needs, abilities and characteristics. Nurse: The nurse act as an advocate for patients and their families. The role of the nurse involves working, cooperatively, with the patient and families to achieve a sense well-being and healing. Nurses role are always base on the context of trustworthy relationship between the patients are identified as a provider of healthcare. Environment: The environment is all encompassing. The environments are conditions that are internal and external to the patient: spiritually, culturally, socially and ethically. Environmental factors are an integral part of nursing process and practice. I don’t think a nurse can adequately assess a patient without assessing the patient environmental factors. Health: Health is a subjectively and objectively concept. Health does not mean an absence of a disease or illness. Health...
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...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...
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...Baccalaureate prepared nurse with regards to Provider of Patient-Centered Care as stated in the Competencies. Do some of these differences surprise you? Were you aware that the BON had these differences in competencies in writing? In patient-centered care, the patients are actively involved in their care and the services they receive are focused on their individual needs. Patients’ involvement and shared decision making promote adherence and lead to improved outcome (Hinds, 2013). Nursing curricula include patient-centered care strategies in order to prepare and empower nurses about this level of care. According to the Texas Board of Nursing (2010), with regards to the provider of patient-centered care, diploma and associate degree nursing (ADN) prepare the nurses particularly to provide safe, compassionate bedside patient care in the hospital setting. A nurse with a baccalaureate degree in nursing (BSN) is prepared for greater orientation to community health, public health issues, leadership and management in addition to what a registered nurse holding ADN or diploma is required to do. A nurse with a baccalaureate degree is also required to develop a plan of care for patients, families, populations, and communities based on evidence-based practice and published research. In addition to the courses taught in associate degree, the BSN student takes additional course work to enhance professional development for a broader scope of practice that goes beyond the acute care hospital. I did...
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