NR 500 Week 3: Person-Centred Care

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NR 500 Week 3: Person-Centred Care

Person-centered care means dignified, personalized care that focuses on the needs of the individual by ensuring that their values and preferences are at the heart of clinical decision-making. It involves establishing trust, fostering respect, and determining what is essential to the patient. It is the direct opposite of physician-centered care, a traditional approach where the physician or primary caregiver knew best and was at the center of all caring activities. In person-centered care, the priorities of the individual undergoing treatment are analyzed and considered as caregivers embark on treatment. The patient receives individualized care specific to their exact needs. For example, according to DrahoÅ¡ová and JaroÅ¡ová (2016), caring involves acquainting oneself with the experiences and perceptions of the patient. Nurses demonstrate empathy and interest in the individual’s health and overall wellness. They illustrate the concept of caring when they display actions of concern, kindness, and compassion. Furthermore, they subsume nursing attributes such as trust, responsibility, and intimacy to enhance patient outcomes (Adams, 2016). Blending empirical research with learning is critical to developing humanistic caring professionals.

In my future role as Psychiatric Nurse Practitioner, I would apply holistic nursing in my future role through the provision of care that is centered on the physical, emotional, spiritual, and psychological attributes of the patient. Amid care, all these dimensions often intertwine. According to Wright et al. (2021), holistic care is about treating the patient as a whole entity. It transcends the physical and psychological aspects of patient care to cater to the individual’s spiritual and emotional needs. Going by this definition, I intend to apply nursing practices that emphasize on healing the patient as a whole. I will discuss spiritual, emotional, and psychological dimensions with each patient.

This is a detailed and insightful post about patient-centered care and holistic care models. Patient-centered care characterizes empowering patients to take control of their care instead of being passive receivers of healthcare services. This strategy is anchored on the perception that patient observations, experiences, and input can enhance the entire health outcomes. It also entails the provision of healthcare that is responsive and respectful to individual patient values, preferences, and values (Frisch & Rabinowitsch, 2019). In a patient-centered model, healthcare professionals strive to determine and treat the full patient through the development of individualized, detailed care plans.  This approach needs effective communication to develop trust and authentic partnerships between patients and their healthcare providers.

            The adoption of a holistic care approach is essential in focusing on the entire person including emotional, mental, physical, social, and spiritual needs. Here, nurse practitioners get the opportunity to reflect on the overall health profile of their patients. Holistic care is essential in providing a comprehensive understanding of patients and their different care needs and is associated with crucial outcomes in healthcare systems (Eriksson et al., 2018). This model has been branded as the core of the science of nursing. It focuses on individualism and acknowledges the existence of a close association between the body, soul, and mind. It emphasizes that all dimensions of human is different, unique, and linked to one another. The holistic care model increases patient satisfaction with healthcare and helps patients to accept and take self-responsibility. It also results in improved patient health outcomes because it responds to the true needs of individual patients.  During illness, intricate social, psychological, and cultural needs tend to disturb the balance of a patient and affect the healing process. Holistic care restores the balance and enables the patient to address the disease.

References

Eriksson, I., Lindblad, M., Möller, U., & Gillsjö, C. (2018). Holistic health care: Patients’ experiences of health care provided by an Advanced Practice Nurse. International Journal of Nursing Practice, 24(1), e12603. https://doi.org/10.1111/ijn.12603

Frisch, N. C., & Rabinowitsch, D. (2019). What’s in a definition? Holistic nursing, integrative health care, and integrative nursing: report of an integrated literature review. Journal of Holistic Nursing, 37(3), 260-272. https://doi.org/10.1177/0898010119860685

Most importantly, I will view the patient as a whole person rather than a disease. I will apply cultural humility by intentionally engaging in reflection and self-critique to recognize and acknowledge individuals from diverse cultures. According to Wright et al. (2021), patient populations are becoming increasingly diverse, signaling an era where patients’ health practices are strongly influenced by culture.

 As a future NP, I recognize that I will encounter patients from diverse backgrounds and with distinct values, belief systems, attitudes, and cultures. Cultural humility is about developing an awareness of these differences and acknowledging them to nurture sensitive approaches to treatment. Lastly, in my future role as Psychiatric Nurse Practitioner, I will apply the principle of self-reflection by deliberately inquiring/ comparing my clinical practice decisions and actions to current, valid, best-practice standards and recommendations. Purposeful self-reflection helps nurses gain critical insight and knowledge. When nurses engage in self-reflection, they can identify problems quickly and integrate critical thinking into clinical practice. To me, self-reflection will be aimed at gaining awareness and self-knowledge of personal strengths and weaknesses to identify improvement areas.

Kasia

References:

Adams, L. Y. (2016). The problem of caring in nursing. International Journal of Caring Sciences, 9(1), 1

Drahošová, L., & Jarošová, D. (2016). Concept caring in nursing. Central European Journal of Nursing and Midwifery, 7(2), 453-460.

Wright, R., Baptiste, D. L., Booth, A., Addison, H., Abshire, M., Alvarez, D., Barrett, M., Hansen, B., Jenkins, E., Scarborough, S., Wright, E., Davidson, P. M., & Ramsey, G. C.    (2021). Compelling Voices of Diversity, Equity, and Inclusion in Prelicensure Nursing Students: Application of the Cultural Humility Framework. Nurse educator, 46(5), E90–E94. https://doi.org/10.1097/NNE.0000000000001094