Define Patient/Family Centered Care From Your Professional Perspective

Nurses and physicians would get no input from the patient on their wishes for treatment and care (Giddens, 2016). Health Care has recently advanced by adopting the patient and family centered care model which was designed to “recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respects for the patient’s preferences, values, and needs” (Knuths, 2017). This model allows patients to have a voice on what happens to their bodies and allows them to actively participate in their care. It has also allowed the patient’s family and loved ones to be involved. This involvement has given the patient a strong support system with their best interest in mind. Moving towards this concept has made nurses more aware of patient’s cultural differences, spiritual differences, family preferences, and personal values. This system has lead to better overall care and patient satisfaction. Care has become about the patient and not the provider (Knuths, 2017).

Nevertheless, many organizations continue to struggle with what “it” is. This ambiguity ultimately leaves many with vague or muddled expectations for what constitutes patient-centered care. Is it a surprise, then, that many leaders report feeling bewildered at how to go about becoming more patient-centered? Or that others, convinced that their approach is indeed a patient-centered one, are surprised to find data reflecting patient and/or staff discontent? In the broadest terms, patient-centered care is care organized around the patient. It is a model in which providers partner with patients and families to identify and satisfy the full range of patient needs and preferences. Not to be overlooked in defining patient-centered care is its concurrent focus on staff. To succeed, a patient-centered approach must also address the staff experience, as staff’s ability and inclination to effectively care for patients is unquestionably compromised if they do not feel cared for themselves. Although patients may not always be able to accurately assess the clinical quality of their care, or whether safety processes are in place, patient safety and high clinical quality are fundamental to a patient-centered approach. Patient-centered care does not replace excellent medicine―it both complements clinical excellence and contributes to it through effective partnerships and communication. A wealth of resources exists to guide organizations in addressing clinical

Although leaders in the health professions have advocated incorporating patient /consumer centeredness in the curriculum of health professionals, there remain several educational, practice and regulatory barriers to implementing a patient-centred vision. The following are some of the most important barriers

Communication is key to effective healthcare practices. According to American Journal Of Critical Care (2014), Patient-centered care starts with “effective communication, being empathetic and available, avoiding personal prejudges, and listening therapeutically are integral parts of patient-centered care” (Riley, White, Graham, Alexandrov, 2014, p. 320). This will improve communication; promote patient involvement in care, which creates a positive relationship with the healthcare provider and medical team. This results in improved adherence to treatment plan. Clinical practice guidelines need to be implemented for the patient and family members to be able to be involved in informed decision-making regarding healthcare needs. The fundamental core of nursing is to have a partnership with the patient and their family regarding the patient’s outcome.

Patient-centered care refers to the view that patients and their family members are partners in developing a care plan. This stems from the belief that the patient is in control and that the care provided is rooted in respect that addresses the patient’s personal needs and values (Barnsteiner & Sherwood, 2012). Creating a partnership with a patient that allows them to grasp the goals and methods of their plan of care and includes them in the decision-making process can prevent errors from occurring. This gives the patient the opportunity to correct any

1) I will observe how my preceptor and other nurses on the unit demonstrate patient and family centred care, and I will do a literature review on the importance of providing family centered care in nursing practice when working with paediatric patients (Harrison, 2010), (Kuo et al., 2011). (Roberts, Fenton & Barnard, 2015).

A collaborative approach, as an essential component of patient care, is emerging as best practice in recent literature. A review of the literature reveals that there is a common interchanging of the terms Patient and Family-Centered Care (PFCC), Family-Centered Care (FCC), and Patient-Centered Care (PCC). Although researchers interchange these terms often, there are commonalities that can be identified. General common principles include; information sharing, respect and honoring differences, partnership and collaboration, negotiation, and care in the

As we talked, we discussed the questions as outlined in the assignment starting with patient-centered care, barriers that may hinder it, and how it can be improved. She defined patient-centered care as “The patient being involved in their care. The patient needs to feel they are empowered to ask questions regarding their care, tests, medications, and any consultation that may be scheduled.” She stated that while at our facility our staff did a “great job” accommodating patient and family cares, comforts, and concerns. We agreed, there are times that barriers prevent fully supportive patient-centered care such as, doctors who refuse discuss patient care or concerns, short staffing, and when care management is disorganized. This can be improved by encouraging

There are five core competencies needed for health care professionals and they are provide patient centered care, work in interdisciplinary teams, employ evidence based practice, apply quality improvement, and utilizing informatics. In this paper, I will go into further detail how providing patient centered care is challenging, how to overcome the challenges, how it relates to my chosen profession, and how this competency can impact delivery of care to patients.

Patient centered care also means caring for the patient’s family and addressing any questions or concerns regarding the patient’s care if HIPAA is not violated. In addition, providing patient centered care involves the patient being an active participant in their care, and the nurse providing the patient with the tools to do so. Lastly, the nurse should advocate on the patient’s behalf and encourage the patient to advocate for themselves by asking questions and ensuring they fully understand treatment options. To provide this family with patient centered care, I would get to know the family by asking them what is important to them and what needs they feel they need addressed at this time. I would request a consult for support services from a chaplain or bereavement coordinator and allow the family time and privacy to continue performing their religious rituals.

Patient-focused care is a type of health care that is dutiful of, and is quick to respond to the needs and values of clients and consumers of health care. The generally accepted dimensions of patient focused care are respect, psychological support, comfort, communication and information. Research establishes that patient focused care improves patient care experience and forms public value for services. When health caregivers from various fields, clients and families work in partnership, the safety and quality of health care rise, costs reduce, and provider satisfaction surges and client care equally improves.

“Family-centered care” is a term heard often in healthcare settings and in nursing practice. Family-centered care has been recognized as being an integral part to patient health, satisfaction and health care quality (Kuo, et al, 2012). Family-centered care is implemented with the goal to increase partnerships between, families, patients and providers; and has been prioritized as a core-concept of quality healthcare (Gallo, Hill, Hoagwood & Olin, 2016) Many professionals, however, would be hard-pressed to state what the term “family-centered care” actually means and how it applies to nursing practice. They would be at a loss for how to implement family-centered care and what is absolutely necessary to have in order for family-centered care to be successful. Advanced practice nurses are faced with the challenge of adhering to family-centered care in their practice. Illness, both chronic and acute, and health does not just affect the patient involved in care. Illness and health affect the patient, their children, their spouses, their parents, their brothers, their sisters, their grandparents and anyone else involved in their life. Research by Davidson (2009) supports the idea that the perceived effectiveness of communication between healthcare providers and the patient’s family is related to the overall satisfaction of care. Advance

Moreover, the family understands the specifics about the individual's condition and their daily routines. This can help health care professionals to decide if the person is following the proper steps in their therapy. Once this takes place, is the point that health care professionals can make adjustments to reflect changing realities. Those patients, who have their families involved, will be able to receive better care by ensuring that nothing is overlooked. This is the point that physicians will have a more complete picture surrounding their underlying levels of health. (Saleeba, 2009)

In addition, trustworthy relationship with Harry and his family encouraged them to share personal information with the nurse, which helped the nurse to collect appropriate data and to understand Harry’s and his family’s needs to provide client-centered care. Secondly, the meso level context includes the influence of health care agency’s policies and philosophy on clinical decision-making. In Harry’s case, it was evident that the practice of family-centered care was followed because the family was involved in each decision related to Harry’s treatment from admission to discharge; hence, the nurse

It aspires to uphold family integrity and encourage normal family functioning when a child is unwell (Nicholas et al., 2014). The principles of family centred care include collaboration, dignity and respect, information sharing – or education – and participation (Dennis et al., 2016). By employing these principles, the health professional can involve the patient’s family in their care, empower them with knowledge and enrich their in-hospital experience (Dennis et al., 2016). Potential language barriers or cultural differences must also be considered as these can affect every aspect of the child’s care and how you approach their individual family-centred care (Katz & Webb, 2016). When parents are adequately educated, they can provide informed reassurance to their children and also be involved in aspects of their child’s care should they wish to (Foster, Whitehead, Maybee, & Cullens,