Evaluation Of The Person And Family Centered Care Clinical Practice Guideline

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).

rganizing the delivery of health care around the needs of the patient may seem like a simple and obvious approach. In a system as complex as health care, however, little is simple. In fact, thirty years ago when the idea of “patient-centered care” first emerged as a return to the holistic roots of health care, it was swiftly dismissed by all but the most philosophically progressive providers as trivial, superficial, or unrealistic. Its defining characteristics of partnering with patients and families, of welcoming―even encouraging―their

To meet competency standard two, registered nurses need to consciously and actively engage in therapeutic and professional relationships (Nursing and Midwifery Board of Australia [NMBA], 2016); Doherty & Thompson, 2014). Therapeutic nurse-patient relationships are built on trust, where the patient feels safe to be open and honest; enabling a productive relationship with positive patient-centred outcomes (Doherty & Thompson, 2014). A vital principal in delivering patient-centred care is to foster effective communication along with establishing personal and professional relationship boundaries (NMBA, 2016). This fundamental approach to care, ensures

Once an area of evidence-based practice has been chosen for investigation, the reviewer must locate current evidence sources and, using a structured approach, assess each for applicability to the issue being investigated. The aim of this paper is to use a Rapid Critical Appraisal Checklist (Melnyk and Fineout-Overholt, 2011) to support these sources of evidence into a review that discusses the importance of daily, high-level, multidisciplinary communication and patient safety. The summaries of these evaluations will be provided as an appraisal of each study.

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

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

Evaluation will be performed utilizing the Rapid Critical Appraisal Checklist for Evidence-Based Clinical Practice Guidelines (Slutsky, 2005) and use of the National Guideline Clearinghouse (NCG), guideline summary (2016).

This assignment will explore and discuss the concept of person centred care in professional nursing practice. Person centred care is defined by Walton(2014) as offering care that is responsive to the patients’ preferences, needs and values and being respectful, in which patient values guide all clinical decisions. The personal relationships formed with the nurses, responsible for patients care will be extremely important. Nurses are well positioned to establishing partnerships with individuals and loved ones and they are central to the quality of care that is experienced. (Walton 2014). Professionalism in nurses describes the skills, behaviours and values common to those practicing medicine. The concepts include the maintenance of proficiency, for a unique body of knowledge and skill-set, cohesion to ethical code of conduct, accountability, personal integrity, a commitment to self-regulation, altruism and the use of discretionary judgement. (Young 2010)

Nursing has evolved in many ways over the years, in particular is the Florence Nightingale foundation of caring for the whole family and not just the patient. The following case study of Omid 's story: The Power of Family-Centered Care highlights the positive and negative aspects of their family’s healthcare experiences , and models of family nursing and concepts of family-centred care. By comparing the theories and models to what is currently put into practice by today’s nurses and healthcare providers a better outcome for this family is idealized.

Moxie, 2007. Maureen Leahey & Lorraine Wright. Family Nursing Resources. Retrieved February 3, 2008 from http://www.familynursingresources.com/aboutus.htmPerry, A & Potter, P. ( 2006) Canadian fundamentals of nursing. (J.Ross-Kerr &

Effective communication through person centered care are essential for health profession, specifically in nursing care. Mueller (2016) noted that it occurs mainly through transaction modes where the patient and the nurse are on common grounds through mutual understanding. The competent communication practice of Person centered care allows the nurse to recognize patients as people and not by their illness. Moreover, person centered care satisfies patients by providing informational support to them and their families. In addition, to form a client -nurse relationship, therapeutic communication accentuates the care provider, through non-verbal, verbal and cultural norms. Lastly self-awareness allows the nurse to be aware of the patient’s

Patient centered care is defined as “the practice of caring for patients (and their families) in ways that are meaningful and valuable to the individual patient, which includes listening to, informing and involving patients in their care” (Grenier and Knebel, 2003). Five challenges presented in patient centered care are patient obstacles, physician and practice obstacles, facility obstacles, community obstacles, and health literacy.

In any practice of care, nurses must be able to provide care that is holistic and centred to the individual client. According to the World Health Organisation (WHO), to care for a patient ‘holistically’ is to look beyond their illness or disability and care for them as individuals considering not just physical but also their mental, emotional and spiritual well-being (ref). Whilst, person-centred care is to deliver care moulded to the patients’ personal preferences, treating them with value and respect, ensuring that the care provided is appropriate for their needs (Goodrich and Cornwall, 2008).

“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