Family Centered Care : A Belief That The Health Care Staff And The Family

In this article, Working Together to improve the Patient Experience, author Richard Billingsley(2014) explains how working together amongst providers, the patients, and the patient's family improves the patient experience, thus markedly heightening the quality of care. In this article, he also shares how other organizations have successfully adopted a model to facilitate cultural change within their facilities. This cultural model is referred to as patient family centered care (PFCC), and while it is not a new concept, it's emphasis has gained popularity as insurance companies adjust the criteria that encompasses what constitutes as high quality care.

Including the client as an expert member of the team creates an enhanced quality of care (Coad, Patel & Murray, 2014). In pediatrics, parents are often at the center of the child’s care. When asked to define what made the client care experience positive, parents stated that sensitivity, empathy and honesty were key factors (Coad, Patel & Murray, 2014). Working in healthcare, nurses can become desensitized to difficult experiences because they deal with them daily. Integrating the client and family as part of the healthcare team, allows the nurse to see the patient and family as a people first. By avoiding using illness as context, and instead using person as context, care will be more holistic (Coad, Patel & Murray, 2014). A family-focused approach helps to ensure that the whole family feels a part of the experience and is valued. In the case of bereavement, family centered care is particularly important. If the family is not included in the care from the start, it can provide barriers for grieving and impact how the family deals with loss (Jones, Contro & Koch, 2014). Nurses have an opportunity to help support the family through the grief process (Jones, Contro & Koch, 2014). Families have a significant impact on how the client heals, so by caring for the family’s needs, the nurse is indirectly caring for the patient. It is in the client’s best interest for the care to be holistic for the patient as well as the family (Jones, Contro & Koch, 2014). All

In order for the care to not just be patient centered but family centered, the nurse needs to take into consideration what type of care the family values and expects (Frazee 2011). Nurses need to connect and include both the patient and their family in the whole process, no matter what age (Weman & Fagerberg 2006; Wilkin & Slevin 2004). A qualitative study done in 2004 found that parents deemed affection, caring, watching, and protecting their children most important (Harbaugh, Tomlinson, and Kirschbaum 2004). Parents wanted the nurses to recreate a parent-like feel for their child (Harbaugh, et al. 2004). Some other nurse caring behaviors that were deemed important by the parents were providing

-A succinct philosophy of family nursing is seen in The Association for the Care of Children’s Health standards stating the expectation for healthcare providers to facilitate family/professional collaboration at all levels of care, and to recognizing family as the constant in the patient’s life whereas the healthcare providers will fluctuate (p.40, 2003).

Family-Centered Practice influences my practice with child welfare involved with families because the main focuses is on children’s safety and needs. For example, when Ms. Martinez agreed to participate in an AODA assessment meaning that she was going to entered a program in order for her to say clean. Also, Trauma Informed Practice helps out child welfare professionals to understand the impact of trauma on the children when they are involved with the families. For example, the placement worker thought about placing the three brothers in the same home with their maternal grandmother Aurora Garcia, but she brought them back to the DCFS because she was no longer capable to take care of them. After that happen the placement worker had to think

Throughout the 1960s and 1970s, the family centered services generated preventable client assignment with no definite procedures for stability (Mass & Engler, 1959; Gruber, 1973 ;as cited by Pecora, Reed-Ashcraft, & Kirk). Furthermore, Gruber (1973) established that the problem was rooted in insufficient data to make suitable decisions to address clients concerns. Likewise, Franshel & Shinn (1978; as cited by Pecora, Reed-Ashcraft, & Kirk) added that this resulted in one of many issues such as, family centered services encouraging separation between blood relatives by restricting contact.

I am a foreign born woman from Thailand and married to an American husband. We have two children, a twelve-year-old daughter and a ten-year-old son. We move here eight years ago from Bangkok, Thailand. Nursing is my second career after being an environmental engineer, a sale executive, and a stay-at-home mom. I went back school after my son went school. I earned Advance Degree in Nursing from Valencia College. After graduated, I started my nursing career at Florida Hospital Orlando. Over a year after working on my first unit, I enrolled in a BSN program and received my BSN from University of Central Florida in May 2015.

Through rigorous training, nurses have an immense expectation on how patients are cared for. Focusing on patient-centred care, McCormick and McCance developed a framework to be foundational in nursing practice (2010). Beginning a journey on the Family Nurse Practitioner Track, understanding and unifying the principles of the patient-centred nursing model into practice requires a thorough analysis of theory. The purpose of this paper is to analyze the patient-centred nursing framework and will include an overview of this selected model, provide an appraisal of the model as a nursing theory, and exemplify the application of the model into advanced practice nursing.

From the student perspective, there are many things that become noticed during the two and a half years of nursing school. One of the issues that come to mind after many lectures, clinical experiences, and assignments is patient and family centered care. However, to me, I do not believe there is a right or wrong definition of the matter. However, all definitions should have one thing in common, that the patient and family are involved in the care

Pediatric nursing does not only consist of caring for and building a trusting relationship with a patient, but a relationship must also be established with the family. Incorporating both the patient and family as the center of care is important for numerous reasons. By not just addressing the patient but involving the family as a whole, it creates an environment filled with empowerment, safety, and minimal distress. No two families are alike and each have their own unique needs that need to be acknowledged throughout the plan of care. This focus must be incorporated when constructing the individual care plan for teaching the patient and family about the preventative, supportive, and management interventions needed to help diminish

A personal interview was conducted with a respiratory therapist from Rapid City Regional Hospital regarding patient and family centered care and leadership. The views that the respiratory therapist had in regards to the subject were very similar to my own views. The respiratory therapist stated that patient and family centered care involves encouraging the patient and family to become involved with the patient’s care and allowing them to participate in decision-making that best correlates with the patient’s situation (M. Mackey, personal communication, November 18, 2016). Every patient who presents to the hospital has different values and beliefs of some form; therefore, health care professionals need to be able to recognize the differences

Patient and family centered care is a model of care where the patients’ needs and preferences are taken into consideration when developing a plan of care. The patient, and frequently the family, are included in the decision making process. Education is the key. Well informed patients make better choices about the delivery of their care. In larger markets consumers have more choices about where they go to receive healthcare. “Patients can request that health care facilities provide an institutional report card that describes such indices as outcomes of patient care for medical conditions and surgical interventions, medical error rates, nosocomial infection rates, RN to patient staffing ratios, availability of support personnel, morbidity

Family-centered care is a collaboration among patients, families, physicians, nurses, and other professionals for the planning, delivery, and evaluation of health care. Family-centered care can improve patient and family outcomes, increase patient and family satisfaction, build on child and family strengths, decrease health care costs, and lead to more effective use of health care resources. Family presence during health care procedures decreases anxiety for the child and the parents. “Research indicates that when parents are prepared, they do not prolong the procedure or make the provider more anxious (Harrison, 2009)”

Prior to the appointment it would be best to ensure you have enough chairs for the patient and his family in the sound booth or office. It is important to take a family centered approach to care and engage his family but be careful to not ignore the patient. Before beginning your testing it would be a good idea to assess the patient’s cognitive state and abilities. This could be done during case history questions would be directed towards the patient. His responses would you a better idea of his impairment and current state. A good indicator would be to listen to the mean length of utterances. The family may also be a good resource to support you in your decision making. You may want to ask what communication strategies are being used already.

Based on the story you wrote for the discussion analyze how your microsystems does and does not provide patient and family centered care.