Improve Patient Health Outcomes

Robinson, J., Callister, L., Berry, J., & Dearing, K. (2008). Patient-centered care and adherence: Definitions and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners, Volume 20(Issue 12), 600-607. doi:10.1111/j.1745-7599.2008.00360.x

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.

Dr. Stephen Bekanich presented an overview of the Better Quality & Improved Patient Outcomes report (attachment III).

Patient centered care is an important Future Nursing Core Competency that allows the best approach in providing care. Using strategies tailored to each individual patient can be almost expected from the patient and their family (Hood, 2014, p. 409). Patient centered care is an important aspect in the profession of nursing, and in achieving understanding. By incorporating this into everyday practice it allows the patient a better understanding of their diagnosis and instill compliance.

-patient-centered is the consideration of behavior change that is viewed from the patient’s perspective rather than the clinician’s perspective

The increasing numbers of vulnerable adults in the United Kingdom has been accompanied several care challenges and policy makers caught their attention to do their part and come up with legislations to combat or overcome these challenges. Giving support and providing care for an individual in their last stage or end of life is a difficult thing to do. End of life care aims to put the person at the centre of the caring process, they should be involved in every decision to make when it comes to their personal care, maintain and enhance quality of life for the person involve and family if possible and provide bereavement support for families and carers after someone passed away. In lieu to this, this will not be possible if not being back up by legislation to oversee that quality care is delivered at the highest possible.

A particular emphasis on the different areas of nursing, such as patient-centered care has captured the interest of many. The need for patient-centered care has grown, in part, from the evolving medical atmosphere in the United States (Reynolds, 2009). Nurses and other health care providers no longer are solely in charge of care. Patients demand to be active partners in the health care process (Reynolds, 2009). In patient-centered care, the needs of the patient and patient satisfaction are the priority (Reynolds, 2009). It does not focus exclusively on the sickness, but rather, on the patient and the patient’s psychological, spiritual and emotional needs. Patient-centered health care attempts to engage patients and their families in the active participation of the decision-making methodology. This is accomplished by supplying them with knowledge about the patient’s health condition. Patients critique the standard of healthcare they receive. They evaluate based on social graces and more importantly bedside manner. Most are incapable of evaluating a nurse’s level of skill or training, so the qualities they can assess become of the utmost importance in satisfying patients and providing patient-centered care (Reynolds, 2009).

Patient-centeredness means designing a strategy that prioritizes the patient’s well being which includes meeting their needs and preferences, as well as accommodate their circumstances. In order to design strategies and identify key factors, the authors The authors collected survey data from their own experiences in providing care. Upon analyzing the surveys, the authors selected ten factors that would then serve as an imperative “Checklist” for all their operations. The implementation of patient-engaged care required the authors’ organizations to make changes in the following five categories: delivering evidence-based care, developing team-based approach and inclusion of patients and their families in making health care decisions, increasing efficiency of care delivery, innovative way of providing care, and targeting care to accommodate the needs of patient and community. The success and sustainability of patient-engaged programs depend on the degree of patient

Believably, the ultimate goal or vision for the entire healthcare system is the provision of optimum patient-centered care. However, the achievement of this objective has become one complicated endeavor, especially when one takes into consideration that the quality of care constitutes the most prioritized factor in healthcare and signify a vital component of care provision.

The Institute of Medicine (IOM) defines patient-centered care as: “Providing care that is respectful of and responsive to individual patient preference, needs, and ensuring that patient values guide all clinical decisions (1). Patient centered care is also one of the overreaching goals of health advocacy, in addition to safer medical systems, and greater patient involvement in health care delivery and design. Patient-centered care is also about empowering patients by giving the right weight to their opinions about the health care system. Overall home care can be represented through the following diagram;

Patient-centered medical home model includes patient-centered primary care with new models of interdisciplinary team practice, increased use of technology, and increased patient access and involvement resulting in better patient satisfaction and an overall increase in the quality of care. (Berryman, Palmer, Kohl, & Parham) It is a desirable method for total patient care. The goal of patient-centered model is to provide a safe, high quality, effective, affordable, and available, patient-centered care for all persons by promoting stronger provider patient relationship, addressing health needs and providing time to coordinate care across all segments of the healthcare system. (Moran & Burson,

It is with no doubt that proper and correct prescription fosters positive patient outcomes, especially among patients with chronic conditions due to their long-term use of medications. Lack of proper communication between the pharmacist and the care-provider can potentially compromise outcomes due to improper prescription and medication use. In this regard, the choice of the clinical question (PICOT question) is primarily intended to promote quality and safety for the chosen population. As DiCenso, Guyatt & Ciliska (2014) assert, when it comes to answering a clinical question, it is usually prudent to use studies that have high levels of evidence that can be used to influence practice. As such, I may term your choice of the study article as prudent and quite promising in as far as answering this clinical question is concerned. The choice of an experimental study is agreeably wise since it shows causal relationships between different variables-hence making it easy to draw accurate conclusions that can be used to inform evidence-based practice.

Goal #1: Graduate students with a high knowledge in clinical nutrition issues who will contribute to providing high quality, effective, patient-centered care.

The process for documenting patient care as a vital part of nursing practice had been recognized way back when Florence Nightingale started and formalized the process. She pioneered the development of forms that helped nurses and other caregivers to communicate well and effectively (Abbott, 2003). Charting in its many forms like technology, have evolved over time to meet the ever changing needs in healthcare practice yet little has changed in the actual format of documentation until the arrival of computers were introduced in the late 20th century.

Health care has moved from a “disease-centered model” to a “patient-centered model.” With the disease-central model, the physician makes all the decisions. In the patient-centered model, the patients are active participants in the care (Patient Centeredness, 2011). The patient-centered care should make the patient the decision maker of the care by enabling them to participate in the care actively. They should get adequate information about