Nursing And Person Centeredness As A Communication Approach

371) (Kitson, Athlin, & Conroy, 2014, p. 333, 336) (Walsh & Kowanko, 2002, p. 149). Communicating with the patient, decreasing their anxiety, encouraging the patient to take control of their health, which allows the nurse, to give patient centred care (Kitson et al., 2014, p. 333) (Walsh & Kowanko, 2002, p. 143, 149). Admittedly, this considerate attitude, does not always happen (Walsh & Kowanko, 2002, p.

As a Registered Nurse is a crucial component to ensure that there is effective communication between the nurse and patient. As well as being respectful to the person’s dignity, culture, values, beliefs and rights. This is because everyone is different, and due to this it is important that I am being cautious to each person’s individual needs.

Human caring is what sets nursing apart from other professions. As Watson (1998) stated, “care and love are the most universal, the most tremendous and the most mysterious of cosmic forces: they comprise the primal universal psychic energy. Caring is the essence of nursing and the most central and unifying focus for nursing practice” (p. 32-33). It is important to establish a good nurse-patient relationship in order to create a healing environment that would meet patient’s needs on all levels including physical, mental/emotional and spiritual, promote recovery, maintain health, and create positive outcomes. Jean Watson emphasized the importance of human

Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.

The art of human caring is one of the most essential parts of the nursing profession. Caring is not something that you learn to do, but something that is within you. In nursing, it is important to know what kind of nurse you want to be as well as the care you intend to provide to your patients. The patient is the center of nursing, and it is your responsibility to make sure they are receiving the best care that they can receive. One of the most important things is to be able to set aside personal beliefs and morals in order to provide patient centered care. The way that you approach and care for a patient is either going to make or break the effect of the care you will be implementing to the patient.

Chapelhow et al. (2005) have created a framework to enable a person-centred approach to be taken in all care situations. It outlines six key areas which are fundamental to excellent care delivery. These are: communication, assessment, managing risk, documentation, professional decision making and managing uncertainty.

Patient-centered care recognizes that the care that you provide as a nurse should be centered on the patient, respecting the patient’s needs, values and preferences. By using this competency, I was able to create a mutual respect relationship between me and my patients. I believe that when they feel respected, and that you are there for them, to care for their needs, the whole process of providing care for your patient becomes easier and a better experience for the patient, independently of what the reason is for what they are being cared

Person centred care can be viewed in many different aspects. The eight key principles of nursing practice found by the Royal College of Nursing (2011) include, dignity, responsibility, safety, choice, communication, skills, teamwork and being able to influence in a positive way. Although Nolan (2001) argued that concepts of successful ageing, health-related quality of life and person centred care overvalue autonomy and independence, which are values which

Communication is any form of expressing and receiving of messages between individuals. The importance of Communication in the nursing profession is to maintain high quality care for the patient but also maintain effective collaboration between professionals. Boykins, D (2014) states that the “registered nurse is expected to communicate in various formats and in all areas of practice”. Various formats include speaking to patients and coworkers as well as utilizing appropriate protocols and systems to effectively communicate regards to patient’s status.

The healthcare industry has intensely advanced throughout the world, in turn changing the principles that incorporate the practice and culture of nursing practice. Altering the model of care to a patient-centered mode signifies an organizational culture shift and requires the participation of executives at the senior level (Cliff, 2012). To practice this care to provide the best care possible, it goes beyond the nurse to all healthcare professionals and senior leadership. The days of patients and nurses following a physician’s order without favor to care has now loaned themselves to more of an interdisciplinary approach to practice. Though, it is encouraged that the patient makes decisions for themselves, after receiving the proper education and information on their condition. Part of the patient-centered care is to be the patients’ advocate, by letting them know you are there for them when they are unable to speak and advocate for themselves and what is in their best interest. That goes in hand with educating them on “self-management of care, health literacy, patient, and family education through nurse-patient communication and interaction (Finkelman & Kenner, 2016, p. 271).”

As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.

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

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

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).

As healthcare professionals, nurses are governed by and must have understanding of ethical, legal and professional frameworks which underpin practice (Gallagher and Hodge, 2012). They follow these frameworks to help direct themselves in making decisions in collaboration with service users to ensure person centred care is delivered.