Patient Centered Care: A Comparative Analysis

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

Florence Nightingale paved the way for patient centered care in nursing. She realized that patients should be treated with dignity, respect and treatments that are in the best health interest of the patient. The Institute of Medicine defines patient-centered care (PCC) as “care that is respectful of and responsive to individual patient preferences, needs and values,” ensuring that patient values guide all clinical decisions. (Finkelstein, 2012) Being hospitalized can be a stressful time for many patients and their families. Nurses spend more time with patients than any other healthcare team member. In patient centered care, nurses provide the knowledge, resources, and support that each client needs to be involved in informed decision-making processes, assume important aspects of total self-care (if capable), and change behaviors to promote health and a better quality of life (Hood, 2015). The overall health outcome of patients revolves around patient centered care. Establishing a healthy nurse-patient relationship is key to patient centered care.

The first and most important method would be, respecting the resident’s voice. As a nurse aide, I want to make sure that my residents are being heard. I want them to be able to come to me when they need help or have problems. I also want them to know that I am here for them.

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

This essay aims to describe briefly what is meant by patient-centred care. It will also focus and expand on two key aspects of patient dignity - making choices and confidentiality. Patient-centred care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC is interpreted as looking at the whole person and considering their individual values and needs in relation to their healthcare. By implementing a PCC approach it ensures that the person is at the very centre of any plans that are made and has a dynamic role in the decision making process (Pelzang 2010:12).

In the formative peer view assignment, you were asked to review an article on promoting dignity in healthcare setting and how this forms the basis of patient centred care. Following on from this you are now asked to:-

To me, diversity means, people with different races, cultures, religions, language, and beliefs making one community, or whole country itself. One of the great example of diversity would be the United States of America because in the United States of America there are many people with different languages, races, religions, and people come to the United States from different culture. Therefore, America is the one of the most diverse nation. Additionally, to me diversity also means the respecting people with differences. For example, when people come from different culture, they have some different beliefs. I am from different culture and we do have some different beliefs. For example, in our culture eye contact is not as important as it is in

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.

The model of care I observed at the hospital was the patient centered care model. The nurses worked with the patients, typically on a one-to-one nurse-patient ratio. The nurse helped and tended to the patient’s needs, drew her blood, inserted a catheter, and watched the monitors on the baby to ensure everything was going smoothly. It surprised me that a number of the patients I saw were being induced, and according to the nurses, a lot of patients have planned C-Sections. The two soon-to-be mothers that I encountered in the labor and delivery area were being induced. The first one was in the middle of the induction, and she had Pitocin already infusing when I got there, so her contractions were getting stronger. When she needed to use

the school age children understanding of the concept of nice and fair. According Kohlberg many adults continue to function at this level (Pillitteri, 2007). Joe seem

In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.

I have chosen the patient centered care model. I believe that this is the most effective nursing care delivery model because it includes that patient in his/her care. Patient centered care moves the nurse to a high level of functioning and autonomy and more tasked are delegated to unlicensed assistive personnel (UAP) (Chamberlain College of Nursing, 2015). When patients are involved in their care, they are educated through the process which provided them with a better understanding of the care they are receiving and what is expected of them through the process. For example, when a patient receives a total knee arthroplasty and receives patient centered care, the patient is well informed of what will occur during the procedure and recover, (i.e.

Patient-centered intervention and strategies facilitate excellent, safe, and quality care. Ensuring the proper use of devices through effective evidence-based education and skills competency contribute to the provision of safe, outstanding, and superior care. The strategy of educating the nursing staffs and other healthcare team focuses on the patient and staff in any healthcare setting. The project of decreasing the rate of inappropriate use of physical restraint is aligned with the patient-centeredness as well as the staff focus. Empowering the staffs of the proper use of physical restraint assists in the provision of appropriate delivery of health care services, thus, preventing any sentinel events which spotlights on patient safety.

Although the Patient Centered Medical Homes health care model has been setup with a mission of organizing a critical care for patients and building better relationships that physicians could teach gain additional knowledge on what a patient is going through with their conditions. “David Keepnews (2013) reports Satisfaction has traditionally been measured with a variety of instruments and methods, with little agreement or consistency regarding how to interpret findings, how to utilize them, or even what is being measured. Despite this, providers of health and health-related services have devoted considerable resources to collecting and analyzing satisfaction data. Satisfaction scores have been used to identify quality problems and target interventions

On a daily basis there is a lot of thought and focus directed at these patients to assure they are getting quality medical care; you may have caught a medication error, made multiple phone calls, waited on hold for what seems like forever, waited on doctors, ran to another floor all to get a patient something they needed or wanted, or may the nurse noticed an important change in the patients status that could dramatically affect their outcome. Most times the patient does not see or not even know about these behind the scenes battles to ensure quality care. Conversely, most often, especially when considering a patient in the hospital setting, our perception is our reality. Patients often do not know the ins and outs of procedure and protocol and rely solely on their perception of the care they are receiving. Studies have shown that patients desire to be perceived and cared for as individuals. Lying in that bed waiting on a nurse for 20 minutes for pain medication may just translate into lack of care on the nurses’ part to the patient but in reality the nurse was caught in another room with a different patient with a situation he or she couldn’t walk away from. Often nurses are stressed which can also convey a certain harshness to patients. In other cases maybe the job has become so repetitive that the nurse