Concepts and Implementation of Person-Centred Approach - Nursing Assessment Answer

Concepts and Implementation of Person-Centred Approach


Table of Contents
TOC o 1-3 h z u Introduction PAGEREF _Toc3383267 h 2Part A- Overview of the Essay PAGEREF _Toc3383268 h 3Background of the Discussion PAGEREF _Toc3383269 h 3List of Resources PAGEREF _Toc3383270 h 4Part B- Discussion of the Concepts PAGEREF _Toc3383271 h 5Implementation of PCC in Practice in Australia PAGEREF _Toc3383272 h 5Importance of PCC from the Perspective of a Patient PAGEREF _Toc3383273 h 5Impact of PCC Practices PAGEREF _Toc3383274 h 6Improving Healthcare in Australia with the help of PCC PAGEREF _Toc3383275 h 6Ethical Code to be used by the Nurses for Joan PAGEREF _Toc3383276 h 7Professional Standards that differentiates Registered Nurse from Enrolled Ones PAGEREF _Toc3383277 h 7Conclusion PAGEREF _Toc3383278 h 10
IntroductionThe discussion provided below depicts the essence of person centred care and the kind of approach that must be utilised by the nurses to fulfil the basic needs of the patient on a day to day basis. The discussion would highlight some of the essential aspects of undertaking viable measures for the people to make sure that they understand the concept of an individual healthcare rights. The essay would focus on the situation of Joan Williams who is suffering from scoliosis and identify the kind of care she needs and have a distinctive ethical approach towards fulfilling her needs.

Part A- Overview of the Essay
Background of the DiscussionThe discussion provided would essentially focus on the components of person centred care to make sure that an individual or patient has been able to achieve maximum amount of satisfaction from the care that has been provided to him/her. With special consideration of the scenario provided of Joan Williams, it is evident that a nurse must have adequate amount of knowledge on the ideologies and ethical considerations that must be put into place for understanding and fulfilling the needs of a patient. Person Centred Care (PCC) is a holistic approach to the most appropriate planning of the delivery of healthcare that has its foundation based on the idea of personhood philosophy. One of the key aspects of PCC is that it promotes the idea of commitment and self-determination that allows the patient/nurses to discover the things they want in life. According to Ross, Tod amp Clarke (2015), the work of PCC essentially highlights the nurses ability to value both personal and professional relationships leading to the idea that the importance of elements such as power dynamics, control, effective relationships with the staff, authenticity, a proper care environment and shared values among the team has been deliberately achieved.
Some of the key themes or sub headings that would be used in the discussion provided below are as follows
Implementation of PCC in Practice in Australia
Importance of PCC from the Perspective of a Patient
Impact of PCC Practices
Improving Healthcare in Australia with the help of PCC
Ethical Code to be used by the Nurses for Joan
Professional Standards that differentiates Registered Nurse from Enrolled Ones
The themes/sub headings provided above presents with an overview of the necessary aspects that would covered in the discussion highlighted in Part B. It would be made sure that adequate amount of knowledge has been derived from the concepts of PCC with the help of credible sources. The use of PCC approach has a tendency to challenge the traditional model of care and has the utmost necessity to focus on methods, schedules, employees, patients and other viable organisational needs (Fazio et al., 2018). Also, one of the key advantages of using the PCC approach ensures the satisfaction of the patient and it acknowledges the beliefs and faith of the patient and their values towards the presentation of wellbeing. Here, it can evidently have addressed that the nurses play an essential role in fulfilling their needs while maintaining a certain state of compliance with the professional standards and ethical code of conduct.
List of ResourcesArakelian, E., Swenne, C. L., Lindberg, S., Rudolfsson, G., amp von Vogelsang, A. C. (2017). The meaning of personcentred care in the perioperative nursing context from the patients perspectivean integrative review.Journal of clinical nursing,26(17-18), 2527-2544.
Code of Ethics for Nurses in Australia. (2015). Retrieved from https//waubrafoundation.org.au/resources/code-ethics-for-nurses-australia/
Delaney, L. J. (2018). Patient-centred care as an approach to improving health care in Australia.Collegian,25(1), 119-123.
Dowding, L., amp Barr, J. (2016).Managing in health care a guide for nurses, midwives and health visitors. Routledge.
Fazio, S., Pace, D., Flinner, J., amp Kallmyer, B. (2018). The fundamentals of person-centered care for individuals with dementia.The Gerontologist,58(suppl_1), S10-S19.
Moody, L., Nicholls, B., Shamji, H., Bridge, E., Dhanju, S., amp Singh, S. (2018). The Person-Centred Care Guideline From Principle to Practice.Journal of patient experience,5(4), 282-288.
Patient Centred Care Explained. (2015). Retrieved from https//www.betterhealth.vic.gov.au/health/servicesandsupport/patient-centred-care-explained
Professional Standards. (2018). Retrieved from https//www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Ross, H., Tod, A. M., amp Clarke, A. (2015). Understanding and achieving personcentred care the nurse perspective.Journal of Clinical Nursing,24(9-10), 1223-1233.
Sugarman, J. (2016). Ethics and regulatory challenges and opportunities in patient-centered comparative effectiveness research.Academic medicine journal of the Association of American Medical Colleges,91(4), 455.
Part B- Discussion of the ConceptsImplementation of PCC in Practice in AustraliaAccording to the research conducted by Delaney (2018), it has been identified that the situation of PCC has been considered and put on a full-fledged practice for more than a decade. The key considerations of the practice of PCC in Australia is often reflected back on Australian Charter of Health Care and the Australian Safety and Quality framework for Health Service Standards. These documentation standards have a tendency to provide adequate amount of knowledge on the care standards that are available for the patients and reaffirm their key expectations from the organisation. Also, the key standards and the choices essentially reflect the ethical paradigm as well for the better understanding of the benefits that would be incurred by the patient. In the contemporary healthcare setting the option of gaining PCC is not limited to nursing homes or care homes, it is even identifiable and available on the acute hospitals as well. However, in the acute hospitals of Australia, minimum attention is being paid on the educational and basic needs of the staff in relation to that of care homes. In addition, the PCC care homes or the acute hospitals are always accustomed to situations of conflicts between bureaucratic management systems, regarding budgets and commissioning and the concern of the care givers regarding their individual needs (Ross, Tod amp Clarke, 2015). Thus, it implies the idea that the practice of PCC comes with equal amount of beneficiaries and constraints.
Importance of PCC from the Perspective of a PatientEven though from a patient perspective, it has been identified that the caregivers might witness substantial amount of conflict between internal and external demands, leading to the idea that despite the conflict that has been identified between the conjure of enhancing the amount of care that would be provided by the patients. According to Arakelian et al., (2017), the patients have always presented with the idea that the more interaction they have with the nurses, the more they are considerate towards describing their needs and helping them implementing their PCC approach. The patients have always concluded the fact that the application of PCC would improve the quality of the care they are receiving and allows the nurses to identify the valuable autoreactive routines for the patients that would allow them to conveniently conduct their operations. At the same time, there are substantial amount of patients or population who do not possess adequate amount of knowledge on the concept of PCC and the kind of role it plays in improving the care facilities and the lives of people in Australia. Especially in the situation of PCC practices it has been identified that the patients derive the utmost amount of care in PCC approach rather during the application of the traditional model. When the guidelines provided are incorporated into daily practices the key dimensions of the care are being fulfilled consecutively (Moody et al., 2018).
Impact of PCC PracticesThe impact of PCC practices have always hinted towards the beneficiary notion towards the idea of proper development and atonement of the patients. From the studying of the principles and ensuring their application on a daily basis to nursing practices, it is commendable that the use of PCC has been highlighted as one of the integrated approach towards care giving. If the patient based methodology is to be considered, then it is clearly identifiable that the implication of PCC has become more like an advantageous aspect of care giving (Delaney, 2018). One of the key impacts that are being witnessed by the patients during this entire procedure is the idea that they are being put at the centre of attention of nurse. Some of the key considerations that are being followed by the nurses comprises of treating with dignity, proper communication and coordination regarding the medical history of the patient, tailor made as per the suiting of the individual, providing indigenous amount of support to learn more about their health and their decisions (Patient Centred Care Explained, 2015). It also permits the idea that if the patient is not happy with the services provided then a proper complaint can be registered and that can be reinstated and clarified to make sure that the necessities of the individuals have fulfilled. Also, it is vital from the ends of both patient and the care provider that a proper and safe environment has been generated for both of them to develop a mutual relationship.
Improving Healthcare in Australia with the help of PCCAccording to Code of Ethics for Nurses in Australia (2015), one of the key prospects that have led to the development of nursing contextual in Australia is due to the proper use of the ethical code of conduct that has been initiated by the government of the country. It has been specially developed for the nursing profession in Australia and it ensures that the nurses have the ability to understand it and ensure its application on a daily basis during their entire timeline of work. This code has the perfect tendency to outline the key consideration of the nursing profession such as their commitment towards respect, promote, protect and uphold the fundamental rights of the people and make sure that the standards are being regularly followed. The key code of ethics that must be followed by the nurses comprise of valuing quality nursing care, valuing the respect and kindness, understanding the existing range of diversity, informed decision making values, ethical management of the information generated and many more.
Ethical Code to be used by the Nurses for JoanThe choice of ethical code that has been considered viable for Joan is the use of beneficence. According to Sugarman (2016), it is one of the core of four principles of biomedical ethics. Given the condition of Joan, it is evident that together with the use of both Nursing and Midwifery code of ethics and codes of Professional conduct, it can be ensured that proper care has been provided to the patients like Joan and specifically her. If the situation of Joan is considered, then it can be evidently stated that a nurse must be capable of making her understand the essence of PCC and how her basic needs will be taken proper care of. It would also authentic the idea of proper atonement that must be achieved with regards to her understanding her own value. According to Dowding amp Barr (2016), the Principle of Beneficence would make sure that the nurse is able to promote substantial amount of good about the care and the personal cantonment of the individual. It would also prescribe the idea of making sure that Joan is able to understand her own value and must learn to live with every situation of life. For example, it is the duty of the nurse to make Joan convinced with the idea that she would be able to make enough friends in life, but because she would be losing them does not mean that she must give up hope on taking care of herself.
Professional Standards that differentiates Registered Nurse from Enrolled OnesAccording to Professional Standards (2018), one of the key differences that can be found between the Registered Nurse and the enrolled ones are the professional standards they are being asked to follow. There is a vast difference between both of their set of guidelines. For the registered nurse there are a total of seven standards that must be followed by them to make sure that they are able to gain approval of the professional standards and continue to do their work cohesively. For the enrolled nurse, there are a set of ten standards that must be followed by them for gaining experience and for understanding the principles that must be followed. The table below addresses all of the standards
Serial No. Registered Nurse Standards Enrolled Nurse Standards
Standard 1 Critical Thinking and Analysing nursing Practice Functions in accordance with the law, policies and procedures affecting EN practice
Standard 2 Engages in Therapeutic and Professional Relationships Practises nursing in a way that ensures the right, confidentiality, dignity, respect of people are upheld
Standard 3 Maintaining the Capability of the Practice Accepts accountability and responsibility for own actions
Standard 4 Comprehensively Conducts Assessments Interprets information from a range of sources in order to contribute to planning appropriate care
Standard 5 Develops a Plan for Nursing Practice Collaborates with the RN, the person receiving care and the healthcare team when developing plans of care
Standard 6 Provides safe, appropriate and responsive quality nursing practice Provides skilled and timely care to people whilst promoting their independence and involvement in care decision making
Standard 7 Evaluates outcomes to inform nursing practice Communicates and uses documentation to inform and report care
Standard 8 Provides nursing care that is informed by research evidence
Standard 9 Practises within safety and quality improvement guidelines and standards
Standard 10 Engages in ongoing development of self as professional
Table 1 Differences between the RN and EN standards
(Source Professional Standards, 2018)

ConclusionThe discussion provided above with substantial amount of knowledge on the case study of Joan and the kind of care that must be provided to her. It must be ensured that she has been provided with PCC approach of care to be acquainted with numerous prospects of her own benefit. The discussion led to the identification of the ethical code of conduct that is being followed by multiple nurses to ensure that a health care setting is well acquainted with facilities.

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