Archie Sampson Case Study Strengths-Based Nursing Approach

Question Synopsis

Focusing on Archie Sampson. This task includes the examination of several dialogues between a community health nurse and member’s mother to analyse the strengths-based approach and PHC. The assessment includes three parts: The following are the aspects: (1) Critique: In this step, the sort of interaction between the nurse and the client will be assessed regarding the therapeutic relationship, as well as to ensure that the working and practice adopted tool adheres to strength-based and PHC principles (2) Evaluation: This aspect aims at identifying and evaluating the strengths of the client, his family and the community; and the areas that needs to be improved (3) The emphasis is made on clients’ choice, involvement of the family, and employment of the community resources to achieve particular goals.

Subject Name : Medical Sciences

Synopsis

Answer Synopsis

The paper explores the strength based nursing approach in primary health care (PHC) using the Archie Sampson case. The critique focuses on the sensitive communication and appreciable listening as well as decision making capacity of the nurse which enable Archie to decide for himself. Enduring qualities, and adaptability in particularly, are highlighted as the assets of Archie, while the weaknesses, that is, his willingness to take his own decisions despite the harm it would bring to him are documented, in addition to the relationship that is not cordial between Archie and his daughter in as much as concerning her inclusion and participation in her mediated care plans.

It is clear that the behaviour of the nurse to a large degree corresponds to the principles of PHC: availability and respect for culture. With the help of the evaluation, the caregiver determines who and what is important to Archie and what the patient’s role is in the community. The wellbeing plan recommends individualized methods to address them in accordance with Archie’s wishes and related to self- determination in which individual compliments are the Key regarding individuals’ Delight with no exclusion of Archie.

Critique

The therapeutic nurse-client interactions between Archie and Nick, the community health nurse, demonstrate an admirable strengths-based approach and devotion to primary health care (PHC) standards. The nurse builds a rapport with Archie through good communication, teamwork, and an all-encompassing viewpoint, enhancing his physical and emotional health. Nick responds to these discussions with concern for Archie's independence, empathy, and careful listening. Nick's reaction to Archie's death demonstrates the importance of identifying and admitting feelings, which is necessary for developing a therapeutic connection and building trust (Moriconi and Cantero-García, 2022). Archie feels safe to voice his worries because of the nurse's caring attitude, crucial to strength-based nursing (Molina-Mula and Gallo-Estrada 2020).

One of the main features of their cooperative decision-making conversations is the nurse's active participation in Archie's discussions regarding his support needs. This aligns with the collaborative decision-making principles that support patient-centred care, claim Kamme and Petrucka (2021). Archie feels more in charge of his health and more powerful when the nurse lets him take part in planning his therapy. When the nurse emphasises Archie's resilience and pushes him to participate in activities he used to enjoy, it is clear that the nurse is using a strengths-based nursing approach. In light of Archie's prior interests and the good aspects of his life, this aligns with the strengths-based approach, which emphasises people's coping mechanisms, resources, and abilities (Aungst et al., 2019).

Primary healthcare concepts are made concrete by looking at neighbourhood resources like Meals on Wheels and public transit. By ensuring equitable access to essential services, these programs uphold PHC's accessibility pillar (World Health Organization, 2023). The nurse's awareness of Archie's cultural choices, including his desire to stay at home, demonstrates the importance of cultural sensitivity to a comprehensive PHC approach (Kumar et al. 2018).

There is certainly a need for improvement, even though Nick and Archie's interactions demonstrate a good approach to care. Archie's mental health has to be addressed via a holistic primary health care (PHC) approach, which may involve referrals for counseling and more research (World Health Organization, 2023). According to McCarthy and Guerin (2022), involving Archie's daughter in the care planning process can enhance collaboration and provide Archie with crucial assistance, all in the spirit of family-centred care. These adjustments would support a more comprehensive and inclusive care plan to address the emotional and familial aspects of Archie's physical and wellness.

Evaluating Strengths

Among the notable traits that Archie demonstrates is his ability to move on from the devastating loss of his spouse. This attribute aligns with "resilience," the central idea of strengths-based nursing that stresses overcoming challenges with a positive mindset (Han et al., 2023). Moreover, the "Autonomy" pillar, which emphasises the value of individual choice in healthcare decisions, is congruent with Archie's strong desire for autonomy and independence, as seen by his wish to remain home (Zolkefli 2017). Keeping in touch with his daughter and neighbour shows he has a solid support system consistent with the 'Social Connections' value (Pietromonaco and Collins 2017). This value acknowledges the significance of interpersonal relationships.

Since she openly shares her worries and support, Archie's daughter is an important family member who contributes to developing the solid family-centred support network necessary for strengths-based nursing (Alemayehu 2019). Furthermore, Erku et al. (2023) list the men's shed, meals on Wheels, and community transportation as examples of community resources that support the value of "Community Involvement." These examples demonstrate the community's involvement in holistic care. There are some places where Archie's care could be better. A more in-depth assessment of his emotional well-being may enhance his holistic health, perhaps with counseling. Including Archie's daughter in the care planning process would also promote collaboration and directly address the idea of "Family-centeredness," offering a more comprehensive and inclusive approach to Archie's healthcare journey.

A commendation noting his perseverance and commitment may be extended to validate Archie's successes and promote self-determination. "Archie, your perseverance and willingness to remain independent are admirable," said the nurse. Your care plan is tailored to your desires, and I am here to help you make those choices happen." By honoring the individual's opinions and preferences, this personalized commendation adheres to the "Person/Client-Centeredness" principle (Kwame and Petrucka 2021). Throughout Archie's medical journey, it also promotes empowerment and teamwork.

Wellbeing Plan for Archie and His Family

Domain 1 (note your selection here):	Domain 2 (note your selection here):
Provide a brief summary of what is working well* (how strengths are already being used to support this area of wellbeing):*	Provide a brief summary of what is working well* (how strengths are already being used to support this area of wellbeing):*
The basis of Archie's support system and sense of value is his social network and determination, especially his relationships with his daughter and neighbor (ARACY 2023). As community resources, Meals on Wheels and the Men's Shed support social connection, community, and a sense of belonging (Haim-Litevksy et al., 2023). Archie's daughter's participation in the care planning aligns with the Family-Centered Care model and the fundamental healthcare tenets of inclusiveness and shared decision-making (Robinson et al. 2021).	Archie's dedication to independence and his proactive utilization of Meals on Wheels and the men's shed, two neighborhood services. According to Luo et al. (2020), maintaining a balanced diet and engaging in social contact is consistent with the World Health Organization's recommendations for maintaining health. Archie's daughter regularly attends check-ups and actively participates in holistic healthcare and collaborative therapy (Krist et al. 2017).
Provide a brief summary of what needs to improve* (to achieve key indicators of wellbeing in this domain):*	Provide a brief summary of what needs to improve* (to achieve key indicators of wellbeing in this domain):*
The plan should focus on areas needing person-centered, collaborative reform (ARACY 2023). Archie's mental health concerns need to be addressed along with his physical health concerns (Boardman and Dave 2020).	Collaborative planning should consider Archie's preferences and objectives more effectively (Krist et al. 2017). There should be a more focused approach to treating mental health concerns in addition to physical ones (Boardman and Dave 2020).
Enter a Goal* (what Archie would like to achieve in this area/domain):*	Enter a Goal* (what Archie would like to achieve in this area/domain):*
Achieve a sense of safety, love, and appreciation through collaborative and person-centered reform (ARACY 2023).	Attain holistic health and well-being by addressing physical and mental health concerns (Boardman and Dave 2020).
Provide at least two strategies/actions* that could be implemented to achieve this goal/outcome:*	Provide at least two strategies/actions* that could be implemented to achieve this goal/outcome:*
Determine and develop connections to assist Archie in expanding and fortifying his social circle. Lead a person-centered therapy session that addresses concerns related to both physical and mental health (Boardman and Dave 2020).	Increase Archie's involvement in decision-making to improve teamwork during care planning. Encourage Archie's daughter to continue attending regular check-ups and talking to doctors.

References

Alemayehu, Y.H., 2019. Enhancing patient and family-centered care: A three-step strengths-based model. International Journal of Caring Sciences, 12(1), pp.584-590. https://internationaljournalofcaringsciences.org/docs/65_kiwanuka12_1.pdf

Aungst, H., Baker, M., Bouyer, C., Catalano, B., Cintron, M., Cohen, N.B., Gannon, P.A., Gilliam, J., Gullett, H., Hassmiller-Lich, K. and Horner, S.C., 2019. Identifying personal strengths to help patients manage chronic illness. https://www.ncbi.nlm.nih.gov/books/NBK595698/

Australian Research Alliance for Children and Youth (ARACY). 2023. The Common Approach. https://www.aracy.org.au/the-nest-in-action/the-common-approach

Boardman, J. and Dave, S., 2020. Person-centred care and psychiatry: Some key perspectives. BJPsych International, 17(3), pp.65-68. https://doi.org/10.1192/bji.2020.21

Erku, D., Khatri, R., Endalamaw, A., Wolka, E., Nigatu, F., Zewdie, A. and Assefa, Y., 2023. Community engagement initiatives in primary health care to achieve universal health coverage: A realist synthesis of scoping review. Plos One, 18(5), p.e0285222. https://doi.org/10.1371/journal.pone.0285222

Gao, G., Pieczkiewicz, D., Kerr, M., Lindquist, R., Chi, L., Maganti, S., Austin, R., Kreitzer, M. J., Todd, K. and Monsen, K. A., 2018. Exploring Older Adults’ Strengths, Problems, and Wellbeing Using De-identified Electronic Health Record Data. AMIA Annual Symposium Proceedings, 2018, 1pp.263-1272. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371293/

Haim-Litevsky, D., Komemi, R. and Lipskaya-Velikovsky, L., 2023. Sense of Belonging, Meaningful Daily Life Participation, and Well-Being: Integrated Investigation. International Journal of Environmental Research and Public Health, 20(5). https://doi.org/10.3390/ijerph20054121

Han, P., Duan, X., Jiang, J., Zeng, L., Zhang, P. and Zhao, S., 2023. Experience in the development of nurses' personal resilience: A meta‐synthesis. Nursing Open, 10(5), pp.2780-2792. https://doi.org/10.1002/nop2.1556

Krist, A.H., Tong, S.T., Aycock, R.A. and Longo, D.R., 2017. Engaging patients in decision-making and behavior change to promote prevention. Information Services & Use, 37(2), pp.105-122. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996004/

Kumar, R., Bhattacharya, S., Sharma, N. and Thiyagarajan, A., 2018. Cultural competence in family practice and primary care setting. Journal of Family Medicine and Primary Care, 8(1), 1-4. https://doi.org/10.4103/jfmpc.jfmpc_393_18

Kwame, A. and Petrucka, P.M., 2021. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing, 20(1), pp.1-10. https://doi.org/10.1186/s12912-021-00684-2

Luo, M., Ding, D., Bauman, A., Negin, J. and Phongsavan, P., 2020. Social engagement pattern, health behaviors and subjective well-being of older adults: An international perspective using WHO-SAGE survey data. BMC Public Health, 20(1), pp.1-10. https://doi.org/10.1186/s12889-019-7841-7

McCarthy, E. and Guerin, S., 2022. Family‐centred care in early intervention: A systematic review of the processes and outcomes of family‐centred care and impacting factors. Child: Care, Health and Development, 48(1), pp.1-32. https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/cch.12901

Molina-Mula, J. and Gallo-Estrada, J., 2020. Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. International Journal of Environmental Research and Public Health, 17(3). https://doi.org/10.3390/ijerph17030835

Moriconi, V. and Cantero-García, M., 2022. Bereaved Families: A Qualitative Study of Therapeutic Intervention. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.841904

Pietromonaco, P.R. and Collins, N.L., 2017. Interpersonal mechanisms linking close relationships to health. American Psychologist, 72(6), p.531. https://doi.org/10.1037/amp0000129

Robinson, S.K., Meisnere, M., Phillips Jr, R.L., McCauley, L. and National Academies of Sciences, Engineering, and Medicine, 2021. Person-Centered, Family-Centered, and Community-Oriented Primary Care. In Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK571814/

World Health Organisation. 2023. Primary health care. https://www.who.int/health-topics/primary-health-care#tab=tab_1

Zolkefli, Y., 2017. Evaluating the concept of choice in healthcare. The Malaysian Journal of Medical Sciences: MJMS, 24(6), pp.92-96. https://doi.org/10.21315/mjms2017.24.6.11

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