Concept Analysis Of Patient‐Centered Care Discussion Paper

Concept Analysis Of Patient‐Centered Care Discussion Paper

Patient-Centered Care Concept

Patient-centered care (PCC) has been one of the critical priorities for healthcare providers to enhance and implement in the healthcare system over the years (Gabrielsson et al., 2015). As per Lusk & Fater (2013), patient-centered care roles include delivering care that is compassionate and sensitive, voicing for patient interests, wishes and expectations, and guaranteeing that clinical choices, promotion, and prevention are informed by patient values. Although nurses recognize that the focus on patient care has proven very critical for nursing, in regards to healthcare today, it is crucial to acknowledge the fundamental features of PCC in nursing (Lusk & Fater, 2013). Under the nursing field, everybody stresses the background essence of PCC as they shift their focus to basics, care context, and outcome (Gabrielsson et al., 2015). The well-defined sense of the concept is indicated by correlating the concept to the caring theory of Jean Watson to apply to nursing knowledge. To grasp the importance of Watson’s theory of patient-centered care, nurses should first have a profound comprehension of the theory. Based on the theory of Jean Watson (1988), nursing is a holistic profession that requires principles, a will, and a devotion to care, awareness, compassionate action, and outcomes (Lusk & Fater, 2013). In nursing practice, care is founded when nurses and their patients build connections to assist with the means of a patient’s recovery Concept Analysis Of Patient‐Centered Care Discussion Paper.

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Attributes

Attributes describe the concept under analysis. Patients are increasingly suggesting to link themselves with their care. A patient-centered system of healthcare can do a number of things with a patient.

Dignity and respect: Beliefs, knowledge, interests, and cultural contexts of patients and families are involved in planning, attention to requirements and autonomy, and provision of care (Lusk and Fater, 2013). Patients ought to be provided with physical relief, including pain control aid with everyday tasks, emotional support, and anxiety and fear mitigation. Pay attention to and accept the views and decisions of patients and families.

Information-sharing: Communicate and discuss complete details with patients and families without prejudice (Lusk and Fater, 2013). In order to engage adequately in making decisions and planning of care, patients and families obtain prompt, complete, and accurate information. In an effort to enhance health promotion, self-care, and autonomy, education, communication, and information should be shared.

Collaboration: Care integration and coordination provide transition and quality care that help patients care for them outside a healthcare setting (Lusk and Fater, 2013).

Participation: As per Lusk and Fater (2013), as caregivers at the level of patient choice, patients and families are empowered and engaged in playing a role in care, decision making, and fulfilling their desires Concept Analysis Of Patient‐Centered Care Discussion Paper.

Antecedents and Consequences

Recognizing antecedents and consequences makes it easier to understand the key features and the framework in which they occur.

Antecedents are occurrences that arise before the concept occurrence. They arise prior to the concept since they are critical to enhancing the essential aspects of the concept (Lusk & Fater, 2013). For example, an antecedent of efficient patient-centered care, which is child-bearing, focused on the mother and her nurse’s shared participation and team cooperation. Additionally, a mother should demonstrate open contact, listening skills, integrity, and respect for information sharing that contributes to opportunities for autonomy and judgment, along with upholding cultural understanding. There are fundamental requirements that must be met before it is possible to achieve patient-centered care during childbirth.

Consequences are occurrences that are a consequential result of the concept’s impact (Lusk & Fater, 2013). They happen after the concept event. The consequences of patient-centered care are described as positive impacts that lead to the improvement of care. In regards to quality, value, setting, and a shift in culture, person-centered healthcare results in improved care. Person-centered care is described In relation to a decrease in adverse consequences, prevention of unsafe actions by caregivers, enhanced safety and efficacy (Gabrielsson et al., 2015). In the case of a childbearing patient, if any of these aspects are absent, major shifts in the involvement and relationship of the mother could arise that conflict with the quality of patient-centered care. Moreover, patient discontent with the outcome can often arise from a lack of involvement and informed decision-making. Conversely, if appropriate patient-centered care is provided, mutual involvement would be apparent and mothers will be active in their care. Comprehensive patient value and referrals to care with enhanced nurse-patient interaction contribute to health promotion and desired rehabilitation (Richards, 2015)Concept Analysis Of Patient‐Centered Care Discussion Paper.

Model Case

All the attributes of patient-centered care are represented by a model case. The Department of Radiology called to report to the nurse that the liver had been reached an advanced stage from colon cancer following the patient Miss Allen’s CT results. The nurse scheduled the time to discuss with members of her family (the desire of the patient is family care decision participation) and the doctor to discuss the details. The doctor revealed to the patient and family the CT findings that the patient’s stage IV colon cancer started to spread to the liver and mentioned that the prognosis is negative and outlined all of the treatment alternatives, including chemotherapy, radiation, chemotherapy, and palliative care. The nurse accepted their worries and distress and gave emotional support and addressed the patient’s and family’s concerns they may have. Once the pain management was administered by the nurses, all choices they make will be communicated, paid attention to and all help will be provided. The patient and family demonstrated appreciation a few hours later that all workers are ready to support their decision with consideration as a collaborator, not just giving information. Without further chemotherapy or surgery, they chose to go for end of life care but wanted it to be near to their home. The nurse honored their choice, consulted with the doctor, and because the patient had low appetite, they collaborated with the nutritionist. From the list of hospices provided by the nurse near their home, the hospice service team held discussions with the patient and family members after the patient and family chose the hospice facility. Transition and quality of care are seen as encouraging patients to care for themselves while released from a medical environment, planning management, and facilitating ease of change. The nurse delivered timely, completely relevant details to patients and caregivers in order to engage adequately in decision-making and care with integrity and consideration. The nurse showed a compassionate disposition and respected the preferences of the patient and caregivers.

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Self-reflection

I have acquired remarkable insights throughout this concept analysis. I have learned the concepts that better nursing advancements are used in the development of theories (Cook & Peden, 2017). In order to appreciate nursing practice, a specific meaning of the concept is required which can support subsequent efforts in relation to the future core principles. I have also realized that getting literature giving a deeper glimpse into the experiences of patients led to a deeper comprehension of how to care for a condition while fostering community health and well-being.

Through this study of concept analysis, I can conclude that patient-centered care is incorporated into the development of theories that enhance advancements in nursing practice and helps nurses to gain a real understanding of Watson’s caring theory. An evaluation of the patient-centered care concept helps me to more confidently approach nursing with a full comprehension of Watson’s care theory Concept Analysis Of Patient‐Centered Care Discussion Paper.

References

Cook, L. B., & Peden, A. (2017). Finding a focus for nursing: The caring concept. Advances in nursing science, 40(1), 12-23.

Gabrielsson, S., Sävenstedt, S., & Zingmark, K. (2015). Person‐centred care: Clarifying the concept in the context of inpatient psychiatry. Scandinavian journal of caring sciences, 29(3), 555-562.

Lusk, J. M., & Fater, K. (2013, April). A concept analysis of patient‐centered care. In Nursing Forum (Vol. 48, No. 2, pp. 89-98).

Richards, C. A. (2015, October). In Response to the Article:“A Concept Analysis of Patient‐Centered Care (Lusk & Fater, 2013)”. In Nursing forum (Vol. 4, No. 50, pp. 216-217).

Watson, J. (1988). Human science and human care: A theory of nursing. New York: National League for Nursing Concept Analysis Of Patient‐Centered Care Discussion Paper

Defining attributes: A minimum of three (3) attributes are required. Support from nursing literature is required. Explanation:  An attribute identifies characteristics of a concept.  For this question, the characteristics of the selected nursing concept are identified and discussed. Antecedent and Consequence 1 antecedent of the selected nursing concept. 1 consequence of the selected nursing concept. Support from nursing literature is required. Explanation:  An antecedent is an identifiable occurrence that happens before an event. An antecedent precedes a selected nursing concept. A consequence follows or is the result of an event.  The selected consequence follows or is the result of the selected nursing concept.    4. Model Case 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: Definition All identified attributes Theoretical Applications of the Concept Explain how the concept applies to the selected nursing theory. Support from nursing literature is required. Reflection Reflect on how the concept analysis findings apply to your advanced nursing practice, specifically as an NP. Self-reflection may be written in first-person. Preparing the Assignment Criteria for Format and Special Instructions The worksheet should be typed, double spaced, and written in complete sentences. (Concept Analysis Worksheet) (Links to an external site.) Reference page and in-text citations must follow APA guidelines as found in the current edition of the manual. The source of the concept for this assignment must be a published nursing Non-nursing theories may not be used. A minimum of 4 (four) scholarly references must be used. Required textbooks for this course, and Chamberlain College of Nursing lesson information may not be used as scholarly references for this assignment. A dictionary maybe used as a reference for the section titled “Definition/Explanation of the selected nursing concept”, but it is not counted as one of the 4 required scholarly nursing references. Be aware that information from .com websites may be incorrect and should be avoided. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them. Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing. Please note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases. ASSIGNMENT CONTENT Category Points % Description Definition/Explanation of Selected Concept 20 11 Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY) Support from nursing literature is required.     Defining Attributes 25 14 A minimum of THREE (3) attributes are required.  Support from nursing literature is required  Antecedent & Consequence 25 14 1 antecedent of the selected nursing concept. 1 consequence of the selected nursing concept. Support from nursing literature is required  Model Case 25 14 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: Definition All identified attributes NP perspective Theoretical Applications of the Concept 25 14 Explain how the concept applies to the selected nursing theory.  Support from nursing literature is required.  Reflection 25 14 Reflect on how the concept analysis findings apply to your advanced nursing practice, specifically as an NP.  Self-reflection may be written in first-person. Total CONTENT Points= [145 pts] ASSIGNMENT FORMAT Category Points % Description Paper Specifications 10 6 A nursing theory was used. The source of the concept for this assignment was a published nursing theory. Non-nursing theories may NOT be used. Minimum of 4 scholarly nursing references A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, may NOT be used as scholarly references for this assignment. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them. APA Format (current edition) 10 6 References must follow APA guidelines as found in the current edition of the manual. One deduction for each type of APA style error Citations in Text 5 3 Ideas and information that come from readings must be cited and referenced correctly. Writing Mechanics 5 3 Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the current edition of the APA manual. Total FORMAT Points= [30 pts] ASSIGNMENT TOTAL= 175 points Rubric NR501NP WK3 Concept Analysis_UPDATEMAR20 NR501NP WK3 Concept Analysis_UPDATEMAR20 Criteria Ratings Pts This criterion is linked to a Learning OutcomeExplanation of Selected Concept 20.0 pts Excellent Presentation of information was exceptional and included all of the following elements: Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required). Provides support from scholarly sources. 18.0 pts V. Good Presentation of information was good, but was superficial in places and included all of the following elements: Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required). Provides support from scholarly sources. 16.0 pts Satisfactory Presentation of information was minimally demonstrated in the all of the following elements: Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required). Provides limited support from scholarly sources. 10.0 pts Needs Improvement Presentation of information in one of the following elements fails to meet expectations: Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required). Provides limited or no scholarly support. 0.0 pts Unsatisfactory Presentation of information is unsatisfactory in each of the following elements: Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required). Provides limited or no scholarly support. 20.0 pts This criterion is linked to a Learning OutcomeDefining Attributes 25.0 pts Excellent Presentation of information was exceptional and included all of the following elements: A minimum of 3 (three) attributes Support from scholarly sources provided. 23.0 pts V. Good Presentation of information was good, but was superficial in places and included all of the following elements: A minimum of 3 (three) attributes are required. Support from scholarly sources provided. 21.0 pts Satisfactory Presentation of information was minimally demonstrated in the all of the following elements: A minimum of 3 (three) attributes are required. Limited support from scholarly sources provided. 13.0 pts Needs Improvement Presentation of information in one of the following elements fails to meet expectations: One or two attributes of the selected nursing concepts were presented. Limited or no support from scholarly sources provided. 0.0 pts Unsatisfactory Presentation of information is unsatisfactory in each of the following elements: No attributes of the selected nursing concept were presented. Limited or no support from scholarly sources provided. 25.0 pts This criterion is linked to a Learning OutcomeAntecedent & Consequence 25.0 pts Excellent Presentation of information was exceptional and included all of the following elements: 1 antecedent of the selected nursing concept. 1 consequence of the selected nursing concept. Support from scholarly nursing literature provided. 23.0 pts V. Good Presentation of information was good, but was superficial in places and included all of the following elements: 1 antecedent of the selected nursing concept.

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1 consequence of the selected nursing concept. Support from scholarly nursing literature provided. 21.0 pts Satisfactory Presentation of information was minimally demonstrated in the all of the following elements: 1 antecedent of the selected nursing concept. 1 consequence of the selected nursing concept. Limited support from scholarly nursing literature provided. 13.0 pts Needs Improvement Presentation of information in one of the following elements fails to meet expectations: 1 antecedent of the selected nursing concept. 1 consequence of the selected nursing concept. Limited or no support from scholarly nursing literature was provided. 0.0 pts Unsatisfactory Presentation of information is unsatisfactory in two or more of the following elements: 1 antecedent of the selected nursing concept. 1 consequence of selected nursing concept. Limited or no support from scholarly literature was provided. 25.0 pts This criterion is linked to a Learning OutcomeModel Case 25.0 pts Excellent Presentation of information was exceptional and included all of the following elements: 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: Definition All identified attributes NP perspective 23.0 pts V. Good Presentation of information was good, but was superficial in places and included all of the following elements: 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: Definition All identified attributes NP perspective 21.0 pts Satisfactory Presentation of information was minimally demonstrated in all of the following elements OR fails to meet expectations in one element 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: Definition All identified attributes NP perspective 13.0 pts Needs Improvement Presentation of information in two of the following elements fails to meet expectations: 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: Definition All identified attributes NP perspective 0.0 pts Unsatisfactory Presentation of information is unsatisfactory in all of the following elements: 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: Definition All identified attributes NP perspective 25.0 pts This criterion is linked to a Learning OutcomeTheoretical Applications of the Concept 25.0 pts Excellent Presentation of information was exceptional and included all of the following elements: Explains how the concept applies to the selected nursing theory. A substantive discussion of the element with support from nursing literature is required. 23.0 pts V. Good Presentation of information was good, but was superficial in places and included all of the following elements: Explains how the concept applies to the selected nursing theory. A substantive discussion of the element with support from nursing literature is required. 21.0 pts Satisfactory Presentation of information was minimally demonstrated in the all of the following elements: Explains how the concept applies to the selected nursing theory. A substantive discussion of the element with support from nursing literature is required. 13.0 pts Needs Improvement Presentation of information in one of the following elements fails to meet expectations: Explains how the concept applies to the selected nursing theory. A substantive discussion of the element with support from nursing literature is required. 0.0 pts Unsatisfactory Presentation of information is unsatisfactory in two or more of the following elements: Explains how the concept applies to the selected nursing theory. A substantive discussion of the element with support from nursing literature is required. 25.0 pts This criterion is linked to a Learning OutcomeReflection 25.0 pts Excellent Presentation of information was exceptional and included all of the following elements: Reflect on how the concept analysis findings apply to your advanced nursing practice, specifically as an NP.  Self-reflection may be written in first-person. 23.0 pts V. Good Presentation of information was good, but was superficial in places and included all of the following elements: Reflect on how the concept analysis findings apply to your advanced nursing practice, specifically as an NP.  Self-reflection may be written in first-person. 21.0 pts Satisfactory Presentation of information was minimally demonstrated in the all of the following elements: Reflect on how the concept analysis findings apply to your advanced nursing practice, specifically as an NP.  Self-reflection may be written in first-person. 13.0 pts Needs Improvement Presentation of information in one of the following elements fails to meet expectations: Reflect on how the concept analysis findings apply to your advanced nursing practice, specifically as an NP.  Self-reflection may be written 0.0 pts Unsatisfactory No reflection included 25.0 pts This criterion is linked to a Learning OutcomePaper Specifications A nursing theory was used. Minimum of 4 scholarly nursing references A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references. References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them. 10.0 pts Excellent All critical elements present. 9.0 pts V. Good 3 critical elements present. 8.0 pts Satisfactory 2 critical elements present. 5.0 pts Needs Improvement 1 critical element present. 0.0 pts Unsatisfactory 0 critical elements present. 10.0 pts This criterion is linked to a Learning OutcomeAPA Style APA Guidelines as per the current edition of the manual are: – demonstrated for the citations and the reference page – there is a reference for every in-text citation and visa versa. -One deduction for each type of APA format error. 15.0 pts Excellent 0 to 1 APA error was present. 13.0 pts V. Good 2 – 3 APA errors were present. 12.0 pts Satisfactory 4 – 5 APA were are present. 8.0 pts Needs Improvement 6 – 7 APA were are present. 0.0 pts Unsatisfactory 8 or greater APA errors were present. 15.0 pts This criterion is linked to a Learning OutcomeWriting Quality 5.0 pts Excellent This section included all of the required elements. 4.0 pts V. Good This section included three of the required elements. 3.0 pts Satisfactory This section included only two of the required elements. 2.0 pts Needs Improvement This section included only one of the required element Concept Analysis Of Patient‐Centered Care Discussion Paper