Patient Centered- Care
Importance of Patient-Centered Care
Core Principle: Focus on the client as central to care, adjusting services to their desires and needs.
Patient experience is remembered through treatment and care rather than the individuals providing it.
Class Overview
Topics Covered:
Client-centered care with surveys (CIPHS or Press-Ganey scores).
Review of patient stories to enhance empathy and understanding.
Future discussions: Clinical judgment and the nursing process.
Reminders for Upcoming deadlines:
Exam 1: Due at 11:59 PM on the 10th.
ATI for patient-centered care: Due on the 10th.
Documentation key terms: Due by the 12th.
Patient-Centered Care Concepts
Definition: Care that revolves around client preferences and objectives.
Holistic Approach: Consider all aspects of a client's life, including:
Values
Religion
Language
Emotional and physical health.
Consider logistics of care: Medication access, dietary needs, and support systems.
Theoretical Foundations
Watson’s Theory of Human Caring
Nurses must care for themselves to effectively care for others.
Emphasizes emotional connection (transpersonal caring) between nurse and client.
Aim: Achieve harmony of mind, body, and spirit for both parties.
Caritas Processes
Framework for nurses to foster caring:
Sustain humanistic altruistic values.
Being present and sensitive to self and others.
Develop loving, trusting relationships.
Allow positive/negative feelings to be expressed.
Problem-solving and engaging in teaching that promotes healing.
Create healing environments emphasizing safety and comfort.
Attend to basic human needs.
Be open to spiritual aspects and mysteries.
Swanson’s Theory of Caring
Five Categories to Enhance Client Well-being:
Maintaining belief - Nurses foster a positive outlook in clients.
Knowing - Awareness of clients' perceptions and conditions through assessment data.
Being with - Providing physical and emotional presence.
Doing for - Actions that demonstrate care, like physical comfort.
Enabling - Guiding clients through experiences and effective communication.
Communication Strategies
Active Listening: Understanding clients, not merely responding.
Touch: Provides physical reassurance; must respect personal boundaries and cultural preferences.
Being Present: Offer emotional support during significant life events.
Client Preferences and Shared Decision-Making
Validate client involvement in their care decisions to foster trust.
Encourage understanding of options and promote a sense of control in their treatment plan.
Cultural Competence in Care
Culture influences health; nurses must:
Perform self-assessments to recognize implicit biases.
Have knowledge of diverse cultures and willingness to learn.
Develop skills for accurate cultural assessments and interactions.
Generational Communication Differences
Silent Generation (1928-1945): Prefer formal, face-to-face interactions.
Baby Boomers (1945-1964): Value meetings and in-person communications.
Generation X (1965-1980): Comfortable with technology; appreciate direct communication.
Gen Y (1981-1997): Seek frequent feedback and interaction.
Gen Z (1998-2012): Digital natives, prefer texting and instant responses.
Gen Alpha (2013-present): Familiarized with technology from a young age.
Spiritual Assessment Tools
Using FICA for Spiritual Assessment:
Faith and Belief: Identifying influential spiritual beliefs.
Importance: Effects of beliefs on self-care and care provision.
Community: Engagement in religious or spiritual groups.
Address: Communication preferences regarding spirituality.
Alternative Tool: HOPE
H: Hopes and beliefs.
O: Organized religion.
P: Personal practices in spirituality.
E: End-of-life decision effects.
Pastoral Care and Interdisciplinary Collaboration
Importance of incorporating pastoral care into client care.
Engage with religious leaders as needed for holistic support.
Address both client and family needs, understanding their role in patient care.