LEC 2: Family-Centered Care Flashcards
1
Q
Family-Centered Care
A
- A philosophy embraced by most health care organizations globally and promoted by policy makers and nurse leaders.
- Has been unclear how this philosophy is enacted in practice.
- Not BPGs and other literature provices recommendations
- Current environment migh cause a disconnect between the expectations of a family and the ability of the nurse to meet these expectations
2
Q
RNAO 2015 BPG patient and Family-Centred Care
A
- Establishing a therapeutic relationship for true partnership, continuity of care, and shared decision making
- Care is organized around and respectful of the person
- Knowing the whole persone (holistic care)
- Communication, collaboration, and engagment
3
Q
RNAO: Practice Guidelines Recommendation: Assessment
A
- Establish a therapeutic relationship with the person using verbal and non-verbal communication strategies to build a genuine, trusting, and respectful partnership
- Build empowering relationships with the person to promote the person’s proactive and meaningful engagment as an active partner in their healthcare
- Listen and seek insight into the whole person to gain an understanding of the meaning of health to the person and to learn their preferences for care
- Document information obtained on the meaning and experience of health to the person using the person’s own words
4
Q
RNAO: Practice Guidelines Recommendation: Planning
A
- Develop a plan of care in partnership with the person that is meaningful to the person within the context of their life
- Engage with the person in participatory model of decision making, respecting ther person’s right to choose the preferred interventions for their health by:
- Collaborating with the person to identify their priorities and goals for healthcare
- Sharing information to promote an understanding of available options for healthcare so the person can makre an informed decision
- Respecting the person as an expert on themselves and their life
5
Q
RNAO: Practice Gidelines Recommendations: Implementation
A
- Personalize the deliver of care and services to ensure care is not driven from the perspective of the healthcare provider and organization by collaborating with the person on:
- Elemetns of care
- Roles and responsibilities in the delivery of care
- Communication strategies
- Partner with the person to tailor strategies for self-managment of care that are based on the person’s characterisitcs and preferences for learning
6
Q
RNAO: Practice Guidelines Recommendations: Evaluation
A
Obtain feedback from the person to determine the person’s satisfaction with care and whether the care delivered was person-centred and family-centred
7
Q
RNAO: Practice Guidelines Recommendations: Education
A
- Educate healthcare providers at a minimum of the following attributes of person-centred and family-centred care to improve the person’s clinical outcomes and satisfaction with care:
- Empowerment
- Communication
- Shared decision making
- Educational institutions incorporate this Guideline into the curricula for nurses and, as appropriate, for other healthcare providers
8
Q
RNAO: Practice Guidelines Recommendations: System, Organization, and Policy
A
- Create an organizational culture that exemplifies its commitment to person-centred and family-centred care by:
- Demonstrating leadership and commitment to this approach to care
- Involving the person in co-designing health programs and services
- Building health work environments for all healthcare provider
- Design an environment that demonstrably improves the person’s experience of healthcare by:
- Creating healing environments
- Being flexible and partnering to personalize care routines
- Improving access to care and services
- Enhancing the continuity and coordination of care and services during transitions
- Providing continuity of caregivers
- Collect continuous feedback from the person to determine whether their experience with healthcare and services was person- and family-centred, and utilize this feedback to make improvements at all levels of the health system
- Government agencies and regulatory bodies must monitor, measure, and utilize information from organizations regarding the person’s experience of health care to improve health-system performance
9
Q
Family
A
- A term used to refer to individuals who are realted (biologically, emotionally, or legally) to and/or have close bonds (friendships, commitments, shared households and chold rearing responsibilites, and romantic attachments) with the persone receiving healthcare.
- A person’s family includes all those whom the person identifies as significant in their life (parents, caregivers, friends, substitute decision makers, groups, communicites, and propulations)
- The person receiving care determines the importance and level of involvment of any of these individuals in their care based on their capacity
10
Q
Patient-and-Family-Centred Care
A
- An approach to care that recognizes the importance of family and in a patient’s life and the importance of their active involvment in planning and making decisions on healthcare, services and treatment, and health system reform
- This approach to care provides respectful, compassionate, culturally safe, and responsive care that meets the needs, values, belifes, and preferences of the patient, their family, and others identified as significant to their life from dicers backgrounds and settings
11
Q
What are the 8 dimensions of patient centered care (RNAO)?
A
- Patient’s preferences
- Emotional support
- Physical comfort
- Information and education
- Continuity and transition
- Coordination of care
- Access to care
- Family and friends
12
Q
What are the 8 principles of patient-centered care?
A
- Respect for patient’s values, preferences, and expressed needs
- Coordination and integration of care
- Information and education
- Physical comfort
- Emotional support and alleviation of fear and anxiety
- Involvment of family and friends
- Continuity and transition
- Access to care
13
Q
What are the common themes in person and family centered care?
A
- Establishing a therapeutic relationship for true partnership, continuity of care, and shared decision making
- Care is organized, and respectful of the person
- Knowing the whole person
- Communication, collaboration, and engagement
14
Q
What are the three partnerships for care?
A
- Principles: mutuality and partnership
- Focus: places family as central to not only the patient but to the patient’s plan of care
- Recognize: the family as an essential part of care
15
Q
How do you define lip service?
A
An avowal of advocay, adherence, or allegiance expressed in words but not backed by deeds- usually used with pay.
- Acknowledges and respects the expertise of the family
