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CD - W2 - Patient-Centered Care > McCormack & McCance: Person-Centred Caring Framework > Flashcards

McCormack & McCance: Person-Centred Caring Framework Flashcards

1
Q

Outcomes of person-centred care:

  1. ________ approach to care
  2. increased pt __________ with care
  3. Promote _________ among staff
  4. Reduce nurse ______ levels
A
  1. holistic
  2. satisfaction
  3. teamworking
  4. anxiety
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2
Q

4 constructs of person-centred care framework:

  1. Prerequisites of the _____
  2. the care _________
  3. person-centred _______
  4. expected ________
A
  1. nurse
  2. environment
  3. processes
  4. outcomes
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3
Q

4 constructs of person-centred care framework:

  1. Prerequisites
    What are the 5 prerequisites of the nurse?
A
  1. Professionally competent (decision-making)
  2. Developed interpersonal skills (communication)
  3. Commitment to the job
  4. Clarity of beliefs and values
  5. Knowing “self”
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4
Q

4 constructs of person-centred care framework:

  1. The care environment
    Focus = the context in which care is delivered.

What is included when considering the context? (6)

A
  1. Appropriate SKILL MIX
  2. SHARED DECISION MAKING systems
  3. Effective STAFF RELATIONSHIPS
  4. SUPPORTIVE ORGANIZATIONAL SYSTEMS
  5. POWER sharing
  6. Potential for INNOVATION and RISK-TAKING
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5
Q

Between Prerequisites and the Care Environment, which construct has the greatest potential to limit or enhance the facilitation of person-centered processes?

A

Care Environment!

(includes workplace culture; nursing leadership quality; organization commitment to evaluate the quality of care delivery)

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6
Q

4 constructs of person-centred care framework:

  1. Person-centred processes
    This is the only construct that is all about the patient, describing patient-centred nursing in the context of ___________
A

Care delivery

(deliver care based on pt beliefs, values, shared-decision making, engagement, having sympathetic presence, providing for physical needs)

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7
Q

A type of engagement that recognizes the UNIQUENESS and VALUE of the individual by appropriately RESPONDING TO CUES.

What am I?

A

Sympathetic presence

*part of the person-centered process construct

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8
Q

Engagement reflects the QUALITY of the nurse-pt relationship.

What are the three levels of engagement?

A
  1. Full engagement (connected)
  2. Partial disengagement (arises when a problem prevents the nurse and pt from working together)
  3. Complete disengagement (when nurse and pt “take stock of the situation and formulate a problem”)
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9
Q

What type of intelligence from the nurse can impact emotional engagement of the pt?

A

Emotional Intelligence

self-awareness, empathy, social skills, self-regulation, motivation = all represented in the prerequisites construct

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10
Q

4 constructs of person-centred care framework:

  1. Outcomes
    Outcomes are results expected from effective person-centered nursing.

What (4) aspects does this include?

A
  1. pt SATISFACTION
  2. pt INVOLVEMENT
  3. feeling of WELL-BEING
  4. creating a THERAPEUTIC ENVIRONMENT
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11
Q
  1. Outcomes - are results expected from effective person-centered nursing.

Creating a therapeutic environment entails…

  1. _______ decision-making
  2. _________ staff relationships
  3. _________ leadership
  4. Support of _______ practices
A
  1. Shared
  2. Collaborative
  3. Transformational
  4. innovative
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12
Q

TRUE OR FALSE:

Person-centered communication behaviours (ie. listening; immediacy) are NOT strongly related to pt satisfaction.

A

FALSE.

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13
Q

One-line summary of McCormack and McCance’s Person-centered Caring Framework:

“It’s all about the _____ and the care ______.”

A

nurse; context

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14
Q

Person-centered care is about therapeutic relationships/partnerships b/w pts, family and HCPs.

These are built on… (3)

A
  • trust
  • understanding
  • sharing collective knowledge (including pt illness experience)
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15
Q

Collaborative strategies to decrease pt feelings of powerlessness and encourage independence:

  1. Enabling pt more ways of ______
  2. Help pt set _____ goals
  3. Increase pt knowledge on illness and its _____
A
  1. control
  2. realistic
  3. management
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16
Q

Collaborative strategies to decrease pt feelings of powerlessness and encourage independence:

  1. increasing HCP ______ to chronic illness impact on powerlessness
  2. encourage verbalization of _____
A
  1. sensitivity

5. feelings

17
Q

When practicing this type of presence, nurses bring more to the situation outside of the biomedical model and can involve shared decision-making.

A

Sympathetic presence

  • part of person-centred processes construct
18
Q

A patient has a diagnosis with a poor prognosis. Even if visiting hours are almost over, the nurse allows the family to stay with the patient rather than kicking them out.

This is an example of…?

A

Sympathetic presence

  • part of person-centred processes construct

CD - W2 - Patient-Centered Care (6 decks)

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