Patient Centered Care Flashcards
What is patient centered care
• A concept that puts the client at the center of the nurse’s care.
• A crucial element of nursing in today’s health care environment.
• Caring, client preferences, and cultural considerations all have a role in ensuring that the client is receiving the best possible care.
What are some barriers to patient centered care
Technology
The doctor and nurse talking to each other but not the client
What does the act of caring in nursing involve
• The act of nurturing another person to whom one feels commitment or responsibility.
• Foundational to the nurse’s role, as nurses have a responsibility to care for clients.
• Demonstrated by holistically nurturing clients, often physically, emotionally, and spiritually.
What is Watson’s theory of human caring
• This theory suggests that to care for others, nurses must first
• care for themselves
• attempt to achieve inner balance and spirituality.
• Nurses should establish
• a presence with clients
• practice the act of “being,”
• work on developing trusting
relationships.
What are the 10 caritas processes
Embrace (loving kindness)
Inspire (faith and hope)
Trust (trans personal self)
Nurture (relationship)
Forgive (all)
Deepen (creative self)
Balance (learning)
Co-create (caritas field)
Minister (humanity)
Open (infinity)
The key questions exemplifying the caritas processes
• Tell me about your health.
• What is it like to be in your situation?
• Tell me how you perceive yourself.
• What are your health priorities?
• How do you envision your life?
• What is the meaning of healing for you?
• What is the most important thing I can do for you?
• What is the most important thing you need right now?
What is Swanson’s theory of caring
• This theory views caring as a process of five categories through which a person goes to achieve overall well-being.
• The five categories are:
• maintaining belief
• knowing,
• being with
• doing for
• enabling
What is listening in nursing
• Careful and intentional listening is key to nursing assessments and caring in nursing.
• The nurse must not only ask questions, but allow appropriate pauses, quiet, and listening skills to ascertain pertinent information that applies to the holistic care of the client.
- active listening and being attentive is important
What is touch in nursing important for
• Provides a physical presence and demonstrates caring.
• Should be used appropriately, never with the intent to harm the client or
with sexual connotations.
• Expressive touch seeks to:
• demonstrate caring and compassion
• should always be done with the client’s permission.
• Variances in:
• cultural differences
• clients’ gender
• previous experiences or trauma
• should be taken into consideration when the nurse is using touch
Being present in nursing
• Nurses have the unique gift of being present for clients.
• The nurse can be present for clients by:
• Taking time to sit and listen to clients
• Provide an overall physical presence for the client
• Being present is highlighted in both Watson’s and Swanson’s theories
regarding caring.
Providing comfort in caring behaviors for nurses
• Providing Comfort
• Things as simple as:
• Providing a drink of water
• Helping a client wash their hands and face before eating
• Warm Blankets
Showing compassion in caring behaviors for nurses
• Showing Compassion
• This can be achieved by:
• Recognizing pain and suffering in clients and taking action to alleviate it
• Referring to a client by their preferred name
• Maintaining a human-focused point of view
• Evaluate one’s own feelings about a situation, before trying to help
Client preferences in nursing care
• Important factors in Patient-centered care are:
• Client participation as a full member of the
healthcare team
• Therapeutic relationships with team
members
• Engaging the client in decisions about
their care
• Share information with clients
• These things create a sense of trust as well as a healing environment for clients
• Increases their sense of control or power over
their care
• Increases their trust and feelings of safety in the relationship
• Helps them to feel as if the nurse has a genuine interest in them as a person.
Definition of culturally competent nursing care
The application of evidence-based nursing that is congruent to the preferred cultural values, beliefs, worldviews, and practices of the client.
The parts of culturally competent care
Caring for a client by utilizing the preferences of their culture is critical to providing client-centered care.
• Culture directly contributes to a client’s health • Other components that may impact culture:
• Socioeconomic factors
• Health literacy
• Experience with racism
• Sexual orientation
Define acculturation
• Acculturation - The process of sharing and learning cultural traits or social
patterns of another group.
What should nurses be aware of when it comes to barriers to communication
Nurses should be aware of some of the common generational differences and identify barriers to communication and client-centered care prior to caring for clients.
What is spiritual nursing care
Nursing care should be holistic in nature
• This means caring for the
physical and spiritual being
• Nurses must examine their
feelings about spirituality
• Nurses must have self- awareness before they can care for clients effectively.
Spiritual well-being
The satisfaction and a feeling of contentment with who one is and where one belongs in the universe
Questions to ask about spiritual assessment
• Where do you find spiritual strength?
• Do you have any concerns about the meaning of your life?
• Do you have questions about your relationship with God or a higher being?
• Do you have any questions about your spiritual practice
• What kind of spiritual practices hold meaning for you?
• Do you have any concerns or fears about dying?
• Do you have any concerns about your
relationships?
• Is there anything right now that is making you sad or feeling inadequate?
Places where spiritual assessment is mot important
Hospice
Palliative care
Nursing homes
Maternal/newborn
Pre op
After a disaster
Trauma
Psychiatry
What does FICA stand for?
• Faith and belief (e.g., “What spiritual beliefs aid you in coping?”)
• Importance (e.g., “Do your spiritual beliefs impact how you care for yourself or allow others to care for you?”)
• Community (e.g., “Are you a part of a spiritual or religious community, group, or organization?”)
• Address in care (e.g., “How should I address you when speaking to you?”)
What does HOPE stand for
• Hope
• Organized religion
• Personal and spiritual practices
• Effects on care and end-of-life issues
What role does pastoral care play?
• The role of pastoral care as a
part of the interdisciplinary
health care team is critical.
• Pastors play a vital role in supporting clients and families in both:
• spirituality
• religion.
• They are particularly instrumental at the end of life.
