Patient-Centered Care Flashcards
Six core elements for providing patient-centered care
Education Involvement of family and friends Collaboration Sensitivity to spirituality and nonmedical issues Respect for patient needs/preferences Accessibility of information
the sum total of the way of living; includes values, beliefs, standards, language, thinking patterns, behavioral norms, communications styles, etc. Guides decisions and actions of a group through time.
culture
A set of congruent behaviors, practices, attitudes and policies that come together in a system or agency or among professionals, enabling effective work to be done in cross-cultural situations
cultural competence
How to acquire cultural competence
Starts with Awareness
Grows with Knowledge
Enhanced with Specific Skills
Polished through Cross-Cultural Encounters
to enhance the quality of culturally congruent, competent, and equitable care that results in improved health and well being for people worldwideFounded by Dr. Madeleine Leininger
Transcultural nursing society
visualize the different dimensions of her Culture Care Theory. It is designed to depict a total view of the different, but very closely related dimensions of the theory.
Care (caring) is essential to curing and healing, for there can be no curing without caring.
Sunrise model (leininger)
Originated the term “therapeutic use of self” in 1952.
Peplau
In the traditional Nurse–Patient Relationship there are three phases:
Orientation phase
working phase
termination phase
Introductory phase: “Getting to know you”
Begins the development of trust
Four tasks of the orientation phase
Trust enables participation in the relationship
Each other as individuals
Identification of major problems and needs
Approximate length of the relationship will be estimated
Orientation phase
Nurse and patient tackle tasks outlined in Phase 1.
Patients may exhibit alternating periods of intense effort and periods of resistance to change.
Regression is an ego defense mechanism that occurs as a reaction to stress.
Regression often precedes positive change.
Working phase
Nurse and patient take on those activities that enable them to end the relationship in a therapeutic manner.
Positive and negative feelings often accompany the termination process
Positive feelings about gains made
Negative feelings of sadness, anger, fear
Must be discussed toward acceptance
Termination phase
Nurses can distinguish their own emotional needs from their patients’ needs and get their own emotional needs met outside the nurse-patient relationship
self awareness
Taking time to focus on own thoughts and feelings
Understand how these can affect behaviors toward patients
reflective practice
Prejudices and attitudes that are biased toward clients
Goal: Accept all patients as individuals of dignity and worth who deserve the best nursing care possible
avoiding stereotypes
Factors influencing communication
Developmental level Gender Sociocultural differences Roles and responsibilities Space and territoriality Physical, mental, and emotional state Environment
