Professional Identity and Patient and Family Centred Care

Question 1

Define client-centred care.

Answer 1

an approach in which clients are viewed as whole persons; involves advocacy, empowerment, and reporting the client’s autonomy, voice, self-determinism and participating making

Question 2

Define patient-and-family centred care

Answer 2

an approach that recognizes the importance of family in a patient’s life and the importance of active involvement in planning and making decisions on health care, services, and treatment and health system reform

Question 3

Define person-and-family centred care

Answer 3

an approach to care that demonstrates certain practices that put the person and their family members at the centre of health care and services; respects and empowers the individual to be partners with health care providers

Question 4

What are the eight dimensions of patient-centred care?

Answer 4

• patient preferences; demonstrate cultural sensitivity
• emotional support; impact of illness on self & family
• physical comfort; pain management
• information and education; process of care
• continuity and transition; information and planning
• coordination of care; reducing feelings of vulnerability
• access to care; scheduling and availability of appointments
• family and friends; accommodating support persons

Question 5

What are some challengers to patient-centred care?

Answer 5

• competing needs among players
• power imbalances
• focus on physical aspect of patient care
• lack of awareness of patient presence

Question 6

Describe assessment in relation to patient-centred care.

Answer 6

• establish trusting and respectful partnership
• empower them to be active partner in health care
• learn their preferences for care
• document information

Question 7

Describe planning in relation to patient-centred care.

Answer 7

• create plan of care in partnership with patient and family
• participatory model of decision making
• respect patient’s right to choose preferred interventions for their health

Question 8

Describe implementation in relation to patient-centred care.

Answer 8

• delivery of care should be driven from patient perspective and personalized
• tailor strategies for self-management of care
• strength-based learning

Question 9

Describe evaluation in relation to patient-centred care.

Answer 9

• obtain feedback re: satisfaction

Question 10

How can an organization be involved in patient-centred care?

Answer 10

• organizational culture
• design an environment that improves the person’s experience of health care
• collect continuous feedback, utilize feedback

Question 11

What are the four steps in the evolving role formation of becoming a nurse?

Answer 11

• fake it until you make it; narrow understanding of the role
• talking the talk; increasing confidence in technical skills
• developing sense of empowerment and greater understanding of the importance of advocacy
• developing a sense of moral agency and expressed recognition of nurses’ privileged role; internalize being a nurse instead of just doing nursing work
• doing it all; refocus on skill mastery within the context of increased complexity