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Table of Contents
In person centered care, partnering with the patients is a highly crucial method for improving patient outcomes. This is a holistic approach through which the overall improvement and wellbeing of the patient is ensured. The Department of Health Australia has endorsed “Australian Health Services Safety and Quality Accreditation Scheme” in the year 2010 which work as a regulatory guiding principle for the nurses to provide safe and quality care (Australian Commission on Safety and Quality in Health Care, 2020). At the age of 40, the health needs of an individual may change. This might have widespread influence upon the care strategy applied by the nurses. The current study will conduct an analysis of the case of Mr. Jack Simpson that has experiences of engaging in nursing intervention and care due to several incidents of injury.
Jack is active and a person with different hobbies. However, he has experienced two sides of the hospital staff while he was under hospital care. The patient recognizes the role of nurses that was effective in his case where nurses effectively communicated with the doctors and involved patients in their treatment plan. The patient was also provided with alternative options thus his choices have been respected. The part of the nursing care to make the hospital premises comfortable as much as possible has also been highlighted in the case study. The current study will conduct an analysis of the experiences Mr. Simpson had in the hospital during his stay. Based on that, the effectiveness and ineffectiveness of the treatment provided to the patient will be evaluated. The understanding from the nursing philosophies and theories will be incorporated in the study. The study will also focus upon improving the experience of the patient and quality of care by adopting partnering in care strategies. Additionally, some recommendations will be provided based on the findings of the current study.
As the literature suggests, person centered care emphasizes the needs of the patient, their goals, desires and they are considered as the central part of the nursing care plan. The Nursing and Midwifery Board of Australia (2020) has endorsed code of conduct for nursing which is bound by some of the nursing principles. Nurses are required to comply with the legal standards of care; nursing practices will be collaborative, culturally respectful relationships is required to be developed with the patient, professional integrity is required to be established and others. The literature also suggests that nurses are required to maintain “National Safety and Quality Health Service Standard” especially standard 2 where partnering in care is emphasized (Australian Commission on Safety and Quality in Health Care, 2020).
As per this standard, nurses are required to integrate clinical governance and quality improvement systems are required to be implemented. This process also helps to educate the patients about their rights while being under hospital care and decision making process follows the choice of the patient as well. As per the developmental theory of Erikson, people aged over 40 are likely to face conflict between generatively and stagnation which is the 7th stage among the 8 stages (Moore, Allbright-Campos & Strick, 2017). In this stage, individuals strive to nurture that thing outlasting them. Therefore, family life of the patients during this stage is required to be considered. Here, the goal of the patient include being active. Collaboration between nurses and doctors is mentioned to be highly essential by Mr. Simpson and plays important role in recovery. As the patient also highlights his craving for getting back into normal family life providing care following Erikson’s understands is also important.
In the current case study, Mr. Simpson has highlighted the care approach taken towards him adequately. It is important to note that the patient considers most of the nursing care plan implemented is effective. For instance, it has been mentioned that the patient has been provided choice between undergoing surgery or for a physio. This indicates towards the person-centered care approach by the staff members due to which it can be considered as effective. However, the patient has mentioned that the doctors are unable to provide adequate time to the patient though there was also incidence of nurses taking active part in communicating and collaborating with the other staff members which complies with the standard procedure. Therefore, the collaboration can also be considered as an effectiveness of the level of care (Camacho et al., 2018). It is also required by the nurses to develop a trustworthy relationship with the patients who have also been indicated by the current patient.
For instance, the patient shared an experience where he actually could rely on the care process implemented by the nurses that those will be helpful for him to get back into life. The patient also mentioned that the nurses have taken care of the patient adequately and there was also a support network which is indicative of the integrated care approach. Therefore, it can be stated that the nurses have provided highly effective care services where the patient was comfortable about his choice and did not suffer due to miscommunication and lack of collaboration between the staff members.
As conveyed by the patient, “National Safety and Quality Health Service Standard” especially, Standard 2 could not be applied effectively by the nursing staffs (Ritchie et al., 2020). It is due to the fact that there is no evidence of clinical governance and quality improvement systems that has been applied for partnering with the patient. Apart from that there was also a lack of evidence that the patient was asked for his consent before indulging into any surgery or other means of care though decision sharing was present where nurse taking care of Mr. Simpson actively taken part to communicate with the doctor for delivering better care. Apart from that, there is also no evidence of partnering with the patient in organizational design and governance which can be considered as an ineffective approach taken under consideration in the current context of care (Hubbard, 2020).
In addition to this, as per the theory of Erikson, the patient is on the stage of Generativity vs. stagnation phase. This stage is crucial to the psychological wellbeing of a patient which is required to be considered in the current case. During this stage, individuals may strive for creating and nurturing things which is manifested by caring for children contributing to the activities that may benefit others and so on. As observed from the case study, the patient has also got injured while helping victims of car accident. On the other hand, he is in a hospital setting where he is unable to frequently meet his family members which may cause psychological impact (Niiyama et al., 2018). Therefore, it can be stated that the care plan should also include the family members where the regular meeting with the closed one is required. However, no evidence of such incidence could be identified in the current case study.
Considering the findings from the current study, some areas of issue in the care implementation process have been identified based on which some recommendations can be provided. It can be recommended while considering the parting in care strategy, there are some criteria that are required to be met for establishing partnership between patients like Mr. Simpson and clinicians. Organizational development and promotion of person-centered care where the patient will be provided with all possible allowance to direct the care plan (Camoni, Picardi & Venerosi, 2020). For instance, patient-clinician communication is required to be made normative within the policy of the hospital. Clinicians are required to be trained and equipped with a mix of skills. The hospital can also use communication tool to enhance collaboration. For instance, patients may be provided with adequate communication support and health information through mobile phone or other gadgets allowable in the hospital. Apart from that success measurement is also required to be optimized through which the condition of the patient can be easily detected. Patient decision aids can be useful in this context where patients may themselves measure the effectiveness of the care planning decided to be implemented. Nurses are also required to establish self-help and support group so that dependence of the patient can be reduced (Australian Commission on Safety and Quality in Health Care, 2020).
In conclusion, it can be stated that the ground rule of ‘partnering in care’ is to make the care planning patient-centered and collaborative as much as possible. The person centered care approach allows the nurses and other care providers to direct the care plan as per the needs of the patient. As observed from the study, treatment planning that is influenced by the philosophy of partnering in care is required to be provided with health information adequately. It has also been suggested to involve patient decision aids to assist the patients with decision making. The patients are also required to be allowed to convey their personal preferences based on which the care planning can be developed. Therefore, it can be stated that in partnering in care approach the patient is required to be provided with the best possible allowance of decision making by partnering with healthcare providers.
Australian Commission on Safety and Quality in Health Care, (2020). Australian Health Service Safety and Quality Accreditation Scheme. Retrieved 31 August 2020, from https://www.safetyandquality.gov.au/standards/national-safety-and-quality-health-service-nsqhs-standards/assessment-nsqhs-standards/australian-health-service-safety-and-quality-accreditation-scheme#:~:text=The%20AHSSQA%20Scheme%20consists%20of,each%20are%20broadly%20as%20follows%3A&text=Develop%20and%20maintain%20the%20NSQHS,organisations%20against%20the%20NSQHS%20Standards
Australian Commission on Safety and Quality in Health Care, (2020). Partnering with patients in their own care. Retrieved 31 August 2020, from https://www.safetyandquality.gov.au/standards/nsqhs-standards/partnering-consumers-standard/partnering-patients-their-own-care
Camacho, E. M., Davies, L. M., Hann, M., Small, N., Bower, P., Chew-Graham, C., ... & Waheed, W. (2018). Long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental–physical multimorbidity: cluster-randomised trial. The British Journal of Psychiatry, 213(2), 456-463. Retrieved 31 August 2020, from https://www.cambridge.org/core/services/aop-cambridge-core/content/view/945000B20E20D8AC4E5EBA0CEC3C1ACF/S0007125018000703a.pdf/div-class-title-long-term-clinical-and-cost-effectiveness-of-collaborative-care-versus-usual-care-for-people-with-mental-physical-multimorbidity-cluster-randomised-trial-div.pdf
Camoni, L., Picardi, A., & Venerosi, A. (2020). New mode of care. Value and limit of the person-centered care planning for people with mental disability. Annali dell'Istituto superiore di sanita, 56(2), 193-205. Retrieved 31 August 2020, from https://annali-iss.eu/index.php/anna/article/download/1094/608
Hubbard, D. W. (2020). The failure of risk management: Why it's broken and how to fix it. John Wiley & Sons, Retrieved 31 August 2020, from http://184.108.40.206:8080/xmlui/bitstream/handle/123456789/3848/%20The%20failure%20of%20risk%20management%20%20why%20it%27s%20broken%20and%20how%20to%20fix%20it.pdf?sequence=1&isAllowed=y
Moore, R. M., Allbright-Campos, M., & Strick, K. (2017). Childlessness in midlife: Increasing generativity using a narrative approach. The Family Journal, 25(1), 40-47. Retrieved 31 August 2020, from https://www.researchgate.net/profile/Rachel_Moore15/publication/310472397_Childlessness_in_Midlife_Increasing_Generativity_Using_a_Narrative_Approach/links/5c1965c5a6fdccfc70586d6e/Childlessness-in-Midlife-Increasing-Generativity-Using-a-Narrative-Approach.pdf
Niiyama, H., Kontkanen, I., Paavilainen, E., & Kamibeppu, K. (2018). A comparison of personality maturity among Japanese youth and Finnish young adult students: a cross-sectional study using Erikson psychosocial stage inventory and sense of coherence scale. International Journal of Adolescence and Youth, 23(4), 482-495. Retrieved 31 August 2020, from https://www.tandfonline.com/doi/pdf/10.1080/02673843.2018.1435418
Nursing and Midwifery Board of Australia, (2020). Professional standards. Retrieved 31 August 2020, from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx
Ritchie, A., Gilbert, C., Gaca, M., Siemensma, G., & Taylor, J. (2020). Hospital librarians’ contributions to health services’ accreditation: An account of the health libraries for the national safety and quality in health services standards (HeLiNS) research project, 2016-18. Journal of the Australian Library and Information Association, 1-31. Retrieved 31 August 2020, from http://ahro.austin.org.au/austinjspui/bitstream/1/22907/2/JALIA%20HeLiNS%20Research%20Accepted%20Manuscript%20%2822%20Feb%202020%29.pdf
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