Plan for values essay Question “Critically discuss the barriers and facilitators in implementing person/family centered care in relation to your field of practice” 2500words Introduction (250-300 words) Set the scene: Introduce Person-centered care Briefly identify key concepts of essays – (identify drivers including the healthcare quality strategy 2010 and rationale for providing PCC, and the registered nurses professional, legal and ethical accountability in delivering safe and effective PCC) Outline the planned content for the essay • This section should set the scene for the rest of the essay: • What does the reader need to know to understand this paper? • Historical background • Issues relating to the topic • Important authors and texts you will be referring to • Cultural issues • Why this topic is important or relevant Main body Present a balanced exploration of facilitators and barriers to the delivery of PCC. Chose 2-3 key factors that influence effective delivery and engage in an in-depth discussion of these factors by providing robust critical appraisal of appropriate literature and making recommendations for reducing barriers and promoting effective PCC where appropriate. Shared decison making/ participation Barriers- cogantive ability, language barriers, communication Faciliatators- promoting choice to patient, patient satisfaction, therapeutic relationships being formed, better quality of care. Leadership- Demands of the job Barriers- time contraints/ staffing and heavy workload, staff attitudes and seterotypes, clinical areas different timeframes and duties. Facilitators- – Some possible areas for discussion: co-production, power-sharing/ shared decision making, spirituality, promoting self management, the health care environment . leadership, cultural competence, healthcare ethics, legal and professional requirements, leadership, staff burnout, compassion fatigue (this is not an exhaustive list, you will have your own ideas). The emphasis is on depth rather than breadth here. – The main discussion • Are you being descriptive or critical? • Are you answering the question? • Have you supported your discussion with a range of references? • Is your academic writing at level 9? (see marking matrix) Conclusion Summarise your findings and learning from exploring the literature. Make recommendations for the development of person centred in practice. Rough guide .. very descriptive, needs changed and made more critical and more relevant Person centred care (PCC) is defined as treating individuals as equal partners in their care. Professionals are required to adopt a holistic approach which supports the contemporary view of person-centred care, and of patients as partners in their own care (Coulter& Oldham, 2016). Practicing with this mind frame allows professionals to recognise their patient’s own capabilities and potentials to manage and improve their own care needs, by working in partnership with professionals to achieve the optimum care possible. By doing so this allows patients to feel empowered and more informed about their conditions making them feel more confident in participating in shared decision making in their care journey resulting in more achievable and realistic goals (Nilsen et al.,2021). Person-Centred care is curial in Nursing practice as it allows patients and professionals to obtain a clear understanding and knowledge about each individual care needs so an informed decision can be made (Lindsay-Gould,2017). The way in which person-centred care is delivered through healthcare services, it is designed to be different for every patient as each patient has a unique journey throughout their own health experiences. Thus, meaning person-centred care should be tailored to each patient so that they receive the best outcome possible for their own condition (Kuipers, Cramm & Nieboer, 2019). According to Stonehouse (2021) treating vulnerable patients with dignity and respect is essential to nursing practice. The “Hello, my name is…” and “What Matters to Me” campaign enhances the development of a nurse- patient relationship based on trust and respect. This allows patients to feel more encouraged to open up to professionals which results in better partnership working. The Nursing and Midwifery Council (NMC) outlined a professional standard of practice that nurse and midwives must uphold. This is known as “The Code of Practice”. This standard of practice underpins Person centred care as it consists of four themes: prioritising people, practice effectively, preserve safety and promote professionalism and trust. These themes guide professionals to adhere to a high standard of practice by making sure to treat people with compassion, respect and upholding their dignity. As well as making sure patients concerns and preferences are listened to. All these key qualities that are required by nurses during practice allow for Person-centred care to be achieved (NMC,2018). The Healthcare quality strategy for NHSScotland is aimed to deliver the maximum quality healthcare services to the people of Scotland. The strategy is designed to focus on professionals being clear and concise about conditions and their treatment options, a clean and safe environment, effective collaboration between professionals and patients, continuity of care and clinical excellence. This strategy was brought to practice to to improve quality assurance and allowing patients to be at the centre of their care. This allows professionals to build on their values and commitment to provide the best care possible (GOV, 2020). The Self-directed Support (Scotland) Act 2013 supports adults and young people who need extra support to live independently and at home for as long as possible. This act allows individuals to have choice and control about how their care is delivered. The act focuses on certain values and principles to be able to provide the best support to the ones who need it most. For example, respect, fairness, independence, freedom, and safety are values used as a guide to social care services. The statutory principles identified in the act such as participation and dignity, involvement, informed choice, and collaboration provide a purpose to guide the authority in implementing the service and of the legal duties of the care and support that is provided. This act underpins Person-centred care not only within a secondary healthcare environment but also a primary setting as it focuses on promoting choice to individuals within the community by giving them the support to stay at home.
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