Borrowed nursing theory APA formate and no resourcse from coursehero

Borrowed nursing theory APA formate and no resourcse from coursehero

Running Head: PERSON-CENTERED NURSING (PCN) FRAMEWORK Application of the Person-Centered Nursing

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(PCN) Framework Monique Stigger Chamberlain College of Nursing Nursing 501 Theoretical Basis for Advanced Nursing Practice September 2018 1 PERSON-CENTERED NURSING (PCN) FRAMEWORK 2 Introduction The Person-Centered Nursing (PCN) Framework encompasses several alternatives such as Person-Centered Care (PCC) also known as family Centered Care, Personalized Care, Relationship-Centered Care as well as User/Client Centered Care (Santana et al., 2018). The PCN framework usually involves continuous and rigorous engagement of the patient through the integration of their views and concerns in the perspectives of the health provider as well as providing information to be patients about new developments in health care as well as their effectiveness. In my future role as a Family Nurse Practioner (FNP), it considered the satisfaction of both the patient and the health service provider while at the same time, improving the health outcomes of the patients while reduces expenses (Darnell and Hickson, 2014). Conceptually, the PCN framework is modeled in such a way that it is increased and continuous engagement between the patient and the health provider to issue personalized care. Overview of the Person-Centered Nursing Framework According to Santana et al., (2018), The PCN was famously known as PCC usually has a concise structure that enables its adoption. The meta-paradigm theory involves the individual/person who needs medical care, the health requirements, the nursing services, and the environment. On the context of the ‘person’, the authors argue that, in order for the PCN framework to succeed, the patient must be willing to seek such services from the health provider (Santana, et. Al 2018). PERSON-CENTERED NURSING (PCN) FRAMEWORK 3 The person(s) must also build a culture taking part in the improvisation and development of the policies, processes, and structures used in the framework the patient should be provided with information that helps them make decisions about what care they want and the level of engagement they would prefer. This extends to the development of promotion and prevention programs through the creation of advisory and health empowerment groups. Health, the second sub-paradigm, the authors argue that in order to make this framework a success, there must be processes, structures, and policies that are put in place to control, monitor and regulate the health system (McCormack and McCance, 2016). This includes organizations and communities’ factor that consider the patients perspective on how their health should be handled. The other paradigm is the environment ensures that there is a relevant, quality and adequate resource to the health care providers in order to effectively use the framework. It also considers the patient’s relation with the FNP that they feel welcomed and have their health care needs solved. Appraisal of the Model as a Nursing Theory On a theoretical scale, the PCN structure involves a roadmap that is used to indicate the success at every level or procedural directive that should be maintained at all times. These include the structure, process, and outcome. The structure involves the characteristics of the health care services such as the resources needed and the organizational commitment as well as materials. The process domain of the system involves the interaction mechanisms and processes between the patients and the health care providers while the outcome is the value that can be seen at the end of the health service provision. Theoretically, this roadmap is a procedural organized mechanism in the sense that once the structure is devised and implemented, the PERSON-CENTERED NURSING (PCN) FRAMEWORK 4 process follows and later the outcomes of the whole framework can be seen and analyzed at the end (Santana et al., 2018). The domains consist of a subdomain and components. For example, the structure domain involves creating a culture with attention to core values and philosophy of the implementing organization while the components involve the creation of mission, vision, goals and addressing diversification of services in the health care institution. Another domain would be the design, development, and implementation of PCN educational programs. The sub-domain would be standardization in training as well as professional practice while the components would be integration of PCN professionals, educational and training programs for these professionals and consequent mentorship. Some of the domains in the process domains include creating communication channels, offering respect and compassion to the patients and integration of care. Their respective sub-domains include listening, to patients concerns, discussion of the care plans and designing the care plans with the patients (Liberati, 2015). This involves components such as the creation of partnerships, shared decision making, goal setting, empathetic responses, and discharge communication. Application of Model to Advance Practice Nursing The PCN framework needs additional validations through qualitative study in order to upgrade and extend the services to the communities in a more personalized manner. This also involves its integration in the Advanced Practical Nurse role which involves different subparadigms such as the executive, family nurse practitioner and nursing informatics among others. Under the Family Nurse Practioner(FNP) paradigm, the PCN framework through a close PERSON-CENTERED NURSING (PCN) FRAMEWORK 5 examination of the existing gaps between what is actually being offered by the health care providers and what the outcome really is. On the part of the FNP, the person-centered care framework can be used to improve the service rendered since in this case the family nurse practitioner is to take into consideration the health of the family as an individual person in a comparative manner and whole unit. This involves more dissemination of information to the patient and his/her families and even more inclusion in decision making processes (Constand et.al, 2014). On educate the patient as well as their families more on the necessity of the personalized health care. Additionally, in such provisions, more information should be relayed to the patient in regard to the diseases or infections which they may be suffering some of which may be hereditary. In this case, it is important to educate the patients as well as their families more on the causes of such hereditary infections and how they can be handled. This will also help in decision making by the patients, the health care provider in terms of the services to offer and the health care system in terms of what policies, structures, and procedures to implement in order to handle different health situations. Conclusion The Person-Centered Nursing (PCN) framework is a model that involves a close integration of the structure and processes of health care with the people/patient. Here, the patient is directly involved in decision making on what type of health service they would like to receive after continuous education and sensitization on the available structures. This framework usually considers four major paradigms; person, health, environment, and nursing. On a theoretical approach, the framework is supposed to operate on a procedural level which considers the PERSON-CENTERED NURSING (PCN) FRAMEWORK 6 structure, process and the outcome of the framework. The structural domain considers the health care systems with such components as the policies and available resources; the process domain considers the integration of communication band involvement on these systems with the patients while the outcome is used to determine the success or the failure of the integration of both structure and process. The PCN network has a great room for advancement mostly in education, executive, family nurse practitioner, and nursing informatics. This leaves the PCN framework as a favorite in the nursing and health industry. PERSON-CENTERED NURSING (PCN) FRAMEWORK 7 References Balint, E (1969) The Possibilities of Patient-Centered Medicine, The Journal of the Royal College of General Practitioners, 17(82) Berwick, D, M (2009) What “Patient-Centered” should mean: Confessions of an Extremist, Journal of Health Affairs, Volume 28, No. 4 Constand, M, K., et.al (2014) Scoping Review of Patient-Centered Care Approaches in Healthcare, BMC Health Services Research, 14:271 Darnell, L, K and Hickson, S, V (2014) Cultural Competent Patient-Centered Nursing Care, Nursing Clinics, Volume 50, Issue 1, pp. 99-108, Elsevier Liberati, E, G., et. Al (2015) Exploring the Practice of Patient Centered Care: The Role of Ethnography and Reflexivity, Journal of Social Science and Medicine, Volume 133, pp.45-52, Elsevier McCormack, B., & McCance, T. (2017). Person-centered practice in nursing and health care. Theory and practice (2nd ed.). Oxford: Wiley Blackwell. Santana, M, J., et. Al (2018) How to Practice Person-Centered Care: A Conceptual Framework, An International Journal of Public Participation in Healthcare and Health Policy, 21(2)
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