Leadership and accountability
Patient engagement involves patients and families taking up active roles within the health care plan nursing system to improve health of the specific patients while partnering with nurses as the immediate professionals. For proper family and patient engagement to the treatment plan the following strategy can work:
The first domain in the strategy is leadership and accountability. Patients, nurses as health care representatives and their family need to come up with treatment and care plan goals. Nursing team member’s focus on advising the clinical components while patients and families give their perspectives until an agreement is reached on the goals of the care plan. Team work and communication is the second domain of the structure. This domain involves a lot of the team involved in the care plan receiving accurate, relevant, timely and accurate communication about the health and care progress of the team. The third domain in the structure is psychological safety measures. Psychological safety measures involve patients’ confidentiality which assures them of sharing their crucial health information with both the family and the nursing care team. Health care team should be advised to receive patient perspective openly with minimal judgment. On the other hand, the patients are encouraged to be transparent about clinical signs, there adherence to treatment and any symptoms that they might have. The other domain of the structure is negotiations. Negotiations involve a transparent way to discuss the patient, the family and the nurses’ priorities, worries and desired outcomes at a stipulated time. Negotiations also involve transparency, where the patient and the family engage in care and making use of any treatment opportunities. Reliability forms the next part of the strategy. Reliability involves the patient wanting to adopt new care plan to achieve healing more efficiently. The last domain is improvement and measurement. Improvement and measurement involve appreciating any little progress made by any team member in contributing to the betterment of the patient. The above strategy is the best when one has to establish a collaborative desired health outcome with the patients and the families.
A satisfying patient experience
Patient satisfaction is about whether a patient’s expectation on their health encounter was met. Two people might receive the same care, but their patient satisfaction rating might differ depending on the expectations they had in the first place before joining the care program. It might be very difficult to come up with a patient satisfying experience but the following elements have to count. First, it is important to assess the patient expectations and try to meet the ones that are within reach. Additionally, it is important to note the a satisfying patient experience will involve the patient sharing their personal experiences and the nurse responding to each of them. A new relationship between the patient and the nurse is an indicator of patient satisfaction. In our scenario the patient is suffering from diabetes. The patient has shown increment in glucose levels. A perfect patient experience in the mentioned scenario would mean the patient glucose sugar levels drop to levels more than 140mg/dl but less than the current 180%. The patient’s hemoglobin levels should also be at a level more than 7%>
Elements of change that affect patient centered care
There are a few elements of change that affect the way patient centred care can be administered to patients. The first element is change involving fundamental shift in power, this is accordance with the nursing code of ethics that recommend the need for autonomy. Change in nurse at this point might lead to the diabetic patient developing hypertension. Patient centred care demands a fundamental maintenance of the same nurse for a quite a long period which is in adherence with the code of non-maleficence. Shift of power from a nurse already creating relationship with the nurse to another sheds away the trust limiting the safer tradition and hierarchal model of health care already created. Another change element that limits patient centred care is the measurement part. Change in measurement procedures of the patient interferes primarily with the quantitative and qualitative listening procedures of the patient demands to the nurse. Measurement procedures are reliable when they are used consistently, interference of any of this procedures lead to limited patient centred care due to result inconsistencies. Lastly, the change in priorities of the patient limit patient centred care. Priorities of the patient help them focus on healing while taking simple steps. It is through the priorities that a nurse gets to appreciate progress which is limits patient centered care in the case they are changed. The mentioned elements are the elements of change that limit patient centred care.
The rationale for implementing coordinated or integrated care is that it has a lot of positive effect to not only the patient but also the nurses. Firstly, in terms of payment rates coordinated care has generally been proven to lower hospitalization costs through community based care. In terms of achieving nursing code of ethics with coordinated care enhance quality of care, thereby achieving the principle of autonomy, where the patient satisfaction comes first. It is also important to recognize that coordinated care involves multidisciplinary communication that produces the perfect care plans to patients. Multidisciplinary communication ensures that there is adequate evaluation of the outcomes of the care plan. In case there is laxity in one department the rest of the care plan departments might provide cover which still benefits the patient. In the case of our diabetic patient scenario, the laxity of the counseling department might really not create effect to the patient when the medication department takes over.
Health care policies that affect patient centered care
Health care policies are rules placed by different health care stakeholder intended to improve the provision of health care services. Health care policies help promote and make it possible to implement the patient centered plan. For the identified case scenario of a patient with diabetes, it is possible to provide patient centered care to the patient based on the support from the health care related policy which states that: Health care personalities and stakeholder are allowed to combine more than one treatment intervention for a single health issues if it will benefit the patient. Combinations are more effective than one intervention alone. According to the stated health policy combination is more important that any one intervention. Based on the mentioned policy of increased health care, it is only important to combine both medicine and physical fitness intervention to the diabetic patient in the case scenario. As explained health policies affect patient centred through establishing a base through which the care can be implemented.
Specific health policies on outcomes of patient experience
One health related policy is that nurses are prohibited from using tobacco and alcohol at the patient’s environment. The mentioned policies provide a perfect health related policy that directly affects the outcome of a diabetic patient. Alcohol and Tobacco increase the risk of diabetic attack. Limiting alcohol user nurses from drinking near the patient betters the outcome on the diabetic patient under patient centered care. Liming tobacco use near diabetic patient reduces the patient’s urge to take tobacco while still under care, assuming that the patient is a tobacco user.
Nurses’ role in continued patient centered care
Nurses play the most crucial role in personalized patient care. The active role of nurses include; instructing and administering continuous care to patients. For instance in the case of a diabetic patient experience, nurses are required to instruct patient on oral hypoglycemic medication. Additionally, nurses are also important in monitoring patient’s progress in various issues including psychological, emotional and physical activities. From the patient experience of a patient having diabetes, nurses provide physical activity plans that will help regulate blood sugar levels. From the analysis above the provided evidences show the active role of nurse on patient centered care and their experiences. The explanation above raises awareness on the role nurses play in patient centered care.
Communication strategy in patient centered care plan
Communication is an important factor in the success of patient centered care plan, especially care plan for patients who receive care with than one intervention plan. Communication strategies that help in the achievement of proper patient centered care include; one on one communication with the patient and the family, written communication between the patient and the family and recorded patient communication using technological devices. The best communication strategy to use when involving the patient and related family members is physical communication. Physical communication as a communication strategy involves telling the patient, the family and other professionals the care treatment process in simple terms they can relate to. The advantages of using physical communication over the other forms are that it creates patient-nurse relationship. It is also important in reducing both physical and emotional distress in the part of the patients. For the case scenario, it is important that the nurse administering the diabetic care plan uses patient teach back as a communication strategy. Teach back involves the patient and the family repeating instructions as given by the professional. This strategy help the nurse find the extent to which the family and the patient understood the earlier concept of information. Effective communicative strategies that are physical are the best in completing a nursing care plan.
Community issues that affect patient centered care
Patient centered care is compromised when the kind of care provided receives community barriers. The first community barrier is unsupportive family and staff attitude. Some family and community persons have cynical views towards particular issues. The cynical views in their attitude makes the decision making process very complicated. A perfect scenario from the case study of a diabetic patient is when the family members remain cynical on the decision on whether to subject the patient to physical exercise. Search community cynical views challenge the implementation of patient centered care. These community challenges can be overcome through provision of education on all the family members and the community involved in the care plan of the patient.
Logical implication of relevant policy provisions
Health policy advocacy are essential in committing the essential resources to patient centered nursing care. Policies are important in shaping particular social factors that affect health and nursing care plans. The most important logical implications is that health policies advocate for advancement of public health, health equity and more patient centered care implementation , and therefore should be adopted in most nursing cases. In the case of diabetic patient centered care plan additional health care policies should be advanced to address issues of less privileged persons who cannot afford more than one nursing care personalities to use an integrated approach.
In conclusion patient centred care plan involves a lot of dedication from the nurses than both the family and the patient. There is a lot of active roles that the nurses are involved with, which makes them the most persons directly involved in the care plan procedure of a patient. The analysis above has provided perspectives and policies that demand the full involvement of nurses in achieving patient centred care plan. The scenario used is of a patient experience undergoing care plan to reduce the blood sugar levels.