NR-500 Week 3 Discussion Topic, Knowing Self (Three Versions)
This week's topic focused on caring and reflective practice in contemporary nursing. In
... [Show More] your initial response, provide a definition of what person-centred care means to you. Describe how you will apply principles holistic nursing, cultural humility, and self-reflection in your future role as a nurse practitioner.
To me person-centered care means educating an individual and allowing them to take part in their plan of care with awareness of their background and cultural beliefs. It is important to develop rapport with the person who you are caring for to allow them to be comfortable with sharing their background and beliefs with you. In fact, “Entering and understanding the world of others and their personhood is where caring unfolds” (Edgar at. el, 2020). This can allow one to have a better understanding of the person as a whole and aide in providing the best possible care to that individual.
Holistic nursing is being aware that a patient’s biological, social, psychological and spiritual aspects are all connected (Edgar at. el, 2020). In my future role as a nurse practitioner I plan on incorporating holistic nursing into my practice by grasping a better understanding of my patient’s background and allowing them to take part in their healing process. This will allow me to better view my patient’s understanding of and incorporation of alternative forms of medicine. In turn, I will be able to provide more culturally competent care that focuses on the mind, body, and spirit. Another principle I plan on incorporating is cultural humility. Although I come from a culturally diverse background myself, I know that culture in each individual household differs. This realization has helped me to stay clear from making assumptions about patients solely on their culture. In fact, “the nurse who recognizes that his or her own perspective is full of assumptions is more likely to maintain an open mind, be respectful of all people, and not act as if their way is the only or best way to proceed” (DeNisco & Barker, 2016). In my current practice as an RN, I ensure that I maintain an open mind and am respectful of all people and I will continue to incorporate this in my future role as a nurse practitioner. I also plan on incorporating self- reflection into my practice. As individuals caring for others it is important that we are aware of our actions and beliefs that limit us in providing the best possible care to our patients. Being self- aware and self-reflective can allow us to better understand our patients and be more open minded. The ultimate goal of incorporating these three principles into practice is to have a better understanding of the patient as a whole in order to provide the best quality care.
Reference:
Edgar, D., Wilson, V., & Moroney, T. (2020). Which is it, person-centred culture, practice or care? It matters. International Practice Development Journal, 10(1), 1–17. https://doi.org/10.19043/ipdj.101.008
DeNisco, S. & Barker, A. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.
After reviewing the video discuss if your organization prescribes to any or all the tenants on person-centered care
I feel as though the organization that I work for does strive to have a person-centered approach to care. I currently work in an OPP PACU so typically the main focus of care is the surgical site.
However, it takes proper communication and documentation from the whole team in order to obtain a thorough history, accurate labs, clearance from the patient’s surgeon and primary care provider, consent for surgery, patient’s cultural preferences, primary language, religion, and personal preferences. This is really important when it comes to coordination and continuity of care because it takes a team of people including the patient in order to ensure the patient is safe and no complications arise during surgery. There is a lot that goes into ensuring safe person- centered care when preparing a patient for surgery. With this in mind it is highly important to listen to the patient and take into account their preferences to ensure the best pre and post surgical outcomes. The organization I work for also offers emotional support to our pediatric patients by having a Child Life Specialist present to help ease the child’s anxiety about having surgery. They also to ensure that each patient is psychically comfortable and well educated on what to expect pre and post op. Although there is some room for improvement, I feel as though the organization that I work for strives for a person-centered care environment.
Nancho,
I really like how you mention that the importance of patient/family centered care decreases the fear and anxiety of a patient. Being sick or going through a procedure can be very freighting for any patient especially a child. With a background in pediatrics myself I noticed a trend in better outcomes of patient care if the patient feels comfortable with the staff. With pediatrics, it is also important that the family is comfortable and well informed on the patient's plan of care because a child's source of comfort is usually a family member. I also like how you mention other important staff members like social workers and chaplains. I believe they make a great contribution to providing comfort and care for the patients emotionally and spiritually. It really does take a team effort in order to provide person-centered and holistic care.
• Reflection on week 3 reading
• How do you anticipate that the concept of cultural humility will affect your practice?
This week I have learned a lot about the various principles of care including holistic nursing, cultural humility, and self-reflection. The principle/concept that really stuck with me is cultural humility. This is highly important to incorporate into one’s practice because it allows the provider to be aware of the general cultural assumptions they have of a particular population. In turn, “this focus makes it much easier for nurses to be reflective and proactive about any prejudices or assumptions they have so that these are less likely to have an impact on a cross-
cultural nursing interaction” (DeNisco & Barker, 2016). I feel as though because I come from a diverse background and work in a highly diverse area the concept of cultural humility will greatly benefit my practice. It will allow me to provide the best person-centered care to my patients and allow me to build rapport and trust with my patients. This will hopefully lead to better patient satisfaction and compliance with care. [Show Less]