NR 501 Week 5 Assignment: Application of Theory Paper
Application of Theory: Person-Centered Nursing (PCN)
Chamberlain University College of
... [Show More] Nursing
NR501 Theoretical Basis for Advance Nursing Practice
Person-Centered Nursing (PCN)
The theory of nursing is significant to practice and design of the nursing profession; it is the groundwork of evidence-based practice (EBP). EBP is an important tool in nursing education because it advances knowledgeable and competent nurses. In the specialty track of Family Nurse Practitioner (FNP), applying theory is significant because it explains and serves as a guide, assists in the assessment of care, launches principles to measure quality of life and establishes collaboration with healthcare professionals in the progression and strategies of patient outcomes (Arora, 2015). This process aides in the translating of issues, concerns as well as providing support to the nursing healthcare practice. Through integrating the PCN framework, patients are at the prime focus of care. It is the patients’ needs being met throughout the delivery of care, that value is seen in this model. This essay will provide an overview of the PCN model, discuss the appraisal of this model as a nursing theory, and discuss the application of the PCN model to advanced practice nursing.
Overview of PCN Model
The concept overview of PCN is more of “a movement that has an explicit focus on humanizing health services and ensuring the patient/client is at the center of care delivery” (McCormack, Borg, Cardiff, Dewing, Jacobs, Janes, & Wilson, 2015, p 2). There is a standard of care that the PCN framework provides in the nursing profession, it is a multidimensional method that places importance on patient-center of care (McCormack, et al., 2015). Focusing on the whole person body, mind and spirit. This PCN framework consists of four concepts of the nursing metaparadigm. With the concept of person; it is working with the individual’s values and beliefs. Considering that each person is exceptional and their beliefs and values regarding their care are crucial to providing the best patient outcomes. Pertaining to the health concept; it is a shared decision-making process with a compassionate approach. All patients have the right to participate with their plan of care, nurses being sensitive to their needs and allowing them to express their thoughts and concerns. This expresses nurse compassionate care. Based on environment concept; it is where the physical and caring framework comes into play. In the physical aspect, providing a safe and healthy atmosphere is vital for the therapeutic process and recovery time. For caring, it is when all surrounded characteristics integrates the needs of the patient being met, in a holistic approach of body, mind and spirit (McCormack, et al., 2015.
The PCN holistic idea came together in the metaparadigm idea because the heart of healthcare is on the complete nature of the whole person in the physical, mental, social and spiritual domain (Bender, 2018). Some results of the core outcomes of PCN are; satisfaction and involvement of care, patient’s well-being and therapeutic environment. These outcomes emphasize the concept of person in the nursing metaparadigm, where interventions search out to protect, reserve and improve the patient’s value and pride (Bender, 2018). It is these outcomes that assess the achievements of patient-centered nursing.
Appraisal of the PCN Model as a Nursing Theory
The PCN theoretical framework originates from a patient/nurse relationship. It nurtures several essential fundamentals to provide extraordinary enhanced care. This framework focuses on building relationships between nurse and patient to better understand the entireness of care given in a holistic approach for the greatest outcomes (van der Cingel, Brandsma, van Dam, van Dorst, Verkaart, & van der Velde, 2016). It develops results associated from positive relationships by respecting individuals as people and including them as partners in care. This framework is very useful and vitally important because caring continues to be the center of patient care within the nursing profession. However, though caring relationships are imperative, we can’t forget the professional expertise of the nurse. Knowledge and skills need to remain up-to-date in order to provide excellent care. But clinical reasoning is not only about skills and knowledge, professional and personal experience is necessary for a respectable practice to be considered as an origin of knowledge. This professional knowledge consists of; appropriate attitude, good communication skills with genuineness, kindness and friendliness. The definitive goal of PCN is to treasure, preserve and protect the uniqueness of every individual as a person and their well-being (van de Cingel, et al., 2016).
Application of PCN Model to Advanced Practice Nursing
The application of this PCN model can be practiced across various and multifaceted healthcare systems, through a simplified application and implementation process (McCormack, et al., 2015). The PCN model allows for the expert to launch and improve the patient-professional relationship. The FNP can be enhanced because it already focuses and places emphasis on patient care, the profession is aimed to assess patients and themselves to consider the internal and external factors at hand. An example, of applying PCN to the specialty track of FNP would be to thoroughly listen to your patient. A scenario, my patient comes back to the office for a follow-up visit from having a procedure, both my patient and spouse have been very nervous about receiving the results from the biopsy, they have been expressing their fears and concerns about possible cancer. As an FNP taking the time to truly listen and engage with my patient and their spouse regarding their fears and concerns is extremely important. I would find out what they know about cancer and what are their expectations. This would be my time to educate and demonstrate compassion and build trust for any future treatment plans. I would include everyone involved in the plan of care. It would be important as the FNP to ensure my own personal beliefs are laid aside, that I have assessed any environmental factors that may play a role and discard any biases to ensure excellent patient centered nursing care. As a diverse population increases and changes, it is vital that the healthcare system offers care and services that are unbiassed and responsive to the exclusive cultural and ethnic individuality, the emotional and spiritual needs, the morals and standards of the population (AACN, 2011). It is essential for nurses to acquire the skills and knowledge necessary to meet this demand. The PCN framework allows for the advance practiced nurse to assess self and to perfect proper competencies that permits for a standard of care that is applicable to everyone (AACN, 2011).
Conclusion
As the PCN framework has been discussed in this essay, the framework demonstrates to meet all requirements necessary for the nursing metaparadigm, serving as a standard of practice for a multifaceted healthcare setting among diverse and cultural differences. This model offers guidance to the advance practice nurse on competencies and self-knowledge to enhance patient-centered care. The material found in researching the PCN model and its applicability to the advance nursing practice was very informative, exciting and positive. In reflecting the PCN framework and applying it to my future of family nursing practice, I expect to be utilized this theory throughout the practice of the FNP profession because of the diversity and flexibility of the model to solve issues and/or concerns as a healthcare provider. This model has given me greater insight of how person-centered care should be implemented throughout the advance nursing practice.
References
American Associations of Colleges of Nursing. (2011). The essentials of master's education in nursing. Retrieved from http://www.aacnnursing.org/Portals/42/Publications/MastersEssentials11.pdf
Arora, S. (2015). Integration of nursing theories in practice. International Journal of Nursing Science Practice and Research, 1 (1). 8-12. Retrieved from https://www.researchgate.net/publication/283319003 Integration of Nursing Theories in Practice
Bender, M. (2018). Re-conceptualizing the nursing metaparadigm: articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. NURSING INQUIRY, 25(3) https://doi-org.chamberlainuniversity.idm.oclc.org/10.111/nin.12243
McCormack, B., Borg, M., Cardiff, S., Dewing, J., Jacobs, G., Janes, N., & ... Wilson, V. (2015). Person-centeredness - the “state” of the art. International Practice Development Journal, 5, 1. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url+https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=109945368&site=eds-live&scope=site
van der Cingel, M., Brandsma, L., van Dam, M., van Dorst, M., Verkaart, C., & van der Velde, C. (2016). Concepts of person-centered care: a framework analysis of five studies in daily care practices. International Practice Development Journal, 6(2), 1. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=edb&AN=119684244&site=eds-live&scope=site [Show Less]