Essay Example on Person-Centered Care: Enhancing Health Care Performance

Introduction

Person-centered care is used widely by health care systems to enhance the performance of health care. Person-centered is an important basis for quality health care. Many health care systems consider person-centered care as a priority in delivering health care services. It involves engaging in activities that meet the needs of the patients and other people accessing the health service. Person-centered care was initially portrayed as appreciating the patient as being a unique human being. However, there are many conceptual frameworks recently used in various health care systems and organizations (McCormack & McCance, 2016). According to (Ross, 2015), person-centered care is not limited to just the patient's symptoms and illness but also the individual expression and the context of the patient. Person-centered care doesn't cater to patients only but also those not affected by the disease for prevention measures. It also provides for caregivers and families of the patient.

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Person-centered care is not a new ideology, and therefore it has its roots in human psychology. The framework has an essential contribution to determining the quality of care that is provided to the patients. Promoting the standards of person-centered care enhances the efficiency and effectiveness in managing the model. Nurses have experienced lots of challenges in the past while trying to give dignified and sensitive care. However, with trainings and new nursing education programs, the nurses have been able to adopt the model effectively.

Current policies on person-centered nursing emphasize the need to appreciate patient's views to promote patient satisfaction, outcomes, and experiences. These policies also ensure there are minimum costs involved in accessing health care services and maximum utilization of resources. Many health facilities and organizations have, therefore, embraced person-centered care because of the policies used in person-centered nursing.

The Four Nursing Metaparadigm with Relation to Person-Centered Framework

The four nursing meta paradigms are the environment, person, health, and nursing. These meta paradigms are important in nursing because they consider all patient care. The nursing meta paradigm involves the care recipient, who is the patient. This concept acknowledges the patient's family, culture, friends, and socio-economic status. The environment meta paradigm focuses on the external factors and internal factors such as interactions of the patient with the surrounding. Health involves the patient's wellness and access to healthcare services. The nursing meta paradigm focuses on the nurse' knowledge and skills and how they apply these skills while handling patients.

However, the person-centered structure also consists of four constructs; care environment, pre-requisites, person-centered process, and expected outcomes. Pre-requisite considers the nurse attributes. These attributes include professionalism, excellent interpersonal skills, commitment, and competency. The care environment is where the care is delivered. The environment comprises good staff relationships, supportive systems, the physical environment, and the risk-taking potentials. The person-centered process involves giving care by engaging in various activities. These activities include giving the holistic patient care, appreciating the patient's culture and beliefs, and having an equal opportunity in decision making. Expected outcomes focus on the results of adequate care. These results ensure patient's satisfaction from the care and providing a therapeutic surroundings. All these constructs are required to provide working person-centered care. These four constructs in the person-centered model, therefore, addresses the four nursing meta paradigms in nursing.

Theoretical Framework

Regularly, nursing and health care systems need to use person-centered care to promote their services. There are various conceptual theories used by health care systems and health organizations to provide person-centered care. Theoretical concepts of a person-centered approach were developed by McCormark and McCane (2010). McCormark and McCane (2010) came up with a conceptual model that describes the core concepts of person-centered care with their mutual relations. The framework offers a good foundation for the realization of adequate care. According to McCormark and McCane (2016), the framework also provides a strategy called the transformational practice development with the research methodologies which came from an action research paradigm. Therefore, the framework is suitable in the nursing profession, especially when handling patient empowerment. According to McCormark and McCane (2016), the mid-range theory describes the person-centered nursing framework. The person-centered framework is placed in the development theory, where the nursing knowledge of hierarchy with five components is described. The highest in the hierarchy is the meta paradigm, which gives the various field parameters, beliefs, cultures, and philosophies. The second level is the conceptual model, which offers a reference on how to interpret different nursing phenomena. The third in the hierarchy are theories that consist of mid-range theories and grand theories. The final in the hierarchy is the empirical indicators, which help in measuring concepts. Person-centered nursing lies in the middle range theory, and it is derived from two conceptual frameworks, including the specific relationship with concepts. Nursing in the framework offers an ideal human caring. Nursing practice in the framework is therapeutic, and the links are built on the good interpersonal process. The person-centered framework explains the relationship between domains, supporting practice, and research. Patients with the framework, therefore, offer an effective care process for an effective outcome in person-centered care. Person-centered maps original frameworks combine a developed framework and testing the face validity (Ross, 2015). The person-centered model, therefore, qualifies to be involved in nursing professionalism.

Future Role

The Future of Nursing recommends that opportunities for nurses to lead and manage their teams should be expanded to support the development of person-centered care system. Nurses are required to contribute to an inevitable transformation of health care services for them to become future leaders. The nurses' leaders participate in reforms, directing evidence-based research, and translating their findings to improve the patient's care. The person-centered model engages all members and ensures a share in decision making. This factor provides an excellent future role in nursing leadership. A person-centered care model helps nurses create and seek leadership opportunities in different levels of the practice environment. Most nurses are always left out in the decision making process, but in the person-centered model, there is an equal share of decision making, and the nurse can be able to lead and carry out different nursing roles. The person-centered framework, therefore, plays a vital role in a future nursing role.

Conclusion

In conclusion, the person-centered model is significant in the health care systems, and it provides a vast map for a competent health care system and various health sectors. The concepts of person-centered care are practiced regularly by nurses to recognize the patient's uniqueness, behavior, and characteristics. Policymakers should consider shifting and adopting this framework, and they should provide conducive incentives to support this framework. Despite some few challenges associated with person-centered care, health care organizations should consider taking this model because of the significant role that this framework plays in the nursing sector. Health care systems and organizations should also find a way to improve health outcomes by adequately implementing and measuring person-centered care. Health care systems should also learn to have a place for care practices to enable a mutual caring relation.

Reference

McCance, T., & McCormack, B. (2016). The person-centered practice framework. Person-centered practice in nursing and health care: theory and practice, 36.

McCormack, B., & McCance, T. (Eds.). (2016). Person-centered practice in nursing and health care: theory and practice. John Wiley & Sons.

Ross, H., Tod, A. M., & Clarke, A. (2015). Understanding and achieving person-centered care: the nurse perspective. Journal of Clinical Nursing, 24(9-10), 1223-1233.