Assignment: Patient-Centered Nursing Framework Essay
Assignment: Patient-Centered Nursing Framework Essay
Assignment: Patient-Centered Nursing Framework Essay
Assignment: Patient-Centered Nursing Framework Essay
The model selected for this research is the patient-centered theory of nursing care. McCormack and McCance developed the model in 2006. It mainly encompasses acknowledging the patient as a whole person and involving them as well as their significant others in assessing, planning, implementing, and evaluating healthcare needs. The model comprises of constructs that include prerequisites, care environment, person-centeredness, and outcomes. Prerequisites encompass the attributes of a nurse. They include being competent, having adept interpersonal skills, being committed, and demonstrating clarity in client’s values and beliefs. Care environment focuses on the context in which care is provided. The environment should facilitate shared decision-making and formation as well as sustenance of effective relationships among the staffs (McCance & McCormack, 2017). Person-centeredness focuses on ensuring that nurses and other healthcare providers work with the patients and respect their values, beliefs, practices, and involve them in the decision-making process (Slater, McCance & McCormack, 2017). Lastly, outcomes are the results of effective nursing care. It is evaluated based on metrics such as patient satisfaction with care, patient’s perceived level of involvement in care, and the patient’s wellbeing.
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How Patient-Centered Framework Addresses the Concepts of a Nursing Metaparadigm
There are four metaparadigms in nursing. They include the person, environment, nursing, and health. The person is the patient receiving the care. The patient-centered framework of nursing considers the patient as a whole being who has complex healthcare needs. The nurse understands these needs by working with the patient to explore his or her values and beliefs that shape their views of the health problem. The framework also perceives the person to be a product of interplay between factors such as culture, social norms, values, and beliefs. As a result, the focus of the nurses is on ensuring that these factors are explored to understand the most effective model of care that will enhance outcomes of care. The framework also considers the patient to play a critical role in the decision-making process. The nurse should ensure that there is active participation of the patient in the exploration of the health issues facing them and identification of ways of addressing them for their wellbeing (Labrusse & Sayligil, 2017). The active participation of the patients is associated with outcomes that include patient satisfaction, enhanced sense of wellbeing, and the creation of a therapeutic environment that facilitate healing and recovery.
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The component of nursing entails the provider of care to those in need. It focuses on the manner in which a nurse applies the knowledge and skills h/she has to ensure that the healthcare needs of the patient are met. The patient-centered framework asserts that
a nurse should be professionally competent. The nurse should be able to demonstrate a clear understanding of the patient’s values, beliefs, and practices that influence the care they need. The nurse should also demonstrate competence in communicating with patients in a variety of settings. This competency ensures that they have adept understanding of the diverse issues that inform care. The framework also considers a nurse to be a person that is committed to achieving the optimum goals of care for their patients (McCance & McCormack, 2017). These goals are achieved if the nurse is aware of his or her beliefs and the ways in which they can influence the care being given.
The component of environment focuses on the factors that influence the health of the patient. The patient-centered framework perceives a caring environment as that respects the role of the patient in the provision of care. The environment should promote shared decision-making and prioritization of the patient’s perception of the care that should be offered to them. The component of health focuses on the quality as wellness of the patient (Keating, McDermott & Montgomery, 2014). The framework asserts that health is achieved when the patient’s role in the provision of care is prioritized.
How Patient-Centered Framework Qualifies as a Theoretical Framework in Nursing
The patient-centered framework qualifies as a theoretical framework in nursing due to many reasons. Firstly, it consists of concepts that influence practice. The framework consists of concepts such as patient, environment, health, and nursing, which inform the focus of practice in nursing. The framework also has explicit general propositions that act as principles of nursing practice. According to it, the nurse should focus on creating an environment that promotes shared-decision making. The nurse should recognize the critical role of the patient in care. Through these propositions, it makes it easy to use the framework in nursing practice. The framework is also generalizable. It is not applied to a specific group of patients suffering from a condition. The framework can be used in all types of patients in hospital and community settings. The framework also provides basis for hypothesis that can be verified in research (McCance & McCormack, 2017). An example is testing whether shared decision-making improve the goals of care in healthcare institutions. Therefore, these characteristics of the patient-centered framework quantify it as a nursing theory.
Application of the Patient-Centered Framework
The patient-centered framework is applicable to my role as an advanced practice nurse in many ways. Firstly, it raises the relevance of patient-centeredness in the provision of care. It increases the need for my focus on patient’s values, beliefs, and practices in the provision of healthcare. The framework also increases the relevance of shared decision-making in healthcare. As a result, I would ensure that patients play an active role in making decisions on ways in which their health-related goals can be met. The framework also stresses the importance of competence among nurses. Therefore, I will ensure that I become a competent nurse by engaging in research on issues affecting nursing and attending training on issues that shape the practice of modern nursing.
In conclusion, patient-centered framework is a theory that can be used in the provision of evidence-based practice. The framework focuses on the provision of care that not only meets the health needs of the patient but also the promotion of the patient’s wellbeing too. The framework qualifies as a theory because it focuses on nursing concepts such as the person, nursing, and environment. Studies have also shown that the framework can be used to address the health needs of any patient. Therefore, it is important that nurses explore further the ways in which the patient-centered framework can be used to optimize the health outcomes of their patients.
Select one of the two models (either the Person-Centered Nursing Framework or the Chamberlain Care Model).
1. In a three- to four-page scholarly paper, address the following:
a. Provide a succinct overview of the model you have selected and discuss how the selected model addresses the four concepts within the nursing metaparadigm (person, health, nursing, and environment).
b. Discuss how the selected model qualifies as a theoretical framework within the profession of nursing, and its use within the profession.
c. Describe how the chosen model can be applied in the future APN role (education)
I selected the patient-centered care model. and my specialty track is education
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Late Assignment Policy
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
In the event of an emergency that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
This Policy applies to assignments that contribute to the numerical calculation of the course letter grade.
Evaluation Methods
The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.
| Graded Item | Points | Weighting |
|---|---|---|
| Discussion (50 points, Weeks 1–7; 25 points, Week 8) | 375 | 37.5% |
| Shared Governance Model Paper (Week 3) | 200 | 20% |
| Management of Power Paper (Week 5) | 200 | 20% |
| Executive Summary (Week 7) | 225 | 22.5% |
| Total | 1,000 | 100% |
No extra credit assignments are permitted for any reason.
All of your course requirements are graded using points. At the end of the course, the points are converted to a letter grade using the scale in the table below. Percentages of 0.5% or higher are not raised to the next whole number. A final grade of 76% (letter grade C) is required to pass the course.
| Letter Grade | Points | Percentage |
|---|---|---|
| A | 940–1,000 | 94% to 100% |
| A- | 920–939 | 92% to 93% |
| B+ | 890–919 | 89% to 91% |
| B | 860–889 | 86% to 88% |
| B- | 840–859 | 84% to 85% |
| C+ | 810–839 | 81% to 83% |
| C | 760–809 | 76% to 80% |
| F | 759 and below | 75% and below |
NOTE:To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 p.m. MT Wednesday of the eighth week.
Students agree that, by taking this course, all required papers may be subject to submission for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such papers. Use of the Turnitin.com service is subject to the Terms and Conditions of Use posted on the Turnitin.com site.
Participation for MSN
Threaded Discussion Guiding Principles
The ideas and beliefs underpinning the threaded discussions (TDs) guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of TDs provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The TD’s ebb and flow is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the TDs generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. TDs foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines.
Participation Guidelines
Each weekly threaded discussion is worth up to 25 points. Students must post a minimum of two times in each graded thread. The two posts in each individual thread must be on separate days. The student must provide an answer to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded thread topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion thread in which late entry occurs (up to a 10-point deduction for that week). Subsequent posts, including essential responses to peers, must occur by the Sunday deadline, 11:59 p.m. MT of each week.
Direct Quotes
Good writing calls for the limited use of direct quotes. Direct quotes in Threaded Discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the Grammar, Syntax, APA category.
Grading Rubric Guidelines