Patient Centred Care Emergency Department -Myassignmenthelp.Com

Question: Discuss About The Patient Centred Care Emergency Department? Answer: Introduction: Health care can be defined as one of the most basic necessities of human life that helps support the sick and ailing of the community or society and propels them to revert back to their own healthy living conditions. Hence, there is no need for any more emphasis on the importance of the health care in the society as a social or public service. Patient centred care has been a concept in the health care that has revolutionized the care standards that is being delivered to the patients. One the major concerns that is the prime focus of a person centred care is the fact that the patients and their personal needs or preferences has to be given the most importance while planning the care and delivering it (Acn.edu.au. 2018). This essay will attempt to focus on different elements of person centred care and how the practice is influenced by the situational factors of emergency department health care setting, taking the assistance of my personal experiences in the emergency department (ED) du ring my placement program. On a more elaborative note, person centred care can be defined as the care planning and execution keeping the desires and preferences of the patient at the centre of the care program. a person centred care has to involve the patients and their family members in the process of planning, monitoring and improvising the care plans decided for the patient, and care has to be taken to involve the concept of informed consent with the patient and his or her family members (Flagg 2015). There are various elements or variables of person centred care and each of these elements has to be incorporated step by step for a person centred care to be efficient and effective. However, there are situations and scenarios where providing person centred care to the most optimal standards can become challenging, such as in emergency departments, where are there are a variety of different obstacles to providing a completely person centred care to the patients (Flagg 2010). According to the Australian college of nursing, it can be mentioned that the principles of the person centred care is critically depended on providing patient centred nursing care to the patients (Acn.edu.au. 2018). The main principles of this care standards are providing individualistic and personalized care to the patients, protecting the human dignity of the patients, respecting and acknowledging the individual rights and preferences of the patients; where they feel comfortable to shares any of their grievances and preferences with the care provider (Flagg 2015). According to the McConnell, McCance and Melby (2016), the mandatory implementation of the person centred care had the sole purpose of reinforcing humanitarian concepts of care into the whole care scenario. And it insists the health care professional to develop and follow compassionate and empathetic care philosophies in order to provide a person centred care that is effective, safe and culturally competent. According to Flagg (2015), the person centred care entails therapeutic partnership between the patients and the care provider; however, the decisive power must be at the hands of the patients or their family members. It has to be mentioned in this context, that in many cases the critically ill patients while in residential care are completely dependent on the care provider, and regardless of the severity of their health adversity, the dependence and lack of autonomy has severe negative impact on the psychological health and wellbeing of the patient. This adverse impact on their psychological health on the other hand affects their recovery pace and health in general, often worsening the situation with the agitation, irritation, and helplessness in their demeanour. Integrating person centred care in the care practice demands addressing a few key elements of person centred care. First and foremost, it has to be mentioned that the personal and cultural values and beliefs of the patient h as to be kept at the centre of the care planning and each of the voiced needs of the patients is to be taken with utmost consideration. On a more elaborative note, it can be mentioned that the patients must be at all times be notified of each of the activities that is going to be undertaken in the care procedure. According to the authors, communication, patient education and transparency in the information sharing has to be most important aspects of providing a care that is optimally person centre. Therefore, the patients and their family must at all times be informed about the continuity or changes in the care plan and the communication and patient education must be administered by the nursing professional beyond and above anything else to ensure providing patient centred care at the most (Fairbrother, Chiarella and Braithwaite 2015). However, as a graduating nurse on placement program in ED for 6 weeks, I understand that there are many situations where adhering to all of the principles and protocols of person centred care can be extremely difficult. Drawing reference from my own personal experience, while in the emergency ward I had encountered a situation where we were not able provide person centred care to the patient. In addition, the most important contributing factor behind it had been communication gap, chaotic health care setting, protocol restrictions, heavy work pressure, and time constraints are the main facilitators of the challenges (Epstein and Street 2011). On a more elaborative note, the patient had been admitted to the ED with an acute head ache and upon diagnosis, the presence of a brain tumor was diagnosed in the CT scan. In this case, the patient had to wait for a bed in a better health care setting with more specialized neurological ward, and during the entire wait period there have been no r eassurance or communication provided to either the patient or their family members. According to the registered nurse practice standards of NMBA, in all circumstances the nursing professionals are supposed to be engage in therapeutic relationship, communicating and reassuring the patient. Due the fact that the diagnosis was still preliminary and we had no inkling on how aggressive the tumor might be and what recovery chances the patient might have, we could not reassure the patient and his family (Karro, Dent and Farish 2005). Similarly, a elderly patient had been held waiting in ED for a long time while the patient had been only dehydrated and had been wanting go home. The patient was left in a state of anxiety and confusion where no effective communication and reassurance had been provided to her. This experience also indicates at the incidences that violate the most crucial practice standards of a registered nurse, developing a therapeutic relationship with the patient. As per the registered nurse practice standards, one of the most important elements of a person centred care is the communication and information sharing with the patient and their family members and having a reassuring and compassionate therapeutic relationship with that patient, which had not been addressed. Another experience that I would like to mention is the lack of privacy in the emergency departments, a patient with a cut on her finger, while she was in pain and screaming, all the other patients had been looking at her and she was embarrassed. According to the principles of patient centred care, patient privacy needs to maintained under all circumstances, and due to the extreme chaotic environment and extreme workload, even closing the curtain to make the patient feel safe and secure becomes difficult. Along with that, it also needs to be mentioned that the chaotic environment of the emergency departments dose not just contribute to the privacy infringement of the patients in the ED wards, but also contributes to the irritation and distraction to the ED nurses and affects the person centred care that the patients are to receive (Acn.edu.au. 2018). According to the principles of national health and safety quality standards, the safety and efficacy of the care can be optimal in case the patients can be involved effectively in the process of care planning and execution, hence adhering to patent centred care also enhances the safety and effectiveness of the care as well (Safetyandquality.gov.au. 2018). Now it has to be mentioned that the nurse-led-triage in the emergency departments has been associated with lack of communication, empathy and violating the person centred care practice standards by most of the authors. Patient dissatisfaction in the emergency departments has become a common concern, and the issue continues to escalate (Mller, Fridlund and Gransson 2010). The most important element associated with the dissatisfaction in the patients has been reported as the powerlessness, and anxiety that the patients and their family members feel while they are subjected to a prolonged periods of waiting in the emergency departments. The lack of adequate information exchange is another highly frequently observed issue in the emergency departments that violates the principles of person centred care and is another key source of patient dissatisfaction with the care experience received in the emergency department triage (Forsgrde, Attebring and Elmqvist 2016). I would like to include that there are a variety of different environmental factors that contribute to the dissatisfying experience that the patients received by the patients while in the emergency department. First and foremost, the acute staff shortage is one of the most important and crucial factor that not only affects the care response and approach that the patients are given but also increases the triage wait period while in the ED. In my placement program, I myself have experienced, the extreme workload, and limited time nurses are allotted to invest on a single patient based on the critically low nurse to patient ratio is the primary reason behind the violation of person centred care provided to the patient. Lastly, the lack of power on the hands of ED nurses and the protocol of the ED triage is another prime challenging factor behind the faulty person centred care provided in the emergency departments, in most cases the nurses themselves do not have enough strong information to provide to the patients and their family to reassure them. In rest of the cases, I have experienced that the nurses do not have enough time to invest on reassuring and communicating with the patients and their family members with whatever information that they might have (Safetyandquality.gov.au. 2018). In order to improve my competence and performance in better and more effective communication with the patients and proper time management, so that I can invest effectively address each and every need of my patients. Hence, I would like to enrol myself in the continuous professional development program which will help me develop my competencies and will help in general to enhance my communication and patient management skills. It has to be mentioned that the national health and safety quality standards emphasizes on addressing each of the desires of the patients optimally along with ensuring that the care provided is safe and effective. Addressing to all of the elements of person centred care delivery not only adheres to all of the registered nursing practice standards but also follows through the health and safety quality standards. Conclusion: On a concluding note, I would like to mention that there definitely are a lot of factors prevailing in the emergency department setting of a health care facility that restricts the ability for the nursing professionals to provide adequate person centred care to the patients. Any health care professional providing person centred care to the patients, must address each and every key desires, preferences, grievances, family situations, values, socio-economic circumstances, linguistic and cultural characteristics has been given the most of the importance while designing and executing the care interventions. Although, regardless of all these obstacles and challenges providing adequate person centred care to the patients is a necessity and there is need for efforts to overcome all these challenges and improve the ED triage experience that the patients get. There is need for government action to improve the ED staffing scenario and privacy requirements so that each patient can be provided a safe, private and compassionate experience while in ED. The nursing professionals will also have to invest honest efforts to improve the care approach taken to ensure optimal person centred care delivery even in emergency situations. Reference: Acn.edu.au. (2018).Australian College of Nursing | Advancing Nurse Leadership. [online] Available at: https://www.acn.edu.au [Accessed 22 Jan. 2018]. Bergman, C.L., 2012. Emergency nurses' perceived barriers to demonstrating caring when managing adult patients' pain.Journal of emergency nursing,38(3), pp.218-225. Epstein, R.M. and Street, R.L., 2011. The values and value of patient-centered care. Fairbrother, G., Chiarella, M. and Braithwaite, J., 2015. Models of care choices in todays nursing workplace: where does team nursing sit?.Australian Health Review,39(5), pp.489-493. 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Exploring person-centredness in emergency departments: A literature review.International emergency nursing,26, pp.38-46. Mller, M., Fridlund, B. and Gransson, K., 2010. Patients conceptions of the triage encounter at the emergency department.Scandinavian journal of caring sciences,24(4), pp.746-754. Rehman, S.A. and Ali, P.A., 2016. A review of factors affecting patient satisfaction with nurse led triage in emergency departments.International emergency nursing,29, pp.38-44. Safetyandquality.gov.au. (2018).Australian Commission on Safety and Quality in Health Care. [online] Available at: https://www.safetyandquality.gov.au [Accessed 22 Jan. 2018].