NURS FPX 8008 Assessment 2 Supporting Person-Centered Collaborative Care With Nursing Theory

NURS FPX 8008 Assessment 2 Supporting Person-Centered Collaborative Care with Nursing Theory

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Capella University

NURS-FPX8008

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Submission Date

Introduction

• Slide 01

Hello everyone! I am ________. Today, my topic is person-centered care (PPC) and how it can enhance the quality of care through nursing theory and ethical decision-making skills.

Nursing Theory Supports PPC

• Slide 02

Watson’s theory of human caring presents a substantive framework for how best to deliver person-centred care, in which the importance of attending to the physical, emotional, and spiritual needs of patients is highlighted. Transpersonal relationships go beyond this idea, asking the nurse to enter into a real relationship with the patient through empathy, being authentic in one’s presentation, and providing unconditional acceptance (Curcio et al., 2024). Humane experiences build trust and respect as important elements in respect for patient choice, values, and dignity in the care process. Rather than being outcome-oriented, Watson’s theory helps nurses to understand the deep human dimensions of illness and healing.

The theory of PCC elevates the level of care by incorporating ethical awareness into the nursing-patient relationship. The theory is used to make decisions based on evidence, but also to make decisions based on a compassionate understanding of what is likely to improve the health of the patient as a whole (Bagheri et al., 2023). The approach enables a space of healing in which the patient is respected, listened to, and directly involved in the treatment, resulting in better patient satisfaction with treatments.

Theory Upholding Ethical Principles

• Slide 03

A focus on individual care planning is part of the innovative approach to the PCC program. Both are developed in a multidisciplinary team and with patients (Yu et al. 2023). The program aims to integrate Watson’s theory of human caring, enabling care providers to adopt a personalized approach that addresses a person’s physical, emotional, and spiritual needs, thereby fostering a strong relationship between the nurse and the patient. Not only are nurses responsible for prescribing the care plan, but they also involve the patients and families in the decision-making process, thereby giving them the freedom to share the decisions and become equal care partners (Menear et al., 2022). Care plans are living and changing based on continual dialogue, changing needs, and proactive understanding of what is most important to the patient.

The PCC project bears a close relationship to the theory of Watson insofar as its focus is on the carative aspects of nurse-patient relationships, including humanistic-altruistic values, faith-hope, self and other sensitivity. Through the carative factors, the nurses become the guardians of beneficence and facilitators of healing through presence, empathy, and through creating the healing environment (Bagheri et al., 2023). Such an activity is an ethical practice because practice is guided by ethical principles of respect for autonomy, beneficence, and justice; these principles guide all the decisions to be made in the best interest of the patient, taking cognizance of the values and preferences of the patient (Varkey, 2020). Co-construction of care plans allows nurses to empower patients, so they can make better decisions, be more likely to comply with treatment, and feel more dignified and respected. Also, the program supports the ethic of shared decision-making, an ethical cornerstone of contemporary health care that enables patient participation to extend beyond mere consent to a fully engaged partner in the care delivery process.

Theory Connection

• Slide 04

Jean Watson’s theory of human caring is rooted in the interpersonal and holistic nature of nursing, and the caritas processes lead nurses toward compassion, trust, and human connection with patients. In short, when we talk about caregiving, it encompasses not only the physical dimensions of a person’s needs but also the emotional, psychological, and spiritual dimensions of the human condition, with a primary focus on human presence, interpersonal connectedness, and caring. Nurses are there to provide good care for the individual, for listening to and developing emotional strength and trust in transpersonal care (Galeano et al., 2023). Nurses are at the front line and in direct contact with patients.

The approach also supports collaboration by enabling inter-professional decision-making between patients and families and inter-professional teams to support implementation of care planning based on clinical need and patient preferences. Therefore, empowerment through education, advocacy, and emotional support is a key focus of the Watson model and ensures that the patient is accountable for being an active participant in a healthy life. This then corresponds to the improvement of all the results in terms of an increase in adherence to treatment, non-anxious state, and well-being, which supports the view of Watson that caring is at the center of the healing process (Akbari & Nasiri, 2022). Finally, the theory of healing is used to promote ethical patient-centered care that is respectful and holistic in its approach to healing.

Person-Centered Care Initiative

• Slide 05

Patient-centered medical home (PCMH) is a proven, evidence-based model of person-centered care based on coordinated, team-based delivery of primary care. Our process is a team-based approach with physicians, nurses, pharmacists, social workers, and behavioral health professionals all working together as needed to meet the needs of the whole person that is a patient. (Ginting et al., 2022). A key element of the PCMH is that the patient is an active player in the setting of health goals and in the design of care plans. Consistent with the ethical principles of patient autonomy, informed consent, and care that is consistent with the individual values and preferences of patients, the project also supports equity in part through the improvement of access and continuity of care for the populations.

The moral energy of the PCMH comes from a culture of transparency, respect, and shared decision-making. The model facilitates rapid and engaging decision-making around care, using tools such as electronic health records and patient portals, and during collaborative care meetings (Metusela et al, 2021). PCMHs can help to enhance clinical outcomes, patient satisfaction, and hospitalizations, especially for patients with chronic disease. The PCMH is rooted in ethics and team-based care, transforming care delivery into a model that is clinically efficient and responsive to the individual experience of each patient.

Initiative Connection with Nursing Theoretical Premise

• Slide 06

Jean Watson’s human caring theory is directly related to the PCMH model due to the transformation of a culture of caring through trust, an acknowledged sense of humanity, and mutual responsibility for the well-being of one another. PCMH is an integrated and coordinated whole systems care across our communities, where the patient is seen as a person rather than a single clinical event (John et al., 2020). Underlying PCMH principles of long-term relationships and patient empowerment, as articulated by Watson, the carative factors also include provisions for creating a healing environment and the importance of transpersonal learning. In the model, care teams are rewarded for communicating in a way that is empathetic, respectful of each patient’s values, and capable of establishing meaningful emotional connections that lead to ethical care and improved health outcomes.

Incorporating Watson’s theory into the PCMH training further expands the skills of the caregivers to free themselves from task-oriented practice to relationship-oriented practice. Reflective listening is used to help practitioners improve patient communication, which can improve rapport, establish a therapeutic alliance, enhance cultural competence, and improve patient engagement (Ginting et al., 2022). Then, patients are provided with the agency to take an active role in the process of care planning through health coaching, shared goal setting, and partnership decision making (Menear et al., 2022). The communication and collaboration fostered between you creates a care environment that is enveloped in a space of partnership, dignity, and respect. By applying the principles of Watson to the implementation of PCMH, health care organizations establish a system of care that is compassionate, ethical, efficient, and beneficial to the providers and patients who work within it and receive care from it.

Anticipated Patient Outcomes

• Slide 07

By using Jean Watson’s definition of human caring, implementation of the PCMH model is expected to result in improved patient outcomes as measured by quantitative data and qualitative experience. Based on the literature, we can make an argument that PCMH implementation is associated with reduced hospital readmission, improved chronic disease management, and the proportion of patients who are compliant with treatment regimens (Sum et al., 2023). For example, clinical outcomes of benefit in PCMH models will include, most likely, improved diabetes control (i.e., glycaemic control) and reduced use of the ED (McManus et al. 2021). The findings speak to the value of coordinated, team-based care imbued with the values of empathy, ethical responsiveness, and the whole person approach espoused by Watson.

Qualitative patient accounts of increased satisfaction, emotional well-being, and confidence in the health care team are also associated with these artifacts. Most patients say they feel heard and respected, which leads to more intimate therapeutic relationships and more patient participation in treatment. The experience of being heard relates to the carative factors of Watson and is based on human dignity, empathy, and presence (Sum et al. 2023). Practitioners who have been educated to deliver caring and culturally sensitive care are more likely to engage patients in shared decision making and shared planning. With PCMH’s addition of the Watson model, the model of care has evolved into a holistic, person-centered, and measurably successful model of care, not only addressing physical health but supporting the emotional and ethical aspects of care.

Conclusion

The integration of the patient-centered medical home initiative with Jean Watson’s theory of human caring generates an energetic synergy that enhances the ethically and clinically positive quality of health care delivery. By fostering empathic collaboration between healthcare teams (medical personnel) and between medical personnel and patients, the model will not only improve measurable health outcomes but also enhance patient experience through trust, empathy, and shared decision-making. In both scientific and human terms, the experience is a model for what theory-based, person-centred care might look like.

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