NR 500NP Person-Centred Care

Sample Answer for NR 500NP Person-Centred Care Included After Question

Assignment

This week’s topic focused on caring and reflective practice in contemporary nursing. In your initial response, provide a definition of what person-centred care means to you. Describe how you will apply principles holistic nursing, cultural humility, and self-reflection in your future role as a nurse practitioner.

A Sample Answer For the Assignment: NR 500NP Person-Centred Care

Title: NR 500NP Person-Centred Care

Person-centered care means the care should evolve solely around the individual. Each patient has their own beliefs, goals of care, and preferences of treatment. The role of the CNP is to individualize approaches based off the patient’s preferences and goals of care. Healthcare is transitioning to provider-driven care to person-centered care as patients become more involved in the decision-making process of their healthcare (Chamberlain, 2022). McCormack and McCance developed the framework for person-centered nursing (PCN) that consists of five main concepts: providing holistic care, working with patient’s beliefs and values, engaging authentically, sharing decision making, and being sympathetically present (McCormack & McCance, 2017).

A holistic approach to care allows the advanced practice nurse to address all aspects of the person, their health and environment. The CNP will look at the psychological, sociological, developmental, spiritual, and cultural aspects rather than just the diagnosis (Chamberlain, 2022). Treating the person as a whole individual promotes PCN, will improve patient outcomes and overall satisfaction with their treatment.

Cultural humility involves self-reflection and recognizing cultural differences in patient care (Chamberlain, 2022). Cultural humility encourages personal growth and enhances one’s knowledge on variations on health care among different cultures and how it may affect the individual’s care. A provider must accept and seek to identify differences in cultural humility to be able to provide effective PCN. Communication, personal space, time, social organization, environmental control, and biological variations are described as the six phenomena in cultural groups (Engebreston, 2016). Nolan et al., (2021) describes how it is the nurse’s priority to be an anti-biased, active listener of their patients thoughts, beliefs, life experiences and preferences of care.

Self-reflecting encourages personal growth and encouragement of the understanding of one’s own personal strengths, limitations, cultural beliefs, and personal values (Chamberlain, 2022). Reflecting on personal or clinical experiences encourages understanding which promotes both personal and professional growth. Self-reflecting helps clarify your beliefs and values which can change over time with education and experience. Its important for the masters prepared nurse to be able to distinguish between beliefs and values, both in which can influence one’s thoughts, decisions, and actions.

Beliefs are assumptions that one believes to be true whether there is evidence to support their stance or not. Values are born from beliefs and are what one would consider to be vital in life (Chamberlain, 2022). Self-reflection also allows one to be aware of their personal biases and work on addressing these biases. Eliminating biases will stop prejudice and stereotypes which in turn promotes cultural humility and human dignity in a diverse population (Chamberlain, 2022).  

In my future role as a nurse practitioner, I will apply cultural humility and a holistic approach by completing a thorough comprehensive assessment of my patient. I will inquire about their socioeconomic status, living environment, health, and wellness goals. I will hold myself accountable by abiding by ethical practices that value diversity and promotes PCN. As a nurse practitioner I will individualize my care to be patient-specific and encourage the involvement of my patient in decision making processes.

Recognizing that that the patient’s goals of care may challenge your personal values is important while self-reflecting on experiences. It’s also important to familiarize yourself with your patient’s cultural background if one is not well experienced with the cultural beliefs. When faced with ethical dilemmas as a nurse practitioner I will revert to my education on cultural humility and PCN. I will advocate for my patients wishes for their health care and ensure I am providing thorough education on the risks and benefits of their goals or decisions for their health care. To reduce barriers and promote healthcare equality the nurse must promote a nonbiased and culturally diverse practice (Nolan et al., 2021).

References:

Engebretson, J. C. (2016). Cultural diversity and care. In Barrere, C. C, Blaszko Helming, M. A., Shields, D. A., & Avino, K. M. (Eds.). Holistic Nursing (7th ed.), 439-464. Jones and Bartlett.

McCormack, B. & McCance, T. (2017). Person-centred practice in nursing and health care. Theory and practice (2nd ed.).  Wiley Blackwell.

Chamberlain College of Nursing. (2022). Week 3: Reflective Practice. https://chamberlain.instructure.com/courses/112181/pages/week-3-reflective-practice?module_item_id=16726908

Nolan, Alston, A., Choto, R., & Moss, K. O. (2021). Cultural Humility: Retraining and Retooling Nurses to Provide Equitable Cancer Care. Clinical Journal of Oncology Nursing25(5), 3–9. https://doi.org/10.1188/21.CJON.S1.3-9

A Sample Answer 2 For the Assignment: NR 500NP Person-Centred Care

Title: NR 500NP Person-Centred Care

One proactive step to improve knowledge of diversity and cultural humility is  openness to learn about other cultures and beliefs, not being critical of what others belief systems are. being a good listener  to other peoples point of view and respect without critical analysis.  This is particularly challenging as documentation is taking so much time that Nurses spend more time in front of a computer screen that with the patient. As an APN my goal is to practice being present  and intentional  with the patient spending a little more time with the patient having an open mind, listening without critique and showing the patient that his beliefs are respected and if possible incorporated into the care provided.

One proactive way we could enhance our knowledge of diversity and cultural humility is to research and learn about the different cultures within our own communities. While it would be great to have knowledge on a wide variety of cultures, the starting point could be understanding the different cultures around us in our own communities as these are likely to be the ones we will interact with the most. I definitely will make a point to learn more about the diversity in my area and the different cultures.

I know many recreational events are held all the time in my community and are sometimes culture-based, I could attend these events and talk to different people to help gain knowledge about other’s cultures. I have always known there are many different cultures throughout the world, but it wasn’t until I became a nurse that I realized and understood how much someone’s culture influences what a person believes or how a person acts. I look forward to learning more about many different cultures.

Its important when caring for a patient with a cultural background that you do not have a lot of knowledge about that you research that culture before providing care, if possible. There are many different aspects to providing care for patients from different cultural and ethnic backgrounds and the initial greeting could dictate whether that patient trusts you to provide care. In the Japanese culture it is considered disrespectful to maintain eye contact when greeting them or shake their hand. By educating yourself on different cultural practices providers will be able to enhance the patient-centered care they provide and make their patients more comfortable. My goal is to research the cultural backgrounds of my patients that I am not familiar with and include the patient in developing their own goals for their health care. 

Its important when caring for a patient with a cultural background that you do not have a lot of knowledge about that you research that culture before providing care, if possible. There are many different aspects to providing care for patients from different cultural and ethnic backgrounds and the initial greeting could dictate whether that patient trusts you to provide care. In the Japanese culture it is considered disrespectful to maintain eye contact when greeting them or shake their hand. By educating yourself on different cultural practices providers will be able to enhance the patient-centered care they provide and make their patients more comfortable. My goal is to research the cultural backgrounds of my patients that I am not familiar with and include the patient in developing their own goals for their health care. 

One proactive step I will take to practice cultural humility is to utilize the hospital-based interpretation system.  While it may seem more convenient to use a family member, there can be negative outcomes such as role strain and modifying the conversation (DeNisco & Barker, 2015).  I will enhance my awareness of diversity by recognizing and treating my patient as an individual with personalized needs rather compartmentalizing them as a member of a cultural group different than my own. Additionally, I will review my own beliefs that clearing any dogmatic notions and placing importance on the value of communication as the foundation of all relationships (Aririguzoh, 2022).

References

Aririguzoh, S. (2022). Communication competencies, culture and sdgs: Effective processes to cross-cultural communication. Humanities and Social Sciences Communications9(1). https://doi.org/10.1057/s41599-022-01109-4Links to an external site.

DeNisco, S. M., & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.