Individual Nurse effect on Person-centered Care

Individual Nurse effect on Person-centered Care stand a critical analysis of how the beliefs, values and strengths of the cherish whitethorn continue upon the provision of person-centered dreadIntroductionThe person-centred apprehension approach focuses ho hearically on the tolerant of as an individual, or else than their diagnosis or symptoms, and attends that their needs and choices are perceive and respected. According to Draper Tetley (2013 n.p.), person-centred financial aid is defined as an approach to nursing that focuses on the individuals personal needs, wants, desires and goals, so that they become central to their care and the nursing process. This kitty mean putting the persons needs, as they define them, above those identified as foregoingities by healthcare maestros. Theoretically, this is an achievable aim adjudgesas a matter of tenet should provide care that respects the diversity of the values, needs, choices and preferences of those in their care hardly how privy any incongruity mingled with the values, beliefs and attitudes of the patient and those of the nurse be reconciled? Is it inevitable that this variance pull up stakes founder a electr anegative impact on the quality of person-centred care creation provided? This sample will examine the beliefs, values and attitudes of nurses planning and conducting person-centred care, and the impact these issues apprise have on the provision of that care.Nurses are expected to practice in a caring, knowledgeable, professional, courteous and non-judge kind manner, and the majority do this as a matter of principle, displaying unconditional oerbearing regard for their patients at all time. However, values, beliefs and attitudes are, of course, subjective to each individual, and in the scope of take ining person-centred nursing care, it is important to identify those that are holistic and therapeutic, rather than nidus only on those that are non.According to coast S kott (2013), some diagnoses lure to preconceptions about the individuals receiving them, which subsequently negatively bewitch their care and discussion. This can be giveicularly evident in the case of psychological complaint, which is often involved in stigma, fear, ignorance and discrimination. Research undertaken by house et al (2010 pp. 350) found that score on the part of mental health professionals affects the quality of care provided for those with mental health problems, as well as their rates of recovery. Although nurses working in spite of appearance the field of mental health will obviously have more(prenominal) developed skills and knowledge in this subject than those in other specialities of nursing, it is not inconceivable that nurses may harbour some preconceptions about mental illnesses and those diagnosed with them, which may impact on how validatoryly they deliver care to those patients. Those requiring treatment for alcoholic beverage abuse or substan ce misuse may also witness a less empathetic experience in the care of nurses, who may feel that the condition is self-inflicted, or that resources may be better utilize elsewhere. This attitude may be even more prevalent in cases of liver transplant collectible to alcoholic cirrhosis of the liver, when there may be a misplaced belief that another recipient is more deserving of the organ. Other morbidities which can be perceived as having a self-inflicted element (e.g. obesity, smoking-related illnesses, type-II diabetes, addictions) also have the strength to be perceived negatively by nursing rung, who may wish an appropriate level of empathy and compassion, or make assumptions and pre-conceptions about these patients based on their diagnoses.In a alike(p) manner, patients onslaughting suicide or measuredly self-harming, may experience stigma, a lack of sympathy and a lack of understanding from nursing staff, especially if the nurse managing their care is also involved in the care of patients suffering from adept illnesses or conditions. Caring for patients attending accident and emergency departments due to para-suicide or deliberate self-harm can evoke extremely negative emotions and attitudes amongst the nursing staff caring for them. Nurses working with such patients report experiencing high levels of ambivalence and frustration. Additionally, deliberately self-harming patients may evoke negative attitudes such as anxiety, anger, and lack of empathy (Ouzouni Nakakis 2013). A suicidal patient voicing their desire to end their life is expressing a wish. However, in the context of person-centred care, it would be difficult to agree that this wish should be considered as a person-centred need. This could be a source of conflict, difficulty and dissonance as balancing the needs and wishes of the patient in this situation, contradicts entirely the nurses obligation of care. In such circumstances, it could be argued that the care provided cannot be p erson-centred, as it is not in line with the patients wishes. Obviously it would be neither legal nor ethical for the nurse to appropriate a suicidal patient to actively attempt to end their life whilst under their care, or to comply with the patients wishes not to commence treatment if suicide had been attempted.Similar ethical considerations may also influence the treatment of patients undergoing procedures to terminate pregnancy, and may negatively influence the extent to which the care received by the patient is truly person-centred. in that location have been well-documented cases of nurses refusing to assistance with these procedures, or to treat patients who have undergone them post-operatively. Predominantly such cases arise due to a conflict with the religious beliefs, moral convictions and ethical stance of the nurses being asked to assist with these procedures. The treat Midwifery Council (2015) states that Nurses and midwives must at all times keep to the principl es contained within The Code Professional standards of practice and behaviour of nurses and midwives (2015 n.p.).This autograph states that nurses and midwives who have a conscientious objection must tell co-workers, their conductor and the person receiving care that they have a conscientious objection to a particular procedure. They must arrange for a suitably qualified colleague to take over responsibility for that persons care. Nurses and midwives may lawfully have conscientious objections in two areas only. Firstly, Article 4(1) of the Abortion Act 1967 (Scotland, England and Wales). This provision allows nurses and midwives to disavow to act in the process of treatment which results in the termination of a pregnancy because they have a conscientious objection, except where it is necessary to husband the life or prevent grave permanent injury to the tangible or mental health of a pregnant woman. Secondly, Article 38 of the Human and Fertilisation and Embryology Act (1990) . This provision allows nurses and midwives the right to refuse to participate in technological procedures to achieve conception and pregnancy because they have a conscientious objection. This is a highly contentious and emotive issue, and one which attracts untold ongoing debate and argument, and is significant as it can be asked at what point does a nurses have got beliefs and values take precedence over their responsibility and duty to care for their patients needs, whatever they might be? Should nurses be permitted to refuse to participate in care procedures that contradict their values or beliefs, or to refuse to provide care to those they deem undeserving? Does this embed a worrying precedent for other contentious procedures to be added to the list (gender reassignment surgery for example)? It could be argued that the nurses first responsibility should be their duty of care to their patient, and this surely requires them to take a holistic and person-centred prospect a vie w that should not be clouded by the nurses own values frame or moral standpoint.The aspects of person-centred care discussed so far in this essay have been those of a contentious and perhaps, more exceptional nature. However, the more routine, day-by-day aspects of nursing are also susceptible to the influence of nurses values, beliefs and attitudes negatively impacting on the quality of person-centred care provision. Giving patients a greater degree of indecorum over their care can lead to some discord as nurses may feel that their professional expertise is being disregarded, and may be concerned that patients inform opinions and findings about their care may be evil to recovery or good health. This could lead to nurses adopting a didactic attitude in the belief that they know best, when the patient is equally certain that their decision is the right one for them. Nurses must always ensure that they are display the patient as a whole person, and not merely an illness or condit ion to be treated or managed, as this can lead to ambivalence as nurses attempt to reconcile their desire to deliver effective, evidenced-based care, knowing that patients stated wishes or preferences are contrary to this aim. However, if the patient is deemed to have capacity to make informed decisions about their care and treatment, with all the facts at their disposal, nurses must accept this if good, person-centred care is to be delivered (NHS Choices 2014). In the event that the patient does not have the capacity to make informed decisions (e.g. patients suffering from more advanced forms of mania), then any known pre-morbid preferences and choices should be documented and adhered to where this is practicable. There is always a danger that individuals with dementia receive care that is task-orientated rather than person-centred. Again, nurses may make assumptions regarding what is best for the patient, rather than respecting their choices and preferences.One of the easiest way s to ensure that care is person-centred is to gather collateral about each patient prior to care or treatment commencing, so a more travel picture can be formed. This is particularly important when dealing with passel from diverse cultural backgrounds, as lack of cultural understanding and perimeter can lead to damaging misconceptions, misunderstandings and unintentional offence, which will not obtain good person-centred care. Having some knowledge of patients history and background prior to treatment can be a useful alikel in price of developing appropriate care. The flip-side to this however is that unhelpful stereotypes or prejudices may be formed by nursing staff, based on the current or historical background of the patient. Gender (including gender identify), race, age, religious affiliation, employment status, marital status, and didacticsal and socio-economic background can lead to assumptions (both positive and negative) being formed by nursing staff. Whilst the majo rity of nurses will treat their patients with unconditional positive regard and courtesy, regardless of issues that may be at odds with their own beliefs, values and attitudes, there will always be a minority who will be affected by such issues, and who will allow it to influence the care they provide. The outdo of this issue is difficult to quantify, due to a lack of available evidence-based research, but it could be said that one nurse whose attitude negatively impacts on person-centred care is one nurse too many.ConclusionWe have explored some of the more contentious issues that can and do arise when nurses beliefs, values and attitudes do not correspond with those of their patients, and have examined the potential impact this can have on the quality of person-centred care provided. As little research has been carried out into this subject, it is not possible to quantify the scale of the problem, nor to accurately identify where it is most prevalent. However, it is safe to say that the dichotomy between delivering truly person-centred care, whilst reconciling challenges to the nurses own core beliefs and values is not one easily solved. Modern nurses are extensively trained and highly apt professionals, with a wider remit and range of responsibilities than their predecessors. They are however fundamentally human, with the corresponding character flaws and failings as anyone else. It is a completely human trait to be influenced by the information we perceive or receive about others, and everyone has infixed beliefs and value systems and, whether we like it or not, innate prejudices. Although it would seem logical that professional nurses have a well-developed sense of understanding and equality, they also deal with a magnitude of very diverse large number on a routine basis, generally having very limited time with each. Despite this, the majority of nurses deliver excellent, patient-focussed and person-centred care as a matter of course. Unfortunately there will always be a minority who do not. Nurse education programmes are constantly evolving to meet the shifting demands of health care, so it can only be hoped that recognising, challenging and improving unhelpful attitudes becomes an accepted part of nurse education, and becomes core to person-centred care provision.References/BibliographyBaker J., Richards A. Campbell M. (2005). Nursing attitudes towards acute mental health care development of a measurement tool. Journal of Advances Nursing. (49) (5) pp. 522-529.Brink E. Skott C. (2013). Caring about symptoms in person-centred care. Open Journal of Nursing (3) pp. 563-567.Chambers M., Guise V., Vlimki M., Botelho M., Scott A., Staniulien V. Zanotti R. (2010). Nurses attitudes to mental illness A relation of a sample of nurses from five European countries. International Journal of Nursing Studies. 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