NR 500NP Week 3 Person-Centred Care

Sample Answer

This week’s topic focused on caring and reflective practice in contemporary nursing. In your initial response, provide a definition of what person-centered 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.

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 Nursing, 25(5), 3–9. https //doi.org/10.1188/21.CJON.S1.3-9