Ethical Principles Of Person Centered Care
In healthcare there are three key ethical principles.
Autonomy, this applies to the freedom to one's choice and for this reason the right to self-determination;
Nonmaleficence means no harm is to be made to patients intentionally or unintentionally and;
Beneficence, this implies doing good for patients. In case of an emergency, treatments may have to started without consent, e.g., in a traffic incident when the patient had a cardiac arrest, this complies with the ethical principle of beneficence.
Obtaining a therapeutic relationship with a person is important in the aspect of PCC. The development of a therapeutic relationship is about knowing and understanding the patient and their family. 'A therapeutic nurse-patient relationship is defined …show more content…
as a helping relationship that's based on mutual trust and respect, the nurturing of faith and hope, being sensitive of self and others, and assisting with the gratification of your patient's physical skills. This caring relationship develops when you and your patient come together in the moment, which results in harmony and healing (Pullen, Richard L. Jr. EdD, RN). When having this kind of relationship with a patient allows them to feel comfortable to be open and honest with the professional. To gain this therapeutic relationship the professional must begin with introducing themselves by name and category. Then allowing the patient an opportunity to expresses themselves without diminishing the patients' feelings or immediately giving advice. Professionals also obtain therapeutic relationship by being aware of their verbal and non-verbal communication with in mind how patients may perceive it. For example, if the professional is standing with their arms crossed when the patient is talking, this may make the person feel like the professional is uninterested in what is being said. When talking to the patient the nurse must ensure that they maintain eye contact, they must not make too much as this will make the patient feel intimidated while too little eye contact will make the nurse seem distracted. The nurses priority is to ensure that the patients needs are constantly being met, including relieving pain and/or sources of discomfort.
The final principle of person-centered care this essay will look at is shared decision-making.
Every patient has the right to make their own decisions to treatments and procedures. When the patient and the nurse come to an effective decision this allows a better patient care outcome. By allowing the patient to be more in control of their treatments this encourages them to continue on with their treatment. When discussing treatments with patients this allows them to know all the information about the treatments and what are the benefits and drawbacks to that condition, it allows them to analyze all the information. ‘Shared decision-making refers to a process of health care delivery in which practitioners and clients seeking help for problems or disorders collaborate to access relevant information and to enable client-centered selection of health care resources’ (Adam and Drake 2006). The nursing process of decision-making can be divided into four sub-processes of assessment, planning, intervention and evaluation. To guide the patient to make an appropriate decision the professional needs to get to know the patient. they need to find out their experiences with the illness, their current situation or care needs and also what is normal for them in terms of level of mobility and observation. As a professional we expect every patient to be able to make a decision on their own health. Many patients believe that shared decision-making is necessary because they and only they know the context of their own lives, the relationships they have and their
capabilities.
In conclusion this essay has explored what person-centered care is and how it can be implemented in practice. The key principles highlighted in each paragraph provide a strong insight into what needs to be implemented to achieve PCC. It is constantly clear what the importance of PCC is in the health care and how the absence can have a negative impact on patients, nurses and the NHS itself. When all principles are put together it can have a positive effect on the patient, it provides them with more confidence in the NHS, more dignity and provides them with a better service of care. PCC is in the nurses hands, when they treat the patient with respect and dignity, involve the patient in the decision-making process, treat the patient as an individual, gain consent before continuing with treatments or procedures and obtain a therapeutic relationship with the patient. This will increase professionals self-esteem and provide them with more confidence in themselves, also it will encourage them to do more.
Autonomy, this applies to the freedom to one's choice and for this reason the right to self-determination;
Nonmaleficence means no harm is to be made to patients intentionally or unintentionally and;
Beneficence, this implies doing good for patients. In case of an emergency, treatments may have to started without consent, e.g., in a traffic incident when the patient had a cardiac arrest, this complies with the ethical principle of beneficence.
Obtaining a therapeutic relationship with a person is important in the aspect of PCC. The development of a therapeutic relationship is about knowing and understanding the patient and their family. 'A therapeutic nurse-patient relationship is defined …show more content…
as a helping relationship that's based on mutual trust and respect, the nurturing of faith and hope, being sensitive of self and others, and assisting with the gratification of your patient's physical skills. This caring relationship develops when you and your patient come together in the moment, which results in harmony and healing (Pullen, Richard L. Jr. EdD, RN). When having this kind of relationship with a patient allows them to feel comfortable to be open and honest with the professional. To gain this therapeutic relationship the professional must begin with introducing themselves by name and category. Then allowing the patient an opportunity to expresses themselves without diminishing the patients' feelings or immediately giving advice. Professionals also obtain therapeutic relationship by being aware of their verbal and non-verbal communication with in mind how patients may perceive it. For example, if the professional is standing with their arms crossed when the patient is talking, this may make the person feel like the professional is uninterested in what is being said. When talking to the patient the nurse must ensure that they maintain eye contact, they must not make too much as this will make the patient feel intimidated while too little eye contact will make the nurse seem distracted. The nurses priority is to ensure that the patients needs are constantly being met, including relieving pain and/or sources of discomfort.
The final principle of person-centered care this essay will look at is shared decision-making.
Every patient has the right to make their own decisions to treatments and procedures. When the patient and the nurse come to an effective decision this allows a better patient care outcome. By allowing the patient to be more in control of their treatments this encourages them to continue on with their treatment. When discussing treatments with patients this allows them to know all the information about the treatments and what are the benefits and drawbacks to that condition, it allows them to analyze all the information. ‘Shared decision-making refers to a process of health care delivery in which practitioners and clients seeking help for problems or disorders collaborate to access relevant information and to enable client-centered selection of health care resources’ (Adam and Drake 2006). The nursing process of decision-making can be divided into four sub-processes of assessment, planning, intervention and evaluation. To guide the patient to make an appropriate decision the professional needs to get to know the patient. they need to find out their experiences with the illness, their current situation or care needs and also what is normal for them in terms of level of mobility and observation. As a professional we expect every patient to be able to make a decision on their own health. Many patients believe that shared decision-making is necessary because they and only they know the context of their own lives, the relationships they have and their
capabilities.
In conclusion this essay has explored what person-centered care is and how it can be implemented in practice. The key principles highlighted in each paragraph provide a strong insight into what needs to be implemented to achieve PCC. It is constantly clear what the importance of PCC is in the health care and how the absence can have a negative impact on patients, nurses and the NHS itself. When all principles are put together it can have a positive effect on the patient, it provides them with more confidence in the NHS, more dignity and provides them with a better service of care. PCC is in the nurses hands, when they treat the patient with respect and dignity, involve the patient in the decision-making process, treat the patient as an individual, gain consent before continuing with treatments or procedures and obtain a therapeutic relationship with the patient. This will increase professionals self-esteem and provide them with more confidence in themselves, also it will encourage them to do more.