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4KNIP416 Family Centred Care TERM2 & Family Centered Care

Select an item  from a freely publically available reusable resource that is also directly relevant to family centred care.

A picture

A photograph of a piece of art

A clip of a piece of music

An audio-recording

Briefly describe the item you have chosen and its relevance to familycentred care.

Drawing from a theory relevant to family-centred care, explain ways in which the item can inform care planning as part of a family-centred care approach. Refer to relevant literature throughout your answer.

Referring to at least one aspect of significant learning you have gained through studying the family-centred care, how do you plan to improve your practice in future placements?

What does family-centred care mean to nurses and how do they think it could be enhanced in practice.

Answer:

The video is about how clinicians help patients cope with health occurrences using the family-centered care. In this case, the patient and their family deserve respect on their preferences, values, and needs. Therefore, it is imperative for the patient’s family to be involved in decision making as they have unique preferences and values and clinicians should treat them with respect, dignity, and sensitive to their cultural values. The video also explains the importance of integration and coordination of care between the hospital, the patients, and their families. For instance, during rape, the victims express feelings of powerless and vulnerability. Therefore, proper integration of care is essential to alleviate the feelings.

Further, the importance of the video is that it explains the need for patient and patient’s education and information. For instance, the families of terminally ill patients articulate their worries, as they are not fully informed on the prognosis. In order for the family to counter this fear, clinicians should communicate effectively on the patient’s clinical status, the process of care, and the importance of health promotion and self-care. Families for terminally ill patients go through stages of anxiety and fear following the clinical outcome. Therefore, the video explains the importance of emotional support to the patient and their families in order to alleviate anxiety and fear. Overall, the video explains the important of involving the patient’s family in the patient’s medical experience as it will improve the clinical outcome.

Theory Relevant to Family- centered Care

According to the Balance Theory of Coordination, proper coordination between the patient, the patient’s family, and the clinician is imperative in order to enhance clinical outcome. In this case, the video gives an insight on the coordination needed to enhance the quality of care. For instance, a balanced coordination assures the well-being and health of terminally ill patients and their family through a professional- family partnership. The partnership honors the cultures, strengths, expertise, and traditions brought to this relationship, thus improving the quality of care (Philip, Kalisch and Kalisch 2017).

Further, the video explains how the balance theory of application to improve on care planning. According to the video, professionals and families should work together for the interest of the patient. The family should respect the expertise and skills brought by the clinician and at the same time, the clinician should respect the values and culture of the patient and their family. In addition, to improve the quality of care, trust between the partnerships is fundamental; this leads to effective sharing of information, which will determine the nature of car to be given to the patient (Gallagher and Lynch 2014).

Additionally, families of terminally ill patients should know that having a healthy relationship with the clinicians is fundamental in improving the quality of health care, this viewpoint is substantiated through the benefits brought about by family centered care to the clinician, the patient, and their families. According to the video, some of the benefits of family-centered care to the family include reduced anxiety, increased recovery time, improved patient coping hospitalization, procedures and recovery time, and improved family confidence with the clinicians (Festini 2014). Similarly, family-centered care benefits the clinician in improving the care plan, for instance, balanced coordination enhances the decision-making process, a better understanding of the patient’s family strengths, efficient use of health care resources, enhance communication, and better follow-up procedures (Festini 2014).

Therefore, family-centered care is based on the consideration that family is the core support and strength and their information and perspective are vital for decision making when dealing with the patient. Family-centered care health care providers should understand that health care experience is very important and can enhance the family’s confidence in their role thus improving the health status of the patient (Damboise, Cindy and Suzette 2013).

According to balanced theory, family-centered care is a strategy to health care that designs healthcare programs, policies, facilities, and the interaction between the patient, the patient’s family, and the healthcare provider. In this case, the health care providers who use family-centered care know the imperative role the family plays in ensuring the wellbeing and the health of the family members. These healthcare providers understand the social, developmental, and emotional support is integral in health care. They respect the patient and the patient’s family. Therefore, by using family-centered care approach, and enhance family and patient satisfaction is achieved (Coyne, Murphy, Costello, O’Neill and Donnellan 2013).

Overall, family-centered care entails working with families in the provision of health care services. It comprises of a set of attitudes, approaches, and values to service provision to children with chronic conditions/special needs and their families (Carpenito-Moyet 2014). In some settings, psychiatric and medical services are integrated with education to the parents and their children to help them understand the signs and symptoms of these conditions and how to deal with them. It recognizes and appreciates the uniqueness of each family and considers their needs and contribution to the child’s health, as they are the ones who understand their children better. The decisions made by these families are used to improve the health services provided to these patients. Family-centered care mainly aims at improving the quality of the health services provided by promoting good communications between the patient to family and health care providers (Bickley and Bate 2017).

 In order to improve the provision of the family-centered care, I will ensure that I partner with the patient’s family not only in things to do with decision making but also in gaining their support and help that will help me to come up with better ideas and medical plans with the aim of improving delivery service. I will ensure that hospitals come up with better or more improved patient and family focused care practices and collaborate with other non-profit organization that aims at advancing health care provision. This will not only help me in advocating for better services but it shall also help me to reach more families and patients who are not able to access some of these facilities and services. It will assist me in achieving my health service provision goal of equity service provision to all, without discriminating anyone.

In addition, I will ensure that I come up with good leadership strategies that will ensure that there is an organized team of enough health service providers that will provide adequate and quality services to these patients. I will also assign these team responsibilities of monitoring the progress made and identifying new opportunities that will help me to improve the quality provided. I will also ensure that my team undergoes proper training on the concept of family-centered care provision. I will also come up with educative programs and forums for the whole team and families to make them understand the importance of family-centered care to be in support of it. I will also ensure that these forums will create a good image of the health institution I work with and create good communications and relationships with the families, patients, and the health personnel. I will also reach out to the government to incorporate family-centered care facilities in their health institutions.

In order to achieve these goals in my future placements, first, I will form a strong alliance with the patient and their families to promote and develop the health of the patient. Second, I will make a clinical decision by consulting the patient’s family in order to improve the clinical outcome. Third, I will use the healthcare resources and professional time in order to ensure the patient and their families are satisfied with my services. Fourth, I will incorporate the concept of family-centered care in all my aspects of professional practice. Finally, I will work with families in information sharing and decision making in order to improve the clinical outcome of the patient.

Reference List

Bickley, L. Bates’ Guide to physical Examination and Health History Taking, 9th Ed. Philadelphia: Lippincott Williams & Wilkins, 2017.

Carpenito-Moyet, L.J., 2014. Nursing Care Plans--Transitional Patient & Family Centered Care. Lippincott Williams & Wilkins.

Carpenito-Moyet, L.J., 2014. Nursing Care Plans--Transitional Patient & Family Centered Care. Lippincott Williams & Wilkins.

Coyne, I., Murphy, M., Costello, T., O’Neill, C. and Donnellan, C., 2013. A survey of nurses’ practices and perceptions of family-centered care in Ireland. Journal of family nursing, 19(4), pp.469-488.

Damboise, Cindy and Cardin,Suzette.(2013). Family Centered Critical Care: How one unit implemented a plan. American journal of Nursing, volume 103, Issue 6, pages 56AA-56EE.

Festini, F., 2014. Family-centered care. Italian journal of pediatrics, 40(Suppl 1), p.A33.

Gallagher, A. and Lynch,D. “Multidisplinary  Meetings in Medical Admission Units,” Nursing Times. 100(44):34-36, November 2014.

Peters, L.M., 2013. Family-Centered Care. In Encyclopedia of Pain (pp. 1256-1259). Springer Berlin Heidelberg.

Pamela J. Kovacsa; Melissa Hayden Bellinb;David  P. Fauria (2016). Family-centered Care. Journal of Social Work in End-Of-Life & Palliative Care, Volume 2, Issue 1 July 2006, pages 13-27.

Philip A. Kalisch and Beatrice J. Kalisch, American Nursing: A History (4th ed. 2013).

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