REFLECTIVE PRACTICE
During the past decade, there was a huge leap from the concept of disease centered care to a new model that is focused mainly on the care of the patient. This new model is grounded by the belief that patients are in the center stage of the care plan and must therefore have a good relationship with all the members of the healthcare team (Kleinpell, Buchman, Harmon, & Nielsen, 2017). This is very predominant nowadays in most Intensive Care Units (ICU) worldwide. This reflection will focus mainly on the subject about Patient Centered Care in the ICU. I will discuss the whole reflection using the Gibb’s model and will go about every step followed by a formal conclusion.
Patient Centered Care in the ICU is a growing trend in the healthcare industry. The aim of this type of model is to involve both the patient and the family regarding the treatment plan. Most of these treatment plans are geared toward information dissemination. I am very satisfied and happy with this ongoing scheme. I feel that patients and families dread the idea that they will be admitted in the ICU. I can’t imagine anyone who is happy to walk in a critical care unit without knowing whether he or she can still walk out of it.
One positive aspect about this program is its research-based identity addressing key components about quality and safety of patient care relative to the advancement in technology. This includes multidisciplinary healthcare meetings, feedback analysis and live educational sessions such as podcasts and webinars. The only negative connotation that this program can bring is the misconception that it is expensive, technical and overwhelming. I have learned that patient education is one of the most overlooked areas when it comes to the treatment plan. In a survey conducted in the United Kingdom, 77% of the patients reported that management of their condition was limited due to a lack of information and support (McDonald, 2014).
It is necessary to engage the patient and the family by way of educating them about the plan and not just addressing their pathological concerns. Development in the knowledge is also a big factor in helping the patient recover from his or her illness (Rochfort et al, 2018). Proper education can also give patients an opportunity to make better choices about the care they receive (Ball, 2019). Furthermore, research suggests that patient centered care improves patient’s adherence to regimen (Robinson, Callister, Berry, & Dearing, 2008). In the future, I would like to promote this model of care by giving my part in the information dissemination campaign of a hospital that I would be a member of. I would like to lead a campaign that will educate the patient by using other platform other than social media. This can be as simple as flyers or flash presentations that will constantly be given or played in the unit.
Overall, patient centered care is a modality that gives utmost importance to the most valuable part of the care process, the patient. By using the Gibb's reflective cycle, I was able to unravel my thoughts and feelings about this topic. Moving forward, by the time that I will be a nurse here in Australia, I would like to partake in some program about information dissemination in the Intensive Care Unit.
References
Ball, L. K. (2019). Patient-Centered Health Care. Nephrology Nursing Journal: Journal Of The American Nephrology Nurses’ Association, 46(1), 11–57. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=30835091&authtype=cookie,cpid&custid=ns205625&site=ehost-live
McDonald C. Patients in control: why people with long term conditions must be empowered. London: Institute for Public Policy Research; 2014. http://tinyurl.com/ y3g6heoy
Robinson, J.H., Callister, L.C., Berry, J.A., & Dearing, K.A., (2008). Patient ‐centered care and adherence: Definitions and applications to improve outcomes. Journal of the American Association of Nurse Practi - tioners, 20(12), 600-607.
Rochfort, A., Beirne, S., Doran, G., Patton, P., Gensichen, J., Kunnamo, I., ... & Collins, C. (2018). Does patient self-management education of primary care professionals improve patient outcomes: a systematic review. BMC family practice, 19(1), 163.
Kleinpell, R., Buchman, T. G., Harmon, L., & Nielsen, M. (2017). Promoting Patient- and Family-Centered Care in the Intensive Care Unit: A Dissemination Project. AACN Advanced Critical Care, 28(2), 155–159. https://doi.org/10.4037/aacnacc2017425
Ball, L. K. (2019). Patient-Centered Health Care. Nephrology Nursing Journal: Journal Of The American Nephrology Nurses’ Association, 46(1), 11–57. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=30835091&authtype=cookie,cpid&custid=ns205625&site=ehost-live
McDonald C. Patients in control: why people with long term conditions must be empowered. London: Institute for Public Policy Research; 2014. http://tinyurl.com/ y3g6heoy
Robinson, J.H., Callister, L.C., Berry, J.A., & Dearing, K.A., (2008). Patient ‐centered care and adherence: Definitions and applications to improve outcomes. Journal of the American Association of Nurse Practi - tioners, 20(12), 600-607.
Rochfort, A., Beirne, S., Doran, G., Patton, P., Gensichen, J., Kunnamo, I., ... & Collins, C. (2018). Does patient self-management education of primary care professionals improve patient outcomes: a systematic review. BMC family practice, 19(1), 163.
Kleinpell, R., Buchman, T. G., Harmon, L., & Nielsen, M. (2017). Promoting Patient- and Family-Centered Care in the Intensive Care Unit: A Dissemination Project. AACN Advanced Critical Care, 28(2), 155–159. https://doi.org/10.4037/aacnacc2017425