Person-centered care is a form ofthinking and acting in a way that recognizes the beneficiaries of thehealth and social services as being equal players in monitoring,planning, as well as developing care to ensure that it suits theirvarious needs. It involves placing the individuals and their familiesas in the middle of decisions and taking them as experts, workinghand in hand with professionals to get the best results (Hood, 2014).Patient-centered care is not only about providing individuals withinformation or with what they want but is about taking one as anindividual and working together to create a suitable solution. Thisis done by considering the individual’s lifestyles, desire’s,social conditions, family situation, and values. The practice ofpatient-centered care improves the quality of service, enable peopleto get the care they need, assist people to more active in caringthemselves, and reduce the pressure on health and social service(American Holistic Nurses Association, n.d.).This paper will assess the care experience of a patient, provide anintegration of a nurse theory, and evaluate the personal experienceof the patient.
Assessment of Care Experience
Kimberly Philips is a forty-threeyear divorced male who has cancer. He is a Respiratory Therapist witha bachelor’s degree. According to his doctor, he has about sixmonths only to live. Kimberly is supported by his two sisters, a68-year-old mother, and his two daughters aged 21 and 22 years, andare fully involved in his care and decision making. Philips’s mainreason for seeking service was pain control, and to prolong life sothat he can live to see his grandchild born, and he looks forward tothe same. He is concerned that he may die before the birth of thegrandchild, and about being bed ridden so that the kids would beburdened with his care. He had hoped for a possibility of surgery,but unfortunately, he was not a candidate. Before diagnosis, Kimberlyhad not presented any symptoms, just for abdominal pain and highblood sugar levels. Kimberly was born and raised in America,non-denominational frequent church goer, and he knows that God cannotcure cancer, but he can carry him through the difficulties.
While at home, Kimberly stays intune with his spirituality and meditates. However, he says that heloves and he is open to alternative therapy. These beliefs andpractices were not discussed during his care at the hospital. He alsoworks on his diet, and exercise to maintain his health. Kimberly’smother or kids bring him to his appointments, and he is taken to theemergency room for urgent care. Kimberly takes prescribedmedications, does not take narcotics, and he would love to try otherholistic remedies.
Kimberly identifies doctors,nurses, lab techs, case managers, and medical imaging as the healthcare providers involved in his care. He feels like the doctors werealways in a rush, while the nurses were always nice and sympathetic.The nurses were concerned and could afford to sit with him to inquireabout his progress and that of his family. The nurses were alwaysavailable for him, and they could share their experiences. Kimberlyfeels that he received good advice as the doctors explained to himthat he was not a good candidate for surgery, and gave him options ofchemotherapy and hospice care.
Kimberly strongly feels that thedoctors lacked bedside manners while the nurses were truly wonderfuland understanding of his feelings. The nurses could touch, lookafter, and take their time with their patients, which made him feelvalued as a person. He also feels that he received the care heneeded. Although the doctors rushed his care, the other staff made ittolerable, and he feels that he got the care. He is also satisfiedwith the case despite not being eligible for surgery.Being hospitalized away from home and the fear of falling asleep andnot waking up is what he disliked about the experience. Kimberlyfeels that the Doctors should improve on their bedside mannersand spend more time with their patients.
Integrating Jean Watsons Nursing Theory
Dr Jean Watson came up with a theory of nursing that has becomeindispensable in nursing. Caring is an integral part of nursing andis important in providing positive patient outcomes. The Human CaringScience Theory of Nursing can be applied to a patient’s situationand his environment. Watson’s theory is based on relationships ofhuman caring and experiences of human life. According to her, acaring relationship and a caring environment, preserve humanintegrity, wholeness, dignity, and to restore personal harmony, it isthe responsibility of the nurse to help a person create a meaning inillness and suffering. It is also the responsibility of nurses toevaluate the physical, emotional, and spiritual needs of a patient,and work out a holistic care for the patient, that meets all thepatient’s needs (Wood, 2014).
According to Watson (Hood, 2014), knowledge and practice arenecessary for developing a caring-healing framework. If nurses doonly one thing without the other, they will not obtain the sameresults. Nurses need to be caring towards the patients and show themthat they care, but at the same time, they need to do medicalinterventions that will combine healing and care together.
Watson’s theory is also based on ten creative factors that providea guiding framework for the nurses in caring for their patients. Fromthis framework, nursing is fixated on the profession as a serviceindustry, and on the patient’s wholeness, which includes the body,mind, and spirit. As a matter of fact, the theory emphasizes on thespiritual health of the patient as being the center of the overallhealth as well as being part of the treatment plan. By focusing onthe exclusive needs of the patient and care, Watson’s Human CaringScience Theory of Nursing also creates a strong relationship betweenthe nurses and patients (Morrow, 2014).
From the care experience of Kimberly Philips, it can be noted thatthe principles of Watson’s Human Caring Science Theory of Nursingwere applied during his care provision. The nurses used a holisticapproach while caring for Kimberly. The nurses evaluated thespiritual, emotional, and physical needs of the patient and put theminto consideration during service provision. Through this, theycreated a good, caring environment that preserved the wholeness ofthe patient. The most important curative factor in Kimberly’s caseis authentically present. The nurses’ presence for the patientserved two important purposes in the context of his healing. First,the nurses could identify the health changes of the patient andprotect his safety. Also, it developed a positive relationshipbetween Kimberly and the nurses, and he knew that the nurses would bethere for him if he needed them. The curative factors wereincorporated into Kimberly’s care, and this made it holistic.
Evaluation and Critical Reflection
From the assessment form, it can be concluded that Kimberly receiveda good person-centered care, although it cannot be rated the best.First, some aspects were lacking in the care, and secondly, thepatient was not fully satisfied as seen from experience. Thespiritual needs of the patient were not met. Although his religionwas acknowledged on admission, the issue was never revisited again.Also, the issue of values and beliefs of the patient was neveraddressed. The beliefs and values such as habits, rituals, folkmedicine, or home remedy was never discussed with the patient.Although the patient was open to alternative therapy, no options wereprovided. Some staff, such as the doctors were not fully dedicated tothe care. A person’s experience is a reaction or a feedback of thepersonal care accorded to him or her in a person-centered care setup.A person’s experience is important because it helps in assessingthe level of person-centered care received. The feedback is also usedin improving the care. Hence it assists in meeting the goals ofperson-centered care (Watson, 2012).
Various revisions could be made in Kimberly’s case. First, morefocus should be made on the spiritual, values, and beliefs of thepatient. Kimberley believes that God can take him through thedifficulties, hence much should be done to strengthen himreligiously. His techniques of self-medication should also beenhanced. Most importantly, the doctor’s attitude and approachshould be revised to be patient-focused, like the nurses’. Thenurses played a very important role in coordinatinginter-professional care of Kimberly Philips. It was the role of thenurses to evaluate the physical, emotional, and the spiritual needsof the patient. They also developed a good healing and caringenvironment, which facilitated a fluent service provision by theother health care providers (Asch & Volpp, 2012).
In conclusion, I have learned that treatment is an integral part ofcaring and that nursing theories create a structure for sustainableand evidence-based practices in nursing. By applying these theories,nurses can create a good healing and caring environment, as well as ahealthy patient-nurse relationship. It can also be noted that nursesplay a coordinating role in the inter-professional care of patientsin care. Person-centered care provides holistic care for thepatients, and nurses are the key players throughout all theprocesses.
American Holistic Nurses Association. (n.d.). What is holisticnursing? Retrieved from http://www.ahna.org/About-Us/What-We-Do.
Asch, D. A. & Volpp, K. G. (2012, Sep. 13). What is the businessof health care? Harvard Business Review. Retrieved fromhttps://hbr.org/2012/09/what-is-the-business-of-health.
Hood, L. (2014). Leddy and Pepper`s conceptual bases ofprofessional nursing (8th ed.). Philadelphia: Wolters KluwerHealth
Morrow, M. (2014). Caring Science, Mindful Practice. NursingScience Quarterly, 27(3), 263-264.
Watson, Jean. (2012). Human Caring Science (2nded.). Sudbury, MA: Jones & Bartlett Learning.