Extra Additions for Patient Centered Care Model
Within the rubric of 21st century medicine, it is often surprising that we need to be reminded that it is not the technology, the clinical expertise, or even the health care and institutional debates that should drive the paradigm of appropriate medical care -- it is the patient. Patient Centered Care is a model that focuses on the patient as the center of a multi-dimensional approach that considers patients' cultural traditions, their personal preferences and values, their unique family situations, and their lifestyles. The PCC model allows for families to become an integral part of the process of medical care, and the entire care team who assist the patient in making decisions and allowing the patient a modicum of responsibility for their own healing process. Indeed, PCC places the responsibility for important milestones of self-care and monitoring squarely in the patient's hands, yet still…...

mla

REFERENCES

General Overview: Patient Centered Care. (2010, January). Retrieved November 2010, from Institute for Healthcare Improvement:  http://www.ihi.org/IHI/Topics/PatientCenteredCare/PatientCenteredCareGeneral/ 

McKerns, L. (2009, July). What is Patient Centered Care and How is it Better? Retrieved October 2010, from Selfgrowth.com:  http://www.selfgrowth.com/articles/What_is_Patient_Centered_Care_and_how_is_it_Better.html 

Parsons and Murdaugh. (1994). Patient-Centered Care - A Model for Restructiing. Gaithersburg, MD: Aspen Publications.

Stewart, Brown, Donner, McWhinney, Oates, Weston and Jordan. (2000, July 4). The Impact of Patient Centered Care on Outcomes. Retrieved November 2010, from The Journal of Family Practice:  http://www.jfponline.com/Pages.asp?AID=2601&issue=September_2000&UID=

Emotional Intelligence and Patient-Centered Care" is a 2007 publication from the Journal of the Royal Society of Medicine which seeks to discover whether or not Emotional Intelligence (EI) can be of use in the health care industry. Emotional Intelligence is a personal characteristic that some have identified as linked to the successful ability to form interpersonal relationships with patients in order to benefit the patient's interaction in the health care system. This would not only include a patient's experience when visiting health care professionals, but also the patient's increased overall health benefits such as being healthier and living longer. The authors stated purpose is to examine whether Emotional Intelligence, when adapted to the idea of patient-centered care, can be of assistance in the health care system.
Emotional Intelligence is defined as "a set of abilities (verbal and non-verbal) that enable a person to generate, recognize, express, understand and evaluate their…...

mla

Works Cited

Birks, Yvonne, and Ian Watt. "Emotional Intelligence and Patient-Centered

Care." Journal of the Royal Society of Medicine 100.8 (August 2007):

368-374. Print.

Nelis, Delphine, et.al.. "Increasing Emotional Intelligence: (How) is it

Global Health Care Issues
The most significant healthcare issues that the countries surveyed are facing include care coordination and safety. Significantly, these issues were prevalent across international borders and throughout many of the countries surveyed. Care coordination in particular seems a salient issue, since it refers to the dissemination of conflicting information on the part of providers and an inability of patients to get further treatment because of a lack of prerequisites (such as authorization or tests) (Commonwealth, 2015). Such care coordination issues inherently lead to safety problems for geriatric patients. Other issues that were eminently revealed in this survey are that older patients have difficulty paying for the costs of their health care services. Subsequently, it is difficult for these patients (particularly in the United States) to obtain the care that they need. Other issues include a lack of ease with getting care the same day that a patient seeks…...

mla

References

The Commonwealth Fund. (2015). International survey of older adults finds shortcomings in access, coordination, and patient-centered care. www.commonwealthfund.org Retrieved from  http://www.commonwealthfund.org/publications/in-the-literature/2014/nov/international-survey-of-older-adults

Patient-Centered Care
Patient-focused healthcare has come to the forefront in recent discourse on care quality. Cited in the "quality chasm" paper of the Institute of Medicine as an aspect of superior-quality healthcare, the term 'patient-centered healthcare' is being currently incorporated into the lexicons of health planners, healthcare facilities, policymakers and the public relations personnel of healthcare organizations. Insurance companies are increasingly linking payments to patient-focused care delivery. But much discourse on the subject fails to take into account the vital, radical meaning of actual 'patient-focused' care. This concept's initiators were quite cognizant of their work's ethical consequences. Their services were founded upon profound regard for clients/patients as individuals with unique characteristics, expectations, and wants, and a duty to offer them health services on their individual terms. Therefore, a patient is recognized as an individual in relation to his/her respective social world, respected, paid attention to, kept updated, and allowed to participate…...

mla

References

Epstein, R., & Street, R. (2011). The Values and Value of Patient-Centered Care. Annals of Family Medicine, 100-103.

Rickert, J. (2012). Patient-Centered Care: What It Means And How To Get There. Retrieved from  http://healthaffairs.org/blog/2012/01/24/patient-centered-care-what-it-means-and-how-to-get-there/

Essay Topic Examples 1. The Evolution of atient-Centered Care in Modern Healthcare:
    This essay would explore the history and development of patient-centered care, analyzing how the concept has changed healthcare delivery. It would include significant milestones and how shifts in policy, patient advocacy, and healthcare innovation have contributed to its evolution.

2. Measuring the Outcomes of atient-Centered Care:
    This topic involves a critical assessment of how patient outcomes are influenced by patient-centered care practices. The essay would delve into the methodologies for evaluating effectiveness and discuss the range of outcomes, from patient satisfaction and experience to health improvement and cost efficiency.

3. The Role of Technology in Enhancing atient-Centered Care:
    The focus of this essay would be on the integration of technology in healthcare and its impact on patient-centered care. It would consider how electronic health records, telehealth, mobile health apps, and other technologies contribute to personalized patient care and involvement.

4. Ethical Considerations…...

mla

Primary Sources

Committee on Quality of Health Care in America, Institute of Medicine. \"Crossing the Quality Chasm: A New Health System for the 21st Century.\" National Academies Press, 2001.

Barry, Michael J., and Susan Edgman-Levitan. \"Shared Decision Making—The Pinnacle of Patient-Centered Care.\" New England Journal of Medicine 366 (2012): 780-781.

Epstein, Ronald M., and Richard L. Street. \"The Values and Value of Patient-Centered Care.\" Annals of Family Medicine 9.2 (2011): 100-103.

Stewart, Moira, Judith Belle Brown, Allan Donner, et al. \"The Impact of Patient-Centered Care on Outcomes.\" Journal of Family Practice 49.9 (2000): 796-804.

Kitson, Alison, Gill Harvey, and Brendan McCormack. \"Enabling the Implementation of Evidence Based Practice: A Conceptual Framework.\" Quality in Health Care 7.3 (1998): 149-158.

Essay Topic Examples 1. The Evolution of atient-Centered Care in Healthcare Settings:
    Explore the historical development of patient-centered care from a traditional, provider-focused approach to the current emphases on patient engagement, shared decision-making, and personalized care. Analyze the milestones and pivotal studies that have driven this change and the implications for both patients and healthcare professionals.

2. atient-Centered Care and Health Outcomes:
    Discuss the impact of patient-centered care on health outcomes. Consider how involving patients in their own healthcare decisions can lead to better adherence to treatment plans, improved patient satisfaction, reduced hospital readmission rates, and overall enhancement of health outcomes.

3. The Role of Technology in Facilitating atient-Centered Care:
    Assess the contribution of technological advancements, such as electronic health records (EHRs), telemedicine, mobile health applications, and wearable devices to patient-centered care. Examine how these tools increase patient engagement, streamline communication between patients and…...

mla

Primary Sources

Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press; 2001.

Berry, Leonard L., et al. \"Patients’ commitment to their primary physician and why it matters.\" Annals of Family Medicine 7.1 (2009): 6-13.

Stewart, Moira, et al. \"The impact of patient-centered care on outcomes.\" Journal of Family Practice 49.9 (2000): 796-804.

Epstein, Ronald M., and Richard L. Street. \"The values and value of patient-centered care.\" Annals of Family Medicine 9.2 (2011): 100-103.

Meade, Cathy M., et al. \"Conceptualizing a model to enhance culturally competent health care: the cultural competence model.\" The Inner City Asthma Study. Vol. 22. No. 7. 105-110. 2003.

Introduction
Patient-centered care is the goal of many healthcare organizations, but the ability of an organization to deliver patient-centered care is influenced by a number of factors both internal and external. Business practices, regulatory requirements, and reimbursement all can impact patient-centered care in any healthcare organization. Promoting patient-centered care requires an organizational culture committed to this paradigm, which also needs to be embedded in the mission and values of the organization.

Executives and administrators create the organizational culture that promotes patient-centered care. All leaders in the organization are responsible for using patient-centered practices and communications styles in their interactions with patients and their families. Furthermore, administrators oversee the policies and procedures that directly impact the culture of care. Analyzing areas of weakness within the organizational structure and culture via established assessments like the Patient-and Family-Centered Care Organizational Self-Assessment Tool, it is possible to create multidisciplinary teams that promote the organization’s vision of…...

Developing a Personal Philosophy of NursingIntroductionThis paper focuses on the fundamental concepts within the field of nursing, particularly through the lens of the nursing metaparadigm which includes nursing, person, environment, and health. It begins by examining and elaborating on these key concepts, drawing upon definitions from renowned nursing theorists and literature. It then goes into how these concepts are mirrored in the philosophy, mission, and vision of a specific healthcare organization, Hackensack Meridian Health, highlighting the alignment between organizational values and nursing principles. The paper then transitions into a more personal interpretation of these concepts, with my own individualized definitions for nursing, person, environment, and health. Building upon this foundation, the paper culminates with my articulation of a personal philosophy of nursing. This philosophy integrates the previously defined concepts and is guided by values such as patient-centered care, ethical practice, and a commitment to continuous learning. It is informed and…...

mla

ReferencesAlligood, M. R. (2018). Nursing Theorists and Their Work (9th ed.). Elsevier Health Sciences.Rogers, M. E. (1992). Nursing: Science of Unitary, Irreducible, Human Beings: Updated Edition. Springer Publishing Company.Marchuk, A. (2014). A personal nursing philosophy in practice. Journal of neonatal nursing, 20(6), 266-273.Nightingale, F. (1860). Notes on Nursing: What It Is, and What It Is Not. Harrison.World Health Organization. (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946.

Why I Want to be a Psych NPMy motivation to become a Psych NP comes from my desire to serve and support underserved minority populations. I believe that providing quality care for those in need should be a top priority, and as a Nurse Practitioner I have the ability to do just that. My practice will be informed by evidence-based psychotherapies that are tailored to the needs of my patients and the populations I serve. My philosophy of being a Nurse Practitioner is to approach my patients with compassion and understanding, to listen deeply, and to empower them to make informed decisions about their own health and wellness. My goal is to help my patients find holistic solutions and strategies for improving their mental health and overall wellbeing. That is why my practice as a Psych NP will always focus on meeting the needs of my patients first, rather than…...

mla

ReferencesKnesek, G., & Hemphill, T. (2020). Mental health navigation–A model. Health Promotion International, 35(1), 151-159.Mihalko, S. L., Cox, P., Kobayashi, S., & Eyles, J. P. (2023). Core components of best evidence OA care: management planning, education, supporting self-management and behavior change. In Osteoarthritis Health Professional Training Manual (pp. 55-72). Academic Press.

Ethical DilemmaOne ethical dilemma I have encountered in my practice was regarding vaccine hesitancy. A couple was reluctant to vaccinate their newborn. A fellow nurse was torn between respecting the rights of the couple and trying to give health education regarding the efficacy of vaccinations. The couple insisted that they saw a link between vaccines and autism, and it almost became a big argument that put patient satisfaction in jeopardy. The nurse needs to know where to draw the line, ethically speaking, between giving health literacy and respect patients autonomy (Usberg et al., 2021).The most effective way for nurses to resolve ethical dilemmas is to be mindful of the ethical principles and standards they are supposed to represent in their practice, including the principles of beneficence, patient autonomy, and non-maleficence (Zhou et al., 2024). In addition to this, hospitals and healthcare clinics usually have established policies or protocols in place…...

mla

ReferencesKristoffersen, M. (2021). Does professional identity play a critical role in the choice to remain in the nursing profession?. Nursing Open, 8(4), 1928-1936.Usberg, G., Uibu, E., Urban, R., & Kangasniemi, M. (2021). Ethical conflicts in nursing: an interview study. Nursing ethics, 28(2), 230-241.Zhou, J., Qin, Q., Chen, S., & Zhang, H. (2024). Moral Dilemmas Regarding Physical Restraints in Intensive Care Units: Understanding Autonomy, Beneficence, Non-Maleficence and Justice in the Use of Physical Restraints. Journal of Multidisciplinary Healthcare, 1619-1627.

Patient-Centered Care for Native Patients Implications for Clinical Practice for Asian Americans and Pacific Islanders American Indians and Alaska Natives (AI/AN) form a heterogeneous population with varying sub-tribes; thus, different cultures, religious and spiritual beliefs, traditional practices, art forms, languages, and history (Mendoza, 2015). The differing culture requires the development of the health outcomes with the patient and their family to meet the ideals cultural conceptualization of care for the patient and their family. The process of defining the problem and the desired health outcomes is used as a foundation for the development of a rapport with the patient. Informing the patient about their role in the treatment process is critical to ensure it is aligned to their beliefs and conceptualization of the disorder. The involvement of the patients family in the treatment process is critical in creating awareness of the past traumas and how they were dealt with. The…...

mla

ReferencesMendoza, J. (2015). ative Americans: Cultural Diversity, Health Issues and Challenges (Focus on Civilizations and Cultures). Nova Science Pub Inc.Vigil, D., Sinaii, N., & Karp, B. (2021). American Indian and Alaska Native Enrollment in Clinical Studies in the National Institutes of Health\\\\\\\\\\\\\\\'s Intramural Research Program. Ethics & Human Research, 43(3), 2-9.  https://doi.org/10.1002/eahr.500090

PATIENT-CENTEED CLINICAL EXPEIENCE Creating a Patient-Centered Clinical ExperienceIntroductionThere is no doubt at all that as Suk (2022) indicates, most healthcare organizations struggle with the provision of truly patient-centered care. From the onset, it would be prudent to note that patient-centered clinical experience could be perceived as the provision of care that is not only responsive to, but also respective of the values, needs, as well as preferences of an individual patient while at the same time seeing to it that the various clinical decisions are guided by patient values (Engle, Mohr, Holmes, Seibert, Afable, Leyson, and Meterko, 2021). This is the definition to patient-centered clinical experience that has been embraced in this text. In essence, five approaches that I would embrace in seeking to further promote the modern patient experience at my organization have been highlighted.i. Collaboration and TeamworkTo begin with, it should be noted that it would be…...

mla

ReferencesDurand, F. & Fleury, M. (2021). A multilevel study of patient-centered care perceptions in mental health teams. BMC Healthcare Services Research, 21(44), 112-119. Engle, R., Mohr, D.C., Holmes, S.K., Seibert, M.N., Afable, M., Leyson, J. & Meterko, M. (2021). Evidence-based practice and patient-centered care: Doing both well. Healthcare Management Review, 46(3), 174-184. Griffith, J.R. & White, K.R. (2019). The Well-Managed Healthcare Organization (9th ed.). American College of Health CareStubbe, D. (2020). Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients. Focus, 18(1), 49-51. Suk, M. (2022). Creating a Patient-Centered Clinical Experience.   T.W., Wollersheim, H., Faber, M.J., Fluit, C.R. & Kremer, J.A. (2018). Building a patient-centered and interprofessional training program with patients, students and care professionals: study protocol of a participatory design and evaluation study. BMC Health Services Research, 18(8), 77-85. https://hbr.org/2022/05/creating-a-patient-centered-clinical-experience Vijn,

Nursing Philosophy StatementMy nursing philosophy is based on the values instilled in me growing up and then working as a professional. I have been involved in healthcare for more than a decade. Everything I have learned as a nurse and everything taught to me from the time since I was a child has informed my philosophy. At its center is the belief that all people deserve respect and deserve to be treated as they see themselves (Franco et al., ). That is why I feel strongly about person-centered care: I think it is the nurses duty to get to know the patient really well so that the nurse can care for the patient in the way the patient wants to be cared for. On top of this, I believe the nurse, as a professional, should strive to give holistic carecare for the whole personand thus should study the science as…...

mla

ReferencesBüssing, A. (Ed.). (2021). Spiritual needs in research and practice: the spiritual needs questionnaire as a global resource for health and social care. Springer Nature.Cho, H. K., & Kim, B. (2022, February). Effect of nurses’ grit on nursing job performance and the double mediating effect of job satisfaction and organizational commitment. In Healthcare (Vol. 10, No. 2, p. 396). MDPI.Franco, H., Caldeira, S., & Nunes, L. (2021). Dignity in nursing: A synthesis review of concept analysis studies. Nursing ethics, 28(5), 734-749.Morton, P. G., & Thurman, P. (2023). Critical care nursing: a holistic approach. Lippincott Williams & Wilkins.Thornber, K. L. (2020). Person-Focused Care–Advocacy, Respect, Compassion, Empathy, Healing. In Global Healing (pp. 199-229). Brill.

Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.
Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety of…...

mla

Bibliography

109-432, P.L. (2006, December 20). TAX RELIEF AND HEALTH CARE ACT OF 2006. Public Law 109-432 (109th Congress) .

Backer, L.A. (2009). Building the Case for the Patient-Centered Medical Home. Family Practice Management 16 (1), 14-18.

De Geest, S., Moons, P., Callens, B., Gut, C., Lindpaintner, L., & Spirig, R. (2008). Introducing advanced practice nurses/nurse practitioners in health care systems: a framework for reflection and analysis. Swiss Medical Weekly (138), 621-628.

NASHP. (2013, April). Medical Home & Patient-Centered Care. Retrieved from The National Academy for State Health Policy:  http://www.nashp.org/med-home-map

Patient-Centered Medical Home
Medical Home

How the Patient-Centered Medical-Home reducing cost and improving quality and safety for patients.

The patient centered medical home is a platform that fills a need in the current healthcare system. The U.S. healthcare system has been plagued for quite some time with a trend of substantially rising healthcare costs as well as another trend of slipping quality standards. These two trends are argued to be a phenomenon that has emerged at least partly from poor planning and ineffective use of resources. One solution to some of these issues can be found in the patient-centered medical home (PCMH) model of primary care. This model has been developed with the coordination of long-term physician-patient relationships in mind. Developing these relationships further can not only reduce costs in unnecessary procedures that are the result of the missed opportunity for preventive care, but also have been shown to improve patient satisfaction. This…...

mla

References

Christensen, E., Dorrance, K., Ramchandiani, S., Lynch, S., Whitmeore, C., Borsky, A., . . . Bickett, T. (2013). Impact of a Patient-Centered Medical Home on Access, Quality, and Cost. Military Medicine, 135-141.

Ewing, M. (2013). The Patient-Centered Medical Home Solution to the Cost-Quality Conundrum. Journal of Healthcare Management, 258-266.

Kern, L., Dhopeshwarker, R., Edwards, A., & Kaushal, R. (2013). Patient Experience Over Time in Patient-Centered Medical Homes. American Journal of Managed Care, 403-410.

Nielsen, M., Olayiwola, J., Grundy, P., & Grumbach, K. (2014). The Patient-Centered Medical Home's Impact on Cost & Quality. Patient-Centered Primary Care Collaborative, 1-38.