Reflection On Nursing Concepts

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Reflection On Nursing Concepts

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Question:
You will be required to complete reflective journaling as part of the tutorial activities in weeks five, six and seven. You will use your reflective journal from these weeks as the basis for this submission.

Answer:

Introduction
Person-Centered Care (PCC) places focus on the patient during the provision of healthcare (Herlitz, Munthe, Törner, & Forsander, 2016). The technique improves the quality of care as the patient chooses their preferred modes of treatment. The caregivers have the responsibility of providing the necessary information to enable the client to make an appropriate decision. Roper, Logan, and Tierney devised a model of the determinants of health. The determinants include biological, psychological, socio-cultural, environmental, and politico-economical factors (Randall, Thunhurst, & Furze, 2016). This reflective essay will focus on the knowledge, skills, and attitude developed during week five, six, and seven of lectures. Week five focuses on PCC, while the following weeks explore the determinants of health.
Week Five
During this week, I learned about the meaning of the term Person-Centered Care. Moreover, I discovered how to implement the technique of medical attention. The lessons also exposed me to the relationship between the codes of conduct and PCC. Earlier before this lecture, I presumed PCC to be a form of treatment that allows the patient to make treatment choices and the doctor follows. However, after week five, I learned that considers the values of the patient before the commencement of treatment. I have now discovered that the mode of therapy respects the dignity and the rights of all clients. Moreover, the PCC insist on the development of a mutual partnership between the clients and the caregivers (Houghton, Horgan, & Boldy, 2016). Furthermore, I learned that therapeutic collaboration develops understanding and trust between clinicians and the patients.
I also learned about the implementation process of Person-Centered Care. Initially, I knew that the only implementation process is through the development of the mutual partnership between the two parties. The notes in week five have impacted new knowledge in me which has, in turn, made me develop PCC skills. The first step is to create an enabling environment that respects the dignity of the patient. Secondly, the nurse should acknowledge the unique features that each patient processes. The nurse should then advocate for the independence of the patient regarding making treatment decisions. The caregivers need to trust and respect the capability of the patients to make informed choices (Houghton, Horgan, & Boldy, 2016). The clinician should then create a therapeutic partnership with the patient. The proper working relationship develops hopes and boosts the confidence of the patient on the treatment options.
Before the lectures, I did not know the relationship between the Person-Centered Care and the codes of conduct. Now I have the knowledge and skills for merging the two pillars of health to improve the standards of healthcare. The first code requires that nurses adhere to legal laws concerning the provision of healthcare. Treatment with dignity is legislation that nurses must adhere to during medical attention. The systems also require nurses to provide PCC which is based on evidence. The methods further need the care providers to liaise with the relations of the patients in ensuring quality treatment. From the lectures, I have learned to use both PCC and Evidence-based Care (EBC) in nursing. The code of conduct requires the patient to make decisions that suit their cultural beliefs (Birks, Davis, Smithson, & Cant, 2016). However, patients are free to involve the clinicians and the family members in the decision-making process.

Week six
This week introduced me to the five determinants of health formulated by Roper, Logan, and Tierney. The week focuses on the biological determinants of health suggested by the model. I learned how the biological factors could dictate the activities of an individual. Moreover, I got exposure to the examples of the factors that directly affect the behaviors of an individual. According to the RLT model, biological factors are the physiological and the anatomical functions of the body (Chen, Padrón, & Becker, 2017). Before the lecture, I only knew about the anatomical factors such as height and weight. However, the factors include diseases, age, injury, gender, and Inheritance. I learned about the organs of the body that ensure a safe environment for survival purposes. The organs include endocrine, nervous, and skeletal systems. More organs include the immune system and the sebaceous glands (Ferrer, 2018).
During the week, I learned that nails and the hair follicles assist in the maintenance of the germ-free environment. Moreover, I learned that the nails and the skin have a role to play in ensuring a clean environment. I learned the definition of maintaining a clean and safe surrounding for a healthy life. The maintenance refers to the capability of the body organs to prevent unwanted objects from assessing the body. I also learned that it is the responsibility of the nervous system to facilitate communication. Before, the lectures, I did not know about the organs that enable the eating process. Now, I know that the gastrointestinal tract aids in all operations after the chewing process. I also discovered the organs that assist the body to eliminate the waste products. The systems include neurological, intestinal, and renal system (Ferrer, 2018).
Week 7
The lectures in this week exposed me to the psychological determinants of health suggested by the RLT model. I learned about the factors that dictate the rational behavior of an individual. The factors include all the other determinants in the model that include the biological and socio-economical factors among others (Hosseini et al., 2018). I did not know all the psychological factors, but now I have adequate knowledge about them. The factors include stress, cultural beliefs, emotional, and cognitive ability (Quinn et al., 2017). The notes also exposed me to the stress model. Moreover, I now have the skills to provide moral advice to an individual suffering from depression.
Conclusion
The notes and the lectures during week five, six, and seven of study exposed me to various skills and knowledge about healthcare provision. The experience enabled the change in attitude about the provision of care as a whole. I learned that Person-Centered Care is more than a just therapeutic partnership between the patients and the caregivers. Additionally, I learned about the biological factors that determine the health of an individual. Now, I know of both the physiological and anatomical determinants. Finally, I learned about the psychological determinants of health and their respective duties in ensuring better healthcare.

References
Birks, M., Davis, J., Smithson, J., & Cant, R. (2016). Registered nurse scope of practice in Australia: an integrative review of the literature. Contemporary Nurse, 52(5), 522-543.
Chen, A. F., Padrón, N. A., & Becker, C. M. (2017). The Social Determinants of Health. Healthcare Transformation, 2(2), 43-51.
Ferrer, R. L. (2018). Social Determinants of Health. In Chronic Illness Care (pp. 435-449). Springer, Cham.
Herlitz, A., Munthe, C., Törner, M., & Forsander, G. (2016). The counseling, self-care, adherence approach to person-centered care and shared decision making: moral psychology, administrative autonomy, and ethics in multi-dimensional care decisions. Health Communication, 31(8), 964-973.
Hosseini, S. N., Ghajari, H., Zinat Motlagh, F., Hosseini, T., Khanlari, P., & Mahboubi, M. (2018). Psychological Determinants of Sunscreen Use among Iranian Students: A Theory-Based Cross-Sectional Study. International Journal of Pediatrics, 6(5), 7673-7681.
Houghton, D., Horgan, L., & Boldy, D. (2016). An exploratory study of aspects related to current inpatient and nurse-led clinic management of idiopathic childhood constipation. Collegian, 23(2), 151-158.
Quinn, C. R., Liu, C., Kothari, C., Cerulli, C., & Thurston, S. W. (2017). Psychological Distress Among Youth Probationers: Using Social Determinants of Health to Assess Suicidal Thoughts and Behaviors. Adolescent Psychiatry, 7(2), 89-104.
Randall, S., Thunhurst, C., & Furze, G. (2016). Community matrons as problem-solvers for people living with the multi-co-morbid disease. British journal of community nursing, 21(12), 594-598.

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