Pre-requisites for Person Centred Care: Reflective Paper

CNA340: Developing professional nursing practice Semester Two 2019
Pre-requisites for person centred care: Reflective paper
Please note: The sections shaded grey are for your information only and can be deleted for
final submission. You are only required to type into the white sections. Word counts are
suggested (please delete these instructions for final submission).
Brief overview of situation/clinical encounterProvide a succinct overview with adequate information in which to contextualise the pre-
requisite being discussed (150 words).
During my placement in the elderly ward, I was assigned to take care of a female patient,
who had been admitted in to the hospital having a Lumbar decompression surgery on
Saturday. The patient was admitted in to the hospital three days before the operation. She
was very frightened to have tests like CT scan or the x-rays that has been ordered. She
believed that nothing has happened except that she was having a back pain. The medicine
which she had been using was reduced to a lower dose. She is perplexed and is worried
about her pain, as she thinks that the pain might get severe. The patient was not informed
correctly about why the tests were required or that she won’t be experiencing any
discomfort during the tests or no information has been provided as of how the tests needed
to be done. The patient was all anxious and frightened.
Identify relevant pre-requisite/sYour encounter identifies several pre-requisites that impacted/contributed to the clinical
encounter. Please list these below in dot points (not included in word count).
 Development of the interpersonal skills
 Knowing self
 Clarity of the beliefs and values
Identify and discuss ONE priority pre-requisiteRelate this to the literature on person-centred practice and outcomes, highlighting its
importance as an attribute for health professionals and how this should be demonstrated
with reference to the Registered Nurse Standards for Practice (2016) (300 words).
It is evident from the description that the role of the nurses in this case did not meet the
pre-requisite of the development of skills”, as the nurses in charge failed to inform the
patients about the procedures and the importance of the tests. An open disclosure about
the test procedure and the importance could have reduced the fear and anxiety in the
patient. It has been found in that use of effective interactive communication strategies by
the nurses in a health care settings can be beneficial to reduce the stress and improve the
living.
Having a good communication with the patients reduces anxiety in patients and helps to
build their confidence (Bach and Grant 2015).
I could have approached the patient in a more holistic way to inform her about the tests
that needs to be done. Nayebi and Majd Teymouri (2015) have stated that communication is
required, not only to transmit information, but also to associate different individuals around
the world in the milieu of the associations, families, societies and nations. Interactive
communication skills is a crucial attribute of nursing as, improper interpersonal
communication may cause chaos, malady, distress, clash, misunderstanding and wastage of
the resources (Nayebi and Majd Teymouri 2015). Communication with elderly patient
ensures the patient that she was actually being cared for and hence can rely on treatment.
The standard 2 of the NMBA standards also recommends to communicate effectively with a
person and be respectful to the dignity, culture, beliefs, and rights of that person (NMBA,
2017). I admit that that the professional standard of the nurse has been breached for not
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