TABLE OF CONTENTS INTRODUCTION...........................................................................................................................1 MAIN BODY...................................................................................................................................1 Compare and contrast one positive impact of P&FCC on the child and family..........................1 Application of concepts in paediatric nursing care......................................................................2 Comparative analysis of one P&FCC principle to the nursing care of the child in Case Study 1 compared with Case Study 2........................................................................................................2 Use examples of nursing interventions suitable for the childâs developmental stage.................4 Strategies for employment in nursing or medical practices to reduce the negative effects of hospitalisation.............................................................................................................................4 CONCLUSION................................................................................................................................5 ..........................................................................................................................................................6 REFERENCES................................................................................................................................7
INTRODUCTION Patient and family centred care (PFCC) of Australia is the basic framework that support in designing, implementing, delivering and evaluating the healthcare services. This is significant to empower theaffectedfamilies to promote independence and assessing the decision making in accordance to the family's care giving under the legislative framework(Glegg, 2016). The delivery of services in health and social care sector is essential to maintain the quality and performance of the involved professionals. This assignment is going to examine about the impacts mentioned in given two case studies in terms of empowerment and enabling of PFCC in the paediatric care. This would support in gaining the insights on the family centred care. Along with this, it analyseson the impactof hospitalisation, itsrelated strategies and nursing interventions to demonstrate the needs for the development of child. MAIN BODY Compare and contrast one positive impact of P&FCC on the child and family Traditional models of paediatric care assist in understanding the primary nursing and the functionalitiesinvolvedinthecompletepatientcare.Thepositiveimpactchosenisthe application of interventions via using the first contact to gain knowledge about the concerns, strengths and needs of thepatientsand their families(Tallon, 2015).Along with,the comparison can be drawn on active participation of patients, their relatives and families to take decisions for better care services with the first contact intervention. Moreover, features of traditional modelâs emphasis on the adherence to compliance of the medications and promoting stable living situations. Whereas, use of interventions via first contact helps the professionals like nurses in bridging the communication gaps and support to establish an open and flexible medium to connect(Nursing care in early childhood: contributions from intersubjective recognition, 2017). This comparative analysis brings personal responsibility by empowering and collaborating in holistic manner. Along with this, the contrasting feature includes the efforts that have been made to establish an informal systematic system between professional and thepatient. However, the drawback is the reliance over professional services.Sometimes, families do not respond to the first contact made by professionals to understand the case in more appropriate ways.This reflected upon the situation where many families lack the basic information in contacting the 1
professional help and leads to low recognition of using competencies and abilities for helping the affected patient(Smith, 2015). Application of concepts in paediatric nursing care Enabling is defined as the ability of an individual to gain knowledge and overall in sights forprovidingassistanceforbetterdeliveryandqualityofhealthcareservices.Whereas empowerment is the process in gaining control while performing practices for improving standards of living(Gill, 2014). Enabling and empowerment are the two most important concepts of patient and family centred care that are applied in paediatric nursing care. These are considered as useful while performing tasks in the hospital or primary health care setting. It is identified as crucial due to the development of self-care attitude among the patients to achieve the maximum benefits (Foster, 2018).Their application is necessary to generate awareness in terms of policies and following the practices through conducting one to one interactive sessions for better implementation of health care services. Nevertheless, empowerment is given through proper education and makingprofessionals and the entire setup as the participative linkage by laying the foundation of collaboration and enabling power at individual levels(Curtis, 2016).For instance, these concepts shed light on the more distressing conditions and critical cases in the paediatric facilities to bring better outcomes and adoption of patient centric approaches. It is understandable with proper assessment and professional guidance regarding gaining insights in context to medical conditions, this nursing care is beneficial to lay a transparent foundation for appropriate assistance while dealing with patients and withstanding any critical situation with better approachability. Henceforth, the conceptual segmentation to apply the nursing practices must be validated to maintain cordial relations betweenpatients, their families and professionals. Comparative analysis of one P&FCC principle to the nursing care of the child in Case Study 1 compared with Case Study 2 Information Sharing- Share information clearly and openlyis chosen from the given P&FCC principles(Mitchell, 2016).It is the common practice to be adopted by the professionals to improve the communication and exchange of information during critical cases or emergency situation. Additionally, this protects the personal information and queries to be addressed by the concerned individuals for better establishment of the chosen key principle of PFCC. It helps in 2
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overcoming the prevalent challenges and barriers to establish an integrated framework for better delivery and quality of care services in the health(Shaul, 2014). Case study 1 would have used this principle to gain advanced understanding of the family centred care in context to the nursing practices(Kemppainen, 2013). The nurses did not fulfil the needs of Tanya, the mother of three-year-old kid Thomas who was suffering from acute asthma and was born through C section. His conditions were deteriorating and this made him to shift to the paediatric ward and was also given immediate treatment to improve breathing. However, his assigned nurse did not provide clear details to Tanya which made her more agitated and in turn, it affected Thomas's health conditions in adverse manner. The nurses lacked collaborative mind set to give proper details about Thomas' ongoing conditions. In reference to the chosen principle, the nurses must have been more responsible and should have updated his mother about his treatment processes and other medication. Nonetheless, Tanya would have also initiated and interacted with the nurses to gain knowledge for re-gaining strength and confidence to help her kid(Couch,2017). Case study 2 also shed light on the lack of cross cultural interaction and exchange of data between the patient and the practitioner nurses(Kriplani, 2014). Despite his constant pain and nauseous feeling of 10/10, he was adamant in not shifting to pressure area care. This clearly demonstrated that the chosen principle has not been implemented effectively in this scenario and took the patient to take extreme steps by denying his intensity of pain.Additionally, the nurses must have pushed Alex to open up regarding his conditions and pain in order to prescribe better medication and treatment plans. Along with, the nurses must have put additional efforts as Alex is a teenage who was on continual visitation from his parents, relatives and friends(Stewart & Shamdasani, 2014). Subsequently, these two case studies reflected upon the lack of training and sense of responsibility to the nursing practices(Smyth, 2017).This hinders the child's development and lacks the ethical code of conduct. It is also demonstrated that case study 1 was based on Thomas is a toddler whose cognitive and overall social developmental was in the initial stages while on the other hand, case study 2, Alex is a teenager who was also vulnerable to changes and the surroundings. This gap of age led to disoriented behaviour from the nurses who lacked the urgency required in dealing with the mentioned cases. In both the cases, it is required by nurses and professionals to share information regarding patient's condition to their family members 3
clearly and openly so that they enable to take proper actions. It is also necessary for family members of patient to share all the information to professionals or care providers so that proper treatment can be given(Coyne & et.al., 2016). Moreover, the comparative analysis shed light on the lack of using the chosen PFCC principle in overcoming the challenges and critical situations in professional ways. Use examples of nursing interventions suitable for the childâs developmental stage With complete assessment of both the case studies, it is important to adopt few interventionsforbettersuitabilityofthepatientandfamilycentredcare.Thenursing interventions are pre-requisite of real time action plans and treatment procedures given to the patients forbetterrecovery under a systematic order(Kwan, 2013).For instance, in regard to the case studies 1 and 2, nurses must have been more aware and self-conscious to adopt strategic planning for productive outcomes. When Thomas was distressed, due to his mother's reaction, the assigned nurse practitioner must have intervened to deliver qualitative care and safe delivery of medications and treatment plans. It would have been possible through regular and daily assessment of their evaluations, viable one to one interactive session and use of advanced equipment to ease their work loads and help them to have quality time fortaking proper rest (Ball & et.al., 2013). In regard to theabove,other interventions involves teaching strategies for the nurses to gain knowledge and improve skills set to help the patients in complete and effective manner (Wiegand, 2012). The most favourable interventions are collaborative nature and nurse initiation with the help of practitioner's support and initiative actions. Therefore, the delivery of services must be outlined on the performance management and spreading of qualitative care services to make the patients and their families comfortable in the hostile environment of hospitals(Britto & et.al., 2017). It is summed up that nursing interventions are the holistic approach to build better relations between the families and the staff working for providing treatment plans to the affected individual like Alex or Thomas from the case studies(Townsend, 2013). Strategies for employment in nursing or medical practices to reduce the negative effects of hospitalisation There is a huge physiological impact of hospitalisation for a child care and is divided into both positive and negative outcomes. From case study 1, the negative outcomes such as lack of awareness regarding nursing practices and improper communication channel led to improper 4
decision making and affected Thomas.Along with, lack of professionalism is another negative outcome among the nurses led to deteriorating impact on the overall treatment plan. It affected on the well-being of Thomas and along with it has impacted the nursing practices on the whole. However, their treatment plans and the associated strategies applied to mitigate the hampering effects might be considered under the same structure(Asarnow, 2015). Firstly, the hospital management must have made the environment more patient centric and must impart proper trainingsessionsto meet the requirements of the families and affected individuals in more profound manner. This would help in the removal of the gaps between the parents and the patient. Moreover, it would form strong ties between the involved families and the practitioners (Dawson, 2014).Another strategyis to apply some recreational activity with respect to the kids' hobbies or interests to make them engage and do not feel lonely or isolated. Next strategy could be to start interactive time to communicate with the patients and address their queries regarding the disease, treatment plan etc. to improve quality and delivery of care services.The hospital environment leads to traumatic effects on the body and minds and leads to home sicknesses and it directly affects the treatment plans(Carayon & et.al., 2014.). There is also need to adopt principles from several conceptual models which are based on three components such as rights, social esteem and affection. Here, therole of nursesis important,whichisdistributedvianursinginterventions.Itiscarriedthroughadopting continuous and regulated safety guidelines by nurses to establish better relationships to provide care and support for the child's overall development to provide coherent care. It is applicable under a socio-political participation for both nursesand the involved families for better interaction and understanding, and helps nurses to spread awarenessâs to all the levels(Phillips, 2014). To sum up, these strategies would be only feasiblewhen applied strictly in context to policy makingand instructions madebytheorganization'smanagement(Melnyk,2011). Furthermore, it impacted the working practices ofprofessionals like nursesand its interventions in real time to bring substantial modifications in the treatment plans of the child without affecting their mental capacities(Aebersold, Tschannen & Sculli, 2013). CONCLUSION From this assignment, Patient and family centred care (PFCC) approach is necessary and were different in both the cases but needed same nursing interventions to curb the ill effects on 5
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the patients and their families. Along with this, empowerment and enabling must be promoted to maintain better relations while providing care in the hospitalization phase to bring proper responsiveness from both the sides that are professionals andpatients with their families. There is establishment of the concepts of empowerment and enabling in terms of PFCC of the paediatriccare.Moreover,thisledthefoundationforpromotingindependencethrough application of Information Sharing- Share information clearly and openly principle. Henceforth, it has been outlined that in order to deliver quality care services, hospitalization environment must be made better through applying strategies in terms of the nursing interventions. 6
REFERENCES Books and journals Aebersold, M., Tschannen, D., & Sculli, G. (2013). Improving nursing studentsâ communication skillsusingcrewresourcemanagementstrategies.JournalofNursing Education.52(3).125-130. Asarnow, J. R. (2015). Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: a meta-analysis.JAMA pediatrics, 929-937. Ball, J. W., DrPH, R. N., Bindler, R. C., & Cowen, K. J. (2013).Child health nursing. Prentice Hall. Britto, P. R. & et.al. (2017). Nurturing care: promoting early childhood development.The Lancet.389(10064). 91-102. Carayon, P. & et.al. (2014). Human factors systems approach to healthcare quality and patient safety.Applied ergonomics.45(1). 14-25. Couch, C. J. (2017).Information technologies and social orders. Routledge. Coyne, I., Amory, A., Gibson, F., & Kiernan, G. (2016). Informationâsharing between healthcare professionals, parents and children with cancer: more than a matter of information exchange.European Journal of Cancer Care.25(1). 141-156. Curtis, K. F. (2016). Models of care delivery for families of critically ill children: an integrative review of international literature.Journal of paedritric nursing, 330-341. Dawson, A. (2014). Nursing churn and turnover in Australian hospitals: nurses perceptions and suggestions for supportaive strategies.BMC nursing, 11. Foster, M. (2018). comprehensive child and adolescent nursing .Bridging the child and family centered care gap: Therapuetic converstaions with children and families, 1-8. Gill, F. (2014). Parent and staff perceptions of family centered care in two Australian children's hospitals.Europeon Journal for person centred healthcare. Glegg,S.M.(2016).Facilitatinginterprofessionalevidence-basedpracticeinpaediatric rehabilitation: development, implementation and evaluation of an online toolkit for health professionals.Disability and rehabitilation, 391-399. Kemppainen, V. (2013). Nurses roles in health promotion practice: an intregrative review. Health Promotion International, 490-501. Kriplani, S. T. (2014). Reducing hospital readmission rates: current staretgies and future directions.Annual review of medicine, 471-485. Kwan, J. L. (2013). Medication reconcilation during transitions of care as a patient safety startegy: a systematic review.Annals of internal medicine, 397-403. Melnyk, B. (2011).Evidence based practice in nursing & healthcare:a guide to best practice. Mitchell, M. (2016). Patient, Family centered care.Australian Critical Care, 176-177. Phillips, R. M. (2014). Creative classroom strategies for teaching nursing research.Nurse educator.39(4). 199-201. Shaul, R. (2014).Paedritric patient and family centred care: ethical and legal issues. Smith, J. (2015). Involving parents in managing their child's long term condition-A concept synthesis of family centred care and partnership in care.Journal of paedritric nursing, 143-159. Smyth,W.(2017).Familycentredcareincysticfibrois:apilotstudyinNorth Queensland,Australia.Nursing open, 168-173. Stewart, D. W., & Shamdasani, P. N. (2014).Focus groups: Theory and practice(Vol. 20). Sage publications. 7
Tallon, M. K. (2015). Rethinking family centred care for the child and family in hospital. Journal of clinical nursing, 1426-1435. Townsend, M. C. (2013).Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis. Wiegand, D. (2012). Consequences of clinical situations that cause critical care nurses to experience moral distress.Nursing ethics, 479-487. Online Mello, & et.al., 2017.Nursing care in early childhood: contributions from intersubjective recognition.[Online].Availablethrough:<http://www.scielo.br/scielo.php? script=sci_arttext&pid=S0034-71672017000200446>. 8