TABLE OF CONTENTS INTRODUCTION...........................................................................................................................1 MAIN BODY...................................................................................................................................1 Impact of P&FCC on family and child........................................................................................1 Enabling and empowerment........................................................................................................2 Comparative analysis of one P&FCC principle to the nursing care of child..............................2 Nursing interventions suitable for the child’s developmental stage............................................4 Strategies to reduce the negative effects of hospitalisation........................................................4 CONCLUSION................................................................................................................................5
INTRODUCTION Patient and Family centred care (PFCC) is defined as the framework to generate awarenessand impart ethical codeof conduct in the professionals to deliver qualitative healthcare services. This consists of principles such as information sharing, giving respect and dignity to maintain cordial relations with the patients and promote participation for better delivery and quality of nursing interventions(Mahama, 2012). This assignment is going to highlight the role of nursing practices in promoting aspects of PFCC and examine its positive impact on both family and the child as well. It would be helpful in leading a fulfilling life in terms of today's fast paced changing dynamics of surroundings. Moreover, there are two most important concepts such as enabling and empowerment in addressing the challenges and obstaclesofnurseswhileattendingpatientsisgoingtobeevaluated.Lastly,Nursing interventions are discussed which is suitable for the child’s developmental stage and few strategies are proposed to reduce the negative effects of hospitalisation. MAIN BODY Impact of P&FCC on family and child Traditional models of paediatric care mainly focuses on complete patient care, nursing, functions etc. This model is achieved through one to one interaction between professional and patient(Lewis, 2013). Whereas, P&FCC mainly focusses not only on the relationship between patients and professions but it also focusses on partnership between families, parents, patients, staff, professionals etc. In other words it is a hospital culture based and centred upon families and patients care or seeks to improve health through eyes of patients and their families. P&FCC have various kinds of positive impact on patients and their families as they focus on both of them. One of the positive impact of P&FCC on families, patients and children is collaboration (Baird, 2014). As the name suggest collaboration means an action of working together in order to produce something new. All families, patients and professionals work together in building and improving a healthy environment. If it is compared to traditional model of paramedic care then collaboration impact of P&FCC is way better than traditional model as collaboration impact all the involved people like families, patients, professionals etc.(empowerment, 2013).If both the model and impact are contrast and compared then it can be said that collaboration in all the health care services is one of the most important element for better delivery especially in
organizations which provide health care services as their focus is on health of both patient and their families. Whereas Traditional model draws a formal line between patients and professionals which creates a distance between them as involvement of patients families is extremely low in this model(Jason, 2014). P&FCC both patients and families are administered and taken care of by the professionals which creates a bond between them whereas In traditional model bond between professionals, patients and their families is weak. Enabling and empowerment Enabling in simple words can be defined as a traditional way to provide someone with resources, opportunity and authority to do something or to make somethingpossible. While empowerment can be defined as increase in degree of self-determination and autonomy in people which enables them to represent their interest in responsible way (McCorkle & et.al., 2011).Use oftheseconceptsarecontinuously increasing in paramedic nursing care in the hospitals or in primary health care services. Its growth is continuously shaping healthcare services in a different way(Mitchell, 2012). These two concepts can be applied in health care services for providing various benefits such as:These willincrease awareness in families regarding all the services there are being provided. Also, it has risenhealthconcerns among publicwith the help of improved digital technologies in healthcare sector as patients can track their health, data digitally and can also review them. These can also help in improving cost constraints within the patients as today more and more patients are increasingly active in making healthcare decisions for their families and themselves(Erlich, 2014). Patients are becoming more aware in controlling their health care cost and focusing on getting cost benefit in healthcare. These two concepts can be applied in paediatric nursing care for such reasons. Moreover, these aid in establishing cordial relations between the patients and the professionalsforprovidingqualitativeservicesintermsofcommunicationandbetter approachability. The professionals understand their responsibility levels and make the entire procedure more convenient for giving quality levels to the patients (Castro & et.al., 2016). Moreover, they would be able to give their services in ethical code of conduct and maintain the dignity and respect of the patients.
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Comparative analysis of one P&FCC principle to the nursing care of child Participation-Involve patient and family in decision making and careis the chosen one principle of P&FCC to understand the nursing care in context to the child care by involving their families. This principle is significant because the nursing practices is complicated process and is related directly to the patient's entire treatment and recovery plan. With the help of participative involvement, the nurses establish a linkage with the professionals and the families to provide better assistance in terms of care and decision making (Clay, 2014). It also focuses on the improvements in the delivery and quality of services to maintain the communication channels. Moreover, this principle has significant effects in making decisions during critical situation or emergency by the families as nurses would be in good contact via promoting them to get involved at every stage of the recovery (James, 2012). In regard to the above, case study 1 and case study 2 are different in nature, however, their medical treatment history is linked with nursing practices. Case study 1 is based on a three year old toddler, Thomas who was transferred to a paediatric ward due to tachypnoea, cough, wheezing and minimal intakes of orals and wet nappies. Additionally, he was diagnosed with acute levels of asthma and was born via a C section due to which he was admitted to a special nursery care. He had been consistently on medical treatments and thus, it made him irritable with continuous crying and pushing mask off all the time. It led to give him salbutamol through MDI. All this not only agitated him but also let his mother named Tanya feel more helpless. She was in emotional pain and constant helplessness and suffered from anxiety and stress. This in turn made Thomas distressed. However, the nurses here lacked the basic education to comfort the patient or the family member through open discussion. They ignored the urgency to provide necessary details regarding the recuperating procedures required here to make Thomas and Tanya feel more at ease and understand the medical specifications (Abraham & Moretz, 2012). On the other hand, case study 2 reflected upon the lack of awareness and responsible behaviour exhibited by the nurses involved. This case is about a teenage boy named Alex who is 16 years of age and is an inpatient of the paediatric ward. He underwent ultrasound for perforated appendix due to the one day open appendectomy procedure. He was visited by his parents and friends and managed to consume food items via take away. This showed clear lack of vigilance among the nurses who would have scolded him and did not allow the visits from his friends. On the contrary, he refused to move to a pressure area care or took nurse's assistance for
doing daily chores like bathing etc. This clearly demonstrated that nurses were ignorant and irresponsible in fulfilling the duties and assigned tasks which led to hampering effects on the well being of Alex. He later had 10/10 nausea rate and had multiple bad tries on the PCA. Additionally, it is understandable that participation is imperative in involving patients and their families for better outcomes (Pande, 2014). However, from both the case studies, it is evident that nurses were unprofessional and led to irresponsible behavioural in completing the allotted tasks.This behaviour must be reported to curb its implications on the patient centred care andalongwith,thefocusmustbeonremovingthecommunicationgapsforimproved effectiveness.To sum up, it shed light on the need of using this principle to bring constructive changes at the medical practices under ethical standards. Nursing interventions suitable for the child’s developmental stage There are several types of interventions in regard to the nursing practices that assist in development of a child. This involves actual action plans and treatment courses to lay substantial options for enhancing the suitability of proving nursing assistance to the affected patients. It has also used to perform goals and objectives of the organisation in proper manner(Smith, Swallow& Coyne, 2015). Herein the focus is to educate the nurses for gaining knowledge about the medical conditions in both aspects, that is surgically and medically. Along with this, it is also important to make the nurses to take initiatives for taking independent decisions during emergency and critical situation (Barnsteiner, 2014). This would give them an added advantage to establish better relations with the patients and the families by addressing to their queries and any confusions regarding the medications or treatment plans. Moreover, the nursing diagnosis would lay the foundation of assessing the human responses in effectual ways to determine the focus areas on the overall status of the patients' health. It would help in rectifying the situational crises and other managerial responsibilities properly.The crisis would not occur in the first place and would have saved the resources and brought effective treatment plans.If the nurses had been more vigilant and responsible towards the needs of Alex and Thomas from both the case studies respectively, the outcomes would have been differed and brought positive effects on the complete development of the patients with their families(Disch, 2016).Nurses are important in establishing positive outcomes with the patient and the family.Thus, nursing interventions are always beneficial for giving proper assistance,
support and care to the patients and their families through a reliable and transparent medium. This helped in establishing better results in regard with the PFCC. Strategies to reduce the negative effects of hospitalisation Hospitalisation is a wider term used for taking an individual to hospital regarding any illness or consultation. This mainly deals with employment of nursing or medical practices to provide qualitative delivery services in the heath and social care sector to the people. The role of nurses are considered crucial here due to their direct presence during all stages of a patient's treatment and recovery plan (Stout, 2012). Their contribution is in all the phases such as educative or managerial or supportive to improve the life enhancing skills on the lines with gaining trust, loyalty and empathy. However, there are both positive and negative impacts of hospitalization and in context to child's developmental plan, negative effects are seen more than shown in the above mentioned case studies. Furthermore, the negative effects after evaluating the case studies and from several sources, there is a prevalent lack of basic education in treating patients by the nurses and coping challengesshownbythechildduringthetreatmentactionplan(Uhl&et.al.,2013). Additionally, few other parameters also lead to negative effects such as over burdened nurses sometimes ignore the needs and requirements of the children and are less empathetic towards parents, illness seriousness and critical variables associated with the medical procedures(Hillier, 2013). There is need to develop strategic planning to overcome these challenges that impact the environment of hospitals into negative and less friendly. Here,training must be given on regular intervals of time to update the nurses on handling the equipments and other materials in context to medications like syringes, chemicals etc. It would prove beneficial as it would help the nurses to guide and direct the families and assist in making them comfortable and less scared. Along with this, proper channels of communication via emails, phone calls, pagers etc. must be intact and based on proper and coherent inter connectivity (Barnsteiner, 2016). It would help in removing ambiguity and bring transparency with clarity in giving medicines or taking any tests and enhance the working environment through effective modes. Lastly, this strategic planning must be achieved by conducting activities and events to build mutual trust among the co workers who might help each other during times of emergency or any surgical procedures.Such strategies would bring reliability and transparency in the working practices of the professionals and bring trust and mutual
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understanding in giving patient centred care.It would foster the environment in positive ways (Shields & et.al., 2012). Thus,these strategies would leadto develop the workplace environment in better manner. CONCLUSION It has been summarized thatPatient and Family Centred Care (P&FCC) is essential frameworkinthehealthsectorofAustraliatoprovidequalityservicestothepatients. Furthermore, it reflected upon the nursing interventions in regard to the features and other aspects of this framework to bring reliability and feasibility components. It has also described the necessities required for applying nursing interventions for the child's development and added few strategies are incorporated to minimise the negative effects of hospitalization.
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