Patient Experience & Partnering in Care Case Study 2022

Running Head: PATIENT EXPERIENCE & PARTNERING IN CARE 1
Patient Experience & Partnering in Care
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PATIENT EXPERIENCE & PARTNERING IN CARE 2
Patient Experience & Partnering in Care
As it has been attested by many healthcare workers, nursing care approaches which
prioritizes the opinions and decisions of the patient involved as well as that of the family
members tend to be the most fruitful. A case scenario of a 40-year-old female Aboriginal woman
by the name Raelene Ward who has been diagnosed with gestational diabetes after giving birth
to her third child will be scrutinized on the basis of her treatment from the time she falls a victim
of diabetes through her care process. Her discussion with the interviewer reveals that most of the
decisions regarding her treatment were entirely made by the healthcare workers involved and
were full of assumptions. Based on this fact, this paper will frame the experiences of this woman
under the Patient-Centered Care theory in order to emphasize the importance of patient-centred
care approach in nursing practices. In addition, the case scenario of Raelene Ward will be
analyzed in relevance to how patient-centred care approach would have helped in her case.
There are a number of weaknesses which are clearly evident in the case scenario of
Raelene Ward because most of the nursing care decisions did not follow the guidelines of a
patient-centred Care (McCormack & McCance, 2016). For instance, it has been revealed that
Raelene Ward did not get a detailed explanation as well as the cause of what she was suffering
from. Also, despite the fact that her condition (Gestation Diabetes) had other approaches of
treatment like diet approach and exercising approach, the healthcare worker in charge went
ahead to make the decision of insulin treatment without involving or consulting her. There are a
number of nursing standards which were violated in the case scenario of Raelene Ward. First,
violation of quality of practice when Raelene Ward went for maternity services can be attributed
to her developing gestation diabetes (Halcomb et al, 2016). This is in consideration of the fact
that she was not receiving ongoing support as it should be. Secondly, collaboration standard was

PATIENT EXPERIENCE & PARTNERING IN CARE 3
also violated in this case because, in most of the cases where decisions were made regarding her
treatment, she was not consulted (Fisher, 2017).
Patient-centred care is basically a nursing care approach which emphasizes partnerships
between patients and the healthcare professionals as far as nursing care is concerned. This theory
acknowledges the preferences and the values of the patient with the aim of promoting flexibility
when providing healthcare services and moving beyond paternalistic and traditional approaches
to healthcare (Rathert, Williams, McCaughey & Ishqaidef, 2015). Also, this approach
acknowledges the beliefs and values of a patient in regard to health and wellbeing. The quality of
practice standard requires a professional healthcare worker to systematically enhance the
effectiveness and quality of nursing practice. On the other hand, collaboration standard requires
all the healthcare workers to collaborate with patients, family and other stakeholders when
conducting nursing care. When mapped on Erikson’s 8 stage framework, the case scenario of
Raelene Ward fits under stage one because it raised issues of Trust and Mistrust for failing to
involve Raelene Ward in decision making (Kropf & Greene, 2017). Failure to adhere to the
guidelines stipulated above saw the entire nursing care process proceed with many faults.
From the case scenario, the first fault has been identified as the lack of ongoing support
when Raelene Ward was going through the gestation period. It is through this fault that she
developed gestation diabetes. This can be supported by the fact that Raelene Ward had given
birth to two other children without any problem. The loss of her sister has also been identified as
another reason which worsened the case of Raelene Ward. This would have been avoided if there
was ongoing support through counselling. This is based on the fact that stress worsens the
condition of diabetic people (Delaney, 2018).