Person Centred Care: Features, Values, Barriers, Challenges and Evidence for Nurses

This report discusses the features and values of person centred care, barriers to effective communication, challenges to person centred care practices, and evidence for nurses to ensure care is person centred.

Assignment

Table of Contents
INTRODUCTION .............................................................................................................................3
Features of the person centred care and values that underpinning this approach ........................3
Barriers to the effective communication in the chosen interaction and skill to overcome these
barriers...........................................................................................................................................4
Key challenges to the person centred care within chosen filed of the practice and how to come
these challenges.............................................................................................................................5
Range of the evidence a nurse can use to ensure that care is person centred ...............................6
...........................................................................................................................................................8
CONCLUSION .................................................................................................................................8
REFERENCES...................................................................................................................................9

INTRODUCTION
Concept of the person centredness is constituted in approaches to the the healthcare and
especially within nursing. In UK, the person centredness is embedded in various policies
initiatives. In the person centred care, social and health care are professional work together with
individuals who uses the services. The person centred care aid or support individuals to develop
skills, confidence and knowledge they need to efficaciously manage and make informed decisions
regarding health care and their own health (Alexander, (2022). Person centred care is consider as a
focus on the elders (clients and residents) care preferences and emotional needs, concordant with
their lifestyle. Emphasis is on the relationship in care (social model) rather than the task centred
approaches which focus on the elders physical health (Medical Model). This report will be based
on features of person centred care, barriers of the effective communication, challenges to the
person centred care practices and range of the evidence to ensure care is person centred.
Features of the person centred care and values that underpinning this approach
 Treat people with respect, compassion and dignity- Patient frequently lost their
independence during they enter care, that puts their pride at risk. The person centred care
enable the nurse or organization to maintain that pride by respecting patient's wishes and
support or treating them with an empathy and compassion.
 Provide coordinated care, treatment ans support- To deliver a consistent person centred
care, organisation or nurse coordinate with the other social and health workers and
services. Other than, when diligent move between carers or services, organisation have to
rebuild better understanding of their personal need and wants (Beaudreau and et. al.,
(2022).
 Offer personalised care, treatment and support- Organisation understand that what
practice for one service exploiter may not be appropriate for another. Personalising
organisational services to each diligent allow them for retaining some of their
independence and also fulfil their personal needs or wants.
Value underpin this approach

Person centred values are considering as guiding principles that aid to put an interest of
the person receiving support or care at the centre of everything organisation do. There are various
value underpin this approach. These values are mentioned below:
 Privacy- Every individual has right to clubby time and space when they need it. The
privacy impact where and how support and care are given, particularly when it include
personal hygiene and intimate procedure. The privacy involve not speaking to anyone
regarding a person's private information or details unless they give an approval and it is on
a need-to-know basis in order to improve their support and care.
 Rights- Human right act 1998, is primary legislation which sets out the individual's rights
within UK. In this, person have a right to talk their brain and be kept risk-free from any
trauma, as well as right to respect equality and dignity. Organisation should ensure that
their patient's rights are respected, not merely by themselves but by others individuals
included in their care.
 Individuality- Every person has personal needs, wishes, beliefs, values and choice. 'one
size fit all' does not work properly when it comes to rendering support and care (Cheetham,
(2022).
Barriers to the effective communication in the chosen interaction and skill to overcome these
barriers.
Barriers to effective communication in interaction are any negative pattern of the
behaviour which hinder individual from communicating and discourage the other people from
communication with someone else. In various cases, miscommunication is a product of the
unintentional verbal and non verbal cues. An individual may misinterpret other's facial
expressions of choice of the world form an opinions on the bases of that misunderstanding.
Barriers may also stem from organisational workplace culture or leadership, making it very
difficult for the workers to vox their questions and concern. Here, as a nurse I had face various
interpersonal barriers communication which are mentioned below:
 Cultural difference and language- It is essential to understand cultural difference in the
communication. In the given case, me and patients belong to a different background due to
which all of us are not able to understand each other's emotion. As the patients are not able

to understand English due to which all of us were facing a lot of difficulties in
understanding the actual problem (Cross & Carbery, (2022).
 Lack of an active listening- It is critical aspect of en effective communication. As
patients are not listening well enough to get engage in the conversation. Due to their lack
of the active listening skill it cause a rift between all of us.
 lack of the participation- It refers to communication with such person who does not want
to is impossible. The patients were showing a less participation as they were appear
unwilling to communicate with me and do not speak up when they should.
Commination and interpersonal skill to overcome these barriers
 Use simple language- When I was facing difficulty in communication with patients, then
try to avoid the complex ideas and words. For this, I had break down my conversation ton
simple part. I had started to use a very simple language so that patients can get understand
its actual spirit.
 Sign language- It is an effective way to overcome from the barriers of interpersonal
communication. Being a nurse when I was not able to understand the patients and they
were also not able to understand me, then I used the sign language by using my hand
gestured and movements. I also communicate with them through facial expression, rather
than spoken words.
 Use appropriate vocabulary- as patients are not able to understand English, in this case I
had tried to avoid using of the complex words that may be very difficulty for them to
understand me (Dunleavy and et. al., (2022).
Key challenges to the person centred care within chosen filed of the practice and how to come
these challenges
There is less written regarding challenges of the person centred care. A likely reason is that there
is a positive attitude towards the person centred care, with it being been stressed as ethically only
and “right to do”. Therefore, certain of these challenges are mentioned below:
 Unfair due to empathy- The empathy can be defined as a fundamental aspect of person
centred care and as an affirmative value in carte. Nevertheless, these is peril when one is
“very empathetic” showing an undue empathy to the certain individuals can be unfair and
unjust as is against the ethic's principles.

 Risk for mercifulness fatigue- In this, there is continual risk of the healthcare workforce
being overloaded by obligations and involvement in their patients. To increase risk or the
compassion fatigue that characterized by gradule lessening of exhaustion and compassion.
The compassion fatigue involve feeling of constant tension, anxiety, hopelessness,
sleeplessness and nightmares.
 High staff workload and time pressure- I had to take on fair bit of that work. I often
work for 10 to 12 hours. After all the essential administrative task and the shift changes
process. These shift often end up being even longer. By working such long hours was like
mentally or physically taxing for me (Garnett, Davidson & Eadie, (2022).
 Exclusion of the certain groups- As there is no any consensus regarding which patient's
group is foremost suited for. However there is a risk which might be too advantageous for
some but not for all. If one of the review or idea is relate those who are capable to make
the informed decision and take part in their care, there is risk that certain people will take
benefit of the situation by using their hefty voice while other people with their weaker
voice mights be disadvantaged.
Way to overcome form these barriers
As there are various challenges to patient care centred, therefore to overcome from these
challenges there are certain way through which it become possible to win over such challenges
(Gryzunov, & Gryzunova (2022). In this situation I had limit my empathy towards the patient as
empathic people were benefit from boundaries which put a limit around the amount of energy and
time I gate to the. Being a nurse, I had shift my perspective and gave empathy by identifying their
needs. To help preclude burnout and maintain the energy during these shift I make sure to got
enough rest when I was not working. In order to overcome from these challenges, I was being
empathetic to understand what my patient are going through. I started to know the people to
understand their needs. I started to set emotional boundaries in order to protect myself.
Range of the evidence a nurse can use to ensure that care is person centred
The conception of person centredness is becoming an established approach in delivery of
the healthcare particularly with nursing. The present research into person centred has been

attempted to clarify concept and exploring implications in terms of practice (Hauashdh, Jailani &
Rahman, (2022).The evidence from this research suggest that by adopting this conceptualisation
to nursing render more holistic care which leads to increase in patient gratification with the level
of care, reducing anxiety levels among users in long run and team working is promoted in staff.
The evidence is consistent in the view that being person centered needs the formation of healthful
relationship among professionals, service users, families and other significant to them their lives.
The relationship are build on mutual trust, understanding and sharing of collective knowledge.
The person centered nursing theoretical framework was developed by McCormack and McCance.
Particular social and health care advancement are required to consider increased ageing universe
with connected rise in long term conditions, focusing on integrated care and more overt focus on
primary care and public health (Romas, & Sharma, (2022). The diligent centeredness is
characterized as providing care about that is regardful and answering to individual patient
preference, needs and values ensuring the patient value guiding all clinical decisions. The standard
of evidence helps in informing and improving the healthcare decision & policies while it is used
for appraising the quality of available evidence on the impact of healthcare interventions. The
inclusion of evidence provides nurses with a scientific research in the combination with the real
period of time, data driven insight which helps in making well founded decisions. With the
evidence nurses can stay updated reagrading the new medical code of conduct for the care of
patient. Through researching for documented interventions which fits the profiles of their patient,
nurses can increase the chances of patients recovery. The evidence also helps nurses in evaluating
the research in order to have understanding the risk of effectiveness of diagnostic test or
treatments (Sarkar and et. al., (2022).

CONCLUSION
From the above report it is concluded that effective communication is a significant face in patient
nurse interaction and a core element of the nursing care. When the communication in patient-
nurse dyad is diligent centered, then it become therapeutic. It allow for a trust and correlative
respect in care process. Nurse who take time to understand the challenges and concern related
their patient will be efficiently prepared in order to advocate on their behalf. There are various key
challenges to the person cenetred care on the chosen filed of practice which need to be overcome
by the nurse. Therefore, it is essential for the nurse to make efforts ion order to win over these
obstacle so that their patient can get a positive experience. Hence, it should be stressed that the
patient- centered care is progressive approach to the health care delivery concerning on the close
interaction between nurse and patient in an effective and efficient manner.

REFERENCES
Books and Journals
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