Reflection on Understanding of Roper, Logan and Tierney’s Model’s Impact on Future Practicing of Person-Centered Care

This reflection discusses the understanding and impact of the Roper-Logan-Tierney (R-L-T) nursing model on future practicing of person-centered care. It explores the domains of the model and their influence on patient care. The reflection also delves into the personal philosophy of nursing and its connection to person-centered care.

REFLECTION ON UNDERSTANDING OF ROPER, LOGAN AND TIERNEY’S
MODEL’S IMPACT ON FUTURE PRACTICING OF PERSON-CENTERED CARE
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Introduction
The Roper-Logan-Tierney (R-L-T) nursing model is a practice-centered theory-based
model that can be used in clinical settings as well as in academics (Collins). In the current
reflective learning is based upon my learning from the RLT domains and the implications of
such learning in practicing person-centered care. Applying Gibbs’s reflective model (1988) I will
outline my learning’s from the model and ways it has contributed to patient-centered care
(Husebø, O'Regan & Nestel, 2015).
Description
Assimilating learning's from the RLT Model, the domains that were understood was
biological, psychological, socio-cultural, politico-economic and environmental factors (Attard &
Baldacchino, 2014). There are five factors that have an impact on the activities of living and
assimilating these factors provides nurses a holistic approach. The biological factor includes the
patient’s physiology and anatomy, hence its impact on overall health. Physiological factors
encompass the impact of cognition, emotion, spiritual beliefs and capability to understand. This
factor enables knowing about the patient, thinking, hoping, believing and feeling. Another factor
is sociocultural, where the impact of culture and society on the individual is understood (Sargent,
2015). This meant that the values, beliefs and expectations of the individual patient and by others
to carry out regular activities are understood. In the environmental factor, I learned that the
theory considers the impact of the environment on regular activities. Politicoeconomic factors
analyze the effect of government policies as well as the economy on regular living activities. The
model is used as a checklist where nurses assess or evaluate every aspect of a patient as not
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addressing a patient's preference might lead to disregarding daily living activities. Nurses should
not prioritize or ignore factors of patient care and need to address all aspects of the five factors of
the patient.
Feelings and Reaction to new information
The new information regarding the RLT Model was complete astonishment. I was
unaware of the various external impacts which can have an influence on the living activities. As I
was introduced to newer concepts regarding activities of living (AL) and thereafter the several
influences on such activities, I was able to understand the varieties in nursing interventions in a
better manner (Pimenta Lopes Ribeiro et al, 2014). I drew a connection between the various AL
and the subsequent impacts on AL. I was curious regarding the ways to communicate regarding
the influences but was relieved when I was successfully able to communicate it to my colleagues.
I was able to analyze each patient case distinctly from my learning module and connect them to
the RLT domains.
Evaluation of the learning experience
There was a tremendous transfer of learning that took place from this learning model. I was
effectively able to understand the key points of my learning experience. I was successful in
referring to various journals and books from which I gained insights into ways the factors
influences activities of living, hence has a role in patient's lives.
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I was competent in communicating with my classmates regarding the model and its
application in patient care as well. I feel I am a successful learner as I was able to transfer my
knowledge as well as understand it thoroughly myself.
Critical analysis
The model provides a norm in nursing care which is used as a checklist at the time of admission.
It understands the effect of changes in a patient’s life due to illness or admissions at the hospital.
The combination of changes occurring to a patient from the dependence-independence
continuum can indicate if a patient is improving or not effectively responding to the current care
plan (Wald, 2015). I understood from this model that, for example, biological factors such as an
illness or injury might impact overall regular activities. An individual suffering from a
neurological ailment that impacts limbs, might not be able to move about freely. In order that
nursing intervention and care plan is effective, the patient’s needs have to be met through a
combination of dependent and independent factors. The factors identified in the RLT model are
applied to understand a patient's relative independence for AL. The AL includes breathing,
maintaining a safe environment, eating and drinking, communication, washing and dressing,
elimination, mobilization, controlling temperature, working and playing, sleeping, expressing
sexuality and death (Pianpeng & Koraneekij, 2016). Another pertinent impact factor that can be
understood is that the way psychological factor might impact AL, such as a lack of literacy might
impact independence in health promotion.
Description of personal philosophy of nursing
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The review of the literature revealed that there are various influences on AL. This reflective
learning has enabled me to reveal my personal philosophy of nursing (Constand, MacDermid,
Dal Bello-Haas & Law, 2014). I have understood a patient’s health outcome will be an outcome
from factors of the model. When a nurse’s designs care plans then it is pertinent to analyze the
impacts that take place in the individual’s life. O’Connor (2002) states that the RLT model
places the patient at the focus of relation with the five components. Though AL occupies the
components of the model and every patient conducts every activity in a different manner. I
believe that the model's effectiveness is that it allows the nurses to work along with medicine.
With nursing roles greatly expanding by unplanned practices, interventions are generally
delegated though physicians. Only with the application of this model, a distinctive individualized
holistic approach incorporating medical factors of care was possible (Liberati et al, 2015).
Therefore, I consider this model to be holistic and provides an advantage against routine
approaches of nursing. I have adopted this aspect of the model as my nursing care intervention
philosophy.
The link between personal philosophy with person-centered care
The reflective model allowed me to adopt a more holistic nursing care model. From the
learning of the model, I have understood that the various influences might cause barriers in
nursing interventions. As a nurse, my aim will be to reduce interruptions in my nursing
interventions to enhance patient-focused outcomes. In a patient-centered outcome, it becomes
impertinent to render a holistic approach to the patient that incorporates various nursing
interventions with medical care. The model has allowed identifying the potential factors that can
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significantly impact patient outcomes. Person-centered care can be provided only by identifying
individual patient factors that affect AL. Therefore, in my future practice, I will aim at
undertaking holistic care where I will first analyze impacts on my patient from the various
factors identified in the model.
Conclusion
To conclude, it can be said that a reflection of my own learning experience enabled me to
transfer my learning into patient-focused outcomes. I gained significant knowledge and
confidence from the activity and ensured I follow correct protocols in a patient-centered care
plan. However, I still feel unprepared and overwhelmed by my learning and I feel that bring such
learning to practice will only allow accommodating any possible improvements.
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