Reflection on Understanding of Roper, Logan and Tierney’s Model’s Impact on Future Practicing of 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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