Patient & Family Centred Care: Paediatric Nursing Case Analysis

This assignment provides a detailed case study analysis of Patient and Family Centred Care (PFCC) within pediatric nursing, examining its impact on children and their families. It compares and contrasts the positive impacts of PFCC, particularly focusing on the use of initial contact to understand patient and family needs. The study applies key concepts of enabling and empowerment in pediatric nursing care and analyzes the principle of information sharing in two distinct case studies, highlighting gaps in communication and collaborative mindset. Furthermore, it suggests nursing interventions tailored to the child's developmental stage and proposes strategies for nursing and medical practices to mitigate the negative effects of hospitalization, emphasizing a patient-centric environment and recreational activities to improve the overall well-being of young patients.

FAMILY CENTRED CARE

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Compare and contrast one positive impact of P&FCC on the child and family..........................1
Application of concepts in paediatric nursing care......................................................................2
Comparative analysis of one P&FCC principle to the nursing care of the child in Case Study 1
compared with Case Study 2........................................................................................................2
Use examples of nursing interventions suitable for the child’s developmental stage.................4
Strategies for employment in nursing or medical practices to reduce the negative effects of
hospitalisation .............................................................................................................................4
CONCLUSION................................................................................................................................5
..........................................................................................................................................................6
REFERENCES................................................................................................................................7

INTRODUCTION
Patient and family centred care (PFCC) of Australia is the basic framework that support
in designing, implementing, delivering and evaluating the healthcare services. This is significant
to empower the affected families to promote independence and assessing the decision making in
accordance to the family's care giving under the legislative framework (Glegg, 2016). The
delivery of services in health and social care sector is essential to maintain the quality and
performance of the involved professionals. This assignment is going to examine about the
impacts mentioned in given two case studies in terms of empowerment and enabling of PFCC in
the paediatric care. This would support in gaining the insights on the family centred care. Along
with this, it analyses on the impact of hospitalisation, its related strategies and nursing
interventions to demonstrate the needs for the development of child.
MAIN BODY
Compare and contrast one positive impact of P&FCC on the child and family
Traditional models of paediatric care assist in understanding the primary nursing and the
functionalities involved in the complete patient care. The positive impact chosen is the
application of interventions via using the first contact to gain knowledge about the concerns,
strengths and needs of the patients and their families (Tallon, 2015). Along with, the comparison
can be drawn on active participation of patients, their relatives and families to take decisions for
better care services with the first contact intervention. Moreover, features of traditional model’s
emphasis on the adherence to compliance of the medications and promoting stable living
situations. Whereas, use of interventions via first contact helps the professionals like nurses in
bridging the communication gaps and support to establish an open and flexible medium to
connect (Nursing care in early childhood: contributions from intersubjective recognition, 2017).
This comparative analysis brings personal responsibility by empowering and collaborating in
holistic manner.
Along with this, the contrasting feature includes the efforts that have been made to
establish an informal systematic system between professional and the patient. However, the
drawback is the reliance over professional services. Sometimes, families do not respond to the
first contact made by professionals to understand the case in more appropriate ways. This
reflected upon the situation where many families lack the basic information in contacting the
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professional help and leads to low recognition of using competencies and abilities for helping the
affected patient (Smith, 2015).
Application of concepts in paediatric nursing care
Enabling is defined as the ability of an individual to gain knowledge and overall in sights
for providing assistance for better delivery and quality of healthcare services. Whereas
empowerment is the process in gaining control while performing practices for improving
standards of living (Gill, 2014). Enabling and empowerment are the two most important concepts
of patient and family centred care that are applied in paediatric nursing care. These are
considered as useful while performing tasks in the hospital or primary health care setting. It is
identified as crucial due to the development of self-care attitude among the patients to achieve
the maximum benefits (Foster, 2018). Their application is necessary to generate awareness in
terms of policies and following the practices through conducting one to one interactive sessions
for better implementation of health care services.
Nevertheless, empowerment is given through proper education and making professionals
and the entire setup as the participative linkage by laying the foundation of collaboration and
enabling power at individual levels (Curtis, 2016). For instance, these concepts shed light on the
more distressing conditions and critical cases in the paediatric facilities to bring better outcomes
and adoption of patient centric approaches. It is understandable with proper assessment and
professional guidance regarding gaining insights in context to medical conditions, this nursing
care is beneficial to lay a transparent foundation for appropriate assistance while dealing with
patients and withstanding any critical situation with better approachability. Henceforth, the
conceptual segmentation to apply the nursing practices must be validated to maintain cordial
relations between patients, their families and professionals.
Comparative analysis of one P&FCC principle to the nursing care of the child in Case Study 1
compared with Case Study 2
Information Sharing- Share information clearly and openly is chosen from the given
P&FCC principles (Mitchell, 2016). It is the common practice to be adopted by the professionals
to improve the communication and exchange of information during critical cases or emergency
situation. Additionally, this protects the personal information and queries to be addressed by the
concerned individuals for better establishment of the chosen key principle of PFCC. It helps in
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overcoming the prevalent challenges and barriers to establish an integrated framework for better
delivery and quality of care services in the health (Shaul, 2014).
Case study 1 would have used this principle to gain advanced understanding of the family
centred care in context to the nursing practices (Kemppainen, 2013). The nurses did not fulfil the
needs of Tanya, the mother of three-year-old kid Thomas who was suffering from acute asthma
and was born through C section. His conditions were deteriorating and this made him to shift to
the paediatric ward and was also given immediate treatment to improve breathing. However, his
assigned nurse did not provide clear details to Tanya which made her more agitated and in turn,
it affected Thomas's health conditions in adverse manner. The nurses lacked collaborative mind
set to give proper details about Thomas' ongoing conditions. In reference to the chosen principle,
the nurses must have been more responsible and should have updated his mother about his
treatment processes and other medication. Nonetheless, Tanya would have also initiated and
interacted with the nurses to gain knowledge for re-gaining strength and confidence to help her
kid (Couch,2017).
Case study 2 also shed light on the lack of cross cultural interaction and exchange of data
between the patient and the practitioner nurses (Kriplani, 2014). Despite his constant pain and
nauseous feeling of 10/10, he was adamant in not shifting to pressure area care. This clearly
demonstrated that the chosen principle has not been implemented effectively in this scenario and
took the patient to take extreme steps by denying his intensity of pain. Additionally, the nurses
must have pushed Alex to open up regarding his conditions and pain in order to prescribe better
medication and treatment plans. Along with, the nurses must have put additional efforts as Alex
is a teenage who was on continual visitation from his parents, relatives and friends (Stewart &
Shamdasani, 2014).
Subsequently, these two case studies reflected upon the lack of training and sense of
responsibility to the nursing practices (Smyth, 2017). This hinders the child's development and
lacks the ethical code of conduct. It is also demonstrated that case study 1 was based on Thomas
is a toddler whose cognitive and overall social developmental was in the initial stages while on
the other hand, case study 2, Alex is a teenager who was also vulnerable to changes and the
surroundings. This gap of age led to disoriented behaviour from the nurses who lacked the
urgency required in dealing with the mentioned cases. In both the cases, it is required by nurses
and professionals to share information regarding patient's condition to their family members
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clearly and openly so that they enable to take proper actions. It is also necessary for family
members of patient to share all the information to professionals or care providers so that proper
treatment can be given (Coyne & et.al., 2016). Moreover, the comparative analysis shed light on
the lack of using the chosen PFCC principle in overcoming the challenges and critical situations
in professional ways.
Use examples of nursing interventions suitable for the child’s developmental stage
With complete assessment of both the case studies, it is important to adopt few
interventions for better suitability of the patient and family centred care. The nursing
interventions are pre-requisite of real time action plans and treatment procedures given to the
patients for better recovery under a systematic order (Kwan, 2013). For instance, in regard to the
case studies 1 and 2, nurses must have been more aware and self-conscious to adopt strategic
planning for productive outcomes. When Thomas was distressed, due to his mother's reaction,
the assigned nurse practitioner must have intervened to deliver qualitative care and safe delivery
of medications and treatment plans. It would have been possible through regular and daily
assessment of their evaluations, viable one to one interactive session and use of advanced
equipment to ease their work loads and help them to have quality time for taking proper rest
(Ball & et.al., 2013).
In regard to the above, other interventions involves teaching strategies for the nurses to
gain knowledge and improve skills set to help the patients in complete and effective manner
(Wiegand, 2012). The most favourable interventions are collaborative nature and nurse initiation
with the help of practitioner's support and initiative actions. Therefore, the delivery of services
must be outlined on the performance management and spreading of qualitative care services to
make the patients and their families comfortable in the hostile environment of hospitals (Britto &
et.al., 2017). It is summed up that nursing interventions are the holistic approach to build better
relations between the families and the staff working for providing treatment plans to the affected
individual like Alex or Thomas from the case studies (Townsend, 2013).
Strategies for employment in nursing or medical practices to reduce the negative effects of
hospitalisation
There is a huge physiological impact of hospitalisation for a child care and is divided into
both positive and negative outcomes. From case study 1, the negative outcomes such as lack of
awareness regarding nursing practices and improper communication channel led to improper
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decision making and affected Thomas. Along with, lack of professionalism is another negative
outcome among the nurses led to deteriorating impact on the overall treatment plan. It affected
on the well-being of Thomas and along with it has impacted the nursing practices on the whole.
However, their treatment plans and the associated strategies applied to mitigate the hampering
effects might be considered under the same structure (Asarnow, 2015).
Firstly, the hospital management must have made the environment more patient centric
and must impart proper training sessions to meet the requirements of the families and affected
individuals in more profound manner. This would help in the removal of the gaps between the
parents and the patient. Moreover, it would form strong ties between the involved families and
the practitioners (Dawson, 2014). Another strategy is to apply some recreational activity with
respect to the kids' hobbies or interests to make them engage and do not feel lonely or isolated.
Next strategy could be to start interactive time to communicate with the patients and address
their queries regarding the disease, treatment plan etc. to improve quality and delivery of care
services. The hospital environment leads to traumatic effects on the body and minds and leads to
home sicknesses and it directly affects the treatment plans (Carayon & et.al., 2014.).
There is also need to adopt principles from several conceptual models which are based on
three components such as rights, social esteem and affection. Here, the role of nurses is
important, which is distributed via nursing interventions. It is carried through adopting
continuous and regulated safety guidelines by nurses to establish better relationships to provide
care and support for the child's overall development to provide coherent care. It is applicable
under a socio-political participation for both nurses and the involved families for better
interaction and understanding, and helps nurses to spread awareness’s to all the levels (Phillips,
2014).
To sum up, these strategies would be only feasible when applied strictly in context to
policy making and instructions made by the organization's management (Melnyk, 2011).
Furthermore, it impacted the working practices of professionals like nurses and its interventions
in real time to bring substantial modifications in the treatment plans of the child without
affecting their mental capacities (Aebersold, Tschannen & Sculli, 2013).
CONCLUSION
From this assignment, Patient and family centred care (PFCC) approach is necessary and
were different in both the cases but needed same nursing interventions to curb the ill effects on
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the patients and their families. Along with this, empowerment and enabling must be promoted to
maintain better relations while providing care in the hospitalization phase to bring proper
responsiveness from both the sides that are professionals and patients with their families. There
is establishment of the concepts of empowerment and enabling in terms of PFCC of the
paediatric care. Moreover, this led the foundation for promoting independence through
application of Information Sharing- Share information clearly and openly principle. Henceforth,
it has been outlined that in order to deliver quality care services, hospitalization environment
must be made better through applying strategies in terms of the nursing interventions.
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REFERENCES
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