NRSG 138: Applying Roper-Logan-Tierney Model in Person-Centered Care

This reflection essay explores the concept of person-centered care in nursing practice, utilizing Gibbs’ Reflective Cycle. It emphasizes the importance of the Roper-Logan-Tierney model and clinical reasoning in delivering high-quality, patient-focused care. The author reflects on a course unit that detailed person-centered care, highlighting its role in ensuring patient dignity, autonomy, and overall well-being. The essay evaluates how healthcare professionals should involve patients and families in care processes, considering individual preferences and needs. It further analyzes the application of the clinical reasoning cycle in managing complex patient cases and the Roper-Logan-Tierney model in providing holistic care by addressing the 12 activities of daily living and various influencing factors. The reflection concludes with an action plan for developing person-centered skills through training, evidence-based practice, and feedback from patients and colleagues, ultimately aiming to improve patient experiences and outcomes.

Running head: PERSON-CENTERED CARE
PERSON-CENTERED CARE
Name of the student:
Name of the university:
Author note:

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Introduction:
This assignment would mainly be written in the form of a reflection based on the concept
of person-centered care. It would show the ways healthcare professionals could follow Roper-
Logan-Tierney model and clinical-reasoning to ensure person-centered care. The main reflective
framework that would be followed in the assignment to complete the reflection would be Gibbs’
Reflective cycle.
Description:
This semester had included a unit entirely based on the important topic of person-
centered care. Our lecturer had provided a detailed discussion about the topic in details ensuring
that each student had developed a detailed knowledge about the ways to conduct person-centered
care in a real-life scenario. The unit also contained how Roper-Logan-Tierney model as well as
clinical reasoning cycle helps in providing person centered care. There had been discussion
sessions on this topic in the classrooms and we were allocated home tasks that helped all of the
students to ensure they had sufficient skills and knowledge to carry on person–centered care in
their future practices with appropriate application of Roper-Logan-Tierney model as well as
clinical reasoning cycle.
Feelings:
The important features that had been taught under the concept of person-centered care
had made me feel that following this process would enable them to provide high quality care to
the patient that would ensure patient satisfaction. The two theories like -Logan-Tierney model as
well as clinical reasoning cycle contribute to the achievement of high quality person-centered
care. Moreover, the way our lecturer explained the concepts to us made us feel its importance in

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the present day healthcare services especially in ensuring dignity and autonomy of the patient
and also to ensure high quality life. Therefore, I felt this course unit helped me in developing
detailed knowledge on the concepts, which would help me in being a competent nursing
professional in the future.
Evaluation:
The course helped me to learn that patient centered care is the practice of caring for
patients as well as their families in manners that are valuable and meaningful to the individual
patient. This approach mainly advises the healthcare professionals to listen to patients and family
members and accordingly inform them and involve them in their own care processes (Kogan et
al., 2016). Vikstrom et al. (2015) has described person-centered care as the approach of caring of
patients that is respectful of as well as responsive to individual patient references, values and
needs and even to ensure that patient values guide all the clinical decisions. This form of care
ensures putting the patient and the family members in the centre of the decision making process
and allowing them complete freedom and authority for making sure that their preferences,
expectations and inhibitions are taken into consideration while developing the care process
(Roen et al., 2018). On close evaluation of the topics that were included under the concept of
“person centered care”, I have come to understand the specific steps that I would need to include
in my care practices for ensuring high quality care to the patient. I should develop effective
communication skills that help me to establish rapport with the patient, connect with the patient
emotionally, and encourage him to participate in his or her own care. I should be tailoring the
care processes in way, which suit the needs of the patient as well as with what the patients want
to achieve. Often in healthcare organizations, patients are seen to come with multiple chronic
disorders that often create challenges for the professionals to manage. They cannot decide what

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interventions to follow and the nursing priorities that should be set. In such cases, clinical
reasoning cycle would be highly beneficial for the nurse who can follow it successfully. This
cycle helps the nurse to proceed in a systematic way by at first collecting cues about patients,
noting symptoms, and then relating the pathophysiology behind it. These helps the nurses to
identify the nursing priorities, following which nursing interventions are set and evaluated. This
approach provides the nurses with best clinical framework to ensure that all care needs of the
patient are met. Healthcare professionals should be supporting the patients and the family
members to understand the disorder as well as the pros and cons of the treatments that can be
applied for the patient (Hoglander et al., 2019). This would help the patients and the family
members to undertake proper decisions. However, I need to ensure that I can only encourage the
patient to take proper decisions but can never force them to take decisions even if I find it to be
the most suitable. While practicing in the future, I also need to make sure that I take active part
in providing emotional support to the patients and try my best to alleviate their fear and anxiety.
Our lecturer had discussed that when patients suffer from ailments, they tend to feel emotionally
weak and psychologically unstable from the fear of uncertainty and stress. Moreover, when
admitted to the healthcare ward, they feel more vulnerable and thereby they get stressed as they
cannot suit themselves up with the foreign environments (Poey et al., 2017). These are found to
have negative impact on the health outcomes of the patients. Hence, in order to provide patient
centered care, providing holistic care to patient is important. In such situation, the RLT model is
best suited to provide holistic care. This model advises nurses to assess and care for the 12
activities of daily living in order to help them live independent and quality life. Further. This
model also advises nurses to assess the biological, psychological, socio-cultural, environmental
and politico-economic factors which are contributing to developmental disorders. I also need to

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ensure that I communicate with the patient and develop rapport with her in ways by which the
patient can overcome her fear and anxiety and gradually starts feeling comfortable in the
healthcare ward. Through these, I would be assessing and collecting information on the above-
mentioned five aspects to ensure that I can provide holistic care to patient that meets his mind-
body-spirit needs. This would help the patient experience better outcomes enabling quicker
recovery (Young et al., 2016)
Analysis:
I would achieve a number of effective goals if I follow the person-centered care in the
future days. Person centered attributes in care is identified to be the key components for
developing high quality healthcare (Taylor et al., 2015). Studies have found that when patients
are put at the centre of their care, there is improvement of the quality of the services available
helping the patients to get the care that they need at the right time and following the manner they
had expressed to the professionals (Chaudhury et al., 2017). When service users find that the
nurses are providing care as per their wishes and are including their suggestions in the care
planning process, they feel that their likes and dislikes are respected and they are seen to feel
empowered. This empowerment makes them feel responsible about their own health and this
helps in developing self-management and coping abilities (Lor et al., 2016). In order to make the
patients feel empowered, only caring for his physical health needs is not enough. RLT model
should be used and biological, psychological, socio-cultural, environmental, and politico-
economic needs of the patients would be analyzed. Following this, the care plan would be set.
Only caring for biological determinant might help patient to overcome disorder but it would not
ensure quality life. The nurse should attend all the needs of patient in each category and care for
his 12 ADLS as well. This would ensure quality life and would have has positive health

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outcomes. I have realized that if I am able to provide person centered care to the patients in my
future practices, I will be able to make a bigger impact on the quality of the care. I would be able
to improve the experiences that people have from care services and I would be also able to help
them feel more satisfied. I would be able to encourage people to lead healthier lives and also
encourage them to be more involved in the decisions about their own care so that they are able to
achieve support and services that align with their preferences (Kolanowski et al., 2015). In this
way, I can bring change not only to the lives of the patients but also enable the healthcare centre
to be a comfortable place for the patients where they would be able to access the care they need
and develop relationship of trust with the organization.
Conclusion:
The course unit on person-centered care had helped me understand that following the
principles of this care approach enables patient to take active participation in their own care and
undertake decisions that are followed by nursing professionals while developing care plans for
the patients. This makes the patient feel respected thinking that the healthcare professionals are
empathetic and compassionate towards their needs and genuinely cares for their suffering.
Following the clinical reasoning cycle would help me identify the nursing priorities and would
help me set the correct nursing goals and nursing interventions. This form of care results in
quicker health recovery along with higher patient satisfaction and helps in greater adherence with
treatment. Hence, I would follow each principles of clinical reasoning cycle and RLT model
thoroughly so that I can also provide high quality person-centered care to patients successfully.

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Action plan:
I need to develop person-centered skills to ensure that I provide the best quality care to
the patients through following models of Roper-Logan-Tierney model as well as clinical
reasoning cycle. Therefore, I can attend training sessions where experienced mentors can help
me in developing the skills, which are required to follow correct approaches to the theories.
Besides, I would also undertake evidence based searches to develop more knowledge and skills
on the topic and accordingly apply them in practices. I would also seek for feedback from
patients and colleagues to reflect on the way about how I am fairing on the following of the
principles. All these would help me to develop this competency successfully.

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References:
Chaudhury, H., Hung, L., Rust, T., & Wu, S. (2017). Do physical environmental changes make a
difference? Supporting person-centered care at mealtimes in nursing
homes. Dementia, 16(7), 878-896. https://doi.org/10.1177/1471301215622839
Höglander, J., Håkansson Eklund, J., Spreeuwenberg, P., Eide, H., Johansson Sundler, A., Roter,
D., & Holmström, I. K. (2019). A positive tone and socio-emotional talk: Exploring
person-centered aspects of home care communication.
http://www.diva-portal.org/smash/record.jsf?pid=diva2%3A1295578&dswid=-7140
Kogan, A. C., Wilber, K., & Mosqueda, L. (2016). Person‐centered care for older adults with
chronic conditions and functional impairment: A systematic literature review. Journal of
the American Geriatrics Society, 64(1), e1-e7. https://doi.org/10.1111/jgs.13873
Kolanowski, A., Van Haitsma, K., Penrod, J., Hill, N., & Yevchak, A. (2015). “Wish we would have known that!”
Communication breakdown impedes person-centered care. The Gerontologist, 55(Suppl_1), S50-S60.
https://doi.org/10.1093/geront/gnv014
Lor, M., Crooks, N., & Tluczek, A. (2016). A proposed model of person-, family-, and culture-
centered nursing care. Nursing outlook, 64(4), 352-366.
https://doi.org/10.1016/j.outlook.2016.02.006

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Poey, J. L., Hermer, L., Cornelison, L., Kaup, M. L., Drake, P., Stone, R. I., & Doll, G. (2017).
Does Person-Centered Care Improve Residents' Satisfaction With Nursing Home
Quality?. Journal of the American Medical Directors Association, 18(11), 974-979.
https://doi.org/10.1016/j.jamda.2017.06.007
Røen, I., Kirkevold, Ø., Testad, I., Selbæk, G., Engedal, K., & Bergh, S. (2018). Person-centered
care in Norwegian nursing homes and its relation to organizational factors and staff
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FEDF619C35B2FC784D8C0E9F1D7A6E03
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https://doi.org/10.1016/j.gerinurse.2014.11.002
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ED86CFDA4F0B5A69592B75A1CBF31D89#

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Young, H. M., & Siegel, E. O. (2016). The right person at the right time: Ensuring person-
centered care. Generations, 40(1), 47-55.
https://www.ingentaconnect.com/content/asag/gen/2016/00000040/00000001/art00008