NUR1201 S2 2018: Evidence-Based Analysis of Patient Experience

This essay provides an analysis of a patient's hospital experience, focusing on patient-centered care, family-centered care, and Erickson's theory of development. The case study of Mr. Jack Simpson, who experienced a ruptured disc and a 12-night hospitalization, is used to illustrate these concepts. The essay highlights the importance of patient and family involvement in care, addresses the impact of ineffective care due to the doctor's limited availability, and emphasizes the crucial role of nurses in providing support and effective communication. The analysis also explores the concept of partnering in care, emphasizing mutual respect and information sharing between patients and healthcare providers, and concludes with recommendations for healthcare organizations to improve patient experience through better communication, health literacy campaigns, and addressing negative aspects of treatment options.

Running head: EVIDENCE BASED NURSING RESEARCH
EVIDENCE BASED NURSING RESEARCH
Name of the Student
Name of the University
Author Note

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In this essay the patient experience and collaborating in care of a patient who has
experienced the hospital care is described. In this case, the case study 1 is chosen to analyze. In
this case, Mr. Jack Simpson has shared the experience of patient care of himself. The experience
he had during his hospitalization period is described in this essay. Jackson was 45 years old and
had experienced of 12 nights of hospitalization due to the rupturing of disc in his back during
him was helping a person in car rash. He was admitted to a private hospital and there he had
experienced the nursing care. Although he had overall a good experience. In this essay, the
patient centered care, family centered care and the Erickson’s theory of development is
described. The main aim of this essay is to analyze the experience of Jack by relevant nursing
theories.
The person and the family centered care refers to the practice in which the nursing
personnel and the patient are an important member of the medical team. The patients and the
health care members both are involved in the care of the patient. In order to enhance the quality
of the health care facilities given by them, there should active participation from both end
(Coyne et al., 2013).In this concept of patient centered care the patient is placed in the center of
his own care and along with this the patients family requirements is also considered (Lusk &
Fater, 2013). In this case, scenario of Jack Simpson the person and family centered care is very
much important because during the injury Jack was helping a person who faced a car crash.
Therefore, Jack was the only person who can brief the history of the incident to the doctor
properly. Along with this, the effect on Jack’s family should also be considered as they were also
in a bad condition (Jahangiri et al., 2016). According to Erickson’ developmental theory jack
was in that category where people try to do social works to get social recognition (McLeod,
2013). Jack was very upset due to his accident , at the age of 45 ,as he was instructed to lie

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straight and thought that world had stopped for him. Family and nurse had played a great role to
keep Jack out from this condition. Patient centered care increases the patient satisfaction where
lack of lack of medical knowledge of family member shows hindrances to this concept (Grol et
al., 2013).
The ineffective care refers to the treatment in which patient is neglected in terms of
giving proper care (Huynh et al., 2013). In this case, study of Jack we can see that the doctor was
not always available there to give proper care to Jack. However, it was very important in this
case. Jack became very depressed, as he was bed ridden due to his ruptured disc. In this
condition doctor should encourage Jack by giving him self-confidence. Moreover, in this case
doctor was not always present there to give proper guidance. He was given the choice of surgery
and the option of treatment by the physiotherapist. Probably there was also an option of both the
treatment together and Surgery is the better way to recover from this condition. However, Jack
chose the option of physiotherapy as he came to know that the surgeon was not so good. The
doctor had an early bad a report related to this type of surgery. This encourages jack to nullify
the option of the surgery as he had only one chance to be recovered from this condition. The bad
reputation of the doctor was the only reason of Jack’s refusal to surgery and he had the mindset
that if he had not cured with the physio treatment then he would go to the surgeon of the city
(King & Hoppe, 2013).
The term effective care refers to the fact that how a health care personnel increase the
quality of care they are giving to a patient through proper supervision and by meeting the need of
the patient (Giger, 2013). In this case, study, the nurses were giving the proper care to Jack by
several ways. According to Jack, the nurses were the key factors in giving him proper care and
they filled the gap of the medication process. The nurse took the case of Jack so seriously that

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even during the doctor visit she was there to help Jack in asking something to the doctor related
to his treatment as because Jack might hesitate to communicate with the doctor. The nurse had
given the realization of a proper support with her intense care to Jack. The nurses had established
a well interpersonal relation by her communication skill with Jack so that jack can feel easy and
comfortable in that condition (Arnold & Boggs, 2015). Although Jack was in intense pain, still
Jack had shared his personal experience with her as because he got a family like feeling. Jack
also appreciated the approachable nature of the nurses (Kieft et al., 2014).
The term ‘Partnering in care’ mainly indicates towards the matter of patient centered
care. Partnering refers to the partnership between the patient and the health care provider. This
encourages the fact that with mutual respect, trust, information sharing, a proper environment,
and participation from both the patient and nurse will enhance the quality of health care services
(Tobiano et al., 2015). In this case study, it is seen that doctors are not involved very much with
this case and Jack was not even easy with the doctor. The main concept of patient centered care
can be applied here in order to give more importance to Jack. However, Jack had enough support
from the nurse. Doctors even hardly communicated with Jack about his medication process. Lack
of proper communication with the doctor was the main reason of Jack’s hesitation. However, if
there were proper communication, Jack would go for his surgery, which was a better process
than the physiotherapy. However, jack was influenced by words of other person to take therapy
instead of surgery. In order to give quality service the doctors should take part in this process.
The health care organization was also failed to make Jack understand about the positive side of
the surgery and as a result, Jack refused to take the better option as he came to know about the
bad reputation of the doctor. Although the hospital did not provide other surgeon for Jack’s
surgery and that is why Jack had chosen the option of physiotherapy. The hospital should use the

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patient experience regarding this, so that in future such treatment would not take place at all.
The health care provider should enlist their positive and negative aspects in order to give better
facility. Along with this hospital can organize health literacy campaign to increase the health
care knowledge of the patient in order to give the best care to the patients (Anhang et al., 2014).
Lastly, it can be concluded that by maintaining proper environment in the health care
sector the hospital can increase the quality of the facility that is given by them. In this case,
patient centered care is very much effective. Along with this, nurses played a crucial role in
maintaining the flow of Jack’s treatment and their effective communication covers the wounds of
ineffective care in the hospital. Jack became so familiar with them that they even shared personal
information with each other. This boosted the medication process of Jack by many folds.

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