Nursing Report: Role of Nurses in Patient-Centred Care, NHS

This report delves into the significance of patient stories as the foundation for compassionate care within the National Health Service (NHS). It emphasizes the importance of understanding service users' narratives to deliver patient-centered care, highlighting key concepts such as communication, ethical considerations, and legal compliance. The report explores how nurses can uphold the principles of the NHS Constitution, particularly the commitment to placing patients at the heart of every service. It discusses the value of listening to patient stories in providing compassionate care and examines the roles and responsibilities of nurses in ensuring high-quality patient care. The report also addresses barriers to implementing patient-centered care and provides insights into overcoming these challenges to improve service delivery.

Nursing

Table of Contents
INTRODUCTION ..........................................................................................................................3
Importance of patient’s story as a foundation for compassionate care .......................................3
Key concepts and relevance to deliver compassionate patient/service user centred care............5
Role of the nurses in upholding the NHS Constitution in promoting choice .............................7
CONCLUSION................................................................................................................................9
REFERENCES..............................................................................................................................11

INTRODUCTION
Service users assume a central position in the delivery care and support. This is required
so that proper response and respect is provided to the needs and values of patients (Dewar and
Nolan, 2013). It indicates the importance of understanding the centrality of service users in
relationship centred care. In this regard, one of the key principles of NHS constitution is to place
the patient at the heart of every service provided (The NHS Constitution for England, 2015). The
key concepts such as communication, ethical and legal considerations form the base of this
principle. The present report is based on the ways in which nurses can uphold the principle of
NHS constitution which is concerned with placing patients at the heart of every service. In the
report, the importance of patient story for providing compassionate care, has been discussed.
Further, discussion has been done on the key concepts and their relevance in delivery of
compassionate care. Lastly, the role nurses in upholding the NHS constitution has been analysed.
Importance of patient’s story as a foundation for compassionate care
Patient story is defined as the narrative of the health experiences of an individual. These
are either told by the patient or by someone who is close to them such as carer or family member.
According to Central London Community Healthcare, patient stories can be positive or negative
or can contain both the elements. These help in gaining information about the feelings of service
users (Patient stories, 2016). According to Bishop and et.al., (2016), with the help of service user
stories, the health care organizations can focus on determining ways in which patient and carer
experience can be transformed by improving the quality of service. This can be done by listening
to the voice of the service users and learning from it (Bishop and et.al., 2016).
Importance of listening to patient’s stories
In order to deliver compassionate care, it is important to listen to service user stories.
Compassionate care is considered to be a key component of good nursing care. Compassionate
care is concerned with being close to patient and empathizing with their situation (Compassion in
nursing, 2009). Enabling compassionate care matters as the healthcare professionals want to
become capable of caring for the service users with the same humanity and decency as they
would expect for themselves. By listening to patient’s stories, the health care professionals and
nurses are able to know about the positive and negative elements of their experiences. This
enables them to gain information about the ways in which patient feels and the issues faced by

them. Following this, the nurses can bring changes in their ways of providing care to the patients.
Listening to service user stories will make the nurses to focus on the functional components of
‘doing’ role as well as ‘being’ role. This is important for provision of compassionate care
because through it, the nurses become capable to acknowledge as well as act (Grohar-Murray,
DiCroce, and Langan, 2016). This comprises of focusing on the needs of the patients and
channelling the emotions into active responses. In order to provide proper meditation by health
care professionals, it is essential to listen. It enables to know the issues that are faced by patients
and they can be provided with high quality services when they are heard.
There are many sets of stories that are captured by health care organizations in order to
make sure that they provide their patients with proper services (Hamric, Hanson and O'Grady,
2013). When a patient share their experience and issues, then it becomes favourable for health
care providers as they get to know the areas in which they lack. By considering these areas,
improvement can be made and other patients can be taken care effectively. When patient/service
user stories are provided to nurses, then they understand the way that people expect to get care
and how they should be treated. When patient is admitted to healthcare organization, then they
know closely about the issues or the quality of services that are provided to them. In this context,
it is important that they make sure that proper services should be provided to patients. For
example, when a nurse gets to know that patients who are old are to be provided information in a
loud voice, then they will remember this (Dougherty and Lister, 2015). From this, it can be stated
that nurses will get to know the areas in which they lack. Accordingly, they make changes in the
type of service they provide. Further, it is also helpful in developing healthy relationship with
patients and the issue can be solved. There are cases in which organization fail to understand the
type of issue they are facing. In this context, it is important that they ensure experienced
healthcare professional who will be able to come up with appropriate solution through which
problem can be solved. This is possible as they have interacted by stories from patients/service
through which it is possible for them to know the actual issue that is faced ( DiCenso, Guyatt and
Ciliska, 2014). From this, it can be stated that stories that are provided by service/patients are
helpful for health care providers and organizations to make sure that they provided adequate
services.

Key concepts and relevance to deliver compassionate patient/service user centred care
In order to provide patient with proper services, it is important health care professional to
follow certain concepts like communication and ethics so that patients can be satisfied (Chinn
and Kramer, 2013). Patient centred care can be determined as a way in which patient are
provided with equal opportunity to provide their suggestions in the type of meditation they
should be given. In other words, they are considered equal partners in monitoring, planning and
development so that they make sure that they meet up the required needs. It focuses on keeping
the families and related people of patient at the centre of decision making. There are different
aspects of patient care below given are few of them:
 Providing proper respect to patients and services and keeping them at the centre for
decision making (Hockenberry, Wilson and Wong, 2012).
 Integrating care and coordinating
 Both patient and healthcare providers should work together and they should make sure
that there is education, communication and information.
 Involving friends and families.
It is very important aspect as it make sure that people are provided with high quality
services. It has many importance and it includes benefits like:
 Helping patients to get what they wanted (Oermann and Gaberson, 2013).
 Make sure that the quality of service is maintained.
 Reduces pressure of social and health services.
In order to deliver proper care, nurses play vital role and they are refereed to the heart of
healthcare (Kozier, Madeleine Buck and Lucia Yiu, 2013). There are many importance of nurses
and in order to understand it below given are the roles that are played by nurses in delivering
care:
Decision making: Nurse gets to interact with different patients and they know what type
of meditation they should be provided so that they can over come their issues. Further, they also
conduct critical thinking that enables them to evaluate the patient and their issues and other
interventions through which promotion is made for the health of patients (LeMone, Burke and
Reid-Searl, 2015). They are helpful to provide adequate information to patient so that they take
appropriate step to overcome the problem. Patients get confused regarding in what way they can
cure their issues. However, in this type of situations nurses are very helpful as they in supporting

patients in taking decisions (LeMone, Burke and Reid-Searl, 2015). It enables to patients to
develop trust confidence over the suggestions that are provided by the nurse.
Communicator: It is the responsibility of nurse to make sure that they have effective
interaction with patients. There are cases in which people do not share all the issues related to
their health (Lehne and Rosenthal, 2014). However, when there is proper communication, then
they develop trust and confidence among their mind and share their problems.
There are different set of rights that are provided to people in health and social care. In
this context, it includes public awareness regarding different type of diseases that affects the
health negatively. In this context, there are different type of sources that are used by
organizations related to health and social care with an aim to make sure that proper information
is provided to public (Grohar-Murray, DiCroce and Langan, 2016). These reports related to make
public aware enables them to take proper steps so that they can protect their health.
As stated above there are many ethical and legal consideration that has to be followed
through which they can make sure that proper services are provided. In this context, it is
important that there is confidentiality among all type of things that are conveyed by patient
(Hamric, Hanson and O'Grady, 2013). These are cases in which people do not want their family
or friends to know about the issue. In such situation, it is essential that health professionals do
not leak the information. In addition to this, there are laws that are made in this aspect and that is
data protection act. As per this act, it is important that all the information that is provided by
patient is stored in a proper software and it is made access to everyone but only to those who are
allowed.
There are many people who are involved in providing care to patient. In this context, it
includes patient, health professional, nurses, family, friends, etc. All are essential and together is
enables to provided effective care (DiCenso, Guyatt and Ciliska, 2014). There are cases in which
patient do not proper information but it is conveyed by close once. In such situation, it becomes
helpful for health care providers to provide proper services. All the people involved should be
provided with the opportunity to ensure that their suggestions are considered for treatment.
There are many barriers because of which nurses fail to adopt concept proper. With this
respect, below given are the barriers that are faced:
Miscommunication: When patient convey their issues to nurses, then there are situations
in which they fail to understand the problem. This results in providing wrong meditation and it

causes serious issues (Hockenberry, Wilson and Wong, 2012). In this context, there are also
situation in which patient misunderstands the meditation that they need to follow. With this
respect, it is important that their type of barriers should be solved by effective communication.
Lack of training: There are different type of tools that are used by nurses so that health
conditions can be evaluated (Kozier, Madeleine Buck and Lucia Yiu, 2013). However, it
becomes an issue or barrier when they fail to make use of these tools. It happens when nurses are
not provided with proper training. It is important that management understand the areas in which
they lack. Accordingly, they should be provided training so that barriers can be solved.
Role of the nurses in upholding the NHS Constitution in promoting choice
NHS Constitution for England assists in bringing together for the first time the principles,
values, rights and beliefs which underpins the NHS to work effectively in respect of care users.
However, it is essential for care home to provide comprehensive and equitable health service and
empowering care users, service providers and public to assess and carry out the rights in regard
to assists and drive enhancements in quality, efficiency and responsiveness throughout NHS
(Bishop and et.al., 2016). It can be evident from the constitution that care users and NHS staff
requires to prepare a constitution so that awareness can be created regarding public care services.
However, there is still little evidence that patients are using NHS Constitution as a means of
exercising their rights. Developing NHS Constitution also helps in upholding awareness among
nurses and thus provides benefits to individuals so that better care be provided to patients. Also,
it can be evaluated that statistically there has been significant increase in the understanding of the
NHS Constitution among staff and thus increase NHS staff morale to perform outstanding in
terms of fulfilling the actions (Chinn and Kramer, 2013). Thu,s there are around 81% of the NHS
staff which believes that it is crucial for NHS to have constitution.
In regard to enhance the impact of NHS Constitution and for it is essential to be truly
valued, supported and used by care users, service providers, carers and public. Also, it helps in
improving the awareness among NHS and thus attain desired results. It also raises pride among
workers to carry out he operations within NHS. It is essential for NHS Constitution to bring
together the principles, values, rights and responsibilities in order to carry out the operations
effectively within NHS (Dewar and Nolan, 2013). It helps in setting out framework in primary
legislation and thus establishes Health Act 2009. It involves different bodies such as private and

voluntary sector and helps in taking effective decisions and actions. Preparing NHS Constitution
helps in empowering care users, staff and public in order to assess their needs and fulfil it
accordingly so that set results can be attained. Main role of NHS Constitution in satisfying the
needs of staff and fulfil their rights and responsibilities so that engagement can be enhanced in
regard to develop better services for care users (DiCenso, Guyatt and Ciliska, 2014). Also, it is
created in order to provide a better sense of cohesion and develop communication so that better
results can be attained. There are different legal duties that assists in promoting the NHS
Constitution such as introducing The Health Act 2009 which results into carrying out effective
commissioning and promote the choices of care users so that it can be fulfilled appropriately.
The Health and Social Care Act 2012 has been created in relation to identify the requirements of
local authorities so that care facilities can be provided (Dougherty and Lister, 2015).
It is essential to identify the duty that requires anyone who provides NHS services under
the contract, agreement or arrangements. NHS Constitution amends different acts that helps in
providing awareness regarding different legislation that needs to be provided in HSC and thus it
helps patients, staff and public to attain desired objectives. It intends to attain two core objectives
i.e. to safeguard the NHS as an efficient and equitable health system and thus empower patients
within NHS (Hamric, Hanson and O'Grady, 2013). Following are the different objectives that
NHS Constitution sets out such as-
 To identify the principles and values of the NHS in England.
 It obtains the rights to which care users, care providers and public are entitled.
 Also assessing the responsibilities that helps patients, staff and public to make sure that
operations needs to be carried out effectively and efficiently.
Moreover, it can be assessed that nurses play a significant role in regard to uphold the
NHS Constitution so that choices of individuals can be promoted in an effective manner. NHS
staff believes that it requires significant improvement within care setting and thus attain success.
Also, it is essential for the NHS nurses to possess effective awareness of the Constitution and
thus significantly enhance the public choices (Hockenberry, Wilson and Wong, 2012). Further,
in regard to improve the awareness of nurses it helps NHS Constitution to develop appropriate
strategy so that better results can be attained in terms of fulfilling the patients choices.

NHS Constitution views that staff is required to uphold the constitution in an effective
way and thus work in an effective manner. Also, it is essential for business to significantly
improve the the values and principles of staff so that they can promote the choices in an
appropriate manner and thus improve patients performance. Setting NHS Constitution helps in
outlining principles and values of the NHS in England in order to identify the rights of patients,
staff and public so that desired results can be attained. It also essential to undertake the pledges
entitles within NHS Constitution such as rendering better quality services to care users and attain
satisfaction (LeMone, Burke and Reid-Searl, 2015). Also, it entitles that nurses are required to
behave appropriately while dealing with care users and encounter the needs of individuals in
order to fulfil them and attain desired results. Thus, it is essential for nurses to provide better care
and support in relation to satisfy their needs.
Furthermore, it is also essential for care home to assess the importance of offering choice
so that better care opportunities can be provided to them. It is significant to assess the
significance of offering choices so that best care facilities could be rendered to patients and thus
assists in satisfying individuals needs. HSC needs to promote the choices effectively and thus
help patients in providing them different information that would help them to attain maximum
goals. Thus, it is essential for care providers to assess the significance of offering choices and
promote the same in regard to gain better results (Oermann and Gaberson, 2013).
CONCLUSION
From this report, it can be articulated that it is important that issues or problems that are
faced by patient should be effectively communicated. From this it can be stated that there should
be proper communication so that they get to know the main cause of issue and then meditation
can be provided. Further, suggestions should be taken from patients as they are the one who
make use of services. This will enable in make improvements or changes in the services.
Moreover, nurses should be provided with proper training. However, it is been provided with
management identify the areas in which they lack, then they will get desired results. Suggestions
should be taken from nurses as they have direct interaction with patients so they know what all
the issues that are faced by them. This will enable to motivated them and to make them develop a
feeling that they are important.

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