Nursing Assignment: Partnering in Care and Patient Care Delivery

This nursing assignment examines the concept of 'partnering in care' and its influence on patient care experiences. The essay highlights the importance of patient-centered approaches, emphasizing the need for patient autonomy and family involvement in care planning. It discusses the significance ...Read More

Running head: NURSING ASSIGNMENT
Nursing Assignment
Name of the student
University name
Author’s note

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Table of Contents
Introduction:....................................................................................................................................2
Body:................................................................................................................................................2
Patient care experience....................................................................................................................2
Patient and family centred care........................................................................................................3
Partnering in care.............................................................................................................................4
Facilitators and barriers of healthcare experiences..........................................................................4
Organizational attributes towards promoting organizational change..............................................4
Conclusion.......................................................................................................................................5
Bibliography....................................................................................................................................6

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Introduction:
The current essay focuses on the concept of ‘partnering in care and its effect on
patient care experiences’. The current decade has seen a rise in the number of person centred
care approaches with a view to provide more autonomy to the support users. The aspect of
partnering in care helps in the extension of the needful service along with meeting the diverse
care needs of the support users. In this context, much of the patient care experiences are based
upon the personal relationship developed between the patient and their primary care providers.
The patient experiences are further dependent upon a number of other factors such as timely
redressal of services by highly skilled professional.
The patient centred focus also helps in the establishment of ethical service standards. The
current essay focuses on the importance of partnering in care, patient care experiences, and
family centred approach on the delivery of optimum standard care services. The organizational
culture and staff practise also contribute significantly towards patient centred healthcare.
Body:
Patient care experience
The patient care experiences could be defined as the quality of support services offered to
the support service users. The care experiences of the patients are based upon a number of
factors such as effective communication between the health care providers and the patients
(Penm, 2017). One of the factors which often have an influence upon the patient view of the care
services is the time limit within which the care services are provided. The patient care
experiences also cover the area of continued and long term care services for chronically ill
patients. The provision of direct patient care experiences are based upon a number of parameters
such as enhancement of inter-professional skills in the care giving process (Dyrbye, 2017). One
of the most important approaches to be undertaken in the patient centred care is the policy of
making informed choices. In this respect, a patients is given is directly involved in the decision
making process.

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I think the patient care experiences are critical in defining the standards of health care
services. The experiences encountered by the patients forms the ground for the establishment of
an effective relationship between the health care professional and the patient availing the care
services. I think delivery of a comprehensive and culturally respondent care services to the
patients helps in addressing the diverse challenges related to each and every cultural group. In
this respect, Mr. Taylor is a 74 year old man with a fall history ten weeks ago on returning home
from the shops and had a second fall inside the home. Although Mr. Taylor had visited the clinic
he seemed to have less control over his motor abilities such as walking and moving
independently. Therefore, Mr. Taylor needs to be provided with comprehensive care assessments
where he could be provided with light stretching exercises along with long term care plan to
prevent the occurrences of such untoward incidents in the future (Edvardsson, 2017). I think as a
health care professional I would conduct the doorway stretch, calf stretch among other stretching
exercises with Mr. Taylor. This helps in providing more self control to the fall patient.
Patient and family centred care
The family and patient centred care is based upon the planning, evaluation and delivery
of health care services based upon a mutual consent among the patient, family members of the
patient and the support providers (Sheetz, 2014) . The goal for the implementation of the patient
family centred approach is to involve the family members of the patient in the decision making
and planning of the care process (Wagner III, 2014). I think provision of a patient family centred
approach helps in designing of a comprehensive care plan where the desires and wishes of the
patients are given utmost importance. This helps in provision of autonomy to the support
users like Mr. Taylor and their family members.
The goal is to develop an equal and common place for the patients, their respective
family members and the support carers (Visser, 2014). I think the incorporation of the policy of
informed decision making regarding the diagnosis and treatment care plans helps in speedy
delivery of care and support services. As commented, the same also prevents the development of
any conflicting situations within the care set up. I think provided the age and vulnerability to fall
support care users like Mr. Taylor need to be provided with round the clock care and supervision.

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Thus, involvement of the family members of support service users like Mr. Taylor could be
beneficial.
Partnering in care
The partnership in care is a three year strategy implemented in health care to place
the patients at the centre of the support and care services (Carman, 2013). The goal of the
approach is to establish a platform where there is equality in terms of power division between
the health care professionals, the patients availing the support services and the respective family
members (Wolff, 2015). The partnership is further subject to a number of parameters for
achieving success in the healthcare process. These include leadership and staff along with
empowerment of the patients through feedback and responses.
The establishment of effective partnership within a healthcare set up is based upon
effective communication tools. In this respect, team working plays a very crucial role in meeting
with the diverse needs and demands of the support and care services. However, as argued,
presence of miscommunication or lack of partnership between the service users and the support
providers can affect the quality of the services (Sevelius, 2014).I think looking after the care
needs of fall patients like Mr. Taylor requires effective partnership between different health care
channels. Additionally, employment of nurse who is effectively trained in the areas of fall patient
management could be beneficial (Doyle, 2013). I think establishment of an effective
collaboration between the family and the care professionals could help in meeting the emergency
and trauma care needs of support users like Mr. Taylor.
Facilitators and barriers of healthcare experiences
There are equal number of facilitators and barriers in the process of optimum care
services delivery. Some of the facilitators over here are awareness in the patients regarding
their present health conditions. The ability of the patients to self manage their health perils
could act as an added advantage (Kadu, 2015). However as mentioned, lack of standard
guidelines could affect the quality of the care services (Kuipers, 2014). Additionally,

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insufficient staffing along with difference of opinion could affect the quality of the care
services.
Organizational attributes towards promoting organizational change
A number of different organizational attributes could be taken into consideration for
bringing about a change in the work culture of the organization. Some of the parameters for
assessment are effective leadership strategies, willingness within the workforce of the
organization for bringing about the required change, development of a patient centred
approach.
Additionally, partnering with strong and effective and information technology
systems can help in keeping the important health related information of the patients safe and
secure (Domecq, 2014). Team working along with sufficient sharing of information could help in
meeting with the diverse care needs of the support users. Additionally, promotion of effective
dialect between the support carers and the support users can help in the promulgation of a patient
focussed approach (Vahdat, 2014).
Conclusion
The essay puts emphasis upon the promulgation of patient centred approaches for
provision of optimum care and support services to the patients. The patient centred approach
however places emphasis upon patient care experiences along with partnering care approaches.
The main emphasis though is put upon promoting of sufficient autonomy of the care service
users. However, in this respect involvement of the family members of the support users helps in
making informed choices regarding the designing of the care plan. The patient care experiences
are also based upon provision of standard care services for longer period of time. Thus, the
responsiveness of highly skilled services along with effective inter-professional communication
can help in the enhancing the patient focussed approach.

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Bibliography
Carman, K. L. (2013). Patient and family engagement: a framework for understanding the
elements and developing interventions and policies. Health Affairs, 32(2) , 223-231.
Domecq, J. P. (2014). Patient engagement in research: a systematic review. BMC health services
research, 14(1), , 89.
Doyle, C. L. (2013). A systematic review of evidence on the links between patient experience
and clinical safety and effectiveness. BMJ open, 3(1), , e001570.
Dyrbye, L. N. (2017). Burnout among health care professionals: A call to explore and address
this underrecognized threat to safe, high-quality care. NAM , 1-25.
Edvardsson, D. W. (2017). Patient experiences of caring and person‐centredness are associated
with perceived nursing care qualit. Journal of advanced nursing, 73(1) , 217-227.
Kadu, M. K. (2015). Facilitators and barriers of implementing the chronic care model in primary
care: a systematic review. BMC family practice, 16(1) , 12.
Kuipers, B. S. (2014). The management of change in public organizations: A literature review.
Public Administration, 92(1) , 1-20.
Penm, J. M. (2017). Minding the gap: factors associated with primary care coordination of adults
in 11 countries. The Annals of Family Medicine, 15(2) , 113-119.
Sevelius, J. M. (2014). Barriers and facilitators to engagement and retention in care among
transgender women living with human immunodeficiency virus. . Annals of Behavioral
Medicine, 47(1) , 5-16.
Sheetz, K. H. (2014). Patients' perspectives of care and surgical outcomes in Michigan: an
analysis using the CAHPS hospital survey. Annals of surgery, 260(1) , 5.
Vahdat, S. H. (2014). Patient Involvement in Health Care Decision Making: A Review. Iranian
Red Crescent Medical Journal, 16(1) , e12454. http://doi.org/10.5812/ircmj.12454.

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Visser, M. D. (2014). Physician-related barriers to communication and patient-and family-
centred decision-making towards the end of life in intensive care: a systematic review.
Critical Care, 18(6) , 604.
Wagner III, J. A. (2014). Organizational behavior: Securing competitive advantage. Abingdon:
Routledge.
Wolff, J. L. (2015). An exploration of patient and family engagement in routine primary care
visits. Health Expectations, 18(2) , 188-198.