Nursing Assignment: Legal and Safety Aspects of Patient-Centred Care

This nursing assignment critically analyzes the legal and safety aspects of patient-centred and family-centred care. It explores key concepts such as shared decision-making, patient rights, and ethical considerations within the healthcare setting. The report emphasizes the importance of collaboration,...Read More

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
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Legal issue: application of family centred and patient centred care
Family centred and patient centred care is healthcare approaches which used healthcare
process, intervention identification, planning delivery of care and evaluation identification so
that through the application this approach mutual partnership between healthcare professionals
and the patient and associated family could be developed (Constand et al., 2014). In this age of
globalization, increasing awareness about healthcare processes, the requirement of health literacy
and developed interventions has increased the requirement of communication and connection
between healthcare professionals and patients (Davis Boykins et al., 2014). Hence, it is important
for the healthcare facilities to provide their staff with educational and training lessons so that
while conducting the care process, they could implement patient centred or family centred care
process (McWilliams, 2016). This section would discuss about these two aspects if healthcare
and their legal aspect in brief.
As per Smith, Swallow, and Coyne (2015), while caring for a patient with an adverse
health condition, it is important to include their families and take consent from the patient as well
so that effective care and quality could be fostered. Hence, the core competencies that should be
followed while conducting care process for patients centered care are collaboration, shared
information, dignity and respect, and participation. While conducting care for patients with
diverse ethnicity, lingual preference or different level of healthcare literacy, it is important to
comply with the core competencies of family-centered care. As mentioned by Davis Boykins et
al. (2014), shared decision making is the process that helps the nursing professionals to assess
the cognitive and behavioral abilities of the patient. Further, they provide proper guidance and
support to the family members and the families to take part in the care process and resolve the
patient’s adverse health outcomes through shared decision making and self- management of the

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goals (McWilliams, 2016). In patients with different lingual preferences, different cultural
background or with an increased or decreased level of cognitive abilities, it should be provided
with equal opportunities of decision making, and participation chances as it would increase the
trust of the patients on the care process.
The second goal of the patient-centered care is dignity and respect towards the patient or
involved family. As per Constand et al. (2014), while communicating to involved patients or
their families, it is important for the healthcare professional to maintain dignity and respect so
that they could comply with the ethical code of conduct developed for the compatible care of the
patients. Further, it was also seen that majority of the healthcare professionals complies with this
core concept by managing the patient and their values, their family knowledge, their beliefs, and
their cultural aspect (Greene et al., 2016). This helps them effectively as applying this in the care
process, patients could be provided with their ethical rights and responsibilities (Russell &
McCloskey, 2016). Hence, with proper dignity and respect the patient and their families should
be provided with educational sessions and training so that through the application of self-
management approaches effective treatment could be assured.
Participation and collaboration are two primary aspects of the family-centered and
patient-centered care in which, as per Turchi et al. (2014), patients are provided with abilities and
strength so that they could take their decisions and could develop their self- goal targets within
the given timeline. On the other hand, as per Constand et al. (2013), there is no such
specification about the participation related aspects for the patients and as per the need of the
patients, the healthcare professionals are determined to include participants in the interventions
to achieve the major benefit of the condition. Collaboration is one such aspect of family-centered
care which depends on the health literacy of the patients because with proper collaboration, the

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patients should be aware of the care intervention, program development, implementations and
evaluation of the interventions (Davis Boykins, 2014)
Hence, it is evident from the previous healthcare experience that majority of the
information of healthcare interventions were not provided to the patient because they were not
aware of their ailments or not able to understand the requirement of the intervention (Constand et
al. 2013). Hence, as per Sidani and Fox (2014), noncompliance with the core competencies of
the family and patient-centered care increases the risk factor of safety and ethical compliance due
to which majority of the patients are unable to overcome their health complications.
Hence, while providing care to such patients, suffering from critical health conditions, it
is important to include patient-centered and family-centered care and to achieve this,
development strategies should be followed by the healthcare professionals (Constand et al.
2013). The first strategy which should be included with providing training and healthcare literacy
for the patient should be inclusive of EHR data so that all the patients could understand their
vital signs and symptoms and take an effective step in improving the patient condition (Sidani &
Fox, 2014). Further, application of the patient-centered care provides the patients to develop
timely and self-management approaches that help to apply quality interventions with scheduling
appointment in the process. Further, through the application of patient-centered care, healthcare
professionals became able to look for strategies that could develop communication between
healthcare professionals and patients (Greene et al., 2016).
Hence, the above- mentioned discussion find out the strategies and abilities of the patient-
centered care in developing improved results, shared information abilities and include their
suggestions in the care process so that their quality of life improved (Smith, Swallow, and

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Coyne, 2015). There are several aspects that should be included in the care processes such as
decentralization of health system, inability to keep choices, lack of physical and emotional status
which impacts the quality and delivery of effective care process. Hence, while caring for patients
with increased physical, emotional and mental aspects, they should be provided educational and
literacy so that through shared decision making and developed opportunities, they are
empowered to make right choices, and through the process, health improvement of the patients
could be achieved.

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References
Constand, M. K., MacDermid, J. C., Dal Bello-Haas, V., & Law, M. (2014). Scoping review of
patient-centered care approaches in healthcare. BMC health services research, 14(1), 271.
Constand, M. K., MacDermid, J. C., Dal Bello-Haas, V., & Law, M. (2014). Scoping review of
patient-centered care approaches in healthcare. BMC health services research, 14(1), 271.
Davis Boykins, A. (2014). Core communication competencies in patient-centered care. ABNF
Journal, 25(2).
Greene, C. A., Ford, J. D., Ward-Zimmerman, B., Honigfeld, L., & Pidano, A. E. (2016,
October). Strengthening the coordination of pediatric mental health and medical care:
Piloting a collaborative model for freestanding practices. In Child & youth care
forum (Vol. 45, No. 5, pp. 729-744). Springer US.
McWilliams, J. K. (2016). Integrating telemental healthcare with the patient-centered medical
home model. Journal of child and adolescent psychopharmacology, 26(3), 278-282.
Russell, S., & McCloskey, C. R. (2016). Parent perceptions of care received by children with an
autism spectrum disorder. Journal of Pediatric Nursing, 31(1), 21-31.
Sidani, S., & Fox, M. (2014). Patient-centered care: clarification of its specific elements to
facilitate interprofessional care. Journal of interprofessional care, 28(2), 134-141.
Smith, J., Swallow, V. and Coyne, I., 2015. Involving parents in managing their child's long-term
condition—A concept synthesis of family-centered care and partnership-in-care. Journal
of pediatric nursing, 30(1), pp.143-159.

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Turchi, R. M., Antonelli, R. C., Norwood, K. W., Adams, R. C., Brei, T. J., Burke, R. T., ... &
Levy, S. E. (2014). Patient-and family-centered care coordination: A framework for
integrating care for children and youth across multiple systems. Pediatrics, 133(5),
e1451-e1460.