Exploring Person-Centered Care: Concepts, Ethics, and Nursing Duties

This report provides a comprehensive overview of person-centered care within the context of contemporary Australian healthcare settings. It defines person-centered care, emphasizing the importance of patient needs, values, and preferences, and how this approach contrasts with traditional healthcare models. The report then delves into the legal and ethical concepts that underpin person-centered care, including beneficence, non-maleficence, autonomy, and justice, highlighting the responsibilities of registered nurses in adhering to these principles. Furthermore, the report explores the use of evidence-based practices in nursing, particularly in relation to a case study of a patient with scoliosis. Finally, it analyzes the differing duties of registered and enrolled nurses, emphasizing the supervisory role of registered nurses and the scope of practice for each role within the Australian healthcare system. The report concludes with a list of cited references.

Person Centered Care
part B

Table of Contents
Concepts of Person centred care in contemporary Australian health settings............................3
Legal and Ethical Concepts.........................................................................................................4
Utilising an evidence based approach and analysing the way duty of care for registered nurse
differs from enrolled nurse .........................................................................................................5
REFERENCES................................................................................................................................7

PART B
Person centred care includes informing, listening and involving the patients in the health care
setting. The present report explains about the concepts of person centred care in contemporary
Australian health settings. Further discussion is being made on legal and ethical concepts. Duty
of care for registered nurse is also explained further in the report.
Concepts of Person centred care in contemporary Australian health settings
Person centred care can be defined as a way of thinking and doing certain things which
focus on seeing and treating people in such a way that it meet their needs (Ford and et.al., 2018).
This centred care settings are developed and maintained in such a way that nurses focuses on
providing care services to the patients in respectful and responsive way. Needs, values,
preferences of patient are respected and valued in contemporary Australian health settings. The
patient centred care settings are emerging in the Australia as a primary approach for health care.
According to the given scenario, Joan feels very tired, frail and she also has the extreme scoliosis
that leads to affect her mobility and also increases the risk of falls (Coyne, Holmström and
Söderbäck, 2018). She dose not wish to go to the nursing home but she is being admitted in for 8
days in a single room. The person centred care facilities can help effectively to the patient Joan.
The concept of person centred care puts great emphasis on acknowledging and respecting
the preferences and values of patient. This also promotes flexibility in provision for health care
services and seeks for moving beyond of the traditional paternalistic way and approach of the
health care settings (Patient-centred care as an approach to improving health care in Australia,
2018). Patients like Joan and many more can feel better and get treated effectively through the
person centred care as in addition with various physical aspects of health care, it also
acknowledges the values and beliefs of patient towards the well-being.
The main advantage of this contemporary Australian health care setting is that it puts
great focus on enhancing satisfaction of the patient, thus lead to bring positive and effective
outcomes. The main focus of this contemporary health care setting is on meeting the needs of
person or patient rather than the services need. People now-a-days who need health care services
do not want or happy with sitting back and letting health care staff to do what is best. People or
patient have their person views for what is good for them and they also have their own priorities
in life. Thus, contemporary Australian healthcare settings are focusing on being more flexible for
meeting the needs of people. The care settings or systems are developed in a way that it suits the

patient need rather than the way round. People are provided to be an equal partner for planning
the health care and also their opinions are respected and treated important. Person centred care
settings do not assume about what patient thinks or wants but they focus on identifying the same
and then meeting their needs and wants. Joan can get good and effective health care treatment in
the person centred care settings as the concept of these settings are focused on respecting the
values and beliefs of patient and also provides satisfaction to them.
Legal and Ethical Concepts
Legal and ethical principles or concepts refers to description of what is expected and can
be defined in terms of right or wrong. There are different ethical principles which the registered
nurse must adhere to and comply with (Malmberg and et.al., 2019). This may include non-
maleficence, autonomy, beneficence and justice. For example, the registered nurses within
healthcare settings or personal care settings are expected to perform their duties and role in
accordance with various ethical principles. Ethical practices and ethics are integrated into various
aspects of the nursing care.
Beneficence refers to doing right and also good things for the patient. Non-maleficence
refers to that nurse focus on doing no harm as it is stated in the Hippocratic Oath. The harm may
be classified into intentional or unintentional (Ethical Practice: NCLEX-RN, 2019). Autonomy
refers to that nurse focuses on respecting the wishes of patient even when nurse do not agree
with it. Nurse accepts the patient as the unique person who have the innate right for having
personal perspectives, opinions, beliefs and values. Justice refers to fairness. The registered nurse
focus on being fair and treating patient in fair way while distributing the healthcare services. For
example, the registered nurse is providing care services to group of patient and according to this
ethical principle, care needs to be fair, justly and equitably distributed to different patients of the
group.
Beneficence can be defined as ethical principle which is based on the idea that nurses
should facilitate good practices. It is the concept which includes doing goods and right thing. In
simple words, nurse should conduct such practices which is good for patient. For instance, in
context of Joan, the best ethical practice which can be conducted by nurse is Resuscitating a
drowning victim. In addition to this, nurses can assist Joan in performing routine activities.
Beneficiaries is considered to be as an effective as well as valuable as it promotes superior
standards of nursing performance. It is the concept which focuses on compassionate care and

advocates for continual striving toward excellence. But nurses are required to be very careful
while implementing the beneficiaries ethical as well as legal concept as it could lead to
paternalism when implemented in inappropriate manner.
Utilising an evidence based approach and analysing the way duty of care for registered nurse
differs from enrolled nurse
Evidence based practices can be defined as conscientious utilization of beat practices
available. It is an evidence practices which provides nurses with techniques which can be utilized
for delivering quality care as well as services to patients. In context of clinical setting, evidence
based practice is conscientious problem solving approach which assist nurses in delivering high
valuer proposition to patients. It also helps nurses in making an appropriate decision related to
patient care. In context of nursing, evidence based practices plays crucial role in the enhancing
the patients outcomes (Care, 2018). It has been analyzed from the given scenario, is that Joan is
suffering from the me scoliosis which affects mobility and increases falls risk. Joan also feel
afraid making new friends, in such case nurse in nursing home is required to identify the best
solution for solving the issue faced by Joan. In addition to this, as Joan is very much sensitive in
such case nurse has to be very much careful while dealing with Joan. But by adopting the patient
centered evidence based approach nurse in the nursing home can assist Joan in improving her
health. Person centered care approach to nursing is considered to be as an effective as it enables
patients to determine their own requirements. It is the holistic patient centered approach which
encourages professional to reflect as well as generate self-awareness . Holistic patient centered
approach also supports medical professional or nurses in fulfilling the needs and meeting the
expectation of patients. In context of given case study, Holistic patient centered approach will
assist nurse in fulfilling the needs of Joan. By using the Holistic patient centered approach, nurse
can engage Joan in planning, developing and monitoring care to make sure it meets their needs.
Difference between the duties of enrolled nurses and registered nurses.
Registered nurses are basically a fully trained nurses with an official state certificate as
well as competencies. On the other hand, enrolled nurses are those who have acquired requisite
qualification (Håkansson and et.al., 2018). Enrolled nurse works under the supervision as well
as guidance of registered nurse.

Registered nurses as more duties and responsibilities as compared to enrolled nurses.
The duties of enroll nurse in Australian clinical setting is to help patient in performing daily
activities. In context of given case scenario of Joan, it is the duty of registered nurse is to help
Joan in performing daily activities. Whereas, the duty of registered nurse in Australian clinical
setting is to monitor, record and symptoms or changes in patient health conditions. In context of
Joan case, duty of registered nurse in nursing home is to monitor as well as report the changes in
health conditions of Joan (Fazio and et.al., 2018.). In addition to this it is the duty of registered
nurse is to provide treatment to patients suffering from specific disease. Duty of registered nurse
is to educate patients and their families on disease prevention and post-hospital treatment. On the
other hand, duty of enrolled nurse is to administer the medicines and also to undertake other
nursing care responsibility which is appropriate to their assessed competencies. In addition to
this, role of registered nurse is to assist registered nurse in providing treatment to patient.

REFERENCES
Books and Journals:
Care, P.C., 2018. Person Centred Care.
Coyne, I., Holmström, I. and Söderbäck, M., 2018. Centeredness in Healthcare: A Concept
Synthesis of Family-centered Care, Person-centered Care and Child-centered Care.
Journal of pediatric nursing. 42. pp.45-56.
Fazio, S., Pace, D., Flinner, J. and Kallmyer, B., 2018. The fundamentals of person-centered care
for individuals with dementia. The Gerontologist, 58(suppl_1), pp.S10-S19.
Ford, K. and et.al., 2018. The concept of child-centered care in healthcare: a scoping review
protocol. JBI database of systematic reviews and implementation reports. 16(4). pp.845-
851.
Håkansson, J.E., Holmström, I.K., Kumlin, T.and Summer, M.M., 2018. " Same same or
different?" A review of reviews of person-centered and patient-centered care. Patient
education and counseling.
Malmberg, L. and et.al., 2019. Service Design as a Transformational Driver Toward Person-
Centered Care in Healthcare. In Service Design and Service Thinking in Healthcare and
Hospital Management (pp. 1-18). Springer, Cham.
Online
Ethical Practice: NCLEX-RN. 2019. [Online]. Available through:
<https://www.registerednursing.org/nclex/ethical-practice/>
Patient-centred care as an approach to improving health care in Australia. 2018. [Online].
Available through:
<https://www.collegianjournal.com/article/S1322-7696(17)30042-2/fulltext>