NRSG 138: Person-Centered Care and Determinants of Health Reflection

This reflective essay delves into the knowledge, skills, and attitudes acquired during weeks five, six, and seven, focusing on Person-Centered Care (PCC) and the determinants of health as per the Roper, Logan, and Tierney model. Week five explores the meaning and implementation of PCC, emphasizing patient values, dignity, and therapeutic partnerships. The reflection highlights the integration of PCC with the nursing code of conduct and evidence-based care. Week six introduces the biological determinants of health, including physiological and anatomical factors, and their impact on individual behavior. Week seven focuses on psychological determinants, such as stress, cultural beliefs, and cognitive ability, within the RLT model. The essay concludes by summarizing the acquired skills and knowledge, emphasizing the changed attitude towards healthcare provision and the importance of considering biological and psychological factors in ensuring better patient care. Desklib provides more solved assignments and study resources for students.

Running head: REFLECTION ON NURSING CONCEPTS 1
Reflection on Nursing Concepts
Student’s Name
Institutional Affiliation

REFLECTION ON NURSING CONCEPTS 2
Introduction
Person-Centered Care (PCC) places focus on the patient during the provision of
healthcare (Herlitz, Munthe, Törner, & Forsander, 2016). The technique improves the quality of
care as the patient chooses their preferred modes of treatment. The caregivers have the
responsibility of providing the necessary information to enable the client to make an appropriate
decision. Roper, Logan, and Tierney devised a model of the determinants of health. The
determinants include biological, psychological, socio-cultural, environmental, and politico-
economical factors (Randall, Thunhurst, & Furze, 2016). This reflective essay will focus on the
knowledge, skills, and attitude developed during week five, six, and seven of lectures. Week five
focuses on PCC, while the following weeks explore the determinants of health.
Week Five
During this week, I learned about the meaning of the term Person-Centered Care. Moreover, I
discovered how to implement the technique of medical attention. The lessons also exposed me
to the relationship between the codes of conduct and PCC. Earlier before this lecture, I presumed
PCC to be a form of treatment that allows the patient to make treatment choices and the doctor
follows. However, after week five, I learned that considers the values of the patient before the
commencement of treatment. I have now discovered that the mode of therapy respects the
dignity and the rights of all clients. Moreover, the PCC insist on the development of a mutual
partnership between the clients and the caregivers (Houghton, Horgan, & Boldy, 2016).
Furthermore, I learned that therapeutic collaboration develops understanding and trust between
clinicians and the patients.
I also learned about the implementation process of Person-Centered Care. Initially, I knew that
the only implementation process is through the development of the mutual partnership between

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the two parties. The notes in week five have impacted new knowledge in me which has, in turn,
made me develop PCC skills. The first step is to create an enabling environment that respects the
dignity of the patient. Secondly, the nurse should acknowledge the unique features that each
patient processes. The nurse should then advocate for the independence of the patient regarding
making treatment decisions. The caregivers need to trust and respect the capability of the patients
to make informed choices (Houghton, Horgan, & Boldy, 2016). The clinician should then create
a therapeutic partnership with the patient. The proper working relationship develops hopes and
boosts the confidence of the patient on the treatment options.
Before the lectures, I did not know the relationship between the Person-Centered Care and the
codes of conduct. Now I have the knowledge and skills for merging the two pillars of health to
improve the standards of healthcare. The first code requires that nurses adhere to legal laws
concerning the provision of healthcare. Treatment with dignity is legislation that nurses must
adhere to during medical attention. The systems also require nurses to provide PCC which is
based on evidence. The methods further need the care providers to liaise with the relations of the
patients in ensuring quality treatment. From the lectures, I have learned to use both PCC and
Evidence-based Care (EBC) in nursing. The code of conduct requires the patient to make
decisions that suit their cultural beliefs (Birks, Davis, Smithson, & Cant, 2016). However,
patients are free to involve the clinicians and the family members in the decision-making
process.
Week six
This week introduced me to the five determinants of health formulated by Roper, Logan, and
Tierney. The week focuses on the biological determinants of health suggested by the model. I
learned how the biological factors could dictate the activities of an individual. Moreover, I got

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exposure to the examples of the factors that directly affect the behaviors of an individual.
According to the RLT model, biological factors are the physiological and the anatomical
functions of the body (Chen, Padrón, & Becker, 2017). Before the lecture, I only knew about the
anatomical factors such as height and weight. However, the factors include diseases, age, injury,
gender, and Inheritance. I learned about the organs of the body that ensure a safe environment for
survival purposes. The organs include endocrine, nervous, and skeletal systems. More organs
include the immune system and the sebaceous glands (Ferrer, 2018).
During the week, I learned that nails and the hair follicles assist in the maintenance of the germ-
free environment. Moreover, I learned that the nails and the skin have a role to play in ensuring a
clean environment. I learned the definition of maintaining a clean and safe surrounding for a
healthy life. The maintenance refers to the capability of the body organs to prevent unwanted
objects from assessing the body. I also learned that it is the responsibility of the nervous system
to facilitate communication. Before, the lectures, I did not know about the organs that enable the
eating process. Now, I know that the gastrointestinal tract aids in all operations after the chewing
process. I also discovered the organs that assist the body to eliminate the waste products. The
systems include neurological, intestinal, and renal system (Ferrer, 2018).
Week 7
The lectures in this week exposed me to the psychological determinants of health suggested by
the RLT model. I learned about the factors that dictate the rational behavior of an individual. The
factors include all the other determinants in the model that include the biological and socio-
economical factors among others (Hosseini et al., 2018). I did not know all the psychological
factors, but now I have adequate knowledge about them. The factors include stress, cultural
beliefs, emotional, and cognitive ability (Quinn et al., 2017). The notes also exposed me to the

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stress model. Moreover, I now have the skills to provide moral advice to an individual suffering
from depression.
Conclusion
The notes and the lectures during week five, six, and seven of study exposed me to
various skills and knowledge about healthcare provision. The experience enabled the change in
attitude about the provision of care as a whole. I learned that Person-Centered Care is more than
a just therapeutic partnership between the patients and the caregivers. Additionally, I learned
about the biological factors that determine the health of an individual. Now, I know of both the
physiological and anatomical determinants. Finally, I learned about the psychological
determinants of health and their respective duties in ensuring better healthcare.

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References
Birks, M., Davis, J., Smithson, J., & Cant, R. (2016). Registered nurse scope of practice in
Australia: an integrative review of the literature. Contemporary Nurse, 52(5), 522-543.
Chen, A. F., Padrón, N. A., & Becker, C. M. (2017). The Social Determinants of Health.
Healthcare Transformation, 2(2), 43-51.
Ferrer, R. L. (2018). Social Determinants of Health. In Chronic Illness Care (pp. 435-449).
Springer, Cham.
Herlitz, A., Munthe, C., Törner, M., & Forsander, G. (2016). The counseling, self-care,
adherence approach to person-centered care and shared decision making: moral
psychology, administrative autonomy, and ethics in multi-dimensional care decisions.
Health Communication, 31(8), 964-973.
Hosseini, S. N., Ghajari, H., Zinat Motlagh, F., Hosseini, T., Khanlari, P., & Mahboubi, M.
(2018). Psychological Determinants of Sunscreen Use among Iranian Students: A
Theory-Based Cross-Sectional Study. International Journal of Pediatrics, 6(5), 7673-
7681.
Houghton, D., Horgan, L., & Boldy, D. (2016). An exploratory study of aspects related to current
inpatient and nurse-led clinic management of idiopathic childhood constipation.
Collegian, 23(2), 151-158.
Quinn, C. R., Liu, C., Kothari, C., Cerulli, C., & Thurston, S. W. (2017). Psychological Distress
Among Youth Probationers: Using Social Determinants of Health to Assess Suicidal
Thoughts and Behaviors. Adolescent Psychiatry, 7(2), 89-104.

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Randall, S., Thunhurst, C., & Furze, G. (2016). Community matrons as problem-solvers for
people living with the multi-co-morbid disease. British journal of community nursing,
21(12), 594-598.