NRSG 138: Reflective Report: Person-Centred Care and the RPL Model

This report presents a reflective analysis of the student's learning experience in a nursing course, focusing on the Roper-Logan-Tierney (RPL) model and its application to person-centered care. The student explores the model's domains (Biological, Psychological, Socio-cultural, Politico-economic, and Environmental factors) and their influence on nursing practice. Using Gibbs' reflective cycle, the report details the student's understanding of the RPL model, its strengths, and weaknesses, and how it shapes their personal philosophy of learning and nursing. The student identifies strengths like attentiveness and quick understanding, and weaknesses like lack of experience, while also proposing an action plan for gaining practical experience. The report emphasizes the importance of holistic care and the significance of the RPL model in providing individualized patient care, concluding with a call for further training and evidence-based research to enhance future practice. The reference list provides the source materials used for the assignment.

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

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Introduction
Person Centered Care is considered to be one of the most contemporary approaches in
Modern day healthcare services (Chaudhury, Hung, Rust & Wu, 2017) It has been found that the
person centered approach is associated with better healthcare outcomes along with increased
level of satisfaction (Feo & Kitson, 2016). One of the most popular nursing models used for
ensuring person centered approach includes the Roper-Logan-Tierney model of Living (Freeth,
2017). From my nursing course, I have understood that the RPL model targets to describe the
meaning of active living. It segregate the discoveries into activities associated with living with
the help of complete assessment that in turn leads to interventions which supports independence
in areas where otherwise would becomes difficult for patients to address. In this report, detailed
discussion, analysis as well as evaluation of my understanding of the mentioned model with the
help of Gibb’s reflection has been conducted. The report will also contain analysis of the
influence of my learning on my personal philosophy of learning as well as person centered care.
Recognition
The semester was comprised of a unit which is entirely comprised of important topics on
the person centered care. the course unit of the semester had helped me to develop n effective
undersigning as well as detailed knowledge about the person centered care approach and the
processes by which the same can be incorporated in the care services. When I first came to know
about the RPL model, I was amazed with the concept of the same. Our lecturer had vividly
explained the domains of the RPL model that includes Biological, Psychological, Socio-cultural,
Politico-economic and Environmental factors.

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I had developed interest in the model since I understood its importance in the my future
practice while I will be conducting person centered care. I understood that the importance of
incorporating these factors of the RPL model while providing the patient with person centered
care. While the biological factor of the mentioned model is used to assess the impact imposed on
overall health, current injury or psychology on the individual’s anatomy, the physiological factor
determines the impact imposed not only by emotion, but cognition, spiritual beliefs as well as the
ability to understand (Kogan, Wilber & Mosqueda (2016). The sociocultural factor helps the
care giver to understand the impact of society and culture and the environmental factor
determines the impact of environment on the active leaving of an individual. Finally, the political
factor assesses the impact of government, economy and politics on active living.
Evaluation
From the learning and the knowledge gained from the course unit I understood that the
Roper-Logan-Tierney theory’ chief focus is on the individuality of the patients. Considering the
fact that I found the RPL model of Active living highly interesting, I used to attain the class
attentively as well as go though the lecture notes on a regular basis. During the learning process,
I understood the importance of the all the five factors that are associated with nursing practice
implementing the RPL model. Therefore, as per my opinion, one of my greatest strengths that
helped me to develop an effective understanding of the mentioned model is attentiveness. During
the course unit, I learned that if I incorporate the five factors in my care giving practice it will be
easier for me to provide a holistic care to the health care service users. I would be focusing on
the biological factor where I would majorly require to address the impact of overall health, the
current injury as well as the illness along also learn about the scope of anatomy of the patient and
their psychology. Developing an understanding quickly can be pointed out as another major

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strengths of mine. However, lack of experience can be considered as one of my weaknesses that
an hinder my performance and productivity while implementing the RLT model in my nursing
practice.
Critical analysis
The RLT model is one of the most appropriate and holistic model that possess the ability
to provide the healthcare service user with superior quality of person centered service. Detailed
analysis of the concept of person centered care had helped me to learn about a number of
benefits that it can provide in the healthcare services (Höglander et al. 2019). As per my opinion,
one of the strength of the mentioned practice is that it helps the care giver assess the relative
impendence as well as potential to independently perform activities of the daily active livings
with the help of using a dependence or independence continuum, considering their lifespan,
development as well as the five key factors (Poey et al., 2017). Additionally, I understood that
the model of RLT is broad and flexible that enables professionals to use the same in any field of
nursing. This strength of RPL model can be explained with the help of an example. For instance,
health care service users who are suffering of dementia possess care needs that bears ample
difference from those who rely on physical care aspects that are quite different from both the
psychological as well as social care requirement of other patients suffering from dementia (Low,
2017: Lor et al., 2016). In such cases, the RLT model can be considered better than the standard
care services.
Description of personal philosophy of learning
As per my opinion, the nature of the nursing profession is deeply rooted in commitment
to public service as well as the indisputable desire to help those who needs help. As per my

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personal philosophy of learning, the mentioned profession is more than merely treating an
illness. It is more about focusing on the delivering quality patient care that is individualized to
the requirements of each of the service users. According to the researchers, a personal
philosophy of nursing is deeply associated with the values, skills as well as traits that one feel a
nurse needs to embody (Chaudhury et al., 2017).
Conclusion
From the above discussion, it can be concluded that the RLT model of active leaving
bears high significance in the person care nursing practice. Through this reflection, I have
developed an effective understanding of the importance of the RPL model. I understood the
importance of the mentioned model and how I possess the capability to incorporate the same in
my future healthcare services. Along with this, the reflection also helped me to assess both my
strengths and weaknesses. I understood that effective and quick understanding ability is one of
my greatest strength. However, since I am a student, lack of experience has the potential to affect
my performance a healthcare service providers.
Action plan
In order to gain experience in implantation of the RLT model in individualized nursing
service, I will be joining the training sessions that are conducted by the experts s well as
experienced trainer. This training session will help me to learn about the usage of the RPL model
along with providing a person centred care. I will be also undertaking evidenced based searchers
in order to develop knowledge about the perception as well as opinion of the healthcare services
who are working on the topic. I believe these actions will help me to gain experience and thus
enhance my performance and productivity in the long run.

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Reference List
Chaudhury, H., Hung, L., Rust, T., & Wu, S. (2017). Do physical environmental changes make a
difference? Supporting person-centered care at mealtimes in nursing
homes. Dementia, 16(7), 878-896. https://doi.org/10.1177/1471301215622839
Eaton, S., Roberts, S., & Turner, B. (2015). Delivering person centred care in long term
conditions. Bmj, 350, h181. doi: https://doi.org/10.1136/bmj.h181
Feo, R., & Kitson, A. (2016). Promoting patient-centred fundamental care in acute healthcare
systems. International Journal of Nursing Studies, 57, 1-11.
https://doi.org/10.1016/j.ijnurstu.2016.01.006
Freeth, R. (2017). Humanising psychiatry and mental health care: the challenge of the person-
centred approach. CRC Press. https://www.taylorfrancis.com/books/9781315385051
Höglander, J., Håkansson Eklund, J., Spreeuwenberg, P., Eide, H., Johansson Sundler, A., Roter,
D., & Holmström, I. K. (2019). A positive tone and socio-emotional talk: Exploring
person-centered aspects of home care communication.
http://www.diva-portal.org/smash/record.jsf?pid=diva2%3A1295578&dswid=-7140
Kogan, A. C., Wilber, K., & Mosqueda, L. (2016). Person‐centered care for older adults with
chronic conditions and functional impairment: A systematic literature review. Journal of
the American Geriatrics Society, 64(1), e1-e7. https://doi.org/10.1111/jgs.13873
Lor, M., Crooks, N., & Tluczek, A. (2016). A proposed model of person-, family-, and culture-
centered nursing care. Nursing outlook, 64(4), 352-366.
https://doi.org/10.1016/j.outlook.2016.02.006

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Low, M. (2017). A novel clinical framework: The use of dispositions in clinical practice. A
person centred approach. Journal of evaluation in clinical practice, 23(5), 1062-1070.
https://doi.org/10.1111/jep.12713
Poey, J. L., Hermer, L., Cornelison, L., Kaup, M. L., Drake, P., Stone, R. I., & Doll, G. (2017).
Does Person-Centered Care Improve Residents' Satisfaction With Nursing Home
Quality?. Journal of the American Medical Directors Association, 18(11), 974-979.
https://doi.org/10.1016/j.jamda.2017.06.007
Poey, J. L., Hermer, L., Cornelison, L., Kaup, M. L., Drake, P., Stone, R. I., & Doll, G. (2017).
Does Person-Centered Care Improve Residents' Satisfaction With Nursing Home
Quality?. Journal of the American Medical Directors Association, 18(11), 974-979.
https://doi.org/10.1016/j.jamda.2017.06.007