NURS1025 Module 2 Tutorial PowerPoint - PDF

Module 2 NURS1025 Person-centred Care across the Lifespan Acknowledgement of Country With respect for Aboriginal cultural protocol and out of recognition that its campuses occupy their traditional lands, Western Sydney University acknowledges the Darug, Eora, Dharawal (also referred to as...

Module 2 NURS1025 Person-centred Care across the Lifespan Acknowledgement of Country With respect for Aboriginal cultural protocol and out of recognition that its campuses occupy their traditional lands, Western Sydney University acknowledges the Darug, Eora, Dharawal (also referred to as Tharawal) and Wiradjuri peoples and thanks them for their support of its work in their lands in Sydney and beyond. Module 2 What is Person/Woman-centred Care?  Tutorial Learning Outcomes  Discuss subject-related definitions: nursing, midwifery, health, disease and illness  Understand what is meant by the concept of person / woman-centred care  Describe how person/woman-centred care is implemented in nursing and midwifery practice  Reflect on personal assumptions when thinking about diversity and the importance person /woman - centred care in the context of aspects of practice  Activity 1 Questions and comments about the subject,  Activity 2 Large group discussion Definitions And Discussions  What is Nursing?  Nursing is a person/woman-centred discipline that has moved beyond just caring for those who are sick.  According to the International Council of Nurses nursing is the autonomous and collaborative care of individuals of all ages, their families, groups and communities, sick or well and in all settings.  Nursing promotes health, prevents illness, and cares for the ill, disabled and dying people  Nursing does this through advocacy, promotion of safe environments, research, policy development and education. (International Council of Nurses, 2020)  What is Midwifery In Midwifery, the person-centred care becomes Woman-centred Care and this includes the baby, together they are known as a Dyad The relationship a midwife has with a woman enhances the health and wellbeing of the woman, her baby and her family The midwife works in partnership with the woman to give support, care and advice during pregnancy, birth and the postpartum period and gives care to the newborn and infant A midwife provides education and health counselling to the woman, her family and the community in the antenatal period and in preparation for parenthood (International Confederation of Midwives, 2017)  What is Health?  A sense of physical, mental and social wellness or well-being  Not merely the absence of disease  Health integrates all dimensions of being human-physical, intellectual, emotional, sociocultural, spiritual, and environmental (Australian Institute of Health and Welfare, 2022; World Health Organization, 1946) All these concepts need to be taken into consideration when a person is planning interventions with the nurse or midwife  What is Disease/Illness?  Disease is a medical term describing the pathological change in the structure or function of the body that can be objectively measured and described by the health professional  Illness is a person’s/woman’s response to a disease  A person’s/woman’s response to illness is unique and can be influenced by social processes, self- perceptions, other people’s perceptions of the illness, effects of body changes, and a change in daily functioning  A person/woman may believe they are in good health when diagnosed with a disease or poor health despite not experiencing any symptoms of the disease (Hall et al., 2022)  Health Disease / Illness Disease is a medical term describing the Is a sense of physical, mental and social pathological change in the structure or function of wellness or well-being the body that can be objectively measured and Define the terms described by the health professional Is not merely the absence of disease Illness is a person’s/woman’s response to a Health, Disease disease A person’s/woman’s response to illness is unique Health integrates all dimensions of being and can be influenced by: and human: physical, intellectual, emotional, sociocultural, spiritual, and environmental social processes, self-perceptions, Illness other people’s perceptions of the illness, effects of body changes, and a change in daily functioning All these concepts need to be taken into A person/ woman may believe they are in good consideration when a person/woman is health, if diagnosed with a disease or in poor planning care interventions with the nurse or health, despite not experiencing any symptoms of midwife the disease  Activity 2 What do the following terms mean? Personhood Person/Woman-Centredness Person/Woman-centred Care  Personhood is a concept that describes what makes us human. It is an understanding that each person has individual feelings, emotions, desires and thoughts. What does the term Personhoo It is an expression of the humanity of a person d mean? It is the ability of a person to decide what really matters to them and to attribute their own meaning to their experiences.  Person/Woman-centredness In 1997, Thomas Kitwood defined Person/Woman-centredness as ‘a standing or status that is bestowed upon one human being by others in the context of relationship and social being. It implies recognition, trust and respect.’ Although there is still much discussion about what this term means, it does emphasise a relationship between the healthcare provider and the person/woman that is based on trust, the sharing of collective knowledge and on a collaborative approach to care  Person / Woman-centred Care This is care that is based on the concepts of personhood and person/woman-centredness and is delivered across the life span and across all healthcare settings. It is care based on trust and respect Person/woman-centred care emphasises a person’s uniqueness and their unique strengths and needs that include their values and beliefs To provide person-centred care the nurse and midwife conduct assessments that enable them to understand the person’s/woman’s story and their holistic needs. All care is delivered in partnership with a sense of social justice so that the person/woman is empowered to make their own decisions (Australian Commission on Safety and Quality in Health Care, 2023; Hall et al, 2022)  Activity 4 Large group discussion 1. How do the concepts of personhood, person / woman-centredness, and person/woman-centred care relate to nursing and midwifery practice? 2. Have you seen examples of person/woman-centred care in hospital, or when visiting a health practitioner 3. What is the relationship between person/woman-centred care and patient safety?  How do nurses and midwives demonstrate person-centred care in practice? A person/woman-centred approach to practice emphasises the relationship between the healthcare professional and the person / woman, their families or friends and others in their community It is underpinned by core values such as respect, individual rights to self-determination, and understanding. It requires healthcare professionals to be authentic and to consider how relationships are formed. This requires the health professional to be emotionally engaged with the person and to be knowledgeable when facilitating collaborative decision- making with the person.  Supports the person / woman at the ‘centre of the service’, to be involved in making decisions about their care and life Takes into account each person’s / woman’s life experience, age, culture, heritage, language, beliefs and identity Requires flexible services and support to suit the person’s / woman's wishes The Person-centred and priorities Therapeutic Relationship Is strengths based, where people / women are acknowledged as the experts in their life with a focus on what they can do for themselves first, and the help they need second. Includes the person’s woman’s support networks as partners. (NSW Health, 2022)  Person-centred care vs System-centred care https://www.youtube.com/watch?v=y77y7XW8GtE Person / woman-centred Care System-centred Care Talking with the person / woman Talking about the person / woman Planning with the person / woman Planning for the person / woman Focus on strengths, abilities and skills Focus on diagnosis and deficits Finding solutions that could work for anyone, preferably Creating supports based on what works for community based people / women with ‘that diagnosis’ Things are done that way because they work for the Things are done that way because they work for staff or person the service Family and community members are seen as true Family members & community seen as peripheral partners  What is the relationship between Person-centred Care and Patient Safety?  Patient safety is the prevention of errors and adverse effects to patients associated with health care (World Health Organization, 2018).  Errors have the potential to cause actual or potential harm to people / patients as a result of health care received, or the environment in which health care is delivered (National Health Information and Performance Principal Committee,2017). What is the relationship between Person-centred Care and Patient Safety?  Person-centred care builds mutual trust between the nurse or midwife and the person / woman. It enables the person to feel safe and to disclose information about their situation that they may not be able to do in a different model approach to care  Without a more complete understanding of the person, care may not take into consideration all the person’s needs, and the person may be less prepared to follow the plan of care because it does not consider their needs and desires.  Activity 5: Unfolding Narratives - Maria’s Story Watch: The story about Maria https://www.youtube.com/watch?v=S5LzWq176Go Discuss: How is person-centred care used by the staff and nurse with Maria? What can occur if a person-centred approach is not effectively used in health care? Reflect on what you have learned from the story of Maria and how this can help you in using person/woman-centred care in nursing/midwifery.  Post Tutorial Activity Relating to difference This video contains material some students may find discomforting or distressing If this is the case, please seek counselling from the Western Sydney University Counselling Service. https://www.youtube.com/watch?v=r1zBIJZIBl4 &list=PLTN4Afxv_hgPLsPh1Fyh9T-G3IkIw158K 1. Watch this video and reflect on whether the transgender people / women in it received patient-centred care when accessing health care services. Were they safe during interact? 2. Write your own brief reflection.  tod a y https://steemit.com/life/@emma24/what-i-learned-today  References Australian Commission on Safety and Quality in Health Care. (2023). Person-centred care. https://www.safetyandquality.gov.au/our- work/partnering-consumers/person-centred-care Australian Institute of Health and Welfare. (2022). Australia’s health. https://www.aihw.gov.au/reports-data/australias- health/australias-health-snapshots/glossary Hall, H., Glew, P. & Rhodes, J. (2022) Fundamentals of nursing and midwifery: a person-centred approach to care (4th ed.). Wolters Kluwer. International Confederation of Midwives. (2017). International definition of the midwife. https://www.internationalmidwives.org/assets/files/definitions-files/2018/06/eng-definition_of_the_midwife-2017.pdf International Council of Nurses. (2020). Definition of nursing. https://www.icn.ch/resources/nursing-definitions Mount, B. (2013). Person-centred vs System-centred. [Video]. YouTube. https://www.youtube.com/watch?v=y77y7XW8GtE NSW Health. (2022). A person-led approach. https://www.health.nsw.gov.au/mentalhealth/psychosocial/principles/Pages/person-centred.aspx