Person-Centred Care - Guideline PDF

PERSON-CENTRED CARE Angharad Jones​​ CONTEXT Person-centred care: key focus of delivering quality healthcare Nurses: Caring/kind/compassion Challenging: Public/Patient/Professional expectations Failings: Global/national...

PERSON-CENTRED CARE Angharad Jones​​ CONTEXT Person-centred care: key focus of delivering quality healthcare Nurses: Caring/kind/compassion Challenging: Public/Patient/Professional expectations Failings: Global/national 2  HIGH PROFILE KEOGH REVIEW, 2013 REPORTS THE ANDREWS REPORT, 2014 REVIEW OF MATERNITY SERVICES AT CWM TAF HEALTH BOARD 2018/19 OCKENDEN MATERNITY REVIEW, 2022 THE FRANCIS REPORT, 2013 THE FRANCIS INQUIRY REPORT | TH E KING'S FUND (KINGSFUND.ORG.U K) 3  WHAT WAS GOING ON? FEAR UNSUSTAINABLE WORKING ENVIRONMENTS COMPASSION FATIGUE OVERWHELMED SURVIVAL 4 'Nursing The Nation' by Molly Case - YouTube 5  DRIVER FOR CHANGE VISION FOR VALUE COMPASSIO 6CS PERSON- N CARE CENTRE COMPASSION COMPETENCE D CARE COMMUNICATION COURAGE COMMITMENT 6  PATIENT-CENTRED CARE V PERSON-CENTRED CARE = Person-centred Patient-centred Everyone is diff erent Problem focused They are not defi ned by Standard ways of their condition – they are working an individual 7  DEFINITIO NS “Person-centredness is a “Care that: is focused on clients/users; way of being that sees promotes independence and autonomy the whole person rather than control; involves services that embedded in their are reliable and flexible and chosen by lifeworld” users; and tends to be offered by those (Rogers, 1995) working in a collaborative/team philosophy” (Innes et al., 2006) 8 “…UNDERPINNED BY VALUES OF RESPECT FOR PERSONS, INDIVIDUAL RIGHT TO SELF- DETERMINATION, MUTUAL RESPECT AND UNDERSTANDING. IT IS ENABLED BY CULTURES OF EMPOWERMENT.” (MCCORMACK AND MCCANCE, 2016) 9  HOW TO DEVELOP A PERSON- CENTRED APPROACH TO CARE… FOCUS OF PERSON-CENTRED CARE Better overall experience Greater satisfaction with quality of care Greater likelihood of better health outcomes 11 VALUES AND BELIEFS We all have diff erent ​ personal values​ Professional values guides our care The Code: professional standards of practice and behaviour for nurses, midwives and nursing associates 12 PERSONAL ACTIVITY YOUR VALUES AND BELIEFS TO PERSON-CENTRED CARE I believe the ultimate I believe this purpose My values that I hold purpose of person- can be achieved by… about person- centredness is…. centredness are… 13  Concern within reports and WORKPLACE reviews ​. CULTURE Ellis et al., (2020) – Google the term ‘culture’ – consider the results. How do they compare and/or contrast to your ideas and Workplace views? culture can make you behave and respond in ways that are contrary to your values and beliefs. Fit in/don’t want to ‘rock the boat’, be labelled as a troublemaker. Power dynamics can be unsettling. 20XX 14 A CASE FOR CHANGE WORKPLACE CULTURE Dynamic and not fi xed MAY NOT BE EASY… Can be infl uenced positively by people Don’t abandon values Question – Refl ect – Consider – Self- Treat patients as you would want to be determination treated if you or your family were patients Lead by example Compassionate leadership principles By working and thinking in person-centred ways – make positive contribution to your work Leadership academy environment, which in turn infl uences others Resilience and self-care 15 Dare to be diff erent PERSON-CENTRED WAYS OF WORKING Healthcare routines can prove restrictive 6Cs Making sure that the person is at the centre of everything you do Doing nursing care activities WITH people, instead of TO people​ PITCH DECK 16  PERSON-CENTRED PRACTICE FRAMEWORK McCormack, B. & McCance, T. (2017). Person-Centred Practice in Nursing and Health Care: Theory and Practice (2 nd Ed). Wiley, Blackwell. Prerequisites: The Care Person-Centred Person-Centred Environment: Processes: Outcomes: Professionally competent Appropriate skill mix Working with Good care Developed Shared decision- patients’ beliefs and experiences interpersonal skills making systems values Involvement in care Knowing self Effective staff Sharing decision- Feeling of wellbeing Clarity of beliefs and relationships making Existence of a values Power sharing Engaging healthful culture Commitment to the The physical authentically job environment Being Supportive sympathetically organizational present systems Providing holistic Potential for care innovation and risk- 17 taking COMMUNICATION Talk to your patients 18 LET'S TALK ABOUT PER SON-CENTR ED CARE | CARING WITH CONFIDENCE: THE CODE IN ACTION | NM C - YOUTUBE Person-Centred Care Guideline - YouTube SUMMARY Approach to delivering quality care – which is focused on the person and not the ‘problem’ Draws on your professional values to guide you to delivering person-centred care – 6Cs are vital Refresh yourself on the NMC Code of Conduct Theoretical frameworks can provide structure to the overall concept Keep it simple – focus on the person 21  Ellis, P., Standing, M. & Roberts, S. (2020. Patient Referenc Assessment and Care Planning in Nursing (3 rd Ed). es Learning Matters. Innes, A., Macpherson, S. & McCabe, L. (2006). Promoting Person-Centred Care at the Frontline. Joseph Rowntree Foundation. McCormack, B. & McCance, T. (2016). Person-Centred Practice in Nursing and Health Care: Theory and Practice (2 nd Ed). Wiley-Blackwell. 22 Rogers, C. (1995). A Way of Being. Houghton Miffl i. 23  DIOLCH THANK YOU 24