This assignment is being divided into two parts. The first part of the assessment is all about explaining the concept of holism, choice, autonomy and empowerment application to better care delivery for the patients. It is all about care provision to patients who are depending on a mutual knowledge of their psychological, physical, spiritual, and emotional concern. It could also be mentioned that holistic care evaluates the positive connection between patient and nurse and the healthcare negotiation requires that it leads to further recovery. As a domain of healthcare practice, holistic therapy navigates from many religions, disciplines, and cultures to cure communities, people, and even the circumstances. The focus of this study is to review and analyse whether or not person-centred care (PCC) is responsible for improving productivity within an organisation.
In the practice of healthcare, Autonomy is generally employed and is usually evaluated as the competent adult's right to create informed decisions about their basic medical care. In terms of creating the best possible informed decision-making approach in healthcare, empowerment is effective to gain vital understanding for the patient-care relationship. The choice of a patient for the type of care she or he demands is generally significant when undergoing a surgery, test, or other relevant treatment which is “elective.” The other question is all about analysing the effect of values, behaviour, and beliefs on the high-quality person/family-centred care delivery. In this context, it could be mentioned that patient-centred care helps individuals to improve the skills, knowledge, and confidence they require to more conveniently handle and create informed decisions about their health care and own health. It is tailored and coordinated to the requirements of the people. The positive relationship of nurse-patient in a healthcare service will determine nurse-patient interaction and communication.
Main Body 1
Identify the reflective model and why
One reflective model is Gibbs’ Reflective Cycle in healthcare. This model conducts six steps which are Description, Feelings, Evaluation, Analysis, Conclusion and Action Plan.
Figure: Gibbs Reflective Model
It contributes a good structural framework to reflect their experiences that helps them to learn to develop their practice (Neff et al. 2020). The principles empowerment, choice, autonomy and holism are integral to delivering the care of patient-centred. The integrating concepts facilitate patient-centeredness that emphasizes the autonomy, prefer and value into care delivery that result in effective experiences of healthcare services.
Choose a patient who you have cared for
One patients was Mrs. Jenkins was a 72-year-old woman. She battled advanced-stage cancer of the lung. Her spirit was very diminished however, her determination was palpable. She faced many setbacks that involved side effects of chemotherapy.
Introduce patient
Mrs. Jenkins greeted me with a good smile and grateful words, despite her pain and her prognosis uncertainties. She taught me the positive mindset, power, compassion, importance and resilience in the face of adversity. I create to contribute the best medical care and emotional encouragement. We shared many kinds of life stories, tears and laughter that transcended the nurse-patient connections. She reminded me that all patients are their diagnosis and they are with hopes, stories and dreams on individuals. Her friendly attitude continues to influence me in my all day practices.
Explain health concern nature
Health concerns encompass vast conditions from lifestyle-connected problems, chronic illness and disorders of mental health. They reflect the interplay between socio-economic, biological and environmental factors that impact communities (Ouyang et al. 2021). These concerns may emerge from inadequate healthcare services access, genetic predispositions, environmental pollutants and unhealthy behaviours. Lifestyle-connected concerns like inadequate physical activity, obesity and substance abuse to the disease globally.
My patient's is Mrs. Jenkins who was a 72 years old woman. She battled advanced stage cancer of the lung. This presents cancer that has developed beyond the lungs that create the challenging treatment. Lung cancer metastasizes to other organs like adrenal glands, brain, bones and liver. Symptoms may involve fatigue, persistent cough, chest pain and breath shortness (Kabalak and Y?lmaz, 2023). Treatment options include immunotherapy, chemotherapy, targeted therapy and radiation therapy. However, the goal is to develop life quality, survival from solving the cancer to maintain symptoms. Palliative care becomes a treatment plan integral part that focuses on developing comfort, symptom management and emotional support.
Allow the information that was available to the user service and how they were supported
The support systems contributed were the elements in their journey. Competitive medical resources access involves palliative care, options of treatment and discussions was significant. Patients relied for proper information on healthcare regarding their side effects, their diagnosis and therapies. The networks played a significant role in helping their families cope with the obstacles that are associated with advanced-stage lung cancer (Al Achkar et al. 2020). This support extended beyond community-dependent initiatives, clinical setting, support groups and counselling services to notify the requirements of facing advanced cancer. Advanced technology, which has access to telemedicine platforms, online resources and forums that help patients to link with professionals, share remote experiences and fellow survivors. The different obstacles like psychosocial distress persisted, decision-making treatment, prioritising the requirement and symptom management, the patient-centred care techniques of this disease, despite the developments created.
Define holism, empowerment, autonomy, choice
Holism prioritises the allowing patients that take into spiritual, physical, social and emotional requires. It suggests that all understanding is needed to allow the dynamics, context and relationships among the components.
Choice presents to include patients about their options of treatment that respect their values. It encompasses the optional range which is available to the decision-making systems that are included in emphasizing those options (Lent and Brown, 2020).
Autonomy presents the right of the patient to create valuable decisions about well-being. It implies good freedom that allows them to express their exercise of self-determination, unique identities and pursue their effective interests.
Empowerment includes taking a good role in maintaining their health in decision-making systems. It includes delivering opportunities and effective mechanisms that develop the abilities, confidence and skills of people to take action in their circumstances.
Use the good concepts when allowing the care provide
Firstly, compassion forms the important care foundation and realising the emotional obstacles that the patients of cancer face encourages an environment where they feel understood. Holistic care prioritises the multifaceted requirements of patients of cancer that involve spiritual, physical and emotional components (Craig et al. 2023). The complementary therapies like mindfulness techniques and massage, alongside the treatments can develop the well-being of patients. The autonomy of patients and empowers them to participate to maintain a control over their sense of their lives. This principle conducts the cultural beliefs, values of patients and prefer throughout their journey of care. Collaboration among the healthcare teams of an interdisciplinary team ensures coordinated delivery of care services (Karam et al. 2021). Healthcare professionals can control their expertise to deliver the treatment plans that are tailored to unique requirements of each patient. This handles the outcomes and promotes healing.
Reflective writing
Holism, empowerment, choice and autonomy influence the delivery care that shapes between recipients and providers of healthcare. It suggests that all understanding is needed to allow the dynamics, context and relationships among the components. Choice presents to include patients about their options of treatment that respect their values. It encompasses the optional range which is available to the decision-making systems that are included in emphasizing those options. Holism prioritises allowing patients that take into spiritual, physical, social and emotional requires (Craig et al. 2023).It suggests that all understanding is needed to allow the dynamics, context and relationships among the components. Empowerment includes taking a good role in maintaining their health in decision-making systems. These concepts shape care promotion by developing the care quality and handling respect between the recipients of healthcare.
Discuss what data was delivered to the user service- did they create informed choices about care?Was informed consent achieved?
Patients must have sufficient knowledge and comprehension of their medical conditions in order to enable them to be successful advocates for their care. A warning sign for poor medical conditions and a marker of vulnerability is the low health literacy of many patients. It can be difficult to give information to patients at risk in a way they can easily access (Ong et al., 2024). A new strategy is to change clinical care procedures so that patient visits to medical practices coincide with the provision of relevant and easily accessible knowledge to patients. The objective is to enhance clinical practice's quality of medical treatment by encouraging well-informed decision-making.
Informed consent is evaluated to demonstrate to the researcher that the research participant is aware of every approach of their approach within the trial – what the treatments or procedures could look like and the assumed outcomes, including the benefits and risks. Acquiring informed consent is also advantageous for the research staff. Informed consent is a major process via a skilled subject, after having understood and received all the research-related knowledge.
Main Body 2
Definitions and explanations of PCC /FCC
PCC (Patient-Centric care): The primary objective of new organisational restructuring and health care quality improvement initiatives has been patient-centred care, or PCC. Over the last five years, a lot has been written about PCC; however, there are differing opinions on how this idea should be interpreted and applied (Armstrong et al., 2023). In the medical literature, PCC is typically described in terms that allude to satisfying the requirements of patients. There are two types of PCC-related literature. According to the first group, PCC is the rearranging of services to better meet the needs of the patients. According to the second definition, PCC comprehends the needs, expectations, and priorities of patients regarding their health care.
FCC (Family-centred care): This is the partnership strategy for the health-care decision-makers between health-care decision providers and family. FCC could be termed as the major standard of paediatric health care service that is delivered by many hospitals, clinical practices, and health care communities (McCarthy and Guerin, 2022). The approach of FCC is responsible for delivery, planning, and healthcare evaluation that is evaluated in mutually significant collaboration among patients, health care professionals, and families. FCC is the relative term of PCC, which is already identified by many health care systems, medical societies, or state governments.
What are the differences between them both?
PCC and FCC are the two different approaches in the healthcare sector and it concerns different approaches to healthcare experiences. PCC involves individual patient care need which are tailor made and it is also in terms of open communication between health care provider and patient which includes shared decision making and total understanding of the patient's special circumstances (Roberts et al., 2021). The goal of care is to treat a patient as a whole considering not only physical aspects but also social and emotional well being.
The family care support focuses the above individual support of the patient but also includes their family member with their support. This means that the family cares plays a vital role for the improvement of the patient care process. Family-centred care highlights the member of the patient family can provide all round information of the patient, prefer and day to day observations. This is the way to gather a complete picture of the patient's health care needs. It encourages cooperation between the patient families and medical staff in order to improve support quality (Phiri et al., 2020). It can be mentioned that the patient care can emphasise around the individual patient and is tailored to meet their specific needs. On the other hand, family centred care highlights the important role of patient parties and their support system to enhance the patient's well being in the care process. Through the cooperative bonding between patients, their families and health care providers and awareness of each patient's context both approaches strive to improve overall quality of health care.
Application of knowledge to clinical practice
In the context of clinical practice, PCC is all about medical intervention tailoring according to prefer, values, and individual patient needs. This aspect of clinical practice is all about a holistic awareness about the unique circumstances of the patient that highlights shared decision-making and holistic understanding. With the combination of this knowledge healthcare individuals can develop the best possible rapport with the patients, which is further responsible for patient-satisfying and effective care experiences. In the context of family-centred care, clinical practice plays an important role in the well-being of patients, facilitating collaboration between family members and healthcare providers for a more supportive and comprehensive healthcare management (Steel et al., 2021). The overall quality care is being enhanced by these principles and becoming more responsible for encouraging positive outcomes and a more patient-centred healthcare structure. The analysis of the current study evaluates that application of patterns of knowledge is practised in a nurse flexibility range in clinical settings.
Understanding of what values and beliefs are (definition)
Values are all about goals and beliefs that demonstrate behaviour and deliver a cornerstone for a better decision making process. In any profession, values are standards for action that are chosen by professional groups and experts and demonstrate frameworks for behavioural evaluation (Correa et al., 2020). Clinical values are the standards and principles that nurses follow to assure they are doing quality and ethical work. At the same time, ethical values evaluate a major framework for assessment of behaviour, and nursing values impactful on nurses’ strategies, goals, and actions.
Beliefs in clinical practice are all about Gaining more insight into a patient's health beliefs could assist medical professionals in spotting discrepancies between what they believe and the patient's perception of their condition. As a result, the patient may receive treatment options that are better suited to their requirements and expectations.
Consideration of examples when healthcare workers values and beliefs may differ to service users – Why do they differ?
While cultural competency (values and belief) may seem like a nicety, diversity awareness can actually be lifesaving in a healthcare setting. Consider an example from the National Student Nurses’ Association in which a nurse caring for a diabetic patient disregards a patient’s spiritually-informed dietary restrictions. If the patient doesn’t eat the food, it can trigger a chain reaction leading to delayed eating and impaired insulin administration. The ultimate result? Jeopardised patient safety. In this context, the value of healthcare workers may be differentiated with service users' in decisions like mental health treatment, end-of-life care, or reproductive choices. Differences often arise from diverse personal, cultural, or professional perspectives. Bridging these gaps needs cultural competence, open communication, and a patient-centred aspect to assure collaborative and respectful healthcare decisions.
It could be mentioned that differences in values of healthcare workers and beliefs in service users stem from cultural, diverse personal and professional backgrounds. Ethical principles, varied education, and individual experiences are responsible for discrepancies, developing potential conflicts in decisions related to cultural practices, medical care, or treatment choices.
Consideration of how our own values and beliefs impact care delivery
Values and belief in care delivery plays an important role in shaping human healthcare practices and decision-making. These influences are multifaceted, and complex, influencing individuals' beliefs, behaviours, and attitudes towards healthcare and health. It could also be mentioned that beliefs and culture strongly influence health-related decisions. For instance, some cultures may depend on traditional healing practices or may be hesitant to accept certain medical interventions due to beliefs. Personal values, often shaped by cultural norms, can influence decisions about preventive measures, lifestyle choices, and treatment options (Osokpo and Riegel, 2021). As per my viewpoint, respecting and understanding societal and cultural influences on healthcare decision-making is effective for healthcare providers to deliver patient-centred and effective care. It is also essential for the public health aspect to demonstrate these factors to evaluate strategies that reverberate with different communities.
In the US at least, medical advice is pretty standard and everyone is revealed to the same information. Regular checkups, avoid alcohol, and drugs, take a multivitamin, deliver in the hospital, etc. I never had a patient that did anything different because of cultural beliefs. Pregnancy has happened for thousands of years (Kim and Kim, 2020). Nobody really does anything bizarre, and to be honest most things we do would not change pregnancy outcomes anyway.
Conclusion
This research is generally divided into two major parts and both are concerned about healthcare. The concept of health care definitely depends upon the choice, autonomy; holism and empowerment have a crucial role in the context of health care delivery. The total care involves the physical, mental, spiritual and emotional requirement of a patient. This also ensures the total understanding of their needs. Autonomy and choice allows a patient to act to participate in the process of decision making, which also give them to convey actual and informed decision providing patients with the information and ability to actively participate in their health care, which is known as empower.
A case study analysis has been done to emphasise the outcome of this health care project which signifies the total care with emotional support is a very essential component for health care. Continuous improvement of patient care was fostered by the incorporation of reflective models, such as Gibbs reflective cycle, which helps health care providers in learning and steering from their experiences. Also this study concentrates in the area of patient centred care (PCC) and family centred care (FCC) highlighting their differences and emphasises their role in the health care sector. PCC highlights the individual patient care which can be tailored, while FCC is the process of healthcare system consisting of comprehensive family support. It was discussed how these models are applied for clinical practice showing how they improve the general standard of care and promote a fabulous result. This study also recognises how individual value affects the way of this care is delivered, highlighting how vital it is to respect cultural influences and personal beliefs in order to provide effective patient centred healthcare. Integrating autonomy, choice and empowerment into healthcare process helps to provide patient centred care which can improve the standard of the care and also encourage the favourable patient outcomes.
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