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Introduction
Nursing refers to a professional work that is concerned with caring patients with an aim of enhancing overall patient outcomes. The essay will explain the concepts of professionalism, accountability and professional regulations. It will shed light on the way interpersonal skill and nursing practices support person-centred or family-centred care. Moreover, it will also discuss NHS policies, guidelines as well as the application of evidence practice within nursing.
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Concepts
Professionalism is considered as a set of standards that is expected to be adhered by the individual at the workplace. It includes a combination of attitude, behaviour and values that represent integrity and competence (Srivastava, Bhadouria and Gautam, 2023). With reference to nursing practice, furnishing quality patient care while ensuring dignity, accountability and ethical consideration is an example of professionalism. In addition, the concept of professional regulation refers to a set of norms, rules and standards within a particular profession that ensures compliance with the set standards of practice as well as ethical guidelines. The main purpose of professional regulation within healthcare is protecting service user, upholding integrity of profession as well as conducting the practice in ethical manner while ensuring quality of service. Moreover, accountability in practice refers to a principle that makes individual or an organization responsible or liable for their action. In simple words, it can be defined as an acceptance of responsibility in context of honest as well as ethical conduct. In context of nursing, accountability in practice outlines that nurses is liable and responsible for their action as well as outcome of their care.
Interpersonal skill and nursing practice supports person-centred care
In context of nursing, interpersonal skill as well as nursing practice plays an essential role in supporting holistic–person catered care. The person-centred care means a practice of providing care to patient by considering their needs, preference or wishes as well as involving them in decision-making process of own care (Smith, Willis and Hopkins‐Walsh, 2022). The nursing practice includes effective planning, and it allows the nurses to effectively plan nursing services based on the unique needs and preferences of the patient, it is not only concerned with the physical services but also includes providing emotional support with an aim of rapid recovery of patient. In addition, the nursing practice of direct patient care allows the nurses to build a good relation with patient and their families. Effective interaction leads to fostering trust and rapport and as a result it helps the patients to make decision about their own care resulting in enhancing patient`s satisfaction and overall health outcome.
In addition, one more nursing practice includes informing and educating the person about own health, current condition, available treatment options so that patients are able to take active participation in own health. Moreover, coordinated care practice of nursing allows the individual to effectively coordinate with the healthcare professionals to provide appropriate care to patient as well as offering them with the appropriate care plan. Apart from this, the interpersonal skills such as communication, empathy, problem-solving, collaboration skill plays a crucial role in effectively supporting person-centred care. Effective communication allows nurses to communicate with the patient as well as actively listening to their requirement and preference, ultimately allows in offering person-centred care. It is an ability of exchanging ideas, opinion and suggestion while actively listening to other`s thought. In addition, empathy skill enables the nurses to interact with the patient as well as building trust and rapport with them. It allows the nurses to provide effective required emotional support to the patient, results in better recovery of the patient (Wolderslund, Kofoed and Ammentorp, 2021). According to empathic skill, the nurse actively listen concerns of patients, acknowledge their feelings and accordingly provide them personalised care. For instance, a patient is feeling fear from the surgical procedure, at that time the nurses use empathy skill to provide comfort to patient it results in increasing patient`s satisfaction.
In addition, the attention-to-detail skill of nurse allows them to focus on each kind of small details related to patient health. The skill enables the nurse to effectively recognize patient’s needs and requirements related to treatment option as a result based on the observation, focuses on offering personalised care to the patient. Apart from this, the overall intrapersonal skill enables the nurses to respect the autonomy of patients as a result allows the nurses to involve patients in the decision-making process. The self-regulation skill of nurse allows them to efficiently control own emotions such as stress, tension in a complicated and challenging situations. The skill allows nurses to effectively calm-down patients as well as meeting their medical needs and requirements in significant manner (Maeda and Socha-Dietrich, 2021). This allows nurses to effectively understand the patient's needs as well as calm down them in a complex as well as challenging situation. Hence, intrapersonal skill and nursing practice play a crucial role in promoting person-centred care.
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Policy promoting holistic person-centred care in nursing
Person-centred care means treating the patients by considering their needs, preference as well as offering respect and dignity by maintaining confidentiality of information and involving them in decision-making of their own. The person-centred care policy enables the nurses or healthcare organizations to treat individual`s with respect and dignity. The policy is concern with enhancing the quality of care by identifying as well as meeting the human requirement of comfort, attachment and inclusion. According to the policy, individual`s are involved in their own care plan, it leads to enhance well-being of patients and assists care worker in offering efficient care and support to service user considering desires and preference. Person-centred care policy compliances with several legislations such as Care Act 2014, Health & Social Care Act 2010 and Care Quality Commission (Ferri, 2021)..
Care Act 2014 supports the policy of person-centred care by prioritizing the requirement of involving people in own care planning and assessment to enhance their overall well-being and health outcome. The legislation also supports holistic person-centred care by safeguarding individual`s from neglect and abuse while receiving care. The policy enables nurses to effectively assess emotional well-being of service user along with physical one. Hence, the person-centred policy enables in considering needs and preference of patient to ensure offering personalised care (Rizwan et al, 2022). In addition the policy of person-centred care also supported by the Care Quality Commission. It focuses on respecting service user needs, promoting social inclusion, empowering patient, considering their choices and so more. In reference with this, for holistic person-centred care the policy ensures offering coordinated, personalised treatment, treating patient with dignity & compassion. The policy results in increasing several benefits such as patient engagement, greater respect as well as efficient patient`s health outcome, ultimately results in supporting holistic person-centred care.
NHS policies, guidelines
In context of person-centred care, several NHS policies, guidelines and clinical government processes are introduced. Referring to NHS policies, health & safety, confidentiality, equality & diversity, effective care policies are implemented. The Health & Safety policy ensures safety of health staff as well as services user, it includes providing training to nursing staff to ensure appropriate and quality care to patient. In terms of person-centred care, the health & safety policy enables the nurses or healthcare professionals to recognize medical history, current condition, preference and needs of care before treating them. It leads to enhance patient`s satisfaction and overall safety. In addition, referring to confidentiality policy, the nurses are prohibited to share the personal and sensitive information of service user to third party (Entwistle et al, 2022). The policy ensures communication of personal information to authorised personal only. The confidentiality policy of NHS effectively supports person-centred care as motivates the patients to share their wishes results in efficient care planning. Moreover, in context of Equality & Diversity policy of NHS each services user is treated with respect and dignity ultimately ensures personalised and coordinated care services leads to enhance overall health outcome of patient.
NHS also offers clinical services to patients by adhering several guidelines. NHS guideline for personalised care focuses on offering care to service user by involving them in decision-making process of own care plan, with an aim of identifying their needs and wishes in regards to getting clinical services. The guidelines makes crucial for nursing staff to provide care as well as treat patient in personalised manner to enhance their overall health outcome and satisfaction at NHS.
Moreover, clinical governance refers to a practice of enhancing quality care of patient within a healthcare organization. In context of NHS, to ensure effective clinical governances emphasise given on offering staff training, it ensures equipping healthcare professionals with required skill and competencies (Ghavamabad et al, 2021). For person-centred care, the nursing staff are provide with the training of communicating patients needs and wishes and accordingly making effective care plan to ensure quality of care of patient. In addition, NHS also prioritize clinical audit, it is concern with setting best care practices, computing staff performance against set standards, establishing enhancements as well as ensuring continuous monitoring. In context of person-centred care, NHS established standards for personalised care practices and evaluate the actual practice with set standards and focuses on overcoming deviations via ensuring required training and development. Hence, the clinical governances of NHS plays an important role in enhancing quality care of organization.
Evidence-based practice consideration within nursing practice
Evidence-based practice refers to an systematic approach of optimizing best available research data with clinical expertise as well as patient`s value. In context of nursing, evidence based practice includes offering holistic, quality as well as up-to-date research or information while practicing the duty. The evidence-based practice allows the nurses to effectively evaluate patient`s preference and accordingly provided nursing services (Melnyk and Fineout-Overholt, 2022). It allows the nurses to offer person-centred care, ultimately enhance overall patient`s satisfaction and well-being.
The evidence-based practice enables the service user to get up-to-date information of patient in terms of needs, wishes and preference, ultimately allows in implementing the care plan to offer personalised care to patient. The EBP enables nurses to provide quality of care to patient leads to enhance overall patient satisfaction. In addition, in context of nursing practice evidence-based practice allows the nurses to provide required support to services user including physical and emotional. For instance, EBP enables nurses to offer emotional support to patient suffering from disease, illness and injury by using empathy skill, ultimately enhance quality care.
In reference with evidence-based practice, different research methods are used such as qualitative and quantitative. Qualitative research method refers to gathering and evaluating non-numerical data whereas quantitative research means collecting numerical data and facts & figure to get up-to-date information (Karunarathna et al, 2024). In nursing practice, in context of evidence-based practice to identify the needs, wishes and preference of services user, information collected from qualitative methods. It includes asking direct questions to patient and family, involving services user in decision-making to recognize the needs, it allow nurses to offer personalised care. Besides this, in terms of quantitative method, to provide care in personalised manner, nurses collect evidences via evaluating patient`s report, medical history accordingly prepare a care plan. In context of nursing practice, EBP concern with recognizing disease of patient, identivi evidence based on qualitative and quantitative method, applying the evidence while offering care and preparing care plan and accordingly health outcome of services user evaluated.
CONCLUSION
To sum up all, it has been identified that nursing practices plays an important role in providing person-centred care to patient. The term professionalism means performing the duty based on set standards while accountability means being answerable to own work. The interpersonal skill of communication, empathy, self-regulation enables nurses to build rapport and trust with patients as a results supports person-centred care. Moreover, person-centred care policy is used to promotes holistic person-centred care in terms of nursing practice, it compliance with care act, CQC guidelines and so more. In addition, NHS policies is concern with confidentiality, diversity & equality and personalised care guidelines to enhance overall outcome of patient. Besides this, evidence-based practices applies in healthcare by optimizing qualitative and quantitative research method and it is used to utilizing up-to-date information while providing coordinated and personalised care to patient.
REFERENCES
Books and Journals
- Entwistle, V.A., Cribb, A., Mitchell, P. and Walter, S., 2022. Unifying and universalizing Personalised Care? An analysis of a national curriculum with implications for policy and education relating to person-centred care. Patient Education and Counseling, 105(12), pp.3422-3428.
- Ferri, D., 2021. Towards a Model of Integrated Person-centred Care. Federalismi. it, 13.
- Ghavamabad, L.H., Vosoogh-Moghaddam, A., Zaboli, R. and Aarabi, M., 2021. Establishing clinical governance model in primary health care: A systematic review. Journal of education and health promotion, 10, p.338.
- Maeda, A. and Socha-Dietrich, K., 2021. Skills for the future health workforce: Preparing health professionals for peoplecentred care. OECD Health Working Papers, (124), pp.0_1-42.
- Melnyk, B.M. and Fineout-Overholt, E., 2022. Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
- Rizwan, M., Shabbir, A., Javed, A.R., Srivastava, G., Gadekallu, T.R., Shabir, M. and Hassan, M.A., 2022. Risk monitoring strategy for confidentiality of healthcare information. Computers and Electrical Engineering, 100, p.107833.
- Smith, J.B., Willis, E.M. and Hopkins‐Walsh, J., 2022. What does person‐centred care mean, if you weren't considered a person anyway: An engagement with person‐centred care and Black, queer, feminist, and posthuman approaches. Nursing Philosophy, 23(3), p.e12401.
- Srivastava, M.M., Bhadouria, M.A.S. and Gautam, M.S., 2023. PROFESSIONALISM. Xoffencer international book publication house.
- Tabish, S.A., 2024. Professional Regulation, Law, and Ethics. In Health Care Management: Principles and Practice (pp. 523-557). Singapore: Springer Nature Singapore.
- Wolderslund, M., Kofoed, P.E. and Ammentorp, J., 2021. The effectiveness of a person-centred communication skills training programme for the health care professionals of a large hospital in Denmark. Patient education and counseling, 104(6), pp.1423-1430.
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