Briefly describe the key principles of person centred care and demonstrate how you implemented person centred care in practice, Illustrate with examples. Use academic literature and the insight that it provides to inform your understanding of the key principles of person centred care.
Person centred care can be viewed in many different aspects. The eight key principles of nursing practice found by the Royal College of Nursing (2011) include, dignity, responsibility, safety, choice, communication, skills, teamwork and being able to influence in a positive way. Although Nolan (2001) argued that concepts of successful ageing, health-related quality of life and person centred care overvalue autonomy and independence, which are values which may disadvantage the older generation in society. Also despite research by Davies et al (1999) indicating differences between patient and staff views, the aspects of person centred care identified in Corring and Cook’s (1999) study are very consistent with the principles of person centred practice identified in the majority of the literature reviewed.
For the purpose of this assignment I will explore two of the key principles of nursing practice in depth whilst illustrating examples of how I have implemented person centred care whilst being on placement.
There are many definitions of person centred health care in the literature. This can be seen by The Victorian Department of Human Services (2003) as they define person centred care as ‘the treatment and care provided by health services that places the person at the centre of their own care and considers the needs of the older person’s carers’. Then again, Brooker (2009) also defines person centred care as treating people as an individual, regardless of any disability or illness the person may have and also to be able to view the world from the individuals perspective, taking into account their disability or illness which they may have. The overriding idea of person centred care should have a combined and respectful rapport between the service provider and the user. The service provider should appreciate the impact the service user can make to their own health, such as their beliefs, ambitions, past experience, and knowledge of their own health needs. Likewise, the service user should also appreciate the impact the service provider can make, including their professional expertise and their knowledge of the options available to the service user, whilst being able to voice their own beliefs and experience when appropriate. Together the service provider and service user are important in this rapport as neither is interchangeable and the experiences of one cannot be generalised to another.
Person centred care arose from a number of different theorists however, Rogers (1970), whom was a humanistic psychologist and is best known as the founder of client centred therapy agreed with the main assumptions from that of Abraham Maslow. Lane (2000 p311) suggests Rogers theory was that ‘no one can make decisions for another, act for them or solve their problems — because these are matters of personal responsibility and choice’
Maslow (1943) stated that ‘people are motivated to achieve certain needs. When one need is fulfilled a person seeks to fulfil the next one, and so on’. He came up with a hierarchical pyramid which included five motivational needs for each individual to ‘grow’. This five staged model is divided into basic needs, safety needs, social needs, esteem needs and self-actualisation. Rogers agreed by adding that for a person to ‘grow’, they need an environment that provides them with genuineness, acceptance, and empathy.
From the RCN (2008) it is clear that principle A focuses on dignity, equality, diversity, and humanity. This can be seen as the initial point for any person who works within the nursing team, regardless of their grade, role or authority as it is seen to be essential to provide the patient with the basic...
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