Discussion and Analysis
The patient-centered nursing (PCN) model guides practitioners to respond to patients’ conditions and health using personalized care delivery procedures. In terms of origin, Carl Rogers introduced it in the 1930s (Flagg, 2015). The psychotherapist believed that a person’s experiences and expectations were the foundations for effective healing procedures. Tom Kitwood would later introduce aspects of relationships and communication to strengthen the framework.
McCormack and McCance refined and presented the major attributes aspects of patient-centered nursing in 2010. The model’s meaning is that care delivery should focus on the needs of patients. This kind of awareness will result in holistic medical support. In terms of logical adequacy, this theory presents several attributes that can guide practitioners to predict their patients’ health outcomes. Scientists and researchers acknowledge that its contents, terms, and generalizations make sense and can guide nurses to deliver positive health results.
PCN is a useful theory since it guides practitioners to make better assumptions and predictions. It also introduces evidence in the field of healthcare, thereby empowering nurses to establish meaningful relations with their patients. This model meets the generalizability test since it is applicable in different fields, scenarios, and settings to transform people’s experiences. It can also predict positive emotional, spiritual, mental, and physical health outcomes.
The theory has an acceptable degree of parsimony. This is true because it can explain a specific phenomenon without sacrificing its completeness. Its formulations, assumptions, and metaparadigms are also clear. Practitioners can, therefore, consider these issues to make appropriate care delivery decisions (McEwen & Wills, 2014). The model also fulfills the testability requirement since researchers can use it to generate numerous hypotheses. They can go further to modify the theory because of its strong experiential evidence.
Application of Theory
Nursing theories present evidence-based assumptions and ideas that practitioners can use to deliver high-quality services to their patients. Their effective application can minimize most of the challenges both patients and nurses face. The patient-centered nursing (PCN) framework is the selected model for analysis and how it can be applied in the field of adult gerontology primary nursing. This paper begins by presenting a summary or overview of the PCN model. It goes further to describe how this framework is appropriate for nursing practice. The discussion will describe how it can inform care delivery in the selected field. The conclusion section will give a summary of the issues described in the paper.
Selected Model: Overview
The authors of the PCN framework define it in an abstract manner. This means that practitioners can consider specific concepts and apply them accordingly in their respective fields. The major concepts include patient-nurse relationship, patient outcomes, and personalized care. The first one encourages practitioners to establish meaningful relationships with their patients. This approach can create the best environment for maximizing health outcomes. The second one guides practitioners to improve every patient’s health outcomes (Delaney, 2018). The idea of personalized care focuses on the best practices to ensure that the targeted individual receives holistic care.
The model goes further to present unique definitions of the four metaparadigms of nursing. The first one is that of person. The theory defines it as any individual in need of psychological, physical, emotional, mental, or spiritual health support. Health is the second nursing metaparadigm. This is a higher state of being that practitioners and physicians should pursue. The metaparadigm of environment also informs this model.
According to the theory, social, economic, and religious attributes of an individual are integral attributes of the natural environment (Flagg, 2015). Existing health issues, diseases, or challenges are also part of this metaparadigm. Practitioners should focus on these aspects to deliver high-quality medical care. The theory uses the nursing metaparadigm to guide caregivers to form personalized relationships with their patients and provide holistic services.
Appraisal of the Model as a Nursing Theory
The PCN framework is a powerful theory that can guide practitioners and caregivers to maximize their patients’ health outcomes. The model provides unique concepts and attributes that nurses can consider to meet the unique needs of the targeted individuals. Patients receiving medical services can collaborate with their physicians and clinicians to ensure that their weaknesses and behaviors are taken into consideration. The four metaparadigms are capable of empowering nurses to develop personalized care models that resonate with the diverse needs of the targeted people (Delaney, 2018). These aspects make it appropriate for nursing practice.
In the recent, many practitioners have used this model to deliver high-quality services to their patients. They have done so by establishing meaningful patient-nurse relationships. Such a practice ensures that the unique expectations of patients are met (McEwen & Wills, 2014). The model has led to the establishment of multidisciplinary teams, thereby ensuring that holistic care is available to every patient. Many nurses have found this model resourceful since it minimizes the levels of burnout and dissatisfaction. Some practitioners use it to improve the way they relate with their colleagues and patients. Such initiatives result in high-quality medical services.
Application of the Model to Advanced Practice Nursing
The above model can serve as a powerful theoretical framework to guide practitioners in the adult gerontology primary care. This field focuses on the health needs of adults across the lifespan. Caregivers in this area can use this model to identify patients’ needs, form meaningful relationships, and provide personalized medical services. They can also encourage the relatives and family members of the targeted patients in order to record positive results. A good example is identifying a specific patient suffering from a terminal condition. The model will result in the establishment of a positive patient-nurse relationship.
This approach will guide the practitioner in charge to monitor the challenges such a person is facing (McCormack & McCance, 2017). The next step is establishing a powerful model to address his or her medical needs. The practitioner will monitor the patient continuously, identify emerging challenges, and provide the most appropriate support. These strategies will eventually ensure that the patient’s health outcomes are impacted positively.
The practitioner will also feel empowered and focus on the health needs of other individuals. The professional using this model will communicate with the targeted patient effectively and apply the four metaparadigms according. The practitioner will also meet the patient’s mental, psychological, emotional, and physical needs (Delaney, 2018). The caregiver will develop an effective personalized care delivery model to empower many people in need of adult gerontology care.
Conclusion
The above discussion has revealed that PCN model is a powerful framework that defines the four metaparadigms succinctly and provides procedures for transforming patients’ experiences. It can guide adult gerontology primary care nurse practitioners to offer high-quality and personalized services to their patients. The completed assignment has equipped me with numerous ideas that will support my future objectives as a practitioner. I will consider the attributes and concepts associated with the PCN model to transform my philosophy and provide exemplary care to my patients.
References
Delaney, L. J. (2018). Patient-centered care as an approach to improving health care Australia. Collegian: The Australian Journal of Nursing Practice, Scholarship & Research, 25(1), 119-123. Web.
Flagg, A. J. (2015). The role of patient-centered care in nursing. Nursing Clinics, 50(1), 75-86. Web.
McCormack, B., & McCance, T. (2017). Person-centered practice in nursing and health care: Theory and practice (2nd ed.). Oxford, UK: Wiley Blackwell.
McEwen, M., & Wills, E. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.