The AHN Nursing Philosophy | Allegheny Health Network
Nov 26, professionals said were at the centre of being a nurse, midwife, or care Compassion: is how care is given through relationships based on empathy We have produced a poster for display in all areas demonstrating how. excellence, providing high quality care to our UVA patients, we invite Our nursing care delivery system is Relationship-. Based Care Care, is represented in the center of the framework. their evidence-based practice in either poster or. As a Magnet® facility, the nursing leadership at Hendricks Regional Health is evidence-based poster fair highlighted new techniques in nursing practice. the relationship among the health care team, the nurse and the patient/family.
It was less important for straightforward, time-limited matters than for more complicated or longer-term problems, sensitive and potentially stigmatising problems, intimate physical procedures, or when patients felt psychologically vulnerable: Not all relationships were positive and, in a worst-case scenario, could become toxic, as happened in the following instance: Patient factors A common concern was anxiety about the forthcoming consultation stemming from a fear that their reasons for consulting may not be accepted as legitimate and their reception and care compromised as a result.Relationship Based Care
Establishing a relationship with a single GP enabled patients to demonstrate a pattern of responsible consultation over successive visits: So, if you did have something, you sort of took that decision: Some of them have that attitude.
GP qualities Most group practices promote team-based continuity through shared electronic records; however, interviewees were convinced of neither the comprehensiveness of records nor GPs reading them sufficiently thoroughly.
Relationship-Based Social Work, Second Edition
Seeing the same doctor avoided repeated retellings of their story, with not enough time to relate it in full and important information being misremembered or omitted.
To many, a primary function of a familiar GP was to act as a repository of information: Knowledge accumulated over successive consultations enabled the GP to better assess the significance of symptoms and make connections, leading to more rapid diagnosis and treatment tailored to the needs of the individual: Patients played a substantial role in helping to ensure management continuity by relaying information between the hospital and GP, checking that letters had been received, and double-checking medication lists.
One person, who had lost the continuity enjoyed in the past when her GP retired, recalled: They also recognised that seeing the same practitioner brought its own safety risks: This is illustrated in the following exchange between two patients, one of whose cancer had been misdiagnosed as piles: So, partly my fault, partly hers Even bad experiences had not led to questioning of the strategy; most patients had simply transferred their desire for continuity to another GP.
The enhanced safety attributed to relationship continuity was set against experiences of poor care associated with its absence: In one case, a chronic ear condition had been consistently mismanaged by successive GPs who had also failed to link it with bouts of dizziness and falling.
Not only had the patient experienced debilitating symptoms for a prolonged period and undergone repeated courses of unnecessary antibiotic treatment, but her experience had also left her feeling alienated and depersonalised: Interviewees described an industrial process in which patients become commodities to be processed and their individual personhood is denied, as one person commented: It enabled the GP to: Despite these advantages, patients were aware that there were risks, not least a false sense of security and lack of a fresh perspective.
Few wanted relationship continuity for all consultations; instead, patients wanted the opportunity to choose when, for what and with whom they needed it.
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No one advocated a return to enforced continuity with a practitioner not of their own choosing. Strengths and limitations Only 38 people were interviewed and their views may not represent those of patients more generally. There is no information about those who chose not to take part.
However, the sample of patients and practices was geographically and sociodemographically diverse and the findings are consonant with those reported elsewhere. Comparison with existing literature The findings not only echo those of studies highlighting the importance of a psychosocial dimension to safety, 10 but point to the varied and subtle ways in which it can mediate physical safety.
They are also consistent with studies specifically concerned with relational continuity, 1112 although not, as in this study, filtered through the lens of safety. This study provides further evidence of the importance to patients of relationship continuity; however, there is uncertainty about the perspectives of GPs and barriers to delivering this that warrants further research.
Few practices are likely to be able to satisfy all patient choices. The new role provides administrative oversight, but not the relationship continuity and ensuing safety benefits valued by patients, and may do little to counteract the impersonal and superficial style of care of which many complained.
The power of humor shouldn't be overlooked as a great tool to help patients relax and be comfortable, Stefanek advised.
Health is Primary: Engaged Patients Are Healthier Patients
And don't forget it's important to encourage staff to smile and treat everyone with the kindness and respect they deserve. Again, a guiding principle of this panel is patients taking more responsibility for their own health. Stefanek said the clinic's patient portal allows patients to access him directly and supports his philosophy that he is there to help them take care of themselves. He said the clinic's staff is good at encouraging, and sometimes demanding, that patients bring their blood pressure and blood sugar readings with them to visits, know what medications they are taking and what for, and remember when their next screening and follow-up tests are due.
Engaging Patients Is Valuable for Adherence The more patients are engaged in improving their health, the better they will adhere to medical advice and adopt healthy behaviors. Stefanek said a good example of the value of patient engagement is with medications.
If a patient refuses to be engaged in the promotion of their health, they simply will not receive the best care possible. Stefanek added that patients who refuse to be engaged in their health create more work for clinics -- reminding them of services they may need and spending more time coordinating their care and on patient education.
He said he encourages patients to go online and learn as much as they can about their own health -- the conditions they have and the steps they can take to improve their health.