Tuesday, May 5, 2020
Qualitative of Perceptions and Experience â⬠Free Samples to Students
Question: Discuss about the Qualitative of Perceptions and Experience. Answer: Introduction With a focus to attain high-quality healthcare, the contemporary health system works to empower patient-centred healthcare processes that hold a keen interest in patient experience. The most widely accepted dimensions of patient care experience involve their care, respect, rights, communication, family involvement in care, accessibility and care coordination (Ignatavicius Workman, 2015). This study demonstrates a detailed account of importance of patient-care experience, patient-family care and partnering in care. A case study of Mr. William Taylor is considered as an example to deeply understand these concepts further referring the facilitators and barriers in the health-care experience of Mr. Taylor. Lastly, study details certain attributes that can work further to empower patient-centred care in Australian healthcare system. Understanding the importance of patient-care experience, patient-family centred care and partnering in the healthcare system by referring personal experience of one case study patient as well as identifying the requirements to promote patient-centred care in Australian healthcare system. Patient-care experience, patient-family centred care and partnering in care As per Marshall, Kitson Zeitz (2012) studies, patient-care experience is the array of interaction between patient and healthcare system involving functionality of nurses, physician, hospital staff, doctors, care planning, practices, barriers and facilities. Further, Rathert, Wyrwich Boren (2013) indicated that patient-family centred care is an important part of patient-centred care that develops patient care experience. But, all alone family-centred care understands the needs of patient families that positively show their involvement with healthcare professionals to help in improving care experience. Basically, the families or family members who cannot leave the hospital or stay in the hospital for some time are considered part of family-centred care. As per Australian Commission on Safety and Quality in Health Care (ACSQHC) Partnering with Consumer is an opportunity for the consumer to get benefit by working with healthcare professionals in service planning, designing care and service evaluation. This partnership in healthcare helps consumers to create more focus on patient input, needs and priorities (Dossey et al. 2012). Hibbard Greene (2013) indicated that effective consumer partnership in healthcare is interconnected with patient centred care and family centred care that helps to develop an effective patient experience. According to Morgan Yoder (2012) partnership in healthcare works to improve clinical outcomes, decrease healthcare acquired infections; improve care service delivery, effective adherence to treatment schedules and functional status. With this partnership benefits, a high-quality patient care experience can be developed that helps to cope with increasing expectations and demand in the healthcare system. Further, Davidson, Jones Bienvenu (2012) indicated that improvement in patient care experience is important to achieve contemporary priorities of healthcare delivery system. This priority involves patient preference, needs and values to be kept above all healthcare essential. Hesselink et al. (2012) opine that when healthcare management, providers, families and patients work in partnership then a better quality and safety is observed that helps to reduce cost, enhance care and deliver patient satisfaction. Lastly, family-centred care is important to attain a much satisfactory and safe patient care system especially for small childrens in health care. Morgan Yoder (2012) demonstrated an example of the United Kingdom where parents decision making in the healthcare is considered a very important part of their childrens treatment process. Further, family-centred care is important to get friendly and supportive working environment. In the provide case of Mr. Taylor it is clearly specified that he was not much satisfied by the healthcare system especially the care delivery system of the public hospital. In case of Mr. Taylor, person centred care was not observed in public hospital because he was kept at fourth priority position irrespective of his intense pain for 11 hours after fall incidence. Due to this unavailability of patient centred care and bad patient experience at the public hospital, Mr. Taylor in his next fall incidence directly went to his general physician. However, in another fall incidence, his patient experience with his General physician went very well where he was treated nicely with complete attendance, biological testing and good care. Even in his second fall incidence, his confrontation with medical surgeon working in public hospital went bad because surgeon behaviour with Mr. Taylor was rude and non-cooperative. This indicated that patient experience, in this case, was unsatisfactory as well as public healthcare management system required rectification in terms of patient-centred care and family centred care to attain better patient experience. Facilitators and barriers of Mr Taylors health-care experience within the health care system Health-care experience of patients is always a collaboration of minute experiences that can be positive or negative but the overall structure of patient care experience is defined on basis of these minute experiences. Similarly, in case of Mr. Taylor small facilitators and barriers worked to structure his patient care experience. In his recent fall situation, Mr. Taylor went to his General Physician who worked as a facilitator in his healthcare experience because GP provided him with a satisfactory treatment for his fall experience. However, GP suggested Mr. Taylor for visiting a surgeon for further treatment and diagnosis that created a barrier in his healthcare experience because of disappointing surgeon behaviour (rude and not cooperative towards his family). In this fall incident, Mr. Taylor preferred GP instead of moving to the public hospital due to his previous bad experience in public hospital. In previous fall incidence, Mr. Taylor went to the hospital but he was not treated well. Mr. Taylor was kept for 11 hours in intense pain being untreated because his priority number was four in hospital priority system. As per his response, ignorance of care at hospitals in Australia is a big issue. Hence, this priority system worked a barrier in his experience development. Further, the physical health condition of Mr. Taylor also worked as an barrier to attain a good healthcare experience because he was already suffering drastic health conditions that made his recovery very slow. Mr. Taylor suffered health conditions like hypertension, anaemia, deafness, blood pressure, enlarged prostate and reduced tuberous. Mr. Taylor considered his experience with Physiotherapist as a good one where he was provided with exercises that help him to recover. Hence, physiotherapy experience worked as a facilitator in his care experience. However, Mr. Taylor family had a very bad past experience where doctor operated his father with incorrect strategy (doctor removed his limb). The condition of Mr. Taylors father situation got bad after this operation that leads to developing of negative experience with the healthcare system. Lastly, Mr. Taylor indicated that he had a satisfactory experience with the care he received from nurses and other staff members in the hospital. B ut, a more personal approach is required to deal with the patients. Organisational attributes and processes for promoting organisational change and staff practice towards patient-centred healthcare There are various opinions, ideas and processes developed that can help in promoting organisational change as well as staff practice to attain a better patient-centred healthcare system in Australia. Hesselink et al. (2012) stated that one of the most effective attributes is to develop a culture of patient centred care where four working zones should be the improvement in leadership management staff, empowerment of quality and safety, focus on patient responsiveness and establishing a user friendly environment in the healthcare system. This could help to develop a better organisation culture strengthening patient centred care. As in case of Mr. Taylor, his bad experience at the public hospital can be recovered by implementing this culture in public healthcare system of Australia. Further, Marshall, Kitson Zeitz (2012) opine that Australian healthcare system should work on the interpersonal dimensions to strengthen its patient-centred healthcare. The interpersonal dimension involves enriching nurses and physicians training to learn interpersonal communication, workshops to enriching all employee engagement for better teamwork, promoting patient survey and feedback and active involvement of patient advisory committee in the healthcare system. Enriching interpersonal dimension can help to improve workflow within organisation resulting in better functionality (Pinto et al. 2012). As in case of Mr. Taylor, the barrier of lacking patient attention and communication created a negative patient experience, this attribute in organisation change can help to overcome such barriers in healthcare delivery system (Patient and Consumer Centred Care | Safety and Quality, 2017). Conclusion A positive patient experience along with partnership in care should be an important goal in healthcare delivery system to develop a contemporary, customised and personalised approach in Australian healthcare. As per provide case study, patient experience fluctuates as per their personal experience, family responses, experiences and advice. The patient experience is the indicator of healthcare quality and performance. Hence, organisations should implement different process and attribute for the betterment of patient care experience, partnering with care and family centred care. References Dossey, B. M., Certificate, C. D. I. N. C., Keegan, L., Co-Director International Nurse Coach Association. (2012).Holistic nursing. Jones Bartlett Publishers. Ignatavicius, D. D., Workman, M. L. (2015).Medical-Surgical Nursing-E-Book: Patient-Centered Collaborative Care. Elsevier Health Sciences. Davidson, J. E., Jones, C., Bienvenu, O. J. (2012). Family response to critical illness: Postintensive care syndromefamily.Critical care medicine,40(2), 618-624. Hesselink, G., Flink, M., Olsson, M., Barach, P., Dudzik-Urbaniak, E., Orrego, C., ... Vernooij-Dassen, M. (2012). Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers.BMJ Qual Saf, bmjqs-2012. Hibbard, J. H., Greene, J. (2013). What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs.Health affairs,32(2), 207-214. Marshall, A., Kitson, A., Zeitz, K. (2012). Patients views of patient-centred care: a phenomenological case study in one surgical unit.Journal of Advanced Nursing,68(12), 2664-2673. Morgan, S., Yoder, L. H. (2012). A concept analysis of person-centered care.Journal of Holistic Nursing,30(1), 6-15. Pinto, R. Z., Ferreira, M. L., Oliveira, V. C., Franco, M. R., Adams, R., Maher, C. G., Ferreira, P. H. (2012). Patient-centred communication is associated with positive therapeutic alliance: a systematic review.Journal of physiotherapy,58(2), 77-87. Rathert, C., Wyrwich, M. D., Boren, S. A. (2013). Patient-centered care and outcomes: a systematic review of the literature.Medical Care Research and Review,70(4), 351-379. Patient and Consumer Centred Care | Safety and Quality. (2017).Safetyandquality.gov.au. Retrieved 29 August 2017, from https://www.safetyandquality.gov.au/our-work/patient-and-consumer-centred-care/
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