Concept Analysis Of Patient-Centered Nursing

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Patient-centered is one of the six aims for quality health care in the landmark report from the Institute of Medicine (2001). Patient-centered aims to improve clinical practice by building caring relationships that bridge the demographic, social, and economic difference between clinician and patients (Jakimowicz & Perry, 2015).
Concept analysis explores the meaning of concept to promote understanding ( McEwen & Wills, 2014 p.55). Concepts are the elements or components of a phenomenon necessary to understand the phenomenon ( McEwen & Wills, 2014 p.27). To describe the methodology used for this concept analysis of patient-centered nursing in the intensive care.
Walker and Avant’s ( 2011) was chosen to analyze this concept. Different sources
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As a result, some characteristics of patient-centered nursing were identified without the notion in its entirety (Jakimowicz et al., 2015).
Defining Attributes
Identification of the attributes of a concept occurs during the analysis of literature, development of cases and is the “the heart of concept analysis”(Walker & Avant 2011, p.162).The synthesis key themes and significant findings from included literature resulted to determination of the defining attributes of patient-centered nursing in the context of intensive care. As a result, biomedical nursing practice, patient identity, compassion presence, and professional presence were identified.
Identify Model Case
A real life example of the use of the concept ,that includes all the critical attributes of concept: they are not merely illustrative examples (Walker & Avant, 2011). To summarize, a frightened 65 years old woman was admitted to ICU wherein she was treated with compassion, provided with professional presence while assessment is being done, good communication was used to explain an emergent procedure and good rapport were established between the clinician and patient.These attributes resulted to positive quality patient
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Antecedents and Consequences
Antecedents are the procures to the occurrence of the concept: consequences the outcomes or incidents that transpire as a result ( Walker & Avant, 2011). In this article the antecedents are as follows: physiologically compromised patient seeking biomedical intervention; a professional competent nurse to the level required to work effectively in ICU; organized support in patient allocation, provision of adequate education and training and promotion of a culture patient-centered as well as access to different facilities expected of ICU (Jakimowicz et al., 2015).
Empirical Referrents
Identification of empirical referents to measure defining attributes is the concluding stage in the concept analysis model (Walker & Avant, 2011). In the final analysis, maintenance of patient identity, compassionate and professional presence needs to be a measure to determine the actual existence of the concept, therefore Family Satisfaction with Care in the Intensive Care Unit ( FS-ICU 24 ) and the Critical Care Family Needs Inventory were utilized. On the other hand, biomedical nursing practice assessed a partial or indirect way in evaluating a patient outcome (Jakimowicz et al.,

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