Examples Of Acceptability In Nursing Care

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Acceptability (care that is respectful of patient and family needs, preference, and values)
Acceptability in healthcare is defined as care that is respectful of patient and family needs, preferences, and values. Acceptable care is patient-centered, involves patients and their families in the care process and decision making, provides both physical and emotional comfort to the patients, and ensures that healthcare providers have a clear understanding of patient’s cultural beliefs.ii Patient families play an integral part in the acceptability of ICU care because most ICU patients are unable to communicate effectively or be part of the decision-making process, giving families or other close ones the primary responsibility as surrogate decision
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Language translation services and interpreters can address this challenge and allow patients and families to express their health needs and concerns more effectively. i These services have proved to improve the healthcare outcomes of patients.i
Measurement: availability and efficiency of language translating services and interpreters to support ICU patients. This can be assessed using The Speaking Together: National Language Services Network Measures tool.xxviii
Usage of Shared-Decision Making Module: Using Shared-decision making model in the ICU instead of patient autonomy model, which gave all decision-making power to patients or surrogates, or the paternalistic model, which gave the power to the physicians, proved to provide more acceptable care to patients. The frequency of the model usage can be reflective of the acceptability of the decision making process within the ICU.
The rate of Shared-Decision making model usage= Number of times the model was used in decision making within 1 week/ total number of decisions made during the week.

Outcome
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This ensures that care provided is evidence-based and is also accommodating for patients’ and families’ needs and values. Unfortunately, studies showed that ICU families or other surrogates often feel detached, uninvolved, and uninformed of the clinical decision-making process and the daily care provided for patients.ii Improving shared decision making in ICU requires several steps and measures which include: 1) providing healthcare professionals with training in communication skills. 2) Using the shared-decision making model the default method when making care decisions in the ICU. 3) Holding regular meetings between ICU healthcare professionals and families or surrogates. The healthcare team should fully disclose information regarding the patient and discuss all the available treatment and management options. 4) Tailoring the care process according to the patient and family

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