Competency is a topic of great interest to educators and administrators in practice disciplines, particularly health care disciplines such as nursing. Providing care that is respectful and responsive to individual patient preferences, needs, and values, thereby ensuring that patient values guide all clinical decisions (Ponte, et.al, 2014). Traditionally, care has been organized around the needs and desires of healthcare professionals, particularly the physicians. Although, the centrality of patients and families seems understood as a basic tenet of healthcare, restructuring organizations around the needs of patients and families has in fact challenged most hospital-based organizations to significantly change a long-existing culture. Therefore,
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Effective care is generally defined in consultation with patients rather than by physician dependent tools or standards. For instance, An orthopedic surgeons employ the Harris Hip Score to judge the success of total hip replacements (Ponte, et.al, 2014). It was designed solely by physicians and does not even ask patients to rate their satisfaction with the procedure; it answers the questions important to the doctors and thought to be important to patients. In essence, the first step in understanding patient-centered care is understanding that patients be asked to rate or judge their health care. Providers often believe that they know everything about their patients and their care, but they are simply unable to accurately assess their patients’ perceptions of care, what is important to them, how well they are delivering care or what factors in their patients ' care improve outcomes (Ponte, et.al, 2014). As health care providers, we need to attempt to move from what is the matter with our patients to what matters to our patients. Therefore, the patient- centered care continues to evolve. This is evidenced by the American association of colleges of nursing (2014). There are 6 proposed dimensions of patient-centered care. namely; (a). Respect for patients’ values, preferences, and expressed needs (b) Coordination and integration of care through collaboration and teamwork, (c) Accessibility and free flow of information, communication, and education, (d) Physical comfort, (e) Sensitivity to non-medical and the spiritual dimension of care and (f) emotional support and involvement of family and friends. Respect is evident in the sharing of desired information with the patients and families, the active partnering with them to determine care priorities and a plan, tailoring their level of involvement according to their preferences, not those of the
Effective care is generally defined in consultation with patients rather than by physician dependent tools or standards. For instance, An orthopedic surgeons employ the Harris Hip Score to judge the success of total hip replacements (Ponte, et.al, 2014). It was designed solely by physicians and does not even ask patients to rate their satisfaction with the procedure; it answers the questions important to the doctors and thought to be important to patients. In essence, the first step in understanding patient-centered care is understanding that patients be asked to rate or judge their health care. Providers often believe that they know everything about their patients and their care, but they are simply unable to accurately assess their patients’ perceptions of care, what is important to them, how well they are delivering care or what factors in their patients ' care improve outcomes (Ponte, et.al, 2014). As health care providers, we need to attempt to move from what is the matter with our patients to what matters to our patients. Therefore, the patient- centered care continues to evolve. This is evidenced by the American association of colleges of nursing (2014). There are 6 proposed dimensions of patient-centered care. namely; (a). Respect for patients’ values, preferences, and expressed needs (b) Coordination and integration of care through collaboration and teamwork, (c) Accessibility and free flow of information, communication, and education, (d) Physical comfort, (e) Sensitivity to non-medical and the spiritual dimension of care and (f) emotional support and involvement of family and friends. Respect is evident in the sharing of desired information with the patients and families, the active partnering with them to determine care priorities and a plan, tailoring their level of involvement according to their preferences, not those of the