Care plans are written records of the care planning process, there are several methods of recording care; there are individualised care plans, standardised care plans and care pathways. Effective care planning and documentation are essential nursing skills as well as being a professional, legal and ethical requirement of nursing practice (NMC, 2015). This essay will primarily focus on individualised care plans and goal setting using the SMART framework (appendix 1)( Werle Lee et al 2010). I have also considered the PRODUCT framework (Barrett et al, 2012) but felt that SMART was the more appropriate and understandable framework that best fit with the nursing process. It is accepted practice within healthcare that any care provided should be
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By competing an assessment of the patient which could be done in part using Roper Logan and Tierney (2000), activities of living and establishing the patients’ needs as part of the nursing diagnosis e.g. needs to increase mobility, the nurse is able to establish goals during the planning part of the ASPIRE framework (Chellel, 2001). Patient centered goals should be specific, measurable, achievable and time bound, (Ambler, 2006) for example when setting a goal for a patient you would say: (patients name) will aim to walk 50 meters by Friday. As part of the implementation part of the ASPIRE framework you would state how this will be achieved i.e. daily physiotherapy, patient completing daily exercises, this should state who will be doing what, when and …show more content…
Since the effects of using this concept in practice have not been thoroughly evaluated, suggested that further research is essential to investigate its effect on patient outcomes. Leach et al (2009), conducted a qualitative study of patient centred goal setting in a rehabilitation setting and found that the understanding of term patient-centred differed between the therapist and the patient and that the patients did not feel that they were involved in their care planning. However, a study by Langford et al (2007), suggests that collaborative goal setting had a positive impact and that the patient felt empowered. Lauver el al (2002), also concludes that patient centred goals and interventions have better outcomes but also finds that as nurses we are still very bad at putting the theory into practice. The Nursing and midwifery council (NMC) code of conduct (2015) states, that nurses should treat people as individuals, uphold their dignity; listen to their patients and respond to their preferences and concerns which is the essence of patient centred care. It is clear from the research that although the concept of patient centred care is understood and the benefits of patients centred and collaborative goal setting is well documented we as healthcare professionals are still not putting the theory into practice
By competing an assessment of the patient which could be done in part using Roper Logan and Tierney (2000), activities of living and establishing the patients’ needs as part of the nursing diagnosis e.g. needs to increase mobility, the nurse is able to establish goals during the planning part of the ASPIRE framework (Chellel, 2001). Patient centered goals should be specific, measurable, achievable and time bound, (Ambler, 2006) for example when setting a goal for a patient you would say: (patients name) will aim to walk 50 meters by Friday. As part of the implementation part of the ASPIRE framework you would state how this will be achieved i.e. daily physiotherapy, patient completing daily exercises, this should state who will be doing what, when and …show more content…
Since the effects of using this concept in practice have not been thoroughly evaluated, suggested that further research is essential to investigate its effect on patient outcomes. Leach et al (2009), conducted a qualitative study of patient centred goal setting in a rehabilitation setting and found that the understanding of term patient-centred differed between the therapist and the patient and that the patients did not feel that they were involved in their care planning. However, a study by Langford et al (2007), suggests that collaborative goal setting had a positive impact and that the patient felt empowered. Lauver el al (2002), also concludes that patient centred goals and interventions have better outcomes but also finds that as nurses we are still very bad at putting the theory into practice. The Nursing and midwifery council (NMC) code of conduct (2015) states, that nurses should treat people as individuals, uphold their dignity; listen to their patients and respond to their preferences and concerns which is the essence of patient centred care. It is clear from the research that although the concept of patient centred care is understood and the benefits of patients centred and collaborative goal setting is well documented we as healthcare professionals are still not putting the theory into practice