Reflective Log Examples

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Reflective Log 1

Briefly describe the topic you have chosen and your thoughts and feelings about it:

I have chosen to explore the topic of Person-centredness as Code of Conduct for Nurses tell us to put the individual at the center of our concern, respect their wishes and involve them in making decisions about their own care and treatment. (NMC and Nursing and Midwifery Council, 2015) Moreover, person-centredness is a core of Scotland’s healthcare quality vision for the future. NHS realise that to become a world leader in quality healthcare provision, the care must be delivered effectively, safely and have the person in the center. One of the NHS Scotland’s Healthcare Quality Strategy aim is to promote patient’s inclusion and prevent avoidable treatments and hospitalisations. In other words, it will help the NHS to save money and allocate resource more effectively to reduce inequalities. All of this is going to happen by considering the individual’s views and experiences to improve quality, engaging them into own care and making the decisions about the treatments. (The Scottish Government, 2009) Using relevant supporting literature and evidence, discuss what you learned in relation to this topic and in what ways it relates to values and rights based nursing practice: There are many definitions of Person Centred Care. NHS Education Scotland describes it as working with individual, their carers and family to identify and achieve goals, that are purposeful to them. (NHS Education for Scotland, 2014) NHS Quality Strategy 2010 emphasises the relationship is mutually beneficent for the individual and for the health care services, based on continuous, compassionate care and effective communication. (The Scottish Government, 2010) Similarly, Health Foundation (2014) sees person-centred care as coordinated and adjusted to the needs and wishes of an individual. It is working collaboratively with people, empowering them, providing with skills and knowledge to manage own health and wellbeing. Having said that, health foundation notice there is no one single definition of person-centred care as the term is so broad and variable. It all depends upon the individual receiving care, their changing, diverse values, and wishes. Alternatively, they propose a framework for implementation Person-centred care. The core principles include compassion and respect, coordinated care tailored to the individual needs and enabling people to take control over their own lives. The principle of empowerment is emphasised as it is the way to create a professional relationship based on participation rather than just the individual following recommendations. To make it work, health care professionals first need to understand the values the person holds and agree upon the meaningful outcomes the person wants to achieve. The idea of a person -centredness first emerged in the work of Carl Rogers in 1950’, when he developed a therapy based on a principle of unconditional positive regard toward the patient. This revolutionary at that time idea of seeing the world through the eyes of patients and avoiding stereotyping or judging them was a base for the further development of the Peron centred approach. Currently, law obligates NHS to ensure patient’s involvement in own care. (The Health and Social Care Act 2012) The future focus for the development and support of self-management is indicated in Scotland’s 2020 Vision (2013). The swift towards achieving truly person-centred care requires redesigning services. Experience-based co-design (Kings trust, 2013) is a toolkit designed for organisations to improve services. Staff and patients work together, express their views and verbalise experiences in order to make changes that will benefit both sides. Another organisation, associating
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Providing person-centred care requires skills and knowledge. Underlined by principles of care, nurses need skills, to develop a relationship with the individual, get to know them to provide quality, person-centred care. This includes good interpersonal and communication skills, effective team working. (Manley, Hills and Marriot, 2011) Although some studies clearly show nurses ' understanding of the principles of person-centred care (Ross, Tod and Clarke, 2014), the report by the Health Foundation shows that shared decision making proves to be challenging. (King et al., 2013) Sometimes it may difficult to put in practice due to the lack of capacity or the person is unconscious. In that case, other principles of person-centred care, such as care and compassion, coordination and personalisation can be emphasised. (Health Foundation,

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