2. Domain Overview
Person-Centered
Care
• 2.1 Engage with the individual in
establishing a caring relationship
• 2.2 Communicate effectively with
individuals
• 2.3 Integrate assessment skills into
practice
• 2.4 Diagnose actual or potential
health problems and needs
• 2.5 Develop a plan of care
• 2.6 Demonstrate accountability for
care delivery
• 2.7 Evaluate outcomes of care
• 2.8 Promote self-care management
• 2.9 Provide care coordination
3. Concepts Related to Patient-Centered Care
• Caring
• The act of nurturing another person to whom one feels a commitment or
responsibility
• Holistic in nature
4. Swanson’s Theory of
Caring
• Maintaining belief
• Assisting patient to find meaning in life and a
positive attitude
• Knowing
• Nurse’s awareness of assessment data, factors
influencing the situation, and knowledge of the
client’s perception of the situation
• Being with
• Being physically and emotionally available present
with another person
• Doing for
• The performance of tasks and activities or an
attitude
• Enabling
• Being a guide for the client and family through
situations and events
5. 2.1 Engage with the individual in
establishing a caring relationship
• Empathy vs. Sympathy
• Compassionate Care
7. Sympathy vs. Empathy
• Sympathy
• “Emotional reaction of pity toward the misfortune of another”
• Empathy
• “The ability to understand and accurately acknowledge the feelings of another,
leading to an attuned response from the observer”
• Cognitive
• “Detached acknowledgement and understanding of a distressing situation
based on a sense of duty”
• Affective
• “Acknowledgement and understanding of a person’s situation by “feeling
with” the person”
8. Self-Reflection
• What have you experienced in your life that will help you to be
able to empathize with patients or their loved ones you may
encounter?
• What situations do you think you may encounter that would
make you uncomfortable because you have never experienced
something similar and would not know what to say?
9. Compassionate Care
• Means “to suffer with”
• “Attempts to address the suffering and needs of a person
through relational understanding and action”
14. Self-Reflection
Pause
• What are potential barriers that you
experience to communication?
• What biases do you have that could
affect your communication?
16. Forms of
Communication
• 5 levels of communication
• Verbal and physical
• What is said and physical gestures
• Auditory
• What the receiver hears when the
send speaks a message
• Emotional
• The speaker’s emotional state
when conveying a message
• Energetic
• How the person projects
themselves
18. Communication Influencers
• Of nurses and patients
Psychosocial
Factors
• Hearing or vision loss
Physiological
Factors
Developmental
Factors
• Intellectual or developmental deficits, pain,
disease processes
Cognitive Factors
19. Communication
Influencers • Fatigue, anxiety, fear
Situational
Factors
• Noise, temperatures,
lighting
Environment
al Factors
• Language, religion,
sexual orientation, age,
gender
• Biases
Cultural and
Demographic
Factors
20. Therapeutic Communication Techniques
Silence
Active Listening Verbal and nonverbal messages
Open-ended questions
Questions that cannot be answered by “yes”
or “no”
Accepting
Acknowledging what you have heard
Verbally or nonverbally
24. Barriers to
Communication
• Language differences
• Cultural diversities
• Speech or hearing impairments
• Developmental or cognitive
disorders
• Medication effects
• Emotional distress
• Environmental factors
26. Self-Concept
• How people perceive or think about themselves
• It is a learned behavior
• But they can also change
27. Roger’s
Theory of
Self-Concept
• 3 components
• Self-Image
• The way an individual
views their unique
qualities
• May not always line up
with reality
• Self-Esteem
• The assessment of a
person’s overall levels of
self-worth and how they
feel about themselves
• Declines throughout life
• The Ideal Self
• What a person desires
to be
30. Self-Awareness
• The ability to see oneself clearly and
objectively through reflection and introspection
• To know what we are feeling and why
• To see how we are perceived by others
31. Bandura’s Social Learning Theory
Self-Efficacy
• A person’s perceived ability and aptitude
to successfully complete a task
• Determine how individuals think, feel,
behave, and motivate themselves