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Domain 2:
Person-Centered Care
NURS 2030
Foundations to Professional Nursing
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
Concepts Related to Patient-Centered Care
• Caring
• The act of nurturing another person to whom one feels a commitment or
responsibility
• Holistic in nature
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
2.1 Engage with the individual in
establishing a caring relationship
• Empathy vs. Sympathy
• Compassionate Care
Share your definitions with
your group
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”
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?
Compassionate Care
• Means “to suffer with”
• “Attempts to address the suffering and needs of a person
through relational understanding and action”
Caring Behaviors
• Listening
• Touch
• Being Present
• Proving Comfort
• Showing Compassion
Answer
Module 2- January 30th POST Class
Reflection
2.2 Communicate effectively with individuals
• Therapeutic relationships
• Therapeutic communication
Communication Models
Self-Reflection
Pause
• What are potential barriers that you
experience to communication?
• What biases do you have that could
affect your communication?
Who would you
rather have a
conversation
with? Rank them.
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
Communication
Styles
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
Communication
Influencers • Fatigue, anxiety, fear
Situational
Factors
• Noise, temperatures,
lighting
Environment
al Factors
• Language, religion,
sexual orientation, age,
gender
• Biases
Cultural and
Demographic
Factors
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
Therapeutic Communication Techniques
Giving
Recognition
Restating
Repeating the message
back to the client to
ensure no
misunderstanding
Summarizing
Giving a summary and
then asking for
correctness
Reflecting
Attempting to reveal the
feelings behind a
message
Motivational Interviewing
O Open-ended questions
A Affirmations
R Reflective statements
S Summarizing
Nontherapeutic
Techniques
• Not listening
• Rejecting what the client is saying
• Being critical
• Dismissing concerns
• Giving advice
• Probing
• Changing the subject
Barriers to
Communication
• Language differences
• Cultural diversities
• Speech or hearing impairments
• Developmental or cognitive
disorders
• Medication effects
• Emotional distress
• Environmental factors
2.8 Promote self-care management
Self-Concept
• How people perceive or think about themselves
• It is a learned behavior
• But they can also change
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
Roger’s Theory of
Self-Concept
Emotional
Intelligence
When an individual can perceive, understand,
control, manage, and evaluate their emotions
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
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
ELNEC Class Activity
Upload a picture of your poster to:
Module 2- February 6th Post
Class Assignment

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Module 2-Person Centered Care PowerPoint PDF

  • 1. Domain 2: Person-Centered Care NURS 2030 Foundations to Professional Nursing
  • 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
  • 6. Share your definitions with your group
  • 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”
  • 10. Caring Behaviors • Listening • Touch • Being Present • Proving Comfort • Showing Compassion
  • 11. Answer Module 2- January 30th POST Class Reflection
  • 12. 2.2 Communicate effectively with individuals • Therapeutic relationships • Therapeutic communication
  • 14. Self-Reflection Pause • What are potential barriers that you experience to communication? • What biases do you have that could affect your communication?
  • 15. Who would you rather have a conversation with? Rank them.
  • 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
  • 21. Therapeutic Communication Techniques Giving Recognition Restating Repeating the message back to the client to ensure no misunderstanding Summarizing Giving a summary and then asking for correctness Reflecting Attempting to reveal the feelings behind a message
  • 22. Motivational Interviewing O Open-ended questions A Affirmations R Reflective statements S Summarizing
  • 23. Nontherapeutic Techniques • Not listening • Rejecting what the client is saying • Being critical • Dismissing concerns • Giving advice • Probing • Changing the subject
  • 24. Barriers to Communication • Language differences • Cultural diversities • Speech or hearing impairments • Developmental or cognitive disorders • Medication effects • Emotional distress • Environmental factors
  • 25. 2.8 Promote self-care management
  • 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
  • 29. Emotional Intelligence When an individual can perceive, understand, control, manage, and evaluate their emotions
  • 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
  • 33. Upload a picture of your poster to: Module 2- February 6th Post Class Assignment