Patient-Centered Care Flashcards Preview

Intro to nursing > Patient-Centered Care > Flashcards

Flashcards in Patient-Centered Care Deck (15)
Loading flashcards...

Six core elements for providing patient-centered care

Involvement of family and friends
Sensitivity to spirituality and nonmedical issues
Respect for patient needs/preferences
Accessibility of information


the sum total of the way of living; includes values, beliefs, standards, language, thinking patterns, behavioral norms, communications styles, etc. Guides decisions and actions of a group through time.



A set of congruent behaviors, practices, attitudes and policies that come together in a system or agency or among professionals, enabling effective work to be done in cross-cultural situations

cultural competence


How to acquire cultural competence

Starts with Awareness
Grows with Knowledge
Enhanced with Specific Skills
Polished through Cross-Cultural Encounters


to enhance the quality of culturally congruent, competent, and equitable care that results in improved health and well being for people worldwideFounded by Dr. Madeleine Leininger

Transcultural nursing society


visualize the different dimensions of her Culture Care Theory. It is designed to depict a total view of the different, but very closely related dimensions of the theory.
Care (caring) is essential to curing and healing, for there can be no curing without caring.

Sunrise model (leininger)


Originated the term “therapeutic use of self” in 1952.



In the traditional Nurse–Patient Relationship there are three phases:

Orientation phase
working phase
termination phase


Introductory phase: “Getting to know you”
Begins the development of trust
Four tasks of the orientation phase
Trust enables participation in the relationship
Each other as individuals
Identification of major problems and needs
Approximate length of the relationship will be estimated

Orientation phase


Nurse and patient tackle tasks outlined in Phase 1.
Patients may exhibit alternating periods of intense effort and periods of resistance to change.
Regression is an ego defense mechanism that occurs as a reaction to stress.
Regression often precedes positive change.

Working phase


Nurse and patient take on those activities that enable them to end the relationship in a therapeutic manner.
Positive and negative feelings often accompany the termination process
Positive feelings about gains made
Negative feelings of sadness, anger, fear
Must be discussed toward acceptance

Termination phase


Nurses can distinguish their own emotional needs from their patients’ needs and get their own emotional needs met outside the nurse-patient relationship

self awareness


Taking time to focus on own thoughts and feelings
Understand how these can affect behaviors toward patients

reflective practice


Prejudices and attitudes that are biased toward clients
Goal: Accept all patients as individuals of dignity and worth who deserve the best nursing care possible

avoiding stereotypes


Factors influencing communication

Developmental level
Sociocultural differences
Roles and responsibilities
Space and territoriality
Physical, mental, and emotional state