Teaching Patient-Centered Care During the Silver Hour

2011 ◽  
Vol 16 (2) ◽  
Author(s):  
Marilyn Smith-Stoner
Keyword(s):  
Nursing Education ◽  
End Of Life ◽  
End Of Life Care ◽  
Ways Of Knowing ◽  
Patient Centered Care ◽  
Role Modeling ◽  
Life Transition ◽  
Patient Centered ◽  
Centered Care ◽  
Family Centered

Teaching students and clinicians about end-of-life care is an important part of healthcare. Utilizing the framework of the Silver Hour is one method of illustrating the urgent, intense comfort needs required by patients and families throughout the imminently dying process, wherever the patient may be receiving services. When death is imminent, it is extremely important to provide patient- and family-centered care as the waning moments of life transition to the first moments of death. A variety of instructional methods can be used can be used to teach students to provide multidimensional, patient-centered care at the end of life. The author begins by describing the basic concept of patient-centered care and by discussing the importance of teaching students about this level of care. Next she describes the concept of the Silver Hour, along with a discussion of how the Silver Hour relates to nursing education. She also notes the importance of both role modeling in providing patient-centered care and of drawing upon the five ways of knowing to strengthen the teaching of students about care during the Silver Hour.

The spiritual strength story in end-of-life care: Two case studies

2011 ◽  
Vol 9 (4) ◽  
pp. 419-424 ◽  
Author(s):  
Robert G. Mundle
Keyword(s):  
End Of Life ◽  
Case Studies ◽  
End Of Life Care ◽  
Patient Centered Care ◽  
Life Care ◽  
Patient Centered ◽  
Centered Care

AbstractIn this article I analyze two brief case studies to propose that a “spiritual strength story” has five defining characteristics: (1) it is brief; (2) it is ontological; (3) it uses symbols and metaphors; (4) it is a “big story” or meta-narrative with a positive spiritual and/or religious focus that informs other narrative data; and (5) most conspicuously of all, it repeats. Cultivating awareness of the “spiritual strength” narrative type can help to improve the quality of inter-professional patient-centered care teamwork and understanding, especially in regard to the reflexive, embodied, and relational aspects of palliative and end-of-life care.

scholarly journals The Learners' Perceptions Survey—Primary Care: Assessing Resident Perceptions of Internal Medicine Continuity Clinics and Patient-Centered Care

2013 ◽  
Vol 5 (4) ◽  
pp. 587-593 ◽  
Author(s):  
John M. Byrne ◽  
Barbara K. Chang ◽  
Stuart C. Gilman ◽  
Sheri A. Keitz ◽  
Catherine P. Kaminetzky ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Health Care Professionals ◽  
Clinical Training ◽  
Patient Centered Care ◽  
Family Centered Care ◽  
Patient Centered ◽  
Centered Care ◽  
The University ◽  
Family Centered

Abstract Background In 2010, the Department of Veterans Affairs (VA) implemented a national patient-centered care initiative that organized primary care into interdisciplinary teams of health care professionals to provide patient-centered, continuous, and coordinated care. Objective We assessed the discriminate validity of the Learners' Perceptions Survey—Primary Care (LPS-PC), a tool designed to measure residents' perceptions about their primary and patient-centered care experiences. Methods Between October 2010 and June 2011, the LPS-PC was administered to Loma Linda University Medical Center internal medicine residents assigned to continuity clinics at the VA Loma Linda Healthcare System (VALLHCS), a university setting, or the county hospital. Adjusted differences in satisfaction ratings across settings and over domains (patient- and family-centered care, faculty and preceptors, learning, clinical, work and physical environments, and personal experience) were computed using a generalized linear model. Results Our response rate was 86% (77 of 90). Residents were more satisfied with patient- and family-centered care at the VALLHCS than at either the university or county (P < .001). However, faculty and preceptors (odds ratio [OR]  =  1.53), physical (OR  =  1.29), and learning (OR  =  1.28) environments had more impact on overall resident satisfaction than patient- and family-centered care (OR  =  1.08). Conclusions The LPS-PC demonstrated discriminate validity to assess residents' perceptions of their patient-centered clinical training experience across outpatient primary care settings at an internal medicine residency program. The largest difference in scores was the patient- and family-centered care domain, in which residents rated the VALLHCS much higher than the university or county sites.

Hospice Patient Care Goals and Medical Students’ Perceptions: Evidence of a Generation Gap?

2020 ◽  
Vol 38 (2) ◽  
pp. 114-122
Author(s):  
Kathryn Levy ◽  
Pei C. Grant ◽  
Christopher W. Kerr ◽  
David J. Byrwa ◽  
Rachel M. Depner
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Patient Care ◽  
End Of Life ◽  
End Of Life Care ◽  
First Year ◽  
Life Care ◽  
Patient Centered ◽  
Hospice Patients ◽  
Centered Care

Background: The ability to perceive care goals of the dying may be an indicator of future quality patient-centered care. Research conducted on end-of-life goals indicates discrepancies between patients and physicians. Objective: The aim of this study is to compare end-of-life care goals of hospice patients and medical student perceptions of patient care goals. Design: Hospice patients and medical students were surveyed on their care goals and perceptions, respectively, using an 11-item survey of goals previously identified in palliative care literature. Medical student empathy was measured using the Interpersonal Reactivity Index. Settings/Participants: Eighty hospice patients and 176 medical students (97 first-year and 79 third-year) in a New York State medical school. Results: Medical students ranked 7 of the 11 care goals differently than hospice patients: not being a burden to family ( p < .001), time with family and friends ( p = .002), being at peace with God ( p < .001), dying at home ( p = .004), feeling that life was meaningful ( p < .001), living as long as possible ( p < .001), and resolving conflicts ( p < .001). Third-year students were less successful than first-year students in perceiving patient care goals of hospice patients. No significant differences in medical student empathy were found based on student year. Conclusions: Medical students, while empathetic, were generally unsuccessful in perceiving end-of-life care goals of hospice patients in the psychosocial and spiritual domains. Differences impeding the ability of medical students to understand these care goals may be generationally based. Increased age awareness and sensitivity may improve future end-of-life care discussions. Overall, there is a need to recognize the greater dimensionality of the dying in order to provide the most complete patient-centered care.

For Shawnee: Keeping the Student (and Family) Front and Center

2017 ◽  
Vol 33 (1) ◽  
pp. 48-51
Author(s):  
Erin D. Maughan ◽  
Mayumi Willgerodt
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
School Nurse ◽  
Patient Centered Care ◽  
School Nurses ◽  
Patient Centered ◽  
Student Centered ◽  
Nurse Workload ◽  
Centered Care ◽  
Family Centered

Patient-centered care is a buzzword heard often as part of health care reform efforts. For school nurses patient-centered care means student- and family-centered care. Student-centered care can improve student compliance and actually decrease school nurse workload. This article explains what student-centered means and provides examples of how school nurses can provide student and families-centered care in their communities. Approaches that center on individual students, as well as community cafes will be included.

scholarly journals Person-Patient-Family-Community Centered Care Semakin Penting

2020 ◽  
Vol 2 (02) ◽  
pp. 30-31
Author(s):  
Adi Utarini
Keyword(s):  
Patient Centered Care ◽  
Care Patient ◽  
Family Centered Care ◽  
Patient Centered ◽  
Person Centered Care ◽  
Centered Care ◽  
Family Centered

Situasi pandemi memberikan ancaman serius dalam pemberian pelayanan individual, terutama bagi pasien dengan infeksi virus Corona yang dirawat inap di rumah sakit. Aspek medis (diagnosis dan pengobatan) yang merupakan subtansi utama pelayanan masih menimbulkan tantangan dalam penatalaksanaan pasien dengan infeksi virus Corona. Namun pada situasi yang kompleks ini, pemberian pelayanan kesehatan yang berorientasi pada kebutuhan individual setiap manusia-pasien justru menjadi semakin penting. Setiap orang (termasuk pasien) membutuhkan dukungan yang lebih besar dan berarti dari keluarga dan masyarakat, serta tenaga kesehatan. Beberapa istilah sering digunakan dan memiliki makna, prinsip dan aktivitas yang berbeda, namun tumpang tindih atau merupakan suatu kontinum: person-centered care, patient-centered care dan family-centered care.

Fading Away in Plain Sight

2017 ◽  
Vol 23 (2) ◽  
pp. 121-123
Author(s):  
Shirley A. Lucier
Keyword(s):  
Health Care ◽  
End Of Life ◽  
Health Care Professionals ◽  
End Of Life Care ◽  
Life Care ◽  
Patient Relationship ◽  
Patient Centered ◽  
Centered Care ◽  
Family Choices ◽  
Heath Care

The failure of health care professionals and providers to recognize and discuss end-of-life care continues to resonate across our heath care continuum. The value of the patient–clinician interaction is paramount in advocating for and establishing effective communication and care.A meaningful nurse–patient relationship is a key component to facilitate discussion of patient and family choices in how care can be managed throughout the dying process. This article describes how, using Virginia Henderson’s nursing model of patient-centered care, a holistic and palliative approach to end-of-life care was successfully supported in the home.

Caring, Connecting, and Communicating: Reflections on Developing a Patient-Centered Bedside Handoff

2013 ◽  
Vol 17 (2) ◽  
pp. 16-22 ◽  
Author(s):  
Anna M. Herbst, ◽  
Mary Ann Friesen, ◽  
Karen Gabel Speroni,
Keyword(s):  
Nursing Education ◽  
Health System ◽  
Patient Centered Care ◽  
Hospitalized Patients ◽  
Patient Centered ◽  
Error Prevention ◽  
Caring Science ◽  
Shift Report ◽  
New Process ◽  
Centered Care

A multihospital health system improved the nursing change of shift report process by bringing it to the bedside using a new process and tool referred to as ISHAPED (Introduction, Story, History, assessment, Plan, error Prevention, and Dialogue). Using a caring-science perspective, the process was optimized by gaining input from hospitalized patients and parents, and the Parent and the Patient & Family Advisory Councils. This input facilitated development of a more caring-focused nursing education on change of shift report through ISHAPED bedside handoffs, thus promoting more patient-centered care.

Sign in / Sign up

Export Citation Format

Share Document