Analyze multiple dimensions of patient centered care:
• patient/family/community preferences, values
• coordination and integration of care
• information, communication, and education
• physical comfort and emotional support
• involvement of family and friends
• transition and continuityAnalyze how diverse cultural, ethnic, spiritual and social backgrounds function as sources of patient, family, and community valuesAnalyze social, political, economic, and historical dimensions of patient care processes and the implications for patient-centered care
Integrate knowledge of psychological, spiritual, social, developmental and physiological models of pain and suffering
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Elicit patient values, preferences and expressed needs as part of clinical interview, diagnosis, implementation of care plan and evaluation of careCommunicate patient values, preferences and expressed needs to other members of health care teamProvide patient-centered care with sensitivity, empathy and respect for the diversity of human experience
Ensure that the systems within which one practices support patient-centered care for individuals and groups whose values differ from the majority or one’s own.
Assess and treat pain and suffering in light of patient values, preferences, and expressed needs
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Value seeing health care situations ‘through patients’ eyes’Respect and encourage individual expression of patient values, preferences and expressed needsValue the patient’s expertise with own health and symptoms
Honor learning opportunities with patients who represent all aspects of human diversity
Seek to understand one’s personally held attitudes about working with patients from different ethnic, cultural and social backgrounds
Willingly support patient-centered care for individuals and groups whose values differ from own
Value cultural humility
Seek to understand one’s personally held values and beliefs about the management of pain or suffering
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Analyze ethical and legal implications of patient-centered careDescribe the limits and boundaries of therapeutic patient-centered care |
Respect the boundaries of therapeutic relationshipsAcknowledge the tension that may exist between patient preferences and organizational and professional responsibilities for ethical careFacilitate informed patient consent for care |
Value shared decision-making with empowered patients and families, even when conflicts occur |
Analyze strategies that empower patients or families in all aspects of the health care processAnalyze features of physical facilities that support or pose barriers to patient-centered careAnalyze reasons for common barriers to active involvement of patients and families in their own health care processes |
Engage patients or designated surrogates in active partnerships along the health illness continuumCreate or change organizational cultures so that patient and family preferences are assessed and supportedAssess level of patient’s decisional conflict and provide access to resources
Eliminate barriers to presence of families and other designated surrogates based on patient preferences
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Respect patient preferences for degree of active engagement in care processHonor active partnerships with patients or designated surrogates in planning, implementation, and evaluation of careRespect patient’s right to access to personal health records
Value system changes that support patient-centered care
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Integrate principles of effective communication with knowledge of quality and safety competenciesAnalyze principles of consensus building and conflict resolutionAnalyze advanced practice nursing roles in assuring coordination, integration, and continuity of care
Describe process of reflective practice
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Continuously analyze and improve own level of communication skill in encounters with patients, families, and teamsProvide leadership in building consensus or resolving conflict in the context of patient careCommunicate care provided and needed at each transition in care
Incorporate reflective practices into own repertoire
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Value continuous improvement of own communication and conflict resolution skillsValue consensusValue the process of reflective practice |