Select either the PCN Framework or the Chamberlain Care Model

Select either the PCN Framework or the Chamberlain Care Model.

Consider how the following components would be included in an analysis of the selected model:

• Origin of the model
• Meaning of the model
• Logical adequacy of the model
• Usefulness of the model
• Generalizability of the model
• Degree of parsimony within the model
• Testability of the model

What rationale can you provide which validates the selected model as a theoretical framework for nursing practice? Be sure to include scholarly references to support your discussion.

Expert Answer and Explanation

Patient-Centered Nursing Framework

Person-centered nursing (PCN) is a genuine and holistic healthcare approach that assists individuals to manage their health according to their preference. The responsible caregivers respond to patients’ weaknesses, conditions, behavior, and health issues which may have a high impact on their lifelong well-being. Patient-centered care has proven to have a positive outcome to the patients and nurses, on the other hand, attain a level of satisfaction out of their work (Li & Porock, 2014)

Origin of the model

Carl Rogers also referred to as “father of psychotherapy research” commence the idea of PCN. The subsequent development of the PCN approach happened in his career where he practiced as a clinical child psychologist in 1930s. He stressed on individual experience as the fountain healing and living effectively (Fazio, Pace, Flinner, & Kallymer, 2018).

Meaning of the model

PCN centers on a person’s needs rather than the needs of the service. Person-centered means nurses prioritize an individual’s comfort, welfare, and safety. Besides, person-centered care tries to identify a person’s health, spiritual and emotional needs. Spiritual care does not mean only religious beliefs but also implies on self-expression, relationships, and moral obligations. The holistic approach of PCN is built in personhood philosophy. PCN encourage commitment, empowerment, and independence of health care delivery (Fazio et al.,2018).

Logical adequacy of the model

Different studies have been conducted on the interpretation and improvement of the framework concept. In day to day practice, nurses and other care providers exhibit a clear need for hands-on knowledge of how to offer the best care. Furthermore, there is a need to understand how to provide best-centered care when faced with workload and time-pressure. Nonetheless, even though there is a rise in awareness, it is not crystal clear of how patient-centered care should be done. Therefore, the chances are that the concept may end up not being sufficiently active just as it was decades before (Cingel et al.,2016).

Usefulness of the model

Through empowerment and collaboration with patients, health institution and communities, the healthcare structure will be able to stipulate the right programs that meet individuals’ needs. Besides, the collaboration between the healthcare system and the communities will go an extra mile in continuity and coordination of health care (Santana et al.,2018)

Generalizability of the model

PCN approach is designed to make the individual an essential aspect in the treatment process. The approach should be much flexible to address the client’s health requirements regardless of the culture. The healthcare system that supports multi-cultural patients builds up trust and eventually positive results. It is evident that PCN has been successful in more than thirty countries speaking more than twelve different languages.

Also, Joseph and Murphy (2012) suggested a linked PCN model that support the professional interaction with clients and the addition of interventions and measures that build up the healthcare policies.

Degree of parsimony within the model

A person-centered model is focused on promoting access to health care while at the same time reduces the costs. PCN has the potential of utilizing the healthcare services, lessen hospital admissions, and lower mortality and morbidity (Santana et al.,2018).

Testability of the model

A few studies have surveyed PCN patient’s opinion. Sharp, McAllister, and Broadbent (2015) interviewed ten patients to understand their experience with PCN. Results show that the care provided led to the emotional, personal and spiritual response that translated to a positive outlook and patient awareness.

What rationale can you provide which validates the selected model as a theoretical framework for nursing practice? Be sure to include scholarly references to support your discussion.

The PCN Model has led to support of delivery and efficient services across the healthcare systems. The newly structured patient-informed and evidence-based framework has led to the addition of essential factors that have been integrated into the PCN model. The best practice that has been established from the model has been linked to the health care system and healthcare providers.  Santana (et al., 2018), highlights that the PCN framework has been generalized and implemented to different health care systems.

References

Cingel, M., Brandsma, L. Dam, M. Dorst, M. Verkaart, C., & Velde, C. (2016). Concepts of person-centered care: A framework analysis of five studies in daily care practice. International Practice Development Journal, 6(2), 1-17. https://doi.org/10.19043/ipdj.62.006

Fazio, S., Pace, D., Flinner, J., & Kallmyer, B. (2018). The fundamentals of person-centered care for individuals with dementia. The Gerontologist, 58(1), S10–S19. https://doi.org/10.1093/geront/gnx122.

Joseph, S., & Murphy, D. (2012). Person-centered approach, positive psychology, and relational helping: building bridges. Journal of Humanistic Psychology, 53(1), 26-51. doi:10.1177/0022167812436426.

Li, J., & Porock, D. (2014). Resident outcomes of person-centered care in long-term care: a narrative review of interventional research. International Journal of Nursing Studies, 51(10), 1395-1415.

Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., & Lu, M. (2018). How to practice person-centered care: A conceptual framework. Health Expectations, 21(2), 429–440. https://doi.org/10.1111/hex.12640

Sharp, S., McAllister, M., & Broadbent, M. (2015). The vital blend of clinical competence and compassion: How patients experience person-centered care. Journal of Contemporary Nurse, 52(2), 300-312. https://doi.org/10.1080/10376178.2015.1020981.