Week 4 Discussion Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or interdisciplinary theory provided in the lesson plan or one of your own findings. Address the following: • Origin • Meaning and scope • Logical adequacy • Usefulness and simplicity �...
Identify your specialty area of NP practice. Select a nursing theory, borrowed theory, or interdisciplinary
theory provided in the lesson plan or one of your own findings. Address the following:
Origin
Meaning and scope
Logical adequacy
Usefulness and simplicity
Generalizability
Testability
Finally, provide an example of how the theory could be used to improve or evaluate the quality of practice
in your specific setting. What rationale can you provide that validates the theory as applicable to the role
of the nurse practitioner.
Dr. Thompson and fellow classmates,
As a student pursuing a future as a family nurse practitioner (FNP), I hope to be able to see patients of all
ages with a variety of complaints and ailments. According to our week 4 lesson, McCormack and
McCance’s Person-Centred Care Nursing (PCN) Framework is relevant to my future role as an FNP
(Chamberlain University, 2019). According to McCance, McCormack, and Dewing (2011), “person-
centredness is used to describe a standard of care that ensures the patient/client is at the centre of care
delivery” (para 1). The idea of person-centred care originated from the theories of humanistic
psychologists such as Rogers and Heron and has been used in nursing since the 1970s (McCance,
McCormack, & Dewing, 2011). I believe that McCormack and McCance’s Person-Centred Care Nursing
Framework would fit within any scope of nursing due to its meaning. This theory helps to guarantee that
the complexity of organizational systems is understood in order to decrease or eliminate substandard
patient care and take patient’s cultures and beliefs into consideration (Slater, McCance, and McCormack,
2015).
The idea of person- centred care is logical. To me, it makes sense that one would be receiving better care
if they were treated holistically, addressing not only their medical needs but also respecting their cultural
practices and personal views. Person-centred care would not only provide the patient with treatments
catered to them, but the patient may also be more compliant with treatment since it was personalized to
respect their wishes and beliefs. The possibility of patient compliance demonstrates the usefulness of
patient-centred nursing. It helps to eliminate inadequate practices that may not be individualized to the
patient. The concept of patient-centred care appears to be simple. Discussion with patients and/or family
at the beginning of care would allow practitioners to gain an understanding of the patient’s medical
desires and goals to ensure they receive care best suited for them.
Person-centred care is generalized and testable. In fact, Slater, McCance, and McCormack (2015)
performed a cross-sectional survey to evaluate the effectiveness of person-centred practice within the
acute care environment using four health and social care organizations. Nurses used the person-centred
practice inventory (PCPI), which was a 59-item instrument that gauged 17 constructs associated with the
person-centred practice framework that used a five-point scoring ranging from 1 (strongly disagree) to 5
(strongly agree) (Slater, McCance, and McCormack, 2015). This study concluded that nurses surveyed
had an understanding of the influence that patients’ values and beliefs have on their care and that shared
decision-making and connectedness between patients and practitioners has great value in medical care
(Slater, McCance, and McCormack, 2015). Given that nurses from different medical backgrounds and
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