Case Study Of Patient Experience At The Hospital: A Reflection

1. Describe the patient’s experience. Aim to focus on a particular relevant aspect, identify key themes and justify these themes of care focus.

2. Describe and examine your feelings and thoughts in response to your description. Identify the values and beliefs that connect you to your feelings and thoughts and evaluate your response to the patient’s experience in terms of those feelings and thoughts. For example, why did you feel that way?

3. Describe some values and beliefs of yours that may have impacted on your feelings and thoughts about what went on. After reflecting about the ‘values and beliefs’ that connect to your feelings and thoughts, identify where these values and beliefs originate from? Why are these values and beliefs important? Who are they important to and why? Are they important to you, the patient and the patient’s family?

4. Analyse the patient experience and partnering in care case scenario, identify and explain the care displayed in the case scenario (inadequate and adequate care).  Draw upon some literature to support your analysis of the case scenario and relate it to the scenario by providing examples. Aim to make sense of this patient experience in terms of how you reacted to it.

5. Identify the conclusions/new meanings that can be drawn here

Feelings and Thoughts

Description:

This part aims to provide insight into the exact experience of the individual. The case study represents the experience of William Taylor when he visited the hospital and some recommendation for the improvement of nursing practices (Goulet, Larue & Alderson, 2016). Two key themes of the care includes lack of information about risk prevention since he experienced sudden fall twice and lack of partnering in care patient centric care for present condition since he was unaware of My Health record. William explained that when he visited the facility for his fall experiences he was terrified and shocked due to loss of a right arm. Moreover, he narrated that he experienced very bad hospitalization since the caregiver neglected him and he winced in pain for 11hours. He expressed the embarrassment for not showing anger for the experience. First theme was taken because he stated that it was a disrespectful and stressful experience, which reduced his tendency for seeking hospital support in future and destroyed his mindset for the hospital.second theme was taken since they neglected him nand he was unaware of my health record.

Feelings and Thoughts:

According to Johns (2017), this part of Gibb’s reflection cycle reflects the feeling and thoughts of the individual while recollecting the experience. In this context, from my point of view based on the response of the patient,  it can be mention that the patient is a cheerful old man of 75 years who had been very cooperative in the entire conversation where he stated his experience. After a thorough exploration of the entire experience, I was extremely sorrowful due to his horrible experience in the emergency department since he was waiting in the chaotic environment of a waiting room with agonizing pain of 11 hours. I sympathize him for his experience since the health professionals neglected him even after asking for the mediation.

Values and Beliefs:

In this part of the reflection, I would like to share my personal values and beliefs as the nursing professionals regarding patient-centric care. The emergency department of any hospital is associated with different urgencies and it is very difficult for every health professionals to address the concern of every patient proactively (Eaton, Roberts & Turner 2015),. However, in this context, when a patient was squirming in pain for 11 hours in the waiting room, considering the morality and ethics it is part of the patient-centric care to provide him a secure environment. Moreover, the patient stated that his pain was described to be eight, which is chronic pain, and he asked for more codeine, the neglect of professionals arises question on the patient safety and patient-centric care. In my belief, the pharmacological and non-pharmacological pain management provides him a better experience (Pulvirenti, McMillan, & Lawn, 2014).

Analysis:

From the analysis of the above cases study, it can be mention there are different fundamentals of patient-centric care such as respecting patient, coordinating with the patient, informing actively, involving family, providing physical and mental support to the patient, access to the care (Pulvirenti, McMillan, & Lawn, 2014). During the narration, the patient stated that his experience in the hospital due to fall was extremely bad and most of the fundamentals were violated by the emergency department. Moreover, providing the physical and mental comfort is a key pillar of patient-centric care which had been violated by the emergency department when he squirming with chronic pain of 8 for 11 hours. They did not provide the adequate medication for managing pain and safe environment when he was waiting; rather he went to the counter by himself asking for the medication. The violence of each fundamental of patient-centric care worsens his experience in the hospital for nose surgery and other care needs (Rathert, Williams, McCaughey & Ishqaidef, 2015). Moreover, considering the context, the proper electronic health record was not maintained for the patient and no education given to the patient for keeping track of the illness using electronic health record (Chaboyer et al., 2016). Besides, Patient experienced two falls and he experiences the second fall in his home after four weeks when he was talking to GP and felt dizzy. In this case, even after showing many fall risks by the patient, the standard 10 of NSQHS, which is fall prevention and harm, was not followed by GP (Pulvirenti, McMillan, & Lawn, 2014). Subsequently, patient safety has been violated along with ethical guidelines was not followed (Chaboyer et al., 2016). Therefore, it can be stated that considering the fall prevention and electronic health record, his experience could be better with the coordination of the health professionals. It was inadequate care for him. First negative indication is the reduction of inclination for seeking the help of hospital and second one is issue related to the national health and safety standard, which influence the patient for seeking hospital help.

Values and Beliefs

However, he got adequate care when he experiencing iron fusion and he expressed that he received 100% attention from nurses. He stated that the nurses communicated with hi during the time. Moreover, he trusted the physiotherapist since the physiotherapist taught him how to use arm. The first positive indication is that due to his positive experience he may seek help with improved patient centric care. The second positive indication is with improved ethics nursing professionals can provide superior care by prioritizing patient’s need.

Conclusions Drawn:

From the interview of the patient, the conclusion can be drawn that prioritizing patient is essential part of patient centric care. The patient expressed that therapeutic relationship with the patient through communication and prioritizing the patient’s concern is important for improving practice. In this case study, the patient experienced two consecutive falls (See et al., 2018). The neglected behavior by health professionals along with unsafe practice caused him bad experiences. Moreover, the NSQHS standard was not followed which enhanced the risk of fall of the William (Chaboyer et al., 2016). The painful experience of him during removal of kidney stone clearly showed that health professionals do not adhere to the principle of patient-centric care (Johns, 2017). Moreover, lack of nursing care along with nursing ethics such as showing respect, empathy towards patient worsen the experience of him which reduce his inclination for seeking help form health professionals (Chaboyer et al., 2016). However, he considered physiotherapist as the superior health professionals since the physiotherapist taught him how to use the left arm. Therefore, in order to improve the hospital experience of the patient the health professionals should follow the national standard (Johns, 2017). Moreover, the education should be given to the patient about the electronic health record so that he could keep track of his illness (See et al., 2018). He could collaborate with the health professionals for receiving the patient-centric care (Howatson-Jones, 2016).  Therefore, after considering each experience of the patient and the activities of the nursing professionals it can be suggested that each nursing professionals for managing fall injury should follow that national standard (See et al., 2018).. The nursing practice should be improved which includes prioritizing the patient in the emergency department, educating the patient about the electronic health record, providing appropriate medication when needed, showing compassion, empathy, and respect to the patient (Johns, 2017)..

Action Plan:  

As nursing professionals, in this context, the action plan I would be needing in order to improve patient-centric care is the incorporation of softs skills and professional competence along with enhancement of the nursing philosophy. I would be seeking the help of my supervisor for continuously developing patient-centric care. Moreover, I would arrange a session with the family members of the patient where I would provide information on how to use electronic health record. Moreover, I would enroll my name as a professional development workshop where I would be able to develop soft skills and I would be competent while providing patient-centric care.

Conclusion:

Thus, it can be concluded that patient-centric care is very crucial or achieving the satisfaction of the patient and nurses are the most trusted health professionals for providing patient-centric care. They are the primary health professional who is in direct contact with the patient and therefore it is very crucial for every nurse to develop a patient-centric care approach, which involves the therapeutic communication and prioritized patient. The first positive indication is he may seek help with improved patient centric care. The second positive indication is improved ethics. First negative indication is the reduction of inclination for seeking the help of hospital. Second, one is issue related to the national health and safety standard. Hence, these values would the patient-centric care and enhance the help seeking of patients.

Reflective practice is the ability to reflect the individual action and it is associated with the benefit in order to improve the nursing care practice in medical premises. Since the reflective essay associated with the different practice protocols of care giving and health care policy it is very essential for improving the nursing practices considering different parameters that will improve the practice (Howatson-Jones, 2016). This essay will argue the imperative impotence of fall prevention and health record to provide optimal effective and efficient patient-centric care. Therefore, I will attempt to reflect on the experience of 75 years patient, Taylor William and the care he received with the support of Gibb’s reflection cycle.

References :

Howatson-Jones, L. (2016). Reflective practice in nursing. Learning Matters.Retrieved from :https://books.google.co.in/books?hl=en&lr=&id=0OaICwAAQBAJ&oi=fnd&pg=PP1&dq=reflective+practice+in+nursing&ots=1kRHuNiNbz&sig=t9WAERVf7eQIKHIdyaFGx2HXmgs#v=onepage&q=reflective%20practice%20in%20nursing&f=false

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Pulvirenti, M., McMillan, J., & Lawn, S. (2014). Empowerment, patient centred care and self?management. Health Expectations, 17(3), 303-310. doi: 10.1111/j.1369-7625.2011.00757.x. https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1369-7625.2011.00757.x

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Rathert, C., Williams, E. S., McCaughey, D., & Ishqaidef, G. (2015). Patient perceptions of patient?centred care: empirical test of a theoretical model. Health Expectations, 18(2), 199-209. https://onlinelibrary.wiley.com/doi/pdf/10.1111/hex.12020

Chaboyer, W., Bucknall, T., Webster, J., McInnes, E., Gillespie, B. M., Banks, M., ... & Cullum, N. (2016). The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): a cluster randomised trial. International journal of nursing studies, 64, 63-71. https://doi.org/10.1016/j.ijnurstu.2016.09.015

See, H. Q., Chan, J. N., Ling, S. J., Gan, S. C., Leong, C. O., & Mai, C. W. (2018). Advancing Pharmacy Service using Big Data–Are We Fully Utilising the Big Data’s Potential Yet?. Journal of Pharmacy & Pharmaceutical Sciences, 21(1), 217-221. doi:10.1016/j.bushor.2017.01.002.

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Goulet, M. H., Larue, C., & Alderson, M. (2016, April). Reflective practice: A comparative dimensional analysis of the concept in nursing and education studies. In Nursing forum(Vol. 51, No. 2, pp. 139-150). Retrieved from : https://s3.amazonaws.com/academia.edu.documents/46546757/Goulet_Larue_Alderson_2016.pdf?AWSAccessKeyId=AKIAIWOWYYGZ2Y53UL3A&Expires=1540288663&Signature=r1qeG2K10M%2FU3lYht1voJzNThTc%3D&response-content-disposition=inline%3B%20filename%3DReflective_Practice_A_Comparative_Dimens.pdf