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Person centered care
o Individual values and preferences are elicited and, once expressed, guide
all aspects of healthcare, supporting their realistic health and life goals.
Achieved through dynamic relationship between individual, family, and all
relevant healthcare providers
Patient as person
o Refers to patient centeredness, patient and family feel respected as
unique individuals and are encouraged to take part in their healthcare
Professional as person
o Refers to the way patients and their families view nurses and other
healthcare professionals involved in their care.
8 principles of person-centered care
o 1. Fast access to reliable healthcare advice
2. Effective treatment delivered by trusted professionals
3. Continuity of care and smooth transitions
4. Involvement and support for family and careers
5. Clear information, communication, and support for self-care
6. Involvement in decisions and respect for preferences
7. Emotional support, empathy, and respect
8. Attention to physical and environmental needs
Nursing-sensitive outcomes
o Patient outcomes and nursing workforce characteristics that are directly
related to nursing care, such as changes in patient's symptom
experiences, functional status, safety, psychological distress, RN job
satisfaction.
Patient-centered interview
o Relationship based organized interview focused on learning about the
patient's concerns and needs. Has 3 phases
-orientation
-working
-termination
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Health belief model
o Model focusing on individual's perception of susceptibility to illness,
individuals' perceptions of the seriousness of the illness, and likelihood
that a person will take preventative measures all factor into individual
decisions about health behaviors
Health promotion model
o health is a positive, dynamic state and not merely the absence of disease,
model focuses on 3 areas
-individual characteristics and experiences
-behavior-specific cognitions and affect
-behavioral outcome in which the patient commits to or changes a
behavior.
Holistic health model
o Model that promotes a person's overall optimal level of health by
considering the dynamic interactions among the emotional, spiritual,
social, cultural, and physical aspects of an individual's wellness
Internal variables influencing health beliefs and practices
o Developmental stage, intellectual background, perception of functioning,
emotional and spiritual factors
External variables influencing health beliefs and practices
o Family health practices, psychosocial and socioeconomic factors, cultural
background
Health promotion
o Process of helping people gain control of and improve their health and
focuses on a wide range of socioeconomic and environmental
interventions
Illness prevention
o Activities such as immunization programs and blood pressure screenings
that protect people from actual or potential risks to health
Primary level of prevention
o True prevention, goal is reduce incidence of disease, includes health
education programs, nutritional programs, physical activity, and wellness
education activities.
Secondary level of prevention
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