Patient- Centered Framework Article Example | Topics and Well Written Essays - 1000 words

Patient- Centered Framework - Article ExampleThe aspects that governed uncomplaining self-reliance are varied and studies have investigated them. Freedom which has been specified as positive and negative, paternalism, patient ofs dignity, integrity of actions by nurses and partial paternalism are subjects that have been investigated by researchers. The influence of issues on the ethical practices of the nursing profession and the difficulties experienced has been evaluated. The problem of getting informed consent from the patients has been one issue of significance and faced public by the nurse. The problem of medical examination paternalism was another issue which disturbed the atmosphere of caring. This paper explores the qualitative content of four studies and compares them critically so as to highlight the issues involved in the ethical administration of caring for all types of patients ranging from home sell through nursing home reverence, hospital care and care for post- operative patients, medical patients and elderly patients. The first article has been centre upon and the others are taken for comparison for highlighting the concept of autonomy and how it influenced nursing care in a patient centered framework. Moser et al (2007) reviewed 1236 studies involving patient autonomy and how nurses supported it and selected 6 of them 2 on homecare, 1 on nursing-home care and 3 on hospital care. The researchers had constitute that patient autonomy consisted of two types of license negative and positive (Moser et al, 2007). Negative freedom had allowed the patient freedom of action without an outsiders interference. Positive freedom had indicated that freedom was attained through ones convictions and individuality. Theories that had supported negative freedom focused on self- care and self-governance. Those that had supported positive freedom focused on caring, identification, communication and achievement of goals. The patient autonomy had been studie d in home care, nursing home care and in hospital settings. A mixed approach with both negative and positive freedom was appreciated by patients (Moser et al, 2007). Nurses could not follow a single model for all actions in patient autonomy because actions varied according to the situation. They had to derive knowledge for interaction through previous experience. Nurses had been described as professional care-givers for chronically ill people. The shared care model was one which required patients to participate in the management of their condition. Patient autonomy had an ethical perspective. Nurses guided the patient to practice autonomy by fortune them to make their own decisions (Moser et al, 2007). For autonomy with positive freedom, the nurses collaborated actively with the patients. Positive freedom required social relationships for practicing autonomy. A patient with less autonomy tended to be bullied by interfering persons. For a patient to be autonomous, he had to be at li berty to make choices. Nurses were able to provide interventions only if consent was secured. Orems self-care possible action indicated that nurses needed to help the patient to resume his autonomy by self-care principles. Four phases of caring had been identified caring about, taking care of, care giving and care receiving (Moser et al, 2007). The moral qualities of attentiveness, responsibility, competence and responsiveness had been associated with them. The relationship between the patient and nurse flourished using these moral qualities so that appropriate choices were made as