There is no "I" in Team: Nursing in a Patient-Centered Health Care System

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Title: There is no "I" in Team: Nursing in a Patient-Centered Health Care System
Authors: Pilon, Célynne
Date: 2015
Abstract: The increasing demand on health care due to the growing needs of the aging population and the anticipated constraints of the health care system require policy makers and government to strike a balance between ensuring universal access to services while ensuring the sustainability of the system. Although advances in medicine are allowing for people to live longer lives, their needs are requiring care of a different nature than what is provided in acute care. This implies that not everyone is reaping the benefits of the medical advancements. The demographics of the peoples utilizing health services like primary care, outpatient clinic, hospitals and emergency services, most frequently are older adults whom 80% of which live with a chronic disease and 50% of them whom live with co-morbidities (Cooper and McCarter 36). This paper will focus specifically on health care in Ontario and particularly in the home care sector and will provide an overview of pertinent legislation and practices that are believed to exacerbate or contribute to particular issues. A primary focus however, will be to analyze the impact of patient choices in the context of respect for patient autonomy on the nursing role and individual nurses. Individuals who chose to become a nurse have a natural, innate desire to help others in need or to enhance their well-being and when there are barriers that exists that impede fulfilling their professional role expectations, emotions such as frustration, distress and dissatisfaction and consequently, staff burnout can occur (Leiter, Harvie and Frizzell 1615). This paper will contribute to a better understanding of the consequences that less than ideal patient choices has on home care nurses. The results of a questionnaire administered to home care nurses for the purpose of this paper and to evaluate the hypothesis that patient autonomy challenges the scope of the nursing role will be discussed in later chapters. Finally, this paper concludes with recommendations for re-alignment of the patient-centered care framework with nursing standards and principles of autonomy, beneficence and non-maleficence.
URL: http://hdl.handle.net/10393/32321
http://dx.doi.org/10.20381/ruor-807
CollectionThèses Saint-Paul // Saint Paul Theses
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