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Change Proposal

Emebet Demissie

Capella University

NURS6218: Ldng the Future of Health Care

Professor Tricia De Boer

July 21, 2022

Change Proposal Summary Report

Introduction

Patient care is a vital aspect that impacts the total client experience following care. The patient-centred approach describes the therapeutic interaction between healthcare personnel, clients, and their families, dictating how clients are cared for in ineffective and empathic ways (Tran, 2020). This approach focuses on paying attention to the patient's needs and desires, educating them on all clinical factors of their situation, and empowering them to choose alternative treatments on their own. This paper aims to evaluate how the patient-centred model can enhance patient outcomes and contentment, reduce costs, and promote optimal use of resources.

Adoption of evidence-informed practice

Until recently, physicians concentrated on providing healthcare through evidence-based practices (EBP). EBP entails following strict clinical criteria to choose the best course of action for the patient, frequently placing more importance on processes than on the client's desires or the physician's knowledge (Breslin, 2018). Several academics and researchers have questioned the validity of EBP because it ignores the patient's beliefs and principles while making treatment judgments, which is difficult to understand. To guarantee that all client's requirements are fulfilled during care, an evidence-informed practise (EIP) should be used in conjunction with the patient-centred paradigm. EIP, as opposed to EBP, which is a rigid method, considers multiple research and data sources, evaluates numerous case studies and empirical results, and discriminatorily examines countless clinical situations and interactions to determine the best course of care for patients. When this model is appropriately applied, patients' safety, experience and clinical results are enhanced.

Desirable outcomes

The proposed change's principal desired outcome is for physicians to recognize, respect, and attend to each patient's situation as a unique experience predicated on their choices, principles, and requirements. The facility's administration and insurance firms can finance this outcome by investing in health providers' training and education to ensure they appreciate the necessity of incorporating patients into decision-making processes. This aim may not be attained if clients and their families do recognize the need to actively participate in expressing their thoughts and desires regarding clinical treatments. Furthermore, service fragmentation throughout patient care may impede active engagement between patients and healthcare professionals, making it challenging for them to communicate their needs and desires.

Another desired outcome is a patient-centred care procedure that provides crucial information about the condition, available therapies and therapeutic alternatives and empowers patients to make their choices to enhance patient outcomes. By involving patients in their care, the practice can produce better clinical results and increase patients' satisfaction. The financial costs will include the training of clinicians on the effects of patient engagement in clinical decision-making. An unfavourable attitude on the part of healthcare workers may prevent effective communication and decrease the patient's influence over decisions. Additionally, some teams could be more concerned with finishing a task than spending time talking with the patient about different components of the procedure and their desires.

The final goal is to foster a therapeutic alliance between healthcare professionals and patients so that patients can feel safe and supported while receiving treatment. Since the expenditures will be reimbursed by the client's insurance or health bills under treatment fees, achieving this objective has no financial repercussions. One obstacle to this goal is if a poor correlation exists between the patients and healthcare providers, making it difficult for them to communicate effectively and make decisions together.

Comparative Analysis of Different Health Care Systems

See Appendix

The rationale for the proposed change

Patient-based care is founded on the professional interaction between clinicians and patients, which enables the patients to voice their principles, wants, and preferences regarding their care. Medical practitioners have long taken a paternalistic stance when making therapeutic judgments, acting on behalf of clients and their families based on the presumption that health professionals are better qualified to make clinical choices due to their specialized knowledge in the subject (Tran, 2020). Although this may be accurate, this approach does not consider the patient's preferences when making decisions. To ensure patient safety and happiness, involving patients in discussing therapy alternatives and procedures is essential.

Financial and health implications

Evidence-informed practise leads to better health outcomes when used with patient-centred care. After extensive training, patients can pick customized treatment alternatives to meet their specific requirements and preferences. Consequently, there are fewer lawsuits and malpractice claims since patients are safer and happier (Mcgrath, 2019). Practitioners may miss the value of incorporating patients in the decision-making process if the suggested change is not implemented. This might lead to lawsuits and other financial consequences if the patient's wants and desires are ignored.

Conclusion

The patient-centred strategy is ideally suited to boost patients' health outcomes, design for optimum use of resources allocation, lower costs connected with care, and develop a fantastic work relationship between clients and healthcare practitioners by improving patient experience. These results, nevertheless, may be hampered by fragmentation of the healthcare delivery processes, unequal power relations between clients and healthcare personnel that impede effective communication, and bad attitudes among medical personnel. To the greatest extent possible, the paternalistic attitude of health care providers, which automatically places them in the positions of critical decision-makers and limits the patient's ability to participate in determining treatment alternatives, is the most crucial element in limiting patients' involvement in their own health care decisions. As a result, it is essential to implement system changes that foster a paradigm shift and empower patients to participate in choosing their care actively.

References

Breslin, B. (2018). Evidence-based practice: The art of the rule of nursing. Current Research: Integrative Medicine, 03. https://doi.org/10.4172/2529-797x-c2-006

Mcgrath, B. (2019). By the patient, for the patient. Determining the critical quality of care measures for improving tracheostomy care. Medical Research Archives, 7(11). https://doi.org/10.18103/mra.v7i11.1989

Nowotny, B., Loh, E., Lorenz, K., & Wallace, E. (2019). Sharing the pain: lessons from missed opportunities for healthcare improvement from patient complaints and litigation in the Australian health system. Australian Health Review, 43(4), 382. https://doi.org/10.1071/ah17266

Tran, B. (2020). Strategies for effective patient care: Integrating quality communication with the patient‐centered approach. Social and Personality Psychology Compass, 15(1). https://doi.org/10.1111/spc3.12574

Yi, B. (2021). An overview of the Chinese healthcare system. Hepatobiliary Surgery and Nutrition, 10(1), 93-95. https://doi.org/10.21037/hbsn-2021-3

Appendix

Table 1: Comparative Analysis of Different Health Care Systems

Outcomes	The Chinese Healthcare System.	Australia Healthcare Systems	United States Healthcare System
Patients Safety and Satisfactions.	Several patients voiced their displeasure with the quality of care they had been provided. The development of a higher level of trust between patients and health care professionals increased the degree to which patients were satisfied with their care.	Patient satisfaction across the country has significantly increased due to the implementation of patient-centred care. However, many patients continue to express discontent with how general nurses administer care (Nowotny et al., 2019).	The overwhelming majority of patients voiced their discontent with being excluded from the decision-making process. A growing number of nurses are orienting their treatment around the needs of the patients they serve (Breslin, 2018).
EIP versus EBP.	RBP is still widely used in patient care, contributing to a deterioration in the connection between patients and healthcare providers (Yi, 2021).	Traditionally, EBP was utilized in making clinical decisions; however, modifications to a patient-centred method have been posited.	To understand patients' choices and demands, the healthcare delivery system has embraced the patient-centred concept.
Patients’ engagement in making decisions.	EBP is still in use; consequently, patient's views and desires may be neglected	Patients have an active role in the therapeutic decision-making and are given accurate information.	Patients are mainly engaged in the decision-making process.