Caring in Complex Systems
Over time, healthcare systems have increased in complexity in part due to technological advances and increased knowledge and skills. Focus on quality, safe, and cost- effective care is paramount to the 21st-century healthcare delivery system. These changes in the healthcare environment have led to an expanded professional role of the nurse that includes a focus on institutional and/or organizational and professional regulation and compliance and technology -driven tasks, all which shift focus and time from the patient care experience and the fundamental nursing principle of caring.
Another change in the delivery of healthcare is driven by people becoming more involved in making decisions regarding their health and health practices. People are now actively participating in their own care. This change is shifting the focus from provider-driven care to person-centered care. “The current focus on person-centeredness in practice illustrates society’s drive to redress the current imbalance in care, moving away from an ethos that is medically dominated, disease orientated, and often fragmented toward one that is relationship focused, collaborative, and holistic” (McCance, McCormack, & Dewing, 2011, para 8). All of these changes contribute to the increasing complexity of the healthcare environment and shape the role of master’s- prepared advanced practice nurses.
Holistic Nursing Practice
Nurses in all settings are tasked with providing care in a caring manner with attention to all aspects of the person, health, and environment. A holistic approach to care is recommended for master’s- prepared nurses in advanced practice roles (Papathanasiou, Sklavou, & Kourkouta, 2013) who are instrumental in implementing and evaluating person-centered care and care environments. Although nurses must certainly be knowledgeable about how disease physiologically affects the patient; it is important to care for the whole person and not just a diagnosis or piece of equipment. Holistic care expands beyond the physiological aspects of health (illness and/or disease) and incorporates additional psychological, sociological, developmental, spiritual, and cultural aspects. Also, included in holistic care are environmental and economic factors.
Consider ways in which you incorporate holistic care principles in your professional practice.
Hi there! Click one of our representatives below and we will get back to you as soon as possible.