The concept of patient-centric care is based on the prioritization of patient needs and the tailoring of the care plan to the specific cultural, social, economic, spiritual and psychological needs of the patient. This approach has significantly helped improve patient outcomes due to the increased focus on the holistic management of the patient meaning that all the existing socioeconomic and cultural demands of the patient are met at the point of care (Purtilo & Doherty, 2015). However, this approach has not been easy for the nurses and the healthcare worker. While the focus has been on ensuring that the beliefs, preferences and needs of the patient are met within the policies of the facility, there has been an apparent ignorance of the beliefs, values and morals that the nurse or the healthcare provider holds (Burkhardt & Nathaniel, 2013).
In my view, it is not ideal for a nurse to accomplish a care process that they seemingly feel contradicts their beliefs. With the existing policies at facility level affording nurses and healthcare providers no room for incorporating their beliefs and morals throu8gh a negotiated platform, there is likelihood for the nurse to forego those elements of care that they assume as contradicting their beliefs and values. As much as the patient may not be willing to compromise their beliefs and morals, the nurse in their human nature will also feel compelled to hold firm to their beliefs. I therefore will at times make decisions that are biased and this could imply cover up in some cases which could have significant impacts on the patient outcomes (Purtilo & Doherty, 2015).
The ethical principlism theory is essentially the basics on which I peg my worldwide view. The theory is based on the four basic principles of care namely the autonomy, beneficence, non-malificence, and justice. In my view, these principles empower the patient so that they their needs are holistically met (Purtilo & Doherty, 2015). These principles should however apply simultaneously to the patient and to the healthcare provider. This is within the reality that the nursing process is supposed to be negotiated and not enforced and in that case I would prefer a case where the nurse is allowed to practice only within their preferences and particularly in respect of their beliefs. It is a platform that would allow each party to have total dedication to the nursing process through the realization that their beliefs and morals are not threatened by any actions or decisions taken (Purtilo & Doherty, 2015).
Burkhardt, M., & Nathaniel, A. (2013). Ethics and issues in contemporary nursing. Cengage Learning.
Purtilo, R. B., & Doherty, R. F. (2015). Ethical dimensions in the health professions. Elsevier Health Sciences.