this phase of the process, you will continue to collect data
and to modify the plan of care as needed (Figure 18-1).
All activities are documented in the format used by the
healthcare facility.
IMPLEMENTING PERSON-CENTRED
CARE
When applying a person-centred approach to implementing
planned healthcare you must include the person and family
Unit III Thoughtful practice and the process of care
318
in all aspects of the process. Feedback from the person is
essential to ensure that the identified health problems are
being addressed through the delivery of the planned care.
The person should be encouraged to be part of the decision-
making process relating to their care. You cannot reliably
identify a person’s health problems and plan and implement
care without their input.
In all interactions with the person, the nurse or midwife is
concerned with the person’s response to health and illness and
their ability to meet basic human needs. Whereas other health-
care professionals focus on selected aspects of the person’s
Nurse/midwife–
person
TABLE 18-1 Relationships, role responsibilities and related competencies
Relationship
Role responsibilities
Related competencies
Communicate your concern for the person (as well as the
disease) and your interest in how this change in health
state will affect the person’s overall well-being.
Create an environment in which the person can commit
their energies to health promotion or restoration or
peaceful dying, confident that basic human needs are
being addressed.
Encourage the person to develop self-care abilities that
promote holistic health.
Repertoire of therapeutic
interpersonal behaviours—
attending, listening, interview-
ing, non-verbal communication,
touching, facilitating, coaching
Ability to establish trusting
relationships
Demonstrated competence in
the roles of carer, teacher,
counsellor, advocate
Nurse/midwife–
person–family or
significant others
Develop in the person and family, the knowledge, attitude
and skills that will enable them to respond to the self-care
challenge of the health or illness state.
Intervene as appropriate to promote healthy functioning.
Educate the family or others to be wise and assertive
healthcare consumers.
Nurse/midwife–
nurse/midwife
Support one another’s efforts to deliver quality care; work
collaboratively with administration to improve quality care.
Provide creative leadership—formally or informally—to
make the unit a satisfying and challenging place to work.
Supervise the care given by other personnel; affirm the
strengths of others, and constructively address the
deficiencies encountered.
Enhance the professional development of self and others
through active participation in professional organisations.
Communication
Teaching/counselling/advocacy
Assertiveness
Collaboration
Coordination
Group process
Organisation
Leadership
Delegation
Change strategies
Problem solving
Decision making
Conflict resolution
Nurse/midwife–
healthcare team
Communicate clearly nursing/midwifery’s perspective
regarding the person and family with the healthcare team.
Coordinate the inputs of the interdisciplinary team into a
comprehensive plan of care.
Serve as a liaison between the person and family and the
healthcare team, as necessary.
Nurse/midwife–
community agencies
Communicate with community agencies as required.
