Mccormack & mccance 2017

Introduction

The selected model for this report is the Person-Centered Nursing (PCN) F ramework which is a practical nursing model which distinctively focuses on personhood as the main focus in care delivery. This report will investigate how the PCN framework impacts MSN and its effectiveness of in nursing practice for a Family Nurse Practitioner and future Palliative Care Practitioner. This objective will be achieved by analyzing the model overview, how it qualifies as a theoretical framework, and its application in nursing practice.

Model overview

As the name suggests, the PCN framework focuses on the “person” in care delivery whereby it addresses the importance of wellness, preferences, perceptions, and decisions of the main participants in healthcare as significant factors in healthcare delivery. The PCN framework is made up of six basic components which are elaborated by the Institute of Medicines as i) physical comfort, ii) emotional support, iii) respect for the values, preferences, and expressed needs, iv) coordination and integration of care, v) involvement of family and friends, and vi) information, communication, and education (Cingel et al. 2016).

These components clearly elaborate on how the PCN framework addresses the four concepts within the nursing metaparadigm; person, health, nursing, and environment. In the concept of the person, the model seeks to ensure physical and emotional comfort and support for the persons involved in the treatment process. According to McCormack and McCance (2017), the concept of 'person' also includes the rights of the person who is under a particular nursing program and the responsibilities of the nurses who are the caregivers. When it comes to health, the PCN framework emphasizes the importance of building relationships as an approach to improving health and social care. This is presented by the component of coordination and integrity of care whereby the nurses are encouraged to use compassion as a method of promoting mental and emotional wellness.

Appraisal of the model as a Nursing Theory

There are various factors which qualify the PCN framework as a theoretical framework which can be used in the profession of nursing. First is the formulation and development of the model which has occurred over the years since it was first established in 2006. Every change and improvement that has been incorporated into the model is based on evidence-based nursing practice which continues to guide most of the decisions made in developing this model. For example, in 2010, McCormack and McCance updated the PCN framework by focusing more on the person as the center of care delivery. As such, the PCN framework has been developed to address every element of care delivery which includes building the relationship between the nurse and the patient, engaging the patient in decision making, and considering the conditions of the nurse providing care among other elements. (Santana, et al 2017) Besides this, various publications have been made focusing on the implementation of the PCN framework and the impact it has had on nursing practice. Therefore, various documented facts about the model can be used to improve the practice of a Family Nurse Practitioner as a point of reference when analyzing or using this model during practice. For example, The PCN framework addressed the element of respect for the preferences and expressed needs of a patient which can be used to instill principles and values for a Family Nurse Practitioner which is necessary for improving the patient’s experience.

Application of the Model to Advanced Practice Nursing

The PCN framework can be applied in the education and practice of nursing which positively contributes towards improving the roles of a Family Nurse Practitioner and Palliative Care Practitioner. For example in MSN education , the model can be used in enhancing research and knowledge exchange among students, educators, and experts. This will introduce learners to the basic concepts of the theory whereby they will be able to critique and question the theory thereby improving their ability and competence to undertake research, training, and practice (Groenwald, 2018).