Part 1 Peer Responses: Introduction DP.
Instructions:
Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least two of these prompts:
Welcome your peers to class!
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
PEER 1:
Hello, all! My name is Nyra Kershaw, but most people call me Dawn. I am a mother of three sons out of school and in the workforce. My mother is a nurse and, at 74 years old, is still going strong working in a busy ICU. I have never wanted to do anything else. Two of my sons still live at home, and I am great with that. I love to cook and learn new ways to cook. I have a kitchen gadget hoarding issue. We also rescue dogs, and at this time, we have six. They are a full-time job alone. I live in deep southwest Louisiana and work in a rural area in the home health field. I have been a registered nurse for five years but was an LPN for 21 years. I have been employed with the same company for 22 years. I have a year-round vegetable garden and love to try new vegetables every year for added challenges. I am a true crime junkie and love trash TV in my downtime, especially on high-stress days. I also teach BLS in my spare time. I chose to continue my education in Advanced Practice Nursing to enhance what I can do to serve my community and serve at a higher level. I plan to do community care as an APRN. House calls and mobile care are needed in this area as there are elderly and disabled people who do not drive and are deprived of primary care due to their inability to attend appointments. In the rural areas I serve, there is not a vast selection of transportation for the elderly and disabled.
PEER 2:
My name is Kalynn Curtis. I am 31 years old and born and raised in New Orleans, Louisiana. I have a 10-year-old son who is currently going into the fifth grade. I have a bachelor’s degree in psychology with a minor in chemistry from Xavier University of Louisiana. I received my bachelor’s of science in nursing from Herzing University in April of 2023. I am currently an RN in an oncology/BMT unit. I just became chemo-certified earlier this year and am in the process of getting my BMT certification. I also have been picked to start precepting new hires at work. One of my interests includes reading. I am going back and forth between the Alex Cross series by James Patterson and the Jack Reacher series by Lee Child. I am also learning French. My son has been speaking it since he was four because of the school he attends, and I want to keep up, lol. My goal is to graduate from the Family Nurse Practitioner program and eventually get my doctorate. I have always wanted to help people and see myself continuing for a while.
Part 2: Decision Making models utilized by PCP’s DP
Instructions:
Review the reflection posts of your course colleagues. Consider the knowledge you have gained from this week’s lecture.
Construct a response to at least 2 of your peers commenting on the following:
Your thoughts about the model they chose to frame their discussion.
Consider you were the primary care provider that had seen your course colleague. Comment if there were any actions/activities you would have done differently or would not have done that the primary care provider did relative to your course colleague’s encounter with them.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
PEER 3:
Working alongside physicians provides a unique experience when monitoring patient-provider encounters. There was a provider who was extremely intelligent but quite disconnected from his patients. I began shadowing him during his assessment and found him to be incredibly thorough, but his explanation of the care plan was full of medical jargon that was hard for the patients to understand. Not only did they not comprehend his interpretations, but they were afraid to ask for clarification. At this moment, I started translating the jargon into layman’s terms to advocate for the patient and make them feel comfortable. It is essential that patients feel involved in their care. Effective communication, such as being an active listener, makes patients feel heard when explaining their concerns. The provider must ensure the patient understands the treatment plan and feels empowered to explore their options without coercion or fear of disapproval.
The shared decision-making model, as outlined by Yun et al. (2024), underscores the crucial role of patient involvement in healthcare decision-making. This model allows the patient and the healthcare team to make the best decisions for the patient, leading to significant improvements in health recovery and quality of life (Yun et al., 2024). It prompts us to re-evaluate the relationship between professionalism, empathy, health-rated factors, and clinical decision-making ability (Yun et al., 2024). By allowing the patient to participate in the care model, we can increase the likelihood of patient compliance and restore responsibility and accountability to the patient. This approach requires our commitment and dedication to ensuring that patients are actively involved in their care decisions.
Reference
Yun, J., Seong, M., Cho, Y., & Sok, S. (2024). Influences of nursing professionalism, empathy, and clinical decision-making ability on shared decision-making awareness among hemodialysis nurses. Journal of Nursing Management, 2024. https://doi.org/10.1155/2024/2518065
Peer 4:
For me, it has been a while since I have seen a primary care physician. Many factors play into why so I don’t have a personal experience to share. However, working on an oncology unit, I have seen many interactions with doctors and patients about different avenues that a person can take to get better. I personally just had a patient whose cancer was spreading to her brain. It was time for the doctor to sit down with the patient and her family about the steps that they should take next. From what I have seen, many of the physicians have used the shared model when talking to their patients. The SHARE approach is one model used to facilitate shared decision-making. Shared clinical decision-making is a collaborative process that involves patients and healthcare providers working together to make healthcare decisions (Montori et al., 2022). This approach ensures that patients are fully informed about their options and that their preferences and values are considered in the decision-making process. It includes the following steps: S: Seek your patient’s participation. Encouraging patients to be actively involved in their healthcare decisions is important (Moleman et al., 2020). H: Help your patient explore and compare treatment options. This can be accomplished by providing patients with evidence-based information about their condition and the available treatment options (Moleman et al., 2020). A: Assess your patient’s values and preferences. Understanding the patient’s values, preferences, and lifestyle to tailor the treatment plan accordingly (Moleman et al., 2020). R: Decide with your patient. Collaboratively deciding on the best course of action that aligns with the patient’s preferences and clinical evidence (Moleman et al., 2020). E: Evaluate your patient’s decision. Reviewing and following up on the decision to ensure it meets the patient’s needs and adjusting the plan if necessary (Moleman et al., 2020). This approach not only respects patient autonomy but also aims to improve patient satisfaction, adherence to treatment plans, and overall health outcomes.
References
Moleman, M., Regeer, B. J., & Schuitmaker‐Warnaar, T. J. (2020). Shared decision‐making and the nuances of clinical work: Concepts, barriers and opportunities for a dynamic model. Journal of Evaluation in Clinical Practice, 27(4), 926–934. https://doi.org/10.1111/jep.13507Links to an external site.
Montori, V. M., Ruissen, M. M., Hargraves, I. G., Brito, J. P., & Kunneman, M. (2022). Shared decision-making as a method of care. BMJ Evidence-based Medicine, 28(4), 213–217. https://doi.org/10.1136/bmjebm-2022-112068Links to an external site.
