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NURS FPX 8008 Assessment 4 The Patient Perspective of Person-Centered Collaborative Care

nursfpx8008assessment / June 11, 2026

NURS FPX 8008 Assessment 4 The Patient Perspective of Person-Centered Collaborative Care Student Name Capella University NURS-FPX8008 Person-Centered Care in Doctoral Practice Professor Name Submission Date Patient Perspective of Person-Centered Collaborative Care From a patient’s point of view, healthcare can give us valuable insights about the effectiveness of person-centered care (PCC). Patient experience is important in understanding how PCC impacts health outcomes (Ewunetu et al., 2023). The assessment discusses the lived experience of a stroke patient who underwent treatment at Lakeside Rehabilitation Hospital. The insights highlight the transformative impact of individualized care, patient-centered communication, and multi-disciplinary collaboration on the patient’s rehabilitation. The experience of the patient is used as a lens to explore the real-world benefits, challenges, and learning points of delivering care in a way that empowers patients to be active collaborators in their care, not only as consumers of services but also as emotional, personal, and social beings. Context The purpose of the reflective interview is for the clinician to gain insight from the patient’s experience to give him/her a deeper understanding of collaborative care as a person-centered approach. The patient who has just recovered from stroke is included in the dialogue in Lakeside Rehabilitation Hospital. The patient shares his or her experience of how coordinated, individual care affected recovery. The patient emphasizes the need to be treated as a whole person, using personalized treatment, shared decision-making, and communication support. Continuous and trusted rehabilitation and healthcare services were achieved by multidisciplinary teamwork between rehabilitation staff, therapists, and support services (Yu et al., 2023). The patient also identifies the need for emotional support, continuity of care during the weekend and improved peer relationships as areas for improvement. The interview offers insights into what person-centred working can do to facilitate recovery and how health and social care professionals can do more to attend to emotional, information and relational needs of patients. Benefits of the PCC Approach The patient’s journey at Lakeside Rehabilitation Hospital is a great example of how immediate patient recovery and quality of life benefits from PCC. The insights from the patient shed light on three important advantages of PCC: personalized communication, tailored therapy, and dignity through shared decision-making (Ahmed et al., 2022). These are critical factors to foster trust and empathy with patients. Individualized Communication One of the best things about it is the personal interaction. Customizing the communication to the patient’s needs positively affects recovery and self-confidence. The use of visual support, clear language, and early involvement of a speech-language therapist was explained to the patient with a speech impediment and enabled him to be heard and engaged more easily (Yu et al., 2023). This personalized approach to communication helped to reduce frustration and build trust, ensuring that the patient felt understood and that their needs and preferences were taken into account. Personalized and Motivating Therapy Another benefit the patient mentioned was the development of therapy sessions around the patient’s interests, such as reading and gardening. The strategy engages the patient in the ordinary exercises and helps them stay motivated and engaged. The approach represents the spirit of PCC by encouraging the patient to be an active participant and by developing care plans that fit patients’ lives, aspirations, and values (Levitan & Schoenbaum, 2021). The identification with care nurtures long-term motivation and emotional strength in recovery. Respect for Dignity and Shared Decision-Making Lastly, the patient mentioned that all the stages of care were respected and he/she was treated with dignity. Despite assistance being required, the patient’s autonomy was respected, and choices were listened to in all decisions. This respectful collaboration with the patient during a vulnerable time and the perception of control, which is typically missing in health care environments, is the result of the collaboration (Ahmed et al., 2022). It’s a more humane and promising form of care to treat the recipient as a partner instead of a recipient. Challenges Encountered by Patients in Active Participation in PCC Being an engaged patient is a big opportunity and a lot of challenges as an active member of the health care team. Patient-centred collaborative care focuses on the patient in the care plan, on taking into account personal preferences, and on the exchange of information between multidisciplinary teams (Ahmed et al., 2022). Collaborative care fosters respect, empowerment, and trust, and allows patients to be valued and involved in their own healing. At Lakeside Rehabilitation Hospital, PCC was clearly demonstrated in how the care team made the necessary adjustments for the individual after a stroke. For instance, communication interventions were tailored to overcome speech challenges, such as using pictures and simple language, in order to keep the patient active in learning about the treatment regimen. Rehabilitation treatments were tailored to suit individual interests, including the use of ‘gardening therapy’ to increase motivation and emotional healing. This can be difficult for the patient, too, because he or she is a part of the care team. Medical interventions, especially when the situation is urgent and emotional, create a high-stress situation. Under such circumstances, for patients, it can be challenging to take in information, think of alternatives, or make decisions with confidence (Kayes and Papadimitriou, 2023). Whilst person-centred care is based on shared decision-making, it can be very challenging if it is not supported with adequate emotional support and accessible, timely communication (Klein, 2023). While concerns with the quality of mental health services in the first phase of recovery are not directly associated with poor mental health outcomes, they can negatively affect emotional recovery and autonomy, as experienced by patients. Smooth coordination between departments and specialists is required for the flow of information. The absence of staffing uniformity, such as fewer team members at weekends, may lead to a delay in therapy or to queries going unanswered, impacting the continuity and flow of care (Sharma and Gupta, 2023). Technology may take time to communicate to patients or update patient information, and they may not be sure of progress or what they can expect next. The gaps reduce the patient’s

Capella University, DNP, NURS-FPX8008

NURS FPX 8008 Assessment 3 Taking the Person-Centered Collaborative Care Intervention Forward

nursfpx8008assessment / June 11, 2026

NURS FPX 8008 Assessment 3 Taking the Person-Centered Collaborative Care Intervention Forward Student Name Capella University NURS-FPX8008 Person-Centered Care in Doctoral Practice Professor name Submission Date Taking the Person-Centered Collaborative Care Intervention Forward The concept of person-centered care (PCC) is a major shift in healthcare provision which focuses on the person and not the disease. Emotional support, patient participation in decisions, and a relational model of care have been identified as having good potential to impact health outcomes, especially among people with chronic conditions (Gartner et al., 2022). This proposed initiative aims to further the development of PCC for older adults with chronic illnesses using the theory of human caring developed by Watson. An intervention plan (based on the plan-do-study-act [PDSA] model) includes what is done, what needs to be changed, and how all processes will be connected to the organization’s goals. Strategic Outline for Person-Centered Care Intervention The use of the PCC intervention is dependent on the PDSA (plan-do-study-act) framework used as a base for continuous quality improvement of managing chronic diseases in older adults. A period of six months has been set, and the first two weeks are dedicated to planning, after which the implementation will start. At the ‘plan’ stage, interdisciplinary team meetings will take place to review baseline data of patient satisfaction, hospital readmission rate, and medication adherence. At the same time, all care staff will be trained on Watson’s theory of human caring and motivational interviewing techniques, consistent with humanistic values and ethical practice. Evidence shows that using human caring principles in conjunction with motivational interviewing improves adherence and self-management (Curcio et al., 2024). During the ‘do’ phase, the first three months will be dedicated to engaging in individualized care plans through motivational interviewing in patients’ care. Interdisciplinary meetings will take place each week, which will enable flexible changes to the care plan based on patient needs and feedback. Engagement strategies focus on emotional, social, and cultural needs; they include a focus on shared decision-making and trust. In month 4 during the ‘study’ phase, data will be collected and analyzed to gauge patient outcomes such as adherence to medication, patient-reported satisfaction, hospitalization rates, among others. Patient stories will also be taken into consideration for qualitative improvements in emotional state and perceived empowerment. Findings will be shared with executive leaders and stakeholders at the end of the ‘act’ phase. Adjustments will be made to enhance the embedding of successful practices into long-term working practices. Evidence shows that a combination of quantitative data and patient stories can result in a full picture of person-centered interventions and promote sustainable quality improvement (Arsenault et al., 2022). The desired outcomes are a 25% decrease in hospital readmission, a 30% improvement in medication management, and improved patient satisfaction scores, all emphasizing the importance of compassionate, collaborative care. The combined outcomes identify the long-term effects of evidence-based and person-centered approaches. Comparing Current Data Metrics with Targeted Improvements Taking Current Data Metrics and Targeted Improvements, it is evident that they are not the same thing. Current Data Metrics are not Targeted Improvements. Caring for and treating older people who have chronic diseases still presents difficulties, particularly in terms of poor links between practitioners, the proportion of patients who fail to take their medicines, and readmission to hospital. Patient satisfaction scores reveal the current rate as 68%, indicating low perceived social support and limited involvement in the decision-making process. The compliance rate with medication is 62%, and for 30 days of hospitalization, the readmission rate is 21%. The Agency for Healthcare Research and Quality (2024) benchmark estimates that adherence to medications among adults with chronic conditions is around 75-80%, with adherence defined as having 80% or more of days covered (PDC). However, another important measure, interdisciplinary cooperation quality, is suboptimal, with care coordination audits indicating so (Arsenault et al., 2022). The gaps identified highlight the need for more robust patient-oriented strategies for quality improvement. Measures that will be implemented under the plan involve improving patient satisfaction, which will be reached at 85% by improving interpersonal communication and patient participation. It is expected that medication adherence will increase to 80 percent or higher with motivational interviewing and individualized education. Early care planning and comprehensive support post-discharge will achieve a 25% reduction in the hospital readmission rate. The national standard for Medicare beneficiaries’ 30-day hospital readmission rates is around 15–16% (Betancourt, 2024), and this is used as a target for any efforts aiming at improving quality when working with chronic illness management. The effectiveness of the interdisciplinary coordination will be monitored for each team monthly by checking team performance, with a target that 90% of teams will meet the benchmark of coordinated care delivery. Every improvement planned will help to create more humane, efficient, and sustainable healthcare experiences. Connecting the Intervention to Organizational Strategic Goals The PCC intervention is in complete collaboration with the organization’s strategic goals of increasing patient satisfaction and avoiding unnecessary readmissions. Incorporating Watson’s theory of caring into clinical care involves the value of meaningful relationships to support caring for patients. MI fits in well with the organization’s major goal of patient-centered care planning, which promotes patient engagement. Organizational goal: Improve health outcomes through continuity, which is enabled by care coordination improvements, including team conferences and structured follow-up processes. Chronic disease management for the elderly is made more efficient with planned actions, and these actions also help reduce healthcare costs, thus meeting the overall goal of value-based care (VBV) (Albertson et al., 2021). Challenges the status quo, in relation to organizational change and the development of compassion as a companion to clinical excellence while maintaining the focus on caring for a diverse population in a relational and/or relational care model. Conclusion The PCC’s are changing the nature of health care by focusing on patient needs, values, and preferences. Watson’s human caring theory provides an ethical and caring approach to the improvement of the relationship with the patient. Interventions using motivational interviewing foster shared decision-making and care coordination. Better care metrics are

Capella University, DNP, NURS-FPX8008

NURS FPX 8008 Assessment 2 Supporting Person-centered Collaborative Care With Nursing Theory

nursfpx8008assessment / June 11, 2026

NURS FPX 8008 Assessment 2 Supporting Person-centered Collaborative Care With Nursing Theory Student Name Capella University NURS-FPX8008 Person-Centered Care in Doctoral Practice Professor name Submission Date Click the link below to download the full assessment: NURS FPX 8008 Assessment 2 Step-By-Step Instructions to write NURS FPX 8008 Assessment 2 For step-by-step instructions to write NURS FPX 8008 Assessment 2, contact nursfpx8008assessment.com. References for NURS FPX 8008 Assessment 2 The references can be found in the presentation file downloaded from Section 1. Capella professors to choose from for NURS FPX 8008 Assessment 2 Angela Saathoff, DNP, RN. John Schmidt, DNP. (FAQs) related to NURS FPX 8008 Assessment 2 Question 1: What is NURS FPX 8008 Assessment 2 about? Answer 1: Supporting person-centered collaborative care through nursing theory, ethical principles, and measurable patient outcomes.

Capella University, DNP, NURS-FPX8008

NURS FPX 8008 Assessment 1 Analyzing Person-Centered Care with Scientific and Theoretical Evidence

nursfpx8008assessment / June 11, 2026

NURS FPX 8008 Assessment 1 Analyzing Person-Centered Care with Scientific and Theoretical Evidence Student Name Capella University NURS-FPX8008 Person-Centered Care in Doctoral Practice Professor name Submission Date Analyzing Person-Centered Care with Scientific and Theoretical Evidence Person-centered care (PCC) is a focus of modern healthcare that encourages treatment of the whole individual, personalized care, and respectful treatment. By focusing on patient autonomy, shared decision-making, and compassionate communication, PCC in nursing is about collaboration, respect, and special caring (Nkhoma et al., 2022). Measurable improvements in patient outcomes and satisfaction can be gained by the scientific study of PCC. In addition to the four quantitative and four qualitative articles included in the paper, there are two nursing theories that relate and link PCC practices to statistical and experiential outcomes. Identified Quantitative and Qualitative Articles for Person-Centered Care Quantitative Research The outcomes help to strengthen understanding of PCC efficacy in healthcare. The quantitative research results demonstrate PCC’s success in enhancing safety, satisfaction, and quality metrics. Yu et al. (2023) explored the relationship between PCC scores and patient outcomes in the inpatient setting. The study design was large cross sectional, in-patient survey. The outcomes assessed were self-reported physical and mental health, perceived need for hospitalization, and measures of care utilization. The authors noted that higher PCC scores were reported as being associated with improved self-reported physical and mental health and indicators of more appropriate service use. Limitations were that it was a cross-sectional design, limited to self-reported associations, and only sampled a single health system. A digital PCC training intervention compared to usual practice with measurement of staff and resident outcomes was performed by McDermid et al. (2022). The study design was a cluster randomized controlled trial (cRCT). Staff PCC competence, resident care indicators, and satisfaction measures were measured. The authors noted that the digital PCC training improved staff knowledge and skills and led to some resident-reported improvements compared to control clusters. There were a few limitations, such as the short follow-up window in some clusters, the possibility of contamination, and limited generalizability of the setting. Stanhope et al. (2021) assessed if implementing PCCP alters PCC delivery and downstream patient outcomes. A cluster randomized trial in community mental health clinics was used to design the study. Outcome measures included fidelity of PCC practices, engagement with PCC, and service use markers. The authors reported that training led to an increase in observable PCC behaviors and enhanced some factors of patient engagement and self-management, but there were mixed effects on hard clinical endpoints. Limitations included Implementation variability between sites; some outcomes were dependent on provider documentation. Pirhonen et al. (2020) evaluated the cost-effectiveness of PCC from a health care perspective. The study design was an economic evaluation (cost-utility) based on the data from trials of PCC in chronic heart failure. In terms of outcomes, QALYs, healthcare resource use, and cost per QALY were recorded. The authors described that in the study settings, PCC was either the dominant or cost-effective intervention for the targeted populations, compared to usual care. Transferability to other systems is unknown; some categories of costs were estimated based on local tariffs. Qualitative Research The qualitative component of the research investigates patient and staff experiences, focusing on the concepts of empathy, dignity and collaboration. Doherty et al. (2020) examined provider understanding, barriers/facilitators, and experience of a shift from a medical model to a PCC model. The study design was qualitative interviews with practitioners from the community mental-health services who were transitioning to PCC services. Whether providers measured this outcome by their own feedback or by their own observation of the process, therapeutic alliance and patient engagement scores were higher when PCC was meaningfully adopted; common barriers were workflow issues, documentation requirements, and role ambiguity. The limitations were provider-centered (less direct voice of the patient); local context influenced the experience. Lateef and Mhlongo (2022) examined the perception of the nurses about PCC and what they mean by PCC in healthcare environments. This study was designed as a qualitative study using semi-structured interviews/focus groups with the nurses working in the PHC centers. The outcomes that were reported by nurses were holistic, respectful, and tailored communication, which was correlated with patients’ trust, adherence, and better follow-up (i.e., improved engagement and perceived health behavior change). Limitations: Single country/PHC context; findings based on provider perceptions and not measured findings. Boström et al. (2020) described the role of nurses in experiencing PCC in a remote setting, and how this influences patient interactions and outcomes. This study used a qualitative interview study with the RNs who provide PCC over the telephone. The results that registered nurses shared consisted of an increased understanding of patients’ lifeworld’s through structured PCC phone visits, perceived improvements in patients’ self-efficacy and symptom management, and difficulties balancing protocol fidelity with patients’ variation. Limitations were that only a small number of nurses participated and that there was only an emphasis on the nurse’s rather than the patient’s direct experiences. Havana et al. (2023) have compiled and analyzed qualitative evidence of PCCs’ meaning to patients and their perception of outcomes. The study design was a qualitative meta-synthesis of studies exploring hospitalized patients’ experiences of the PCC model. Patients regularly link PCC to dignity, personal attention, more transparent communication, empowerment, and emotional well-being, and they believe that the PCC translates to trust, adherence, and less anxiety. The strength of secondary synthesis is determined by the quality of the primary studies and the context in which they are used. Nursing Theories The quantitative outcome set is based upon Dorothea Orem’s self-care deficit nursing theory. Orem clearly associates nursing interventions with nursing self-transactions with measurable self-care capacities and health outcomes; several quantitative PCC trials assess patient self-efficacy, functional status, readmission, and resource-use constructs that align well with self-care capacities and measurable outcome measures (Hartweg & Metcalfe, 2021). Orem’s framework is useful for designing interventions that have measurable outcomes, such self-care indices, readmissions, and quality of life. The randomized control trails (RCTs), cluster trials, cost-utility analyses, and large surveys measure changes in