Nursing models are used as frameworks to guide practice and build on the science of nursing. Nursing models are recommended to help nurses recognize the care’s impact. “Use of such structures helps foster autonomous decision making; professional identity; job satisfaction; high-quality, consistent nursing care; improved patient and family outcomes; and interdisciplinary communication” (Chamberlain et al., 2013, p. 16). This paper will analyze the Person-Centered Nursing Framework (PCN) and discuss how it can be applied to a Family Nurse Practitioner (FNP) role. An overview of the Framework will be discussed, followed by an appraisal of how this model qualifies as a theory to serve as a theoretical framework for nursing practice. An example of how the PCN Framework can be applied to the role of the FNP will be given to show how this model can guide practice. The conclusion will include a summary of the paper and self-reflection regarding what was learned.
“Person-centeredness” has become a massive topic of discussion within the nursing field. Nursing has always been focused on care, but the concept of person-centered care is still evolving. This concept is better understood using the PCN Framework, which directs nursing and practice into a more holistic approach to patient care. The PCN Framework was developed by McCormack and McCance (2017). The concepts were derived from years of empirical research that focused on the idea of person-centered care within nursing practice and the experience caring has in nursing (McCance et al., 2011).
According to McCance et al. (2011), there are four core concepts within this nursing theory: being in relation, being in a social world, being in place, and being with self. The PCN Framework was created from these core concepts and comprises four constructs: prerequisite care environment, person-centered processes, and outcomes (McCance et al., 2011). Each construct addresses an idea within the nursing metaparadigm: nursing, environment, person, and health (Parker & Smith, 2015). Prerequisites (nursing) focus on the nurses and their attributes, such as professional competence and interpersonal skills. If nurses are not meeting the requirements of person-centered care, then there is no point in moving further into the Framework because it starts with nurses and their commitment to care. The care environment (environment) focuses on the setting in which consideration is given. It includes things like: “appropriate skill mix, systems that facilitate shared decision making, effective staff relationships, organizational systems that are supportive, the sharing of power, the potential for innovation and risk-taking, and the physical environment” (McCance et al., 2011, para 10). The person-centered processes can begin once the prerequisites and care environment have been met. In this step, nurses and staff work alongside patients with an engaged focus on their values and beliefs. Nurses are sympathetic and empathetic, focus on holistic care, and work to include patients in the decision-making for their care. If all these steps are met, then the outcomes (health), the central component of the Framework, come to light. The products are the positive health and care results of meeting all the other steps and are obtained by giving practical, person-centered care (McCance et al., 2011)