Patient-centered care is providing care that is respectful of, and responsive to, individual patient needs, preferences and values, and also ensuring that the patient values all clinical decisions. It has been proven that specific steps and practices are conducive to a positive and resilience patient experience. The patients’ values, preferences, and expressed needs should always be taken into account. The nurses and doctors should involve patients in decision-making. They should also recognize that the patients are individuals with their unique preferences and values. Patients should be treated with sensitivity, dignity, respect, and by one's cultural values and autonomy.
Most patients have expressed concerns about their ability to care for themselves after discharge. Our centers should make sure that patients have understandable and detailed information regarding medications, dietary needs and physical limitations before release. There should also be a well-coordinated and ongoing treatment plan or other services such as checkups after release. Patients should also be provided with information regarding access to clinical, social and physical support continuingly. The clinical data may help the patient in case he or she needs emergency medical attention (Standing, 2017) . The social information may help the patient if he or she needs to find social gatherings, therapy sessions or meetings.
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Also focussing on care after discharge, most patients need to know they can access ambulatory care when they need it. The patients need to have access to the location of hospitals, clinics and physician offices they can access directly with the help of an ambulance. The ease of scheduling appointments and the availability of appointments when needed helps put a patient at ease in cases of emergencies. The patients need assurance that they can access referrals and specialists or specialty services when a reference is made. The level of physical comfort is another area that has a significant impact on the resilience of the patients. The hospital surroundings and environment should be well structured to accommodate all kinds of patients. There should be helpers to assist patients with daily activities and living needs.
Significant changes have been occurring in our practices. The ability for a practice to change is crucial to its success. When launching a transformative change, one should communicate at strategic, operational, and individual levels. It mostly entails developing a plan for who needs to know, when they need to know, and in what manner. The patients and nursing peers should start by understanding the strategic reasons and importance for the change. Then, they should know what is going to happen and how each will be involved (Hunter & Arthur, 2016) . It is also essential for the patients and nursing peers to give perspectives on the changes which should be taken into account.
In a change process, the participation of those who will have to change is essential. One should work on developing a team that works towards a common goal, and the team's vision and objectives should be clearly articulated. Each should have clear expectations, know what is expected of them, understand the role of others, and have a sense of shared accountability. All changes usually have visible individuals who are committed to the goal and can lead others. One should empower those individuals with natural leadership skills with support so that they can influence their peers in effecting the changes.
Use available data to document progress and reinforce new behaviors. Daily or weekly reports may help show how a new change is coming along. In other cases, external data also provide credible feedback that helps sustain change such as feedback from the patients. Use data to acknowledge peoples efforts in the change process and them for their contributions. The data should also point out the areas that need improvement to complete the change process effectively.
References
Standing, M. (2017). Clinical Judgement and Decision Making in Nursing . Nashville: Learning Matters.
Hunter, S., & Arthur, C. (2016). Clinical reasoning of nursing students on clinical placement: Clinical educators' perceptions. Nurse Education In Practice , 18 , 73-79. doi: 10.1016/j.nepr.2016.03.002
