The Essence of Care

Introduction

The design on essence of care is crafted to support the measures in improving quality of service that will contribute to the introduction of clinical governance at local level. The benchmarking process of the essence of care helps practitioners to take a structured approach to sharing and comparing practice, enabling them to identify the best and to develop action plans to remedy poor practice. The guidance concerning with the essence of care will make further improvement and good outcome at the end of the medical assistance towards the patients. The identification of the problems and complaints in both the medical practitioners and patients are needed to get the appropriate solution. With the simulation of the process, the attainment of the action plan towards the complaints can be the best solution to answer the issues.

Discussion

There are medical practitioners that had a poor background about the work they engaged with. It is the common problems in all the people that are seeking for the professionalism. However, there are instructions for the general practices that they must recognize. It is in the area of care saying that the patients and/or care providers have individual or special needs which include ethnicity, religion, culture, language and age, physical, sensory, development, and psychological requirements.

The opinions of the patients and care providers are sought, whether good or bad feedbacks, to establish appropriate practice and procedure. The education and training of the medical practitioners or care providers are always the basis for the assessment. The goal for the assessing the individual knowledge is to deliver care in accordance to what was the patient’s needs, to increase awareness, and giving accurate and appropriate information through communication. This kind of strategy ensures and promotes the essence of care. The entire medical team are guided by the policies and procedures imposed inside the medical society. This regulation is one of the key in avoiding undesirable complaints by giving the friendly and accessibility efforts. Essence of Care is designed to support the measures to improve quality and contributes to the process of clinical governance with the importance of getting the basics right and improving the patient experience.

Areas that needs Improvement

There are complaints about the quality of the patient experience that might cause in developing the essence of health care and benchmarking which concerns with the patients and care providers.

· privacy and dignity

· personal and oral hygiene

· communication

· record keeping

· continence

· food and nutrition

· pressure ulcers

· safety of clients with mental health needs

· principles of self-care.

Guidance the Essence of Care through Benchmarking

The benchmarks in promoting health are presented with the assumed outcomes.

Empowerment and Informed Choice – It is assumed that individuals, groups and communities can be helped to make positive decisions on personal health and well-being.

Education for practitioners – Practitioners should use their knowledge and skills to promote health.

Assessment of health promotion needs – Through assessment the individuals, groups, and communities can identify their own health needs.

Opportunities to promote health – the opening for the appropriate contact in promoting health should always be available in finding ways to maintain or improve health and well-being.

Engagement – It is the involvement of the individuals, groups and communities in promoting planning and actions.

Partnership - The health promotion is with the variety of expertise and experience.

Access and Accessibility – People had the access to health promotion is expected to transfer information, services and support which meets their individual needs and circumstances.

Environment – Individuals, groups, communities and agencies influence and creating the environment which promotes health and well-being.

Outcomes of promoting health – Health promotion activities should have a sustainable effect that improves the public’s health.

Guidance on the Essence of Care Process

The guidance process in essence of care should be established before the beginning of benchmarking process.

Step 1: Nominating someone to be responsible enough for the benchmarking process because a team approach could mean collecting the evidence using the tools provided carried out by different members of the team.

Step 2: The process and the methods used should be fully discussed with the Essence of Care Lead and any updating for staff arranged.

Step 3: Sharing and comparing different practices to support the clinical process.

Step 4: Documentation and action plan drafts.

Step 5: Initiating the positive and supportive plans that can be use in the review or change decisions concerning one area of clinical process, which is in relation to benchmarking.

Step 6: Disseminate your findings and actions according to your local policy.

The competency frame works provides guidance for the personal development such as, knowledge and skills to the nurses within the area of critical care. The competency can be a way in defining the expectations and achievements in the multi-level of practice. The competency requirements are based on criteria to facilitate the intense learning capabilities of a nurse or care providers.

Conclusion

The essence of care is primarily concerns with the concepts of caring the patients according to the attention they needed. The caring process and certification of the medical practitioners should revolve around professionalism by doing the standard procedures to the best effort they can contribute. The care providers are the only person that can relieve the pain of the patient by satisfying the expectations placed on their shoulder. The essence of care is not be fed by the financial motivations among the medical practitioners but also with the matter of improving the health. Many efforts had been unleashed with a common goal of informing and promoting health benefits to the communities. The thrust in this kind of action must sustain the on-going needs of health starvation among the depressed areas. The essence of care should therefore available to all.

Works Cited:

Bourgault, A., & Smith, S. (2004). The development of multi-level critical care competency statements for self-assessment by ICU nurses. Dynamics, [Online] Available at: http://www.aspan.org/Portals/6/docs/Events/Conference/2009/Syllabus/506CRITICAL_CARE_COMPETENCIES_FOR_THE_PACU_OVERLFOW_ICU_2009-Poole.pdf [Accessed 16 Sept 2009].

Bowron, A., et al. (n.d.). Essence of Care: Continence Care for People with Parkinson’s disease, Parkinson’s disease Society [Online] Available at: http://www.rcn.org.uk/__data/assets/pdf_file/0005/78692/003025.pdf [Accessed 16 Sept 2009].

Department of Health (2001).The Essence of Care: Patient-focused benchmarking for health care practitioners. [Online] Available at: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4127915.pdf [Accessed 16 Sept 2009]

Department of Health (2003) NHS Modernization Agency. Essence of Care: Patient-focused Benchmarks for Clinical Governance. [Online] Available at: http://www.wipp.nhs.uk/tools_gpn/toolu6_essence_of_care.php [Accessed 16 Sept 2009].

Department of Health (2006) Guidance: Benchmarks for Promoting Health. [Online] Available at: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4134454.pdf [Accessed 16 Sept 2009]