Apprenticeship Learning Log

Date of Learning: 08/09/2023

Time: 9:30 to 12:30

Title of learning activity: Introduction to public health policy, screening and the role of the nursing associate

Learning outcomes:

• To understand the learning outcomes of the module
• Understand the definitions of health and wellbeing, Public Health, Health Promotion and Health Education
• To enhance your knowledge of the role of the nurse within these areas
• To discuss the guidelines for the presentation and gain an overview of what is expected for the assessment for the module.

I did a self directed learning on this topic and this are the things I have learn:

Health derived from the old english ‘hael’ meaning ‘whole’ signaling that health concerntat the whole person. It is influenced by family, cultural background, religion, educational level, gender, ethnicity and social class. It also influenced by media, environment and social policies

There are different dimentions of health which are physical, emotional, intelectual, sexual, social, spiritual, and societal.

There are diffrent models of health;

• medical model which focus on the physical dimention rather than considering any of the others
• holistic model uses the WHo definition (1946) which is health is a stage of complete physical, mental and social wellbeing an not merely the absesne of disease
• biopychosocial model where this advances the medical model by incorporating some aspects of the holistic model.
• ecological model provides framework for understanding how individuals and their social environments mutually effect each other.
• wellness model -builds on the principles of the holistic model which is a process and resource for everyday life.

Defintion of diseases is any damaging deviation from the usual structure or functioning of a living being, typically linke to specific indicaitons, symptons and distnct from physical harm.

Health promotion involves empowering individuals to enhance their health by gaining greater control over it.

Health education is teaching people about health and how to live healthily and it is key components of health promotion. Its a combination of learning experience designed to facilitate voluntary actions conductive to health. It can be printed materials, websites, blogs, vidoes, social netwroking sites, TV adverts or posters.

Public health is improving the health of the nation that relies in many factors such as takling socioeconomic inequalities in health, making health everyone’s business and making the healthy choise the easy choise. Public health also balances health promotion, preventive care and illness treatment.

It is important for a Nurse Associate to be involve as they can provide education and empower individuals, work in collaboration with other professionals and agencies, can provide broad focus by providing a range of activities within disease prevention and the co-ordination of services for those at risk and can have a hollistic undertanding of health and recognises that good health is dependent on multiple determinants. Following the Nursing and Midwifery Council standards of profic

Public health has 3 major reasons of prevention; first is to prevent the person from becoming unwell by providing vaccines and health education about diet, sexual health, stress management, exercise, smoking and alcohol use; second is early detection of ill-health by screening cervical caner, detecting high blood pressure or high cholesterol and poor mental health and third is to minimise the impact of a disease on a person by helping them manage a long term condition and preventing deterioration and complications  like advising with diabetes about the use of their medication.

KBS addressed:

Date of Learning: 08/09/2023

Time: 13:30 to 16:30

Title of learning activity: Person Centred Care

Learning outcomes:

1. Identify the principles of person-centred care and apply these to practice;
2. Explore the barriers and facilitators to person-centred care; and
3. Identify how person-centred care is advocated through policy and regulated by law.

I did a self directed learning on this learning, read the lesson and watched patient stories on shared decision making.

Person centred care, according to Health Education England (HEE) is prioritising the individual’s needs and making clinical decisions that respect their preferences, needs and values. It involves treateing the person with dignity and respect and placing them at the center of decision making process. It helps individual to gain knowledge, skills, and confidence to better manage their own health and make informed decisions. Health and social care providers work together with individuals who use their services. It includes various tools and activities, as well as a mindset that values and supports individuals to be active partners in their own care. IT is also the core fundamental standard of care for Care Quality Commission (CQC) as they are an independent regulator of health and social care in England. Hospitals and all healthcare providers are subhect to CQC inspection and are rated accordingly.

There are eight core values in person centred healthcare which are individuality, rights, privacy, choise, independence, dignity, respect and partnership. The principles of person-centered care include respecting patients’ values, preferences, and expressed needs, coordinating and integrating care. It also has principles which involves providing information and education, ensuring physical comfort, offering emotional support, alleviating fear and anxiety, involving family and friends, and ensuring continuity and smooth transitions.

Person-centred care is crucial because numerous individuals desire to have a greater role in their healthcare. They long to be treated with dignity, compassion, and respect, resulting in enhanced patient experience, improved quality of care, and the attainment of health goals. Moreover, it offers better value for money as it ensures that services are tailored to the needs and preferences of the individuals who uses them, rather than solely focusing on the convenience of the providers.

Person centred care has numerous advantages. Patients who receive this type of care are less likely to rely on emergency hospital services. They are also more likely to adhere to their treatment plans and take their medication correctly. Additionally, they tend to be more satisfied with their care and make treatment choices based on their own values and preferences rather than those of their clinician. They also tend to opt for less invasive and costly treatments. Moreover, patients who receive person centred care are more likely to engage in positive health behaviors and experience better health outcomes. As patient engagement increases, staff performance and morale also improve. Furthermore, patients feel more confident in managing aspects of their own care, leading to reduced hospital stays and readmission rates.

The government has implemented various policies to improve healthcare services. These policies include the following:

• Person-Centred care, which is crucial for the successful integration of health and care services. The NHS Five Year Forward View and the Care Act [2014] highlight the importance of Person-Centred care.
• The Five Year Forward View [2014], specifically in Chapter 2, emphasizes the need for a more engaged relationship with patients, carers, and citizens to promote wellbeing and prevent illness. It also prioritizes giving individuals more control over their own care.
• The Care Act [2014] aims to place individuals at the center of their care and support, maximizing their involvement.
• The NHS Long Term Plan [2019] further emphasizes the goal of empowering individuals by giving them more control over their health and the care they receive. It also focuses on providing people with a greater say in their care, especially towards the end of their lives.

There are barriers to person centred ways of working such as time, listening skills, resources, working practices, knowledge, standarise ways of practice, communication, therapeutic relationship and self awareness of staff.