Patient Centered Care


Patient-centered care is an important aspect of healthcare. It emphasizes on the partnership between nurses and patients (Delaney, 2018). This essay reflects on an incident in relation to patient centered care using Gibbs reflective cycle . 

Gibbs reflective cycle



Mr. X is a 50-year-old male patient that was admitted to the general ward for chest pain and dyspnea. On admission, he verbalized that he was still having chest pains with a pain score of 5 – 10. Half an hour after his arrival, patient went into cardiac arrest. Code blue was initiated and everyone came to help with the resuscitation. It was chaotic and tiring. It took an hour before he regains spontaneous recovery and was sent down to the intensive care unit for further management. He went for urgent coronary artery bypass graft the next day. After 7 days in the intensive care unit, he was finally sent back to high dependency. My role as a HD nurse was to care for him after surgery prior to sending him back to the general ward. On the second day that I took care of him, I was to busy with admissions and discharges and I neglected him, thinking that he was well. I did not check on him or reviewed his vital signs when my colleague told me that he was drowsy with a BP with 90/58 (60) mmHg and heart rate 45 bpm. This was not his usual baseline. Within an hour of my shift, Mr. X was found unresponsive with a BP 80/65(60) mmHg and heart rate 40 bpm. Code blue was initiated. He was sent back down to ICU where an echocardiogram shown that he had cardiac tamponade.

I felt very sad that I my negligence and inability to prioritize my work led to his condition worsening. I also lack the confidence in providing appropriate care to the patient and was not able to fulfill his needs. I felt frustrated that I did not recognize the early warning signs so that preventive measures could have been taking to prevent his condition from worsening.


This incidence brought down my morale and confidence as a nurse. I failed to provide quality and safe care to my patient. I did not fulfill my responsibility as a nurse and provide patient centered care to the patient (Moon et al., 2017). I took for granted that he was well on the first day in High Dependency and that he was on a road to recovery. The painful lesson learnt from this experience was that I need to learnt to have proper time management, clear priorities and give equal attention to all my patient. I also learnt that patient centered care is important in nursing practice.


Analyzing this situation, I realized that the patient’s condition worsened because I failed to fulfill the patient’s needs and identify the early warning signs. I did not ensure that the patient was well prior to my shift. I did not notify the doctors early when my colleague told me that the patient was unwell. To sum up, I analyzed that in this incidence there was a failure of provision of patient-centered care to the patient (Lloyd, Elkins & Innes, 2018). I failed to provide him with the appropriate treatment and this worsened his condition. Natan & Hochman (2017) stated that provision of patient-centered care is an important aspect of nursing and must be followed by all the nursing professionals.


To conclude, I learnt that patient’s condition should be treated individually. As nurses, we should never take for granted that our patient’s will be well all the time. We should always be alert and prepared for any change in condition. As nurses, the early warning signs should be taking seriously and appropriate actions must be taken immediately. Finally, nurses should provide patient-centered care to all patients.

Action plan

In the future, I must learn to prioritize my work. I must improve my knowledge on the early warning signs and its immediate action when a patient is not doing well. I must ensure that I check all my patients prior to my shift. I must learn to be an effective leader and delegate my work so that I will not be overwhelmed with too much work and could focus on the important issues. I must also focus on providing patient-centered care to my patients under my care. I will make sure that all the needs and requirements are attended to in a timely manner to promote comfort and prevent condition from worsening (Hower, Vennedey & Hillen, 2019)


In summary, provision of patient-centered care is an important aspect of nursing practice. Appropriate care must be rendered to patients and their needs must be fulfilled appropriately. As nurses, we are responsible for our patients lives and our negligence could harm the patient.


Moon, S. H., Kim, J. W., Byun, J. H., Kim, S. H., Kim, K. N., Choi, J. Y., … Park, H. O. (2017). Case of a cardiac arrest patient who survived after extracorporeal cardiopulmonary resuscitation and 1.5 hours of resuscitation: A case report. Medicine, 96(47), e8646
Delaney, L.J. (2018). Patient-care as an approach to improving healthcare in Australia. The Australian Journal of Nursing Practice. 23(1). 119-123.
Natan, B. & Hochman. (2017). Patient-centered care in healthcare and its implementation in nursing. International Journal of Caring Sciences. 10(1). 596-600.
Hower, K.I., Vennedey, V. & Hillen. (2019). Implementation of patient-centred care: which organisational determinants matter from decision maker’s perspective? Results from a qualitative interview study across various health and social care organisations. BMJ Open 9:e027591.
Lloyd, B., Elkins, M. & Innes, L. (2018). Barriers and enablers of patient and family centered care in Australia acute care hospital: Perspective of health managers. Patient Experience Journal. 5(3). 55-64.