2011 As depicted in the visual the PCN Framework consists of four constructs

2011 as depicted in the visual the pcn framework

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respecting individuals as persons and partners in care (McCance et al., 2011). As depicted in the visual, the PCN Framework consists of four constructs: prerequisites, the care environment, person-centred processes, and outcomes (McCance et al., 2011). To deliver effective care, one must work from the outer circle first to the core. Prerequisites focus on the attributes of the nurses and include being professionally competent, having developed interpersonal skills, being committed to the job, being able to demonstrate clarity of beliefs and values, and knowing self (McCance et al., 2011). The Care Environment focuses on the context in which care is delivered and includes 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). Person-centred processes focus on delivering care through a range of activities and include working with a patient's beliefs and values (McCance et al., 2011). To overcome the gap between the concept and the reality of person-centred care, the PCN Framework offers an approach which includes engagement, sympathetic
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presence, shared decision making, and provision of holistic care (McCance et al, 2011). Outcomes, the central component of the PCN Framework, are the results of effective, person-centred nursing and include: satisfaction with care, involvement in care, feeling of well-being, and creating a therapeutic environment. (McCance et al., 2011). After testing, implementing, and analyzing the PCN Framework, McCormick and McCance (2017) once again updated the model to include the influence of the macro context on person-centered outcomes. Four components of the macro context were identified as: Health and social care policy Strategic frameworks Workforce developments Strategic Leadership A circular image depicting the Person-centred care model with the following content blossoming outward.
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1. Person-Centred Outcomes o Good Care Experience o Involvement in Care o Feeling of Well-Being o Existence of a Healthful Culture 2. Person-Centred Processes o Working with the Patient's Beliefs and Values o Engaging Authentically o Sharing Decision Making o Being Sympathetically Present o Providing Holistic Care 3. The Care Environment o Appropriate Skill Mix o Shared Decision Making Systems o Effective Staff Relationships o Supportive Organizational Systems o Power Sharing o Potential for Innovation and Risk Taking o The Physical Environment 4. Prerequisities o Professionally Competent o Developed Interpersonal Skills o Commitment to the Job o Clarity of Beliefs and Values o Knowing 'Self' 5. Macro Context o Heath & Social Care Policy o Strategic Framewrorks o Working Developments o Strategic Leadership 6. Baker, V. (2018). Theories focused on health equity and health disparities. In J.
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