User and Carer Involvement


The six C’s are the aspects which the professional nurses should keep in mind for their self development and developing into the best possible leaders in the nursing profession. (The six C’s, n.d.) (six C’s of nursing, 2014).


These C’s refer to:  Care, Compassion, Competence, Communication, Courage and Commitment. Of all the C’s I feel care is necessary. While all the other qualities are vital to helping the patient recover physically and emotionally, without care the nurse would not be able to help out in situations where expertise is needed. I would rate the six 6 C’s as follows: 1. Care 2. Competence 3. Communication 4. Compassion 5. Commitment 6. Courage


The session emphasised the importance of user/carer involvement in nursing. I think that this is a very important concept in our nursing practice. The User/Carer involvement in nursing and healthcare refers to the paradigm of patient empowerment and user/carer involvement in care revolving around person centered care. This directly relates to the Care aspect of the six C’s. Thus, users and carers have to jointly take decisions and collaborate to ensure that the patient’s care proceeds successfully.  The person centered care approach is considered to be central to nursing practice and education.  Person centered care is defined as providing care which is attuned to individual patients, and takes into accounts their needs and wishes and not just the health condition. It also gives the patient greater say in deciding how and what kind of care should be provided to them (Haycock-Stuart et al, 2014)


It involves the users and carers means empowering both of them in the necessary planning, execution and evaluation of health-related measures (Garry and Thom, 2004). WHO had proposed first about the importance of patients being actively involved in their own care. The User-carer involvement is important- for educational purposes as well as to plan better care planning and delivery. It will also enhance patient outcomes and their health experiences.  It will also help generate better, flexible and adaptable care programs. (Garry and Thom, 2004)


Evidence has been obtained that when patients lack ownership of decisions and have very less participation, the health outcomes can be quite costly (Haycock-Stuart et al, 2014)


How patients are involved in their care and treatment

New models and programs have been created for enhancing patient involvement in their own care. These include programs such as Expert Patient Program and various approaches where decision making is divided between the user and the carer. There are also approaches where community mediated approaches are there, where community-based programs are used to get the patients to engage.  This could involve the housing and social welfare agencies too, aside from the healthcare community. This is believed to enhance their own involvement.  (Joint User and Carer Strategy Report of the User and Carer Strategy Group, 2003)


How nurses help their patients to be more involved in their treatment

Nurses work on getting their patients more involved in their treatment by helping to reduce the barriers which prevent patients from taking a more proactive approach to their care. They give respect to the person as essential and central to his own care and respect their choices to make decisions as well as their independence. (Britt, Malihi-Shoja and Vella, 2014) They are given opportunities to develop the attitudes, skills and knowledge required for this. User/Carer involvement approaches in care and collaboration is given priority in education programs. Nurses try to participate in every aspect of the patient’s care, while respecting their independence. They provide high quality care with compassion.




References:, (n.d.). The six C's. [online] Available at: [Accessed 15 Oct. 2014].

Haycock-Stuart, E., Darbyshire, C. and Donaghy, E. (2014). Nursing Students' Perspectives  of User/Carer Involvement in  their Practice Assessment  across Scotland’s Higher  Educational Institutes. [online] Available at: [Accessed 20 Oct. 2014].

McGarry, J. and Thom, N. (2004). How users and carers view their  involvement in nurse education. [online] Available at: [Accessed 20 Oct. 2014]., (2012). Compassion in practice: the 6 Cs | Nursing in Practice. [online] Available at: [Accessed 15 Oct. 2014]., (2014). Working Together - Service User and Carer Engagement in Health and Social Care - A toolkit for education, research and development.. [online] Available at [Accessed 20 Oct. 2014].

360,A. (2014). Six Cs of Nursing - Health Service 360. [online] Available at: [Accessed 15 Oct. 2014].        



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