No abstract

Person-centred approaches to care delivery have been increasingly promoted in international policy and strategy, but despite this there is evidence of failings within healthcare systems that negatively impact on the care experience for patients and staff. This paper explores the international literature on person-centredness within emergency departments (EDs). The Person-centred Practice Framework was used as the underpinning theoretical framework. This theory contends that staff must possess certain attributes to manage the care environment appropriately to deliver effective care processes in order to achieve effective person-centred outcomes for patients and staff. An initial search of the literature identified no relevant papers that discussed person-centredness as a concept within EDs. A further search using terms drawn from a definition of person-centredness revealed literature that reflected components of person-centredness. Themes that emerged included medical-technical intervention, a culture of worthiness, managing the patient journey, nurse/doctor relationships, patients' and relatives' experience of care, and ED as a stressful environment. The themes can be mapped onto the Person-centred Practice Framework, suggesting that components of person-centred practice have emerged from studies in a fragmented fashion, without consideration of person-centredness as a whole within an ED context.

No abstract

Research relating to person-centred practice continues to expand and currently there is a dearth of statistical evidence that tests the validity of an accepted model for person-centred practice. The Person-centred Practice Framework is a midrange theory that is used globally, across a range of diverse settings. The aim of this study was to statistically examine the relationships within the Person-centred Practice Framework. A cross sectional survey design using a standardized tool was used to assess a purposive sample (n = 1283, 31.8%) of multi-disciplinary health professionals across Ireland. Survey construct scores were included in a structural model to examine the theoretical model of person-centred practice. The results were drawn from a multi-disciplinary sample, and represented a broad range of clinical settings. The model explains 60.5% of the total variance. Factor loadings on the second order latent construct, along with fit statistics, confirm the acceptability of the measurement model. Statistically significant factor loadings were also acceptable. A positive, statistically significant relationship was observed between components of the Person-centred Practice Framework confirming it’s theoretical propositions. The study provides statistical evidence to support the Person-centred Practice Framework, with a multidisciplinary sample. The findings help confirm the effectiveness of the Person-Centred Practice Index for-Staff as an instrument that is theoretically aligned to an internationally recognised model for person-centred practice.

Background Research relating to Person-centred practice continues to expand and currently there is a dearth of statistical evidence that tests the validity of an accepted model of person-centred practice. The Person-centred Practice Framework is a leading model of practice and this study aims to examine it statistically.Methods A cross sectional survey design using a standardized tool was used to assess a purposive sample (n=1283, 31.8%) of multi-disciplinary health professionals across both Northern and Southern Ireland. Survey items scores were summed to provide construct scores and included in a structural model to examine the theoretical model of person-centred practice. Full ethical approval was gained. Results The results were drawn from a multi-disciplinary sample, and representing a broad range of clinical settings. The model explains 60.5% of the total variance. Factor loadings on to the second order latent construct, and fit statistics confirm the acceptability of the measurement model. Statistically significant factor loadings were acceptable. A positive and statistically significant relationship was observed between prerequisites and care environment as well as care processes.Conclusions The study provides statistical evidence to support the Person-centred Practice Framework, with a multidisciplinary sample. The findings help confirm the effectiveness of the PCPI-S and an instrument to measure an internationally renowned model of Person-centred practice.