A Patient- and Family-Centered Care Model Paves the Way for a Culture of Quality and Safety

Patient-centered care: clarification of its specific elements to facilitate interprofessional care

“…Treatment modification entails provision of particular components and activities of which the intervention is comprised, in a particular mode, and at a particular dose that are congruent with patients' needs and preferences (e.g. Reid Ponte & Peterson, 2008;Sidani, 2008).…”

“…beliefs about illness) (n ¼ 41) and addressing them responsively (n ¼ 19) by individualizing care (n ¼ 32) (e.g. Lauver et al, 2002;Reid Ponte & Peterson, 2008). Specific actions for carrying out these two aspects of responsive care included: acknowledging the patient as an individual by concentrating on the patient and his or her circumstances rather than the disease or the problem (n ¼ 32); taking into account patients' preferences (n ¼ 5); understanding patients' perspectives, feelings and needs (n ¼ 8); respecting patients' values, preferences and expressed needs (n ¼ 30) and right for autonomy (n ¼ 2); and providing flexible, personalized care (n ¼ 6).…”

Development of Pressure Ulcer Program Across a University Health System

“…31 Educated families become part of the solution and have a foundation for understanding the interventions. Providing resources to staff to educate families increases their comfort and prepares them to be able to discuss pressure ulcers issues as they arise.…”

The Influence of the Culture of Care on Informal Caregivers' Experiences

“…Different types of health care cultures have been linked to performance outcomes such as quality improvement, 23 functioning of teams, 24 and evidence-based practice. 25 Shared values and beliefs are observable at multiple levels including institutional frameworks that influence decision making and patient-provider interactions; distinct work flow procedures; and defined roles for health care providers, support staff, patients, and family caregivers. 25 From structural and process components of the delivery system to the more abstract level of ideas, 20 cultural influences shape patterns of behavior in care delivery.…”

“…25 Shared values and beliefs are observable at multiple levels including institutional frameworks that influence decision making and patient-provider interactions; distinct work flow procedures; and defined roles for health care providers, support staff, patients, and family caregivers. 25 From structural and process components of the delivery system to the more abstract level of ideas, 20 cultural influences shape patterns of behavior in care delivery. Thus, implicit or explicit values and beliefs of the organizational unit of the specialty clinic shape the culture of care in that practice environment.…”