A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings

Ebrahimi, Zahra; Patel, Harshida; Wijk, Helle; Ekman, Inger; Olaya‐Contreras, Patricia

doi:10.1016/j.gerinurse.2020.08.004

Cited by 75 publications

(68 citation statements)

References 111 publications

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“…11 A literature review has summarized the available definitions for PCC, with a key message that PCC also builds on a relationship between patient as a person and a caregiver.- 12 It has been reported that patient-centered care or personcentered care (PCC) is used interchangeably throughout the literature, and some researchers have suggested that the definition is the same, [13][14][15] with a lack of agreement across published articles. 15,16 Some researchers have pointed out that the term person-centered shifts attention from the illness to the individual; with a greater focus on the person who is experiencing the illness. 14 This paper recognizes that even if there may be substantial overlap between the descriptors of patient and person-centered care concepts, the concept of person is more aligned with the underlying humanistic PCC philosophy of building care on the values, preferences, needs and priorities of the person in need of care and support as proposed by WHO, and as such, the concept of personcentered care will be used throughout this paper.…”

Section: Introductionmentioning

confidence: 99%

Person-Centered-Care Climate in a Tertiary Hospital: Staff Perspective

Al-Surimi¹,

Alhayek²,

Edvardsson³

et al. 2021

RMHP

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Introduction:Most health care systems strive to improve the quality, safety and value of healthcare, with an emphasis on moving towards patient-centered care/person-centered care (PCC) approach. The aim of the current study was to assess health care providers' perspectives on PCC climate in hospital setting and to identify the role of providers in determining the perception of the PCC climate. Methods: A survey, using person-centered climate questionnaire-staff version, was employed in health care providers of a tertiary care hospital. Data included variables age, gender, education level, occupation, and years of experience and three PCC dimensions. PCC overall and subscale scores were reported as mean and standard deviation. Factors associated with PCC climate perception were analyzed using a Poisson model. Results: Out of 1216 respondents; the majority 47% aged between 18 and 34 years; 79% women, 68% were nurses. The overall mean score was 45.96±15.36 (range 0-70). Subscale scores were Safety 20.15±5.0 (range 0-30), Everydayness 12.02±3.52 (range 0-20) and Community 13.79±3.34 (range 0-20). Increasing age was a significant factor associated with PCC scores for the overall, safety, everydayness, and community scales, with a positive association. Lower scores were reported more by women compared with men, for overall (p=0.0005), and everydayness (p=0.006) scales. Higher safety scores were reported by health care providers with a diploma compared to master's degree (p=0.009), Ph.D. (p=0.007), for technicians compared with nurses (p=0.007), and for day shift compared with day/night shift workers (p=0.025). PCC scores were not significantly different across health care providers' years of experience. Conclusion: There is a room for PCC climate improvement based on the low scores compared to the literature. The study findings indicated that the main factors associated with HCPs' perception of PCC were higher age and female gender, and these factors would benefit from further research.

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Section: Introductionmentioning

confidence: 99%

Person-Centered-Care Climate in a Tertiary Hospital: Staff Perspective

Al-Surimi¹,

Alhayek²,

Edvardsson³

et al. 2021

RMHP

View full text Add to dashboard Cite

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“…To ensure quality medical care, it is time that we move from fixed facility centered care to patient centered care for this age group. [ 21 22 ] For patient-centered care, perception and feedback is important,[ 23 ] and this study highlights it. The systemic barrier which exists in most Government facilities like long waiting time, overcrowding, and lack of cleanliness need to be addressed.…”

Section: Discussionmentioning

confidence: 86%

Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi

Patra

Singh

Khan

2022

Journal of Family Medicine and Primary Care

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Context: Health care utilization informs us about the utility of services which are available. We have a paucity of studies related to health care utilization among elderly in India. Aims: The aim of this study is to find out utilization of health care services by elderly (≥60 years), pattern, factors associated with, and perception of the elderly population regarding facilitators and barriers for the same. Settings and Design: A community based cross-sectional, observational study was conducted in a resettlement colony of East Delhi. Materials and Methods: A pretested, semi-structured, and interviewer-administered questionnaire was used. Duration of data collection was November 2018 to January 2020. Statistical Analysis Used: For quantitative variables, mean, median, proportion, Chi-square test, binary logistic regression using Statistical Package for the Social Sciences (SPSS), and for qualitative variables thematic analysis were done. Results: The study included 288 study participants. Although utilization of health care services in last 15 days among elderly is 90%, it was also found that 69% of the elderly consulted a licensed medical practitioner. A private facility was visited by 58% of the study participants. Female gender (OR: 1.97; P = 0.02), religion as Hindu (OR, 2.09; P = 0.04), and marital status “single” (OR, 1.8; P = 0.04) were observed to be significant predictors of health care utilization. The participants expressed less waiting time, cashless facility for visits, availability of an accompanying person, behavior of staffs work as facilitators for utilization of services. Conclusions: Considering the unique characteristics of this age group, a shift from facility to community-based approach may be considered. Efforts may be made to create elderly friendly health facilities.

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“…Furthermore, high-quality person-centred care and intervention should be delivered in these facilities. For instance, care providers could give voice to the residents by storytelling approaches to know their needs and preferences; inter-professional teams can conduct a tailored personal health plan for the older person (Ebrahimi et al, 2021 ). However, low staffing ratios in RACFs is a significant barrier to the implementation of person-centred care (Lloyd et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Perceptions and experiences of risk management by managers of residential aged care facilities: a qualitative study from Hunan Province, China

Shi

Yang

et al. 2021

International Journal of Qualitative Studies on Health and Well

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Background With adverse events and injuries recurring in residential aged care facilities (RACFs), older adults’ safety in residential age care settings has attracted extensive attention from governments, researchers, and healthcare providers. Risk management is of utmost importance in reducing risks and improving the quality of care for older adults in long-term care. Although previous studies have made great efforts to explore risk management methods and technologies in RACFs, little is known about how managers identify and respond to risks in practice. Purpose This qualitative study aimed to elucidate the perceptions and experiences of managers involved in risk management in RACFs in China. Participants and methods This study used a phenomenological research design. We conducted semi-structured interviews with 13 managers across 11 RACFs in Changsha City, Hunan Province, China. Data were analysed using Colaizzi’s seven steps and NVivo 12 plus software. Results “Facilitation of an error-free culture” emerged as a central theme of managers’ perceptions of risk management. Four sub-themes were revealed, namely “creating an age-friendly physical environment,” “paying close attention to frail older adults,” “improving the competence of nursing staff,” and “building effective management programs.” Conclusion Facilitation of an error-free culture was of prime importance in risk management. Managers’ experiences can help RACFs to better manage risks, as well as provide new perspectives and approaches for RACFs to improve the quality and outcomes of care. This study developed initiatives for improving resident safety in RACFs and may foster interest in the developing these initiatives.

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A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings

Cited by 75 publications

References 111 publications

Person-Centered-Care Climate in a Tertiary Hospital: Staff Perspective

Person-Centered-Care Climate in a Tertiary Hospital: Staff Perspective

Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi

Perceptions and experiences of risk management by managers of residential aged care facilities: a qualitative study from Hunan Province, China

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