Integrative literature review of evidence‐based patient‐centred care guidelines

Abstract

Aim To summarize what facilitates patient‐centred care for adult patients in acute healthcare settings from evidence‐based patient‐centred care guidelines. Design An integrative literature review. Data sources The following data sources were searched between 2002‐2020: Citation databases: CINAHL, Medline, Biomed Central, Academic Search Complete, Health Source: Nursing/Academic Edition and Google Scholar. Guideline databases: US National Guideline Clearinghouse, Guidelines International Network, and National Institute for Health and Clinical Excellence (NICE). Websites of guideline developers: Scottish Intercollegiate Guidelines Network, Royal College of Nurses, Registered Nurses Association of Ontario, New Zealand Guidelines Group, National Health and Medical Research Council, and Canadian Medical Association. Guidelines. Review methods Whittemore and Knafl's five‐step integrative literature review: (1) identification of research problem; (2) search of the literature; (3) evaluation of data; (4) analysis of data; and (5) presentation of results. Results Following critical appraisal, nine guidelines were included for data extraction and synthesis. The following three groups of factors were found to facilitate patient‐centred care: 1) Patient care practices: embracing values foundational to patient‐centred care, optimal communication in all aspects of care, rendering basic nursing care practices, and family involvement; 2) Educational factors: staff and patient education; and 3) Organizational and policy factors: organizational and managerial support, organizational champions, healthy work environment, and organizational structures promoting interdisciplinary partnership. Conclusion Evidence from included guidelines can be used by nurses, with the required support and buy‐in from management, to promote patient‐centred care. Impact Patient‐centred care is essential for quality care. No other literature review has been conducted in the English language to summarize evidence‐based patient‐centred care guidelines. Patient care practices and educational, organizational, and policy factors promote patient‐centred care to improve quality of care and raise levels of awareness of patient‐centred care among nursing staff and patients.

Patient satisfaction – results of cluster analysis of finnish patients

“…The presented findings showed that patients who lived with their spouse or someone else were generally more satisfied with care than patients who lived alone. Family involvement in patient care has been found to increase patient satisfaction, particularly in situations related to patient education and discharge planning [ 40 ]. In addition, Giap and Park (2021) found that interventions that promote patient and family involvement can reduce the prevalence of adverse events, decrease the length of a hospital stay, improve patient perceptions of safety, and improve patient satisfaction [ 14 ].…”

Shared decision-making in Poland: State of the art, challenges and opportunities

“…The art of treatment includes SDM as a shift toward personalized medicine [18]. Different variables play a role in SDM role in Poland, which are universal ones: contact between the doctor and the patient, the degree of reduction of control and power of medical personnel, consent to patient independence, and knowledge sharing [19]. What seems to be urgent to solve in Poland is a lack of guidelines and recommendations, including an SDM.…”

“…-the democratization of knowledge -dissemination of sources of scientific knowledge [19], popularization of knowledge by the media, the phenomenon of intelligent crowds (dispersed, collective knowledge available on the Internet -creating social networks around selected health problems [20]); -an increasing level of proficiency in society; -diminishing trust in expert systems [18]; -disseminating participatory models in other spheres of social life (social consultations, engaging citizens in creating public policies, creating civil society (institutions support, patient citizens, e.g., organizations acting for patients); -genuine commitment and willingness to understand the individuality of patients; -cultural context [21].…”

“…Suppose collaboration and deliberation could be achieved routinely. In that case, well-informed preference-based patient decisions might lead to safer, more cost-effective healthcare, resulting in reduced utilization rates and improved health outcomes [19]. It becomes clear that shared decision-making varies across the medical specialties [1], also in Poland.…”

Comparison of Literature Review, Social Media Listening, and Qualitative Interview Research Methods in Generating Patient-Reported Symptom and Functional Impact Concepts of Presbyopia

“…This increased focus on the patient perspective in healthcare research has been driven, in part, by recent US Food and Drug Administration (FDA) Patient-Focused Drug Development (PFDD) guidance [ 1 ]. This shift is also reflected in wider patient engagement initiatives, including more involvement of patient advocates in HTA decision making [ 6 ], organisations like the British Medical Journal and the Patient-Centred outcomes Research Institute involving patient advocates in their article and grant development processes [ 7 , 8 ], and an increased emphasis on patient-centredness in clinical settings [ 9 , 10 ]. All these patient-centric activities ultimately aim to support better service outcomes and increased patient satisfaction.…”