The Person-Centred Care Guideline: From Principle to Practice

Moody, Lesley; Nicholls, Brett; Shamji, Hannah; Bridge, Erica; Dhanju, Suman; Singh, Simron

doi:10.1177/2374373518765792

Cited by 17 publications

(9 citation statements)

References 28 publications

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“…As our findings show, there are multiple causes to mental distress, and these can vary among patients. A patient‐centered approach that values the patient's conceptualization of their problem and their narrative to understanding their illness can improve the patient‐provider relationship and facilitate discussion about patient‐centered treatments …”

Section: Discussionmentioning

confidence: 99%

Oncology health care professionals' perspectives on the causes of mental health distress in cancer patients

et al. 2019

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Objective To explore oncologists, social workers, and nurses' perceptions about the causes of their cancer patient's mental health distress. Methods The grounded theory (GT) method of data collection and analysis was used. Sixty‐one oncology health care professionals were interviewed about what they perceived to be the causes of mental health distress in their patients. Analysis involved line‐by‐line coding and was inductive, with codes and categories emerging from participants' narratives. Results Oncology health care professionals were sensitive in their perceptions of their patients' distress. The findings were organized into three categories, namely, disease‐related factors, social factors, and existential factors. Disease‐related themes included side effects of the disease and treatment, loss of bodily functions, and body image concerns as causing patient's mental health distress. Social‐related themes included socio‐economic stress, loneliness/lack of social support, and family‐related distress. Existential themes included dependence/fear of being a burden, death anxiety, and grief and loss. Conclusions Oncology health care professionals were able to name a wide range of causes of mental health distress in their patients. These findings highlight the need to have explicit conversations with patients about their mental status and to explore their understanding of their suffering. A patient‐centered approach that values the patient's conceptualization of their problem and their narrative to understanding their illness can improve the patient‐provider relationship and facilitate discussions about patient‐centered treatments.

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Section: Discussionmentioning

confidence: 99%

Oncology health care professionals' perspectives on the causes of mental health distress in cancer patients

et al. 2019

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“…1 PCC also gained recognition and acceptance in policy and practice. [1][2][3][4] Moreover, the importance of the patients' perspective in care is reflected, for example, by introducing and implementing patients' rights acts. 5 6 Usually, themes, such as the biopsychosocial perspective, coordinated care, proactive care, integrated and continuous care, proactive and prepared care teams, shared decision making, individual needs, are associated with PCC.…”

Section: Introductionmentioning

confidence: 99%

Patients’ perspectives of facilitators and barriers to patient-centred care: insights from qualitative patient interviews

et al. 2020

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ObjectivesPrevious studies on patient-centred care (PCC) and its facilitators and barriers usually considered specific patient groups, healthcare settings and aspects of PCC or focused on expert perspectives. The objective of this study was to analyse patients’ perspectives of facilitators and barriers towards implementing PCC.DesignWe conducted semistructured individual interviews with chronically ill patients. The interviewees were encouraged to share positive and negative experiences of care and the related facilitators and barriers in all settings including preventive, acute and chronic health issues. Interview data were analysed based on the concept of content analysis.SettingInterviews took place at the University Hospital Cologne, nursing homes, at participants’ homes or by telephone.ParticipantsAny person with at least one chronic illness living in the region of Cologne was eligible for participation. 25 persons with an average age of 60 years participated in the interviews. The participants suffered from various chronic conditions including mental health problems, oncological, metabolic, neurological diseases, but also shared experiences related to acute health issues.ResultsParticipants described facilitators and barriers of PCC on the microlevel (eg, patient–provider interaction), mesolevel (eg, health and social care organisation, HSCO) and macrolevel (eg, laws, financing). In addition to previous concepts, interviewees illustrated the importance of being an active patient by taking individual responsibility for health. Interviewees considered functioning teams and healthy staff members a facilitator of PCC as this can compensate stressful situations or lack of staff to some degree. A lack of transparency in financing and reimbursement was identified as barrier to PCC.ConclusionIndividual providers and HSCOs can address many facilitators and barriers of PCC as perceived by patients. Large-scale changes such as reduction of administrative barriers, the expansion of care networks or higher mandatory nurse to patient ratios require political action and incentives.Trial registration numberDRKS00011925

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“…Specific recommendations assist in the implementation of guidelines (Peters et al., 2020; Shiffman et al., 2004). Furthermore, to successfully implement patient‐centred care guidelines, multiple stakeholders (e.g., senior management and healthcare providers at the institutions, patients, and their families) need to be targeted and knowledge and awareness of patient‐centred care need to be enhanced (Kitson et al., 2013; Majid, 2020; Moody et al., 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Knowledge and awareness of patient‐centred care can be increased through a range of educational strategies. These include a whiteboard animation video that explains the foundational principles of patient‐centred care; media engagement, where healthcare providers receive customized presentations on patient‐centred care; and research/knowledge user networks in the form of (sub‐) regional patient‐centred care committees that meet regularly to discuss patient‐centred activities and initiatives (Moody et al., 2018).…”

Section: Discussionmentioning

confidence: 99%

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

Jardien-Baboo

Rooyen

Jordan

et al. 2020

Journal of Advanced Nursing

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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.

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The Person-Centred Care Guideline: From Principle to Practice

Cited by 17 publications

References 28 publications

Oncology health care professionals' perspectives on the causes of mental health distress in cancer patients

Oncology health care professionals' perspectives on the causes of mental health distress in cancer patients

Patients’ perspectives of facilitators and barriers to patient-centred care: insights from qualitative patient interviews

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

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