The Role of Patient-Centered Care in Nursing

Flagg, Amanda J.

doi:10.1016/j.cnur.2014.10.006

Cited by 40 publications

(39 citation statements)

References 31 publications

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“…However, this feature of "being known" has received little attention in previous work. Although the literature on "being known," PCC, and "knowing the patient," addresses the patient's individuality or uniqueness, it is for the purpose of providing responsive care (Flagg, 2015;Radwin, 1995Radwin, , 1996Thorne et al, 2005). The present study expanded the meaning of uniqueness and illustrated the connection to patients' perceptions of "being known" by nursing staff.…”

Section: Discussionmentioning

confidence: 86%

Patient-reported care domains that enhance the experience of “being known” in an ambulatory cancer care centre

Grover

Mackasey

Cook

et al. 2018

CONJ

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Purpose: This study explored patients' perceptions of "being known" in an ambulatory chemotherapy unit. Methods: Using a qualitative descriptive design, 10 participants with various cancer diagnoses were recruited from a large cancer centre in Montreal, Quebec. Audiotaped individual interviews were transcribed verbatim. Textual data were coded and analyzed thematically. Findings: Participants spoke of their need to have the staff approach them as individuals first and then as persons with cancer. They further underscored the importance of: (1) feeling truly welcome in the cancer care environment, (2) being provided with person-and situation-responsive care, and (3) considering occupational and social roles that go beyond the "sick role". Mutual patient-nurse disclosure also contributed to perceptions of a personalized care approach. Implications for nursing: In addition to key elements construed as crucial for enhancing perceptions of being known, future studies should further document how the interplay among demographic, physical/psychological, and cultural factors affect these perceptions. BAcKGrOuND A cancer diagnosis often has a profound impact on patients' and families' lives. For individuals receiving cancer treatment, the primary nurse is often the main source of professional guidance and support. Providing this type of care requires an in-depth understanding of the physical and psychosocial needs and preferences of patients. Person-Centred Care (PCC) Person-centred care has been defined as care that is respectful and responsive to individual patient preferences, needs, and values, and ensures that a patient's values guide all clinical decisions (Balogh et al., 2011). Similarly, patients as partners (PP) in care is a recent concept that regards patients as integral units of their healthcare team (Pomney, Ghadiri, Karazivan, Fernandez & Clavel, 2015). To meet patients' needs, it is widely recognized that PCC and PP movements are paramount for cancer care to be truly comprehensive (

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Section: Discussionmentioning

confidence: 86%

Patient-reported care domains that enhance the experience of “being known” in an ambulatory cancer care centre

Grover

Mackasey

Cook

et al. 2018

CONJ

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“…As a result, the number of hospitals and hospital beds fell; overall numbers of hospitalized patients and of care-dependent patients have risen, while the number of full-time nursing positions decreased [ 5 ]. Against this background, nurses fear that the shift in the nursing care delivery system towards a PCNC approach will be reversed [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Factors influencing hospitalized patients’ perception of individualized nursing care: a cross-sectional study

2016

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BackgroundIndividualized care is a cornerstone of patient-centered nursing care. To foster individualized care, influencing factors should be known. The aim of this study was to identify the individual and organizational factors influencing hospitalized patients’ perception of individualized care.MethodsA cross-sectional study was conducted of 606 patients from 20 wards from five hospitals across Germany. Individualized care and potential influencing factors were assessed via structured questionnaires. To identify influencing factors, we applied a hierarchical linear model with two levels.ResultsSelf-rated health, length of ward stay, educational level and shared decision-making process about nursing care were perceived to influence individualized care. A higher rating of health and longer ward stay correlated with improved perceptions of individualized nursing care. In addition, an educational level of nine or fewer years and a perceived shared decision-making process about nursing care positively influenced the perception of nursing care as being tailored to individual needs.ConclusionsSeveral factors influence patients’ perception of individualized care. However, only the decision-making process can be actively influenced by nurses. Therefore, nurses should be encouraged to promote shared decision-making regarding patients’ nursing care.Trial numberDRKS00005174 (Date of registration: 2013/08/01).

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“…The objective of this study is to present evidence of PCC application through nursing practice in Nigeria and its challenges in the health care system. Although the implementation of PCC in Nigeria has not been fully achieved, the findings of this study review show that the PCC approach to health care delivery is effective in providing high-quality health care services to achieve universal health coverage for all (Flagg, 2015;World Health Organization, 2015). The identified challenges will further guide areas of healthcare improvement and nursing practice in the Nigerian PHC system.…”

Section: Discussionmentioning

confidence: 89%

A Literature Review on People-Centered Care and Nursing Practice in Primary Health Care Setting

Lateef¹,

Mhlongo²

2020

GJHS

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Background: With increased research, the concept of people-centered care is advancing, and it remains an important concept in the health sector. Despite reported evidence of significant benefits, this concept is poorly utilized by professional nurses. The principle has not been demonstrated and absorbed at primary health care levels.Aim: The aim of this study is to present review of literature on people-centered care (PCC) in nursing and its practice in primary health care setting. Result:The findings of this research review outlined the evidence, practicability and acceptability of nursing care with people-centered care concept in the primary health care centers. Considering that nurses play a vital role in the health sector, it is possible to use people-centered care in Primary Health Care settings. However, there are many difficulties and obstacles identified such as: absence of nursing fraternity training and growth, absence of clear educational advancement resulting from change in accreditation, small number of nurses at the organizational level of health care organizations, and reduced global health care organization assistance. Discussion:The results from this review highlighted evidence of the relationship between quality healthcare deliveries of nurses with people-centered care concept in primary healthcare centers. Nurses' role in delivering PCC and gauging their knowledge and understanding is becoming imperative and crucial. In primary health care environments, nurses play a significant role in understanding a patient's culture of quality and efficient health care.

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The Role of Patient-Centered Care in Nursing

Cited by 40 publications

References 31 publications

Patient-reported care domains that enhance the experience of “being known” in an ambulatory cancer care centre

Patient-reported care domains that enhance the experience of “being known” in an ambulatory cancer care centre

Factors influencing hospitalized patients’ perception of individualized nursing care: a cross-sectional study

A Literature Review on People-Centered Care and Nursing Practice in Primary Health Care Setting

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