Effects of patient-centered care on patient outcomes: an evaluation.
ABSTRACT The purposes of this study were to determine the extent to which acute care nurse practitioners (ACNPs) provide patient-centered care (PCC) and to explore the effects of PCC on patients' functional status, self-care ability, and satisfaction with care. A nonexperimental design with repeated measures was used. The sample included 320 patients with acute medical and surgical conditions. Patients perceived that ACNPs provided PCC, operationalized as encouraging patients to participate in care and individualizing care to a moderate extent. Implementation of these PCC components was positively associated with some domains of self-care ability and satisfaction with care. Further investigation of the contribution of PCC to outcomes is recommended.
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ABSTRACT: Background: Nursing bedside handover has been reported as a method to foster patients’ participation in their care. However, to date, no study has assessed the effect of implementing nursing bedside handover on patients’ perception of being involved in the decision-making process of their care and the side effects of nursing bedside handover. Aim: This study aims to evaluate the effect of nursing bedside handover on patients’ perception of shared-decision making in nursing care and the side effects of nursing bedside handover. Method: Single-centre, non-experimental study. Results: There were no statistically significant differences regarding patients’ perception of decision-making aspects. Before and after implementation of nursing bedside handover, most patients perceived the style of the decision-making process about their nursing care as paternalistic. No side effects of nursing bedside handover implementation could be detected. During implementation of nursing bedside handover nurses expressed distress with and showed a defensive attitude toward nursing bedside handover. Conclusion: The implementation of nursing bedside handover has no influence on patients’ perception of shared-decision making in nursing care and side effects in a cardiovascular surgery patient population. Evaluation of nursing bedside handover should be conducted over a period longer than three months.
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ABSTRACT: The aim of this qualitative study was to explore perspectives on rehabilitation of those detained in a New Zealand forensic hospital setting. Twenty forensic service users participated in individual interviews, which were audio-taped, transcribed verbatim, and subjected to thematic analysis. The analysis identified seven themes that were broadly categorized into those that concerned the rehabilitation context (external) and those that more directly reflected the forensic service user's personal experience (internal). External themes highlighted a person-centered approach, the nature of relationships with staff, consistency of care, and awareness of the rehabilitation pathway. Internal themes related to forensic service users' self-evaluations, agency, and coping strategies. These findings are discussed within the broader context in which rehabilitation took place.Journal of Interpersonal Violence 07/2014; 30(6). DOI:10.1177/0886260514539764 · 1.64 Impact Factor
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ABSTRACT: Patient-centered care (PCC) has become a key focus in the delivery of health care. It is necessary to gain some perspective of its fit into nursing, which has become physically and mentally demanding in the care of diverse populations. Although there is no agreed-upon definition or classification, there are several key aspects that work with PCC that are discussed in detail. This article provides more clarity to the role of nursing using several aspects of PCC in its many forms to improve the quality of care provided in a way that is both manageable and safe. Copyright © 2015 Elsevier Inc. All rights reserved.Nursing Clinics of North America 03/2015; 50(1):75-86. DOI:10.1016/j.cnur.2014.10.006 · 0.59 Impact Factor