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: Aims and objectivesTo evaluate the quality of the emergency nurse practitioner service provided to people presenting to a rural urgent care centre with minor injuries. The three objectives that were focused were an evaluation of the safety and effectiveness of the emergency nurse practitioner service, an assessment of patients' satisfaction with the emergency nurse practitioner service and a determination of factors that may enhance the quality of the emergency nurse practitioner service.Background Urgent care centres have become increasingly prevalent across the UK. Emergency nurse practitioner services at these rural urgent care centres remain largely unevaluated. This study attempts to redress this deficit by evaluating the quality of an emergency nurse practitioner service in relation to the care of patients presenting with minor injuries to a rural urgent care centre.DesignThis descriptive study used a case-note review and a survey design with one open-ended exploratory question.Methods Patient views were collected using a self-completed questionnaire and a data extraction tool to survey patients' case notes retrospectively.ResultsDespite comparatively low total length-of-stay times, most patients felt they had enough time to discuss things fully with the emergency nurse practitioner. Although emergency nurse practitioners routinely impart injury advice, feedback from some patients suggests a need for the provision of more in-depth information regarding their injury. The vast majority (97·3%) of patients felt that the quality of the emergency nurse practitioner service was of a high standard. Contrary to some other studies, the findings in this study indicate that patient satisfaction is not influenced by waiting times.Conclusions Emergency nurse practitioners in rural urgent care centres have the potential to deliver a safe and effective quality service that is reflected in high levels of patient satisfaction.Relevance to clinical practiceThis study provides some evidence to support the continued expansion of the emergency nurse practitioner service in rural settings in the UK.Journal of Clinical Nursing 05/2014; · 1.32 Impact Factor
- Revista da Rede de Enfermagem do Nordeste-Rev Rene. 01/2012; 13(2).
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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.International Journal of Caring Science. 09/2014; 7(3):823-833.