Person-centred care in clinical assessment

Wallström, Sara; Ekman, Inger

doi:10.1177/1474515118758139

Cited by 36 publications

(39 citation statements)

References 33 publications

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“…Caring relationships are described as essential in PCC, where interpersonal nursing takes place between patients and healthcare professionals (Gabrielsson, Sävenstedt, & Zingmark, 2015) who are authentic and present (McCormack, 2004). Consequently, the importance of partnership is emphasized (Ekman et al, 2011;Fors et al, 2015;Jansson, Fors, Ekman, & Ulin, 2018;Wallström & Ekman, 2018) and may be established even without face-to-face conversations and with vulnerable patient groups (Fors et al, 2018).…”

Section: Improved Mutual Interaction In Relationshipsmentioning

confidence: 99%

Paradoxes of person‐centred care: A discussion paper

et al. 2020

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Section: Improved Mutual Interaction In Relationshipsmentioning

confidence: 99%

Paradoxes of person‐centred care: A discussion paper

et al. 2020

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“…Researchers at The Gothenburg University Centre for Person-centred Care (GPCC) conceptualise and define PCC largely from a philosophical foundation based on relationship ethics and person-centredness with a shift from the term patient to person [9][10][11]. GPCCs definition of PCC, with its starting point in the concept of person, implies that the patient is perceived as something more than their illness [9].…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of the measurement properties of a generic questionnaire measuring patient perceptions of person-centred care

Fridberg

Wallin

Wallengren

et al. 2020

BMC Health Serv Res

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Background Implementation of person-centred care (PCC) is a challenging undertaking. Thus, a call has been issued for a robust and generic instrument to measure and enable evaluation of PCC across settings and patient groups. This study aimed to develop a generic questionnaire measuring patients’ perceptions of PCC. Further aims were to evaluate its content and measurement properties using a mixed-methods approach entailing Rasch and qualitative content analyses. Methods The study was conducted in three iterative phases. Phase one included six key informants to gain a broad view of the concept. Phase two entailed a Delphi study involving two rounds with eight experts who generated ratings on relevance, readability, comprehensiveness and suggestions for revision. Data were analysed using the Item Content Validity Index in conjunction with qualitative comments to improve the questionnaire. Phase three was performed using a mixed-methods design. Quantitative data were collected from patients (n = 553) responding to the questionnaire who were recruited from six in- and outpatient care units in a health care region in Sweden. Data was analysed using the Rasch measurement model. Qualitative data were based on the respondents’ free-text comments, cognitive interviews (n = 10) and field notes, and then analysed with deductive content analysis. Results A questionnaire was developed and operationalised based on the information given by key informants in phase one and then validated for its content by experts in phase two. In phase three Rasch analyses revealed problems with targeting, thresholds and two misfitting items. These problems were corroborated by data from the qualitative analyses, which also revealed some issues of wording and interpretation of items. When thresholds were resolved and two items removed, the questionnaire met the assumptions of the Rasch model. Conclusions Experts gave the questionnaire content high ratings and it met measurement requirements assumed by the Rasch model after revisions. Those problems on targeting that remain need to be addressed in future studies. Meanwhile, we regard the questionnaire as of sufficient quality to be useful in benchmarking PCC.

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“…Furthermore, experiences from different contexts show that most patients, including the elderly and patients with a diminished cognitive ability, can score their symptoms with the NRS in “real‐time” (Hjermstad et al, ; van Dijk, Kappen, Wijck, Kalkman, & Schuurmans, ;). Since information about patients' pain intensity ideally should be collected regularly in accordance with postoperative guidelines (Gordon et al, ; SFAI, ) and the philosophy of person‐centred care (McCance, McCormack, & Dewing, ; Wallström & Ekman, ), pain scores that have already been collected could serve as a basis for discussions about a patient's possibility to recover.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the absence of patient‐reported recovery measures may make it impossible to provide adequate individual interventions (Bowyer & Royse, ). Moreover, the absence of patient‐reported measures may also risk neglecting the philosophy of person‐centred care where patients' statements are fundamental in care decisions (Wallström & Ekman, ). Therefore, there is a clinical need to find a simple strategy for measuring patients' possibility for physical postoperative recovery that is useful when decisions about care are taken.…”

Section: Introductionmentioning

confidence: 99%

The association of patients' daily summarized self‐rated “real‐time” pain scores with physical recovery after major surgery – A repeated measurement design

Wikström

Nilsson²,

Eriksson

2019

Nursing Open

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AimTo determine the associations of patients' documented self‐rated pain with self‐rated early postoperative physical recovery.DesignObservational with repeated measures.MethodsGeneral and orthopaedic inpatients (N = 479) were during the period 2012–2015 screened for pain. Individual daily median pain scores at rest and during activity were based on 4–9 self‐ratings on postoperative days 1 and 2, using the Numeric Rating Scale. Nine items reflecting physical recovery from the “Postoperative Recovery Profile” were used in a questionnaire.ResultsAssociations between median pain scores on postoperative day 1 and physical recovery (fatigue, sleeping difficulties, bladder function, mobilization, muscle weakness and personal hygiene) the same day were found. Additionally, associations were found between median pain scores on day 1 and physical recovery (fatigue, sleeping difficulties, mobilization and muscle weakness) on day 2.

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Person-centred care in clinical assessment

Cited by 36 publications

References 33 publications

Paradoxes of person‐centred care: A discussion paper

Paradoxes of person‐centred care: A discussion paper

Development and evaluation of the measurement properties of a generic questionnaire measuring patient perceptions of person-centred care

The association of patients' daily summarized self‐rated “real‐time” pain scores with physical recovery after major surgery – A repeated measurement design

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