Whose centre is it anyway? Defining person-centred care in nursing: An integrative review

Byrne, Amy‐Louise; Baldwin, Adele; Harvey, Clare

doi:10.1371/journal.pone.0229923

Cited by 102 publications

(94 citation statements)

References 35 publications

(110 reference statements)

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“…In general, the conceptual framework of person-centered care has been widely described and discussed in the international literature [5][6][7]. However, the implementation process has not been as well studied [8][9][10][11], nor are there measurement tools that directly reflect person-centered participation [12].…”

Section: Introductionmentioning

confidence: 99%

The psychometric properties of the person-centered therapeutic relationship in physiotherapy scale

et al. 2020

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Objective To determine the psychometric properties of the Person-Centered Therapeutic Relationship in Physiotherapy Scale (PCTR-PT) in order to find the most appropriate fit for the tool. Methods Patients who had received treatment at the physiotherapy service of nine hospitals in Spain were invited to complete the 31 items of the PCTR-PT scale. To select the most appropriate items of the PCTR-PT, an exploratory factorial analysis (EFA) was performed using the maximum likelihood and oblique rotation (promin) methods. Factor validity, goodness-of-fit and psychometric properties were analyzed by confirmatory factor analysis (CFA). Convergent (CFA) and discriminant validity were calculated. Internal consistency was verified using the Cronbach's alpha coefficient. The intraclass correlation coefficient (ICC) was used to examine temporal stability. Results 366 patients over 18 years old who had received, at least, 15 physiotherapy treatment sessions completed the questionnaire. The results of the exploratory factor analysis revealed a tool with 15 items in four factors [Relational Bond (N items = 4); Individualized Partnership (N items = 4); Professional Empowerment (N items = 3) and Therapeutic Communication (N items = 4)], explaining 78.4% of the variance of the total variables of this tool. The confirmatory factor analysis further confirmed the four-structure model. Reliability of the tool was approved by Cronbach's alpha in all four dimensions, as all were above .70, ranging from .84 (Individualized Partnership) to .91 (Professional Empowerment). = 0.94. Test-retest was performed with two-week intervals, indicating an appropriate stability for the scale (ICC = 0.900). Conclusion The Person-Centered Therapeutic Relationship in Physiotherapy Scale (PCTR-PT) is a useful, valid and applicable instrument to evaluate the person-centered therapeutic relationship during physiotherapy interventions. It would be interesting to investigate the predictive capacity (sensitivity and specificity) of the PCTR-PT scale.

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Section: Introductionmentioning

confidence: 99%

The psychometric properties of the person-centered therapeutic relationship in physiotherapy scale

et al. 2020

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“…Whereas the concept of patient‐centred care is well understood by nurses, it is ill‐defined and poorly implemented into practice (Byrne et al., 2020). One study suggests a major disparity between the views of nurses and those of patients regarding how patient‐centred care should be provided—nurses view the care rendered as more personalized than patients do (Castro et al., 2020).…”

Section: Introductionmentioning

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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“…9 Interestingly this extensive implementation plan does not focus on physical and mental health problems but on empowerment and organization. Drawing on 17 studies included in an integrative review, Byrne et al 10 attempted to find a general definition of the concept relevant to its operationalization and implementation in nursing practice. Three main themes with sub-themes were reported: People, meaning recognizing uniqueness and establishing partnership; Practice, meaning doing and space to practice; and finally, Power, meaning power over one's care and power to practice person-centered care.…”

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confidence: 99%

“…The law also stipulates good quality, good hygienic standards, ensuring the person's safety, continuity and security, respect, self-determination and integrity and good contact between patient and staff. Thus, operationalization of what is already stated in the law would be a shortcut to securing the patient's power and perhaps also to what is meant to be included in the concept of people, as described by Byrne et al 10 There may be a fundamental contradiction inherent in this humanistic vision of person-centered nursing care stemming from certain aspects of nursing home care. This contradiction includes the regulations controlling the system, a pattern of power distribution that is not so easy to surmount, with aspects that concern the macro, meso, and micro levels of the entire organization, i.e.…”

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Failure to protect the frailest old from Covid-19: Safety in the light of person-centered care

Hallberg

2020

Nordic Journal of Nursing Research

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The end results of the Covid-19 pandemic are as yet unknown. However, even at this stage there are outcomes that command the attention of the nursing profession, both the research side and the practice side. By 14 July 2020, 5455 people in Sweden had died infected with Covid-19 and, of those, 2505 lived in what would internationally be regarded as nursing homes (45.9%). In addition, another 1316 individuals, living at home with the support of public home care and services, died. The reports were a shock to the public and rightfully received a lot of attention in the Covid-19 debate. This scenario is not perhaps unique to Sweden; reports from other countries provide similar information. The statistics raise many questions: How could this happen? Where is the voice of the nursing profession? What is happening in nursing research? Is it focusing on what is going on in practice?

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Whose centre is it anyway? Defining person-centred care in nursing: An integrative review

Cited by 102 publications

References 35 publications

The psychometric properties of the person-centered therapeutic relationship in physiotherapy scale

The psychometric properties of the person-centered therapeutic relationship in physiotherapy scale

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

Failure to protect the frailest old from Covid-19: Safety in the light of person-centered care

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