Introduction
This paper uses Walker and Avants’s method of concept analysis as a framework to analyze person-centered care (PCC) in post-acute health care setting. A literature search was completed and data was collected using several search engines (CINAHL, Medline, PubMed, and Cochrane Review). The key words used were “person-centered care”. Attributes, antecedents, and consequences of PCC were identified. Empirical referents were provided to measure PCC from the perspective of the person receiving care. A model case provides an example of the concept.
Person-centered care (PCC) vs. traditional clinician-centered or disease focused medical model has been recognized as one of the critical elements needed in the redesign of our nation’s health …show more content…
The three primary consequences identified for patients were (a) improved quality of care, (b) increased satisfaction with health care, and (c) improved health outcomes.
Improved Quality of Care
Quality health care has also been described as responsive, respectful, timely, and performed by staff with confidence (Huycke & All, 2000). Blumenthal (1996) emphasized that the primary measurement of quality care is the interpersonal relationship between those providing care and those receiving care. Care that is more person-centered improves the quality of care experienced because its focus is not on task completion but personal customization (McCormack, 2003).
Increased Satisfaction With Health Care
Nursing care has been identified as the strongest predictor of patient satisfaction with the overall health care experience (Laschinger, Hall, Pedersen, & Almost, 2005). PCC improves satisfaction because interactions are tailored to the unique needs of each person and includes the individual in health care decisions, both of which have been identified as critical elements to improving satisfaction in an inpatient health care environment (McCormack, …show more content…
Mr. Trent was referred to a home health agency for skilled nursing and rehabilitation therapy a car accident that left him severely injured and killed his best friend. The admitting nurse had received a report from the hospital prior to Mr. Trent’s arrival and was aware of the medical circumstances surrounding his need for rehabilitation. During the initial assessment for start of care, the nurse inquired about Mr. Trent’s occupation, religious preferences, and interests. Mr. Trent explained he was an accountant for an entertainment company. He practiced Buddhism, was a vegetarian, and enjoyed being outdoors often. He talked about his recent hospital experience, the kind staff and clean environment; however, he expressed frustration with all the rules and the loss of control with his life. At the end of the nurse’s assessment, Mr. Trent began to cry. He explained the loss of his best friend in the accident and his inability to focus on spiritual healing. The RN sat by his bedside and listened while Mr. Trent described the accident. The nurse encouraged him to participate in grief counseling. He explained that he also needed his room to be a place of healing. The nurse knew the importance of holistic care with healing and wanted to involve Mr. Trent in his recovery. Not being a Buddhist, the nurse asked Mr. Trent to explain what was needed. He asked if he could create a shrine for his Buddha
This paper uses Walker and Avants’s method of concept analysis as a framework to analyze person-centered care (PCC) in post-acute health care setting. A literature search was completed and data was collected using several search engines (CINAHL, Medline, PubMed, and Cochrane Review). The key words used were “person-centered care”. Attributes, antecedents, and consequences of PCC were identified. Empirical referents were provided to measure PCC from the perspective of the person receiving care. A model case provides an example of the concept.
Person-centered care (PCC) vs. traditional clinician-centered or disease focused medical model has been recognized as one of the critical elements needed in the redesign of our nation’s health …show more content…
The three primary consequences identified for patients were (a) improved quality of care, (b) increased satisfaction with health care, and (c) improved health outcomes.
Improved Quality of Care
Quality health care has also been described as responsive, respectful, timely, and performed by staff with confidence (Huycke & All, 2000). Blumenthal (1996) emphasized that the primary measurement of quality care is the interpersonal relationship between those providing care and those receiving care. Care that is more person-centered improves the quality of care experienced because its focus is not on task completion but personal customization (McCormack, 2003).
Increased Satisfaction With Health Care
Nursing care has been identified as the strongest predictor of patient satisfaction with the overall health care experience (Laschinger, Hall, Pedersen, & Almost, 2005). PCC improves satisfaction because interactions are tailored to the unique needs of each person and includes the individual in health care decisions, both of which have been identified as critical elements to improving satisfaction in an inpatient health care environment (McCormack, …show more content…
Mr. Trent was referred to a home health agency for skilled nursing and rehabilitation therapy a car accident that left him severely injured and killed his best friend. The admitting nurse had received a report from the hospital prior to Mr. Trent’s arrival and was aware of the medical circumstances surrounding his need for rehabilitation. During the initial assessment for start of care, the nurse inquired about Mr. Trent’s occupation, religious preferences, and interests. Mr. Trent explained he was an accountant for an entertainment company. He practiced Buddhism, was a vegetarian, and enjoyed being outdoors often. He talked about his recent hospital experience, the kind staff and clean environment; however, he expressed frustration with all the rules and the loss of control with his life. At the end of the nurse’s assessment, Mr. Trent began to cry. He explained the loss of his best friend in the accident and his inability to focus on spiritual healing. The RN sat by his bedside and listened while Mr. Trent described the accident. The nurse encouraged him to participate in grief counseling. He explained that he also needed his room to be a place of healing. The nurse knew the importance of holistic care with healing and wanted to involve Mr. Trent in his recovery. Not being a Buddhist, the nurse asked Mr. Trent to explain what was needed. He asked if he could create a shrine for his Buddha