Slater Lynne
School of Nursing and Midwifery, University of Newcastle, Callaghan NSW, Australia.
Contemp Nurse. 2006 Oct;23(1):135-44. doi: 10.5172/conu.2006.23.1.135.
Person-centred care is a term that has been used frequently in literature since the mid-1990s. This type of care requires health care staff to use person-centredness as a focus for developing relationships and plans of care. In an attempt to define person-centredness, a literature review was undertaken as a means of developing a concept analysis. This led to profiling attributes of person-centredness developed from the work of early theorists and authors as they began to recognise the importance of the ethical and legal rights of people and the importance of holistic care in maintaining wellbeing. However, in the literature, the term person-centred was often interchanged with terms such as patient or client-centred which may lead to confusion. This concept analysis shows that many of the attributes of person-centredness are indeed relevant to patient and client centred care. However, the connotations behind client and patient may appear to shift the balance of power to the health carer by concentrating on the illness rather than the person. Therefore, clarification of the term person-centredness may assist future researchers, practitioners and authors to apply one term only until evolution leads to further definition or change.
以人为主导的护理是自20世纪90年代中期以来在文献中频繁使用的一个术语。这种护理类型要求医护人员将以人为主导作为建立关系和护理计划的重点。为了界定以人为主导,开展了一项文献综述作为进行概念分析的一种手段。这导致梳理出从早期理论家和作者的著作中发展而来的以人为主导的属性,因为他们开始认识到人的伦理和合法权利的重要性以及整体护理在维持健康方面的重要性。然而,在文献中,“以人为主导”这个术语经常与“以患者或客户为主导”等术语互换使用,这可能会导致混淆。这项概念分析表明,以人为主导的许多属性确实与以患者和客户为主导的护理相关。然而,客户和患者背后的内涵可能会通过专注于疾病而非人本身,似乎将权力平衡转向了医护人员。因此,明确“以人为主导”这个术语可能会帮助未来的研究人员、从业者和作者仅使用一个术语,直到发展导致进一步的定义或变化。