Lusk Janet M, Fater Kerry
Lawrence Memorial/Regis College Nursing Program, Medford, MA.
Nurs Forum. 2013 Apr-Jun;48(2):89-98. doi: 10.1111/nuf.12019.
Patient-centered care (PCC) has moved to the forefront of health care over the last decade as a healthcare improvement recommended by the Institute of Medicine. Yet the term lacks clear definition among healthcare professionals.
The purpose of this article is to describe a concept analysis using Walker and Avant's method as an organizing framework. In this review, nursing and interprofessional literature, including psychology, medicine, social science, physical therapy, and occupational therapy, are examined. Using research articles to delineate variables, multiple terms inherent to PCC are explored.
Findings suggest that PCC is integral to the provision of quality care, promoting positive outcomes for patients, organizations, and healthcare professionals. An operational definition of PCC, including attributes, antecedents, and consequences, is developed, and this definition correlates with Jean Watson's caring theory in nursing practice today. Model and contrary cases illustrate the concept.
Defining measurable variables can link associated nursing care with improved patient outcomes. The need for further inquiry is discussed.
在过去十年中，以患者为中心的护理（PCC）作为医学研究所推荐的一项医疗保健改进措施，已成为医疗保健的前沿。然而，该术语在医疗保健专业人员中缺乏明确的定义。
本文的目的是描述一项以沃克和阿万特的方法为组织框架的概念分析。在本综述中，对包括心理学、医学、社会科学、物理治疗和职业治疗在内的护理及跨专业文献进行了研究。利用研究文章来界定变量，探讨了PCC固有的多个术语。
研究结果表明，PCC对于提供优质护理至关重要，能为患者、组织和医疗保健专业人员带来积极结果。制定了PCC的操作性定义，包括属性、前提条件和结果，该定义与当今护理实践中的琼·沃森关怀理论相关。模型和相反案例阐释了这一概念。
定义可测量的变量可将相关护理与改善患者结局联系起来。文中讨论了进一步探究的必要性。
