Behrens Liza L, McGhan Gwen, Abbott Katherine M, Fick Donna M, Kolanowski Ann Marie, Liu Yin, Buck Harleah G, Roes Martina, Heid Allison R, Spector Abby, Van Haitsma Kimberly
J Gerontol Nurs. 2019 Feb 1;45(2):7-13. doi: 10.3928/00989134-20190111-02.
Person-centered care (PCC) has a wide range of definitions, most based on expert opinion rather than empirical analysis. The current study used an empirical concept mapping approach to identify core components of PCC used in long-term services and supports (LTSS). The aim is to help providers and researchers develop a unified set of domains that can be used to assess and improve the quality of PCC in real-world settings. Results yielded six domains describing essential elements of PCC in LTSS: Enacting Humanistic Values, Direct Care Worker Values, Engagement Facilitators, Living Environment, Communication, and Supportive Systems; and two underlying dimensions: Intrapersonal Activities and Extrapersonal Services and Social and Physical Environment. Nurses can use the results to enhance clinical knowledge and skills around delivery of PCC. Researchers can use the results to build a comprehensive and unified measure to accelerate adoption of PCC practices shown to benefit older adults, families, and the LTSS workforce. [Journal of Gerontological Nursing, 45(2), 6-13.].
以患者为中心的护理(PCC)有多种定义,大多数基于专家意见而非实证分析。本研究采用实证概念映射方法来确定长期服务与支持(LTSS)中使用的PCC的核心组成部分。目的是帮助提供者和研究人员开发一套统一的领域,可用于评估和提高现实环境中PCC的质量。结果产生了六个描述LTSS中PCC基本要素的领域:践行人文价值观、直接护理工作者价值观、参与促进因素、生活环境、沟通和支持系统;以及两个潜在维度:人际活动和人际外服务与社会和物理环境。护士可以利用这些结果来增强围绕PCC提供的临床知识和技能。研究人员可以利用这些结果构建一个全面统一的衡量标准,以加速采用已证明对老年人、家庭和LTSS工作人员有益的PCC实践。[《老年护理杂志》,45(2),6 - 13。]