Nilsen Elin Rogn, Hollister Brooke, Söderhamn Ulrika, Dale Bjørg
Faculty of Health and Sport Sciences, Centre for Caring Research, South, University of Agder, Grimstad, Norway.
Institute for Health & Aging, University of California, San Francisco, San Francisco, CA, USA.
J Clin Nurs. 2022 Mar;31(5-6):569-581. doi: 10.1111/jocn.15914. Epub 2021 Jun 11.
To explore person-centred care provided to a group of older adults (65+) by understanding their experiences of care received, their participation in care and what matters to them during and after the transition process between hospital and home.
Although facilitating person-centred care (PCC) has gained increasing importance globally over the last few decades, its practical implementation has been challenging. This has caused difficulties in determining its core elements and best practices. Person-centred care aims to deliver healthcare services based on individuals' preferences. Several approaches have been developed to better implement person-centred care practices. The Norwegian transitional and follow-up model, 'Holistic Continuity of Patient Care', chooses the 'What Matters to You?'
Other approaches include 'Shared Decision Making' and 'Continuity of Care'.
This study employed a qualitative design.
Individual repeated interviews were conducted among eight participants. A hermeneutic exploratory research method was chosen. The COREQ checklist was followed.
Three main themes related to person-centred care emerged: what matters in meetings with the individual healthcare worker, mobilising health-promoting capabilities and resources and what matters when being in the organisational healthcare system.
To participate in their own health issues, older people need to be empowered and better informed about the importance and scope of person-centred care. 'What Matters to You?' is a good focus for the direction of care but can lead to a simplified understanding of individuals' preferences. Increased focus on how care recipients' capabilities and resources affect their responding is needed.
Ensuring that person-centred aspects are incorporated into the entire healthcare system requires better methods of engaging and empowering older adults in healthcare settings; more focus on PCC competence and skills of healthcare professionals as well as better integration of PCC practices into healthcare administration and policies.
通过了解一组老年人（65岁以上）接受护理的经历、他们在护理中的参与情况以及在医院和家庭之间的过渡过程中及之后对他们来说重要的事情，来探索以患者为中心的护理。
尽管在过去几十年中，促进以患者为中心的护理（PCC）在全球范围内变得越来越重要，但其实际实施一直具有挑战性。这在确定其核心要素和最佳实践方面造成了困难。以患者为中心的护理旨在根据个人偏好提供医疗服务。已经开发了几种方法来更好地实施以患者为中心的护理实践。挪威的过渡和随访模式“患者护理的整体连续性”选择了“对你来说什么重要？”
其他方法包括“共同决策”和“护理连续性”。
本研究采用定性设计。
对八名参与者进行了个体重复访谈。选择了诠释性探索性研究方法。遵循COREQ清单。
出现了与以患者为中心的护理相关的三个主要主题：与个体医护人员会面时重要的事情、调动促进健康的能力和资源以及在组织化医疗系统中时重要的事情。
为了参与自身的健康问题，老年人需要被赋予权力，并更好地了解以患者为中心的护理的重要性和范围。“对你来说什么重要？”是护理方向的一个很好的重点，但可能导致对个人偏好的简化理解。需要更多地关注护理接受者的能力和资源如何影响他们的反应。
确保将以患者为中心的方面纳入整个医疗系统需要更好的方法，以使老年人在医疗环境中参与并获得权力；更多地关注医护人员的PCC能力和技能，以及更好地将PCC实践纳入医疗管理和政策。
