Understanding and achieving person‐centred care: the nurse perspective
Open Access
- 22 July 2014
- journal article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 24 (9-10), 1223-1233
- https://doi.org/10.1111/jocn.12662
Abstract
To present findings from the first stage of an exploratory study investigating nurses' understanding and facilitation of person-centred care within an acute medical ward. The term 'person-centred care' is used frequently in healthcare policy and practice. However, the ways in which the concept is translated into everyday nursing care continue to present a challenge. Person-centred care has been explored extensively within the care of older people, people with dementia and people with a learning disability. Little empirical research has been conducted in acute ward settings. This study starts to address that gap. The study used an action research approach. Individual semi-structured interviews were conducted with a purposeful sample of 14 nurses. Framework analysis was used to analyse the data. Nurses had a clear understanding of person-centred care in the context of their work. They acknowledged the importance of relationships, personal qualities of staff and respecting the principles of person-centred care as they strived to provide safe, high-quality person-centred care. The examples of care given by the nurses in this study resonate with the 'six Cs' emphasised by the Chief Nursing Officer for England in 2012, acknowledge the motivation of nurses to provide person-centred care and will contribute to the ongoing debate about nursing practice. In the light of recent criticisms of nursing and the implied erosion of public confidence in the provision of high-quality health care, it is important to recognise good practice and use the findings as a foundation for further and sustained development in providing person-centred care.Keywords
This publication has 24 references indexed in Scilit:
- Falling behind: a substantive theory of care for older people with cognitive impairment in acute settingsJournal of Clinical Nursing, 2013
- The impact of organisational culture on the delivery of person-centred care in services providing respite care and short breaks for people with dementiaHealth & Social Care in the Community, 2011
- The use of life story work with people with dementia to enhance person‐centred careInternational Journal of Older People Nursing, 2010
- The Development and Pilot Testing of an Instrument to Measure Nurses’ Working Environment: The Nursing Context IndexWorldviews on Evidence-Based Nursing, 2009
- Psychometric Evaluation of the English Language Person-Centered Climate Questionnaire—Patient VersionWestern Journal of Nursing Research, 2008
- Swedish language Person‐centred Climate Questionnaire – patient version: construction and psychometric evaluationJournal of Advanced Nursing, 2008
- Exploring person-centred careNursing Standard, 2006
- Person-centred assessment with older peopleNursing Older People, 2004
- Keeping the person in the centre of nursingNursing Standard, 2000
- The experience of dementiaAging & Mental Health, 1997