Person Centred Care - April - August 2018

This bulletin covers person centred health care, and should be of interest to staff working in this area, within acute, community and social care sectors.

Many of the following articles are available online via the NHS Scotland Knowledge Network. Please use the links where provided and your ATHENS login. A complete list of available online journals and registration for ATHENS can be found at http://www.athensregistration.scot.nhs.uk

Critical appraisal is an essential part of evidence-based practice and involves systematically evaluating evidence to establish whether it is valid, accurate and relevant.  For introductory resources, visit the Critical Appraisal Tools pathway.

This bulletin contains a selection of material gathered from a search of the evidence base, and is not intended to be comprehensive. Professional judgment should be exercised when appraising the material. The Library takes no responsibility for the wording, content and accuracy of the information supplied, which has been extracted in good faith from reputable sources. NHSGGC is not responsible for the content of external internet sites.

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Books

Aksel, E. (ed) (2017) The impact of co-production: from community engagement to social justice.  Policy Press, Bristol.  Available to borrow in print.

McCormack, B., McCance, T. (2017) Person-centred practice in nursing and healthcare: theory and practice. Wiley Blackwell, 2017.  Available to borrow from your local NHS Library in print or online

Guidelines

Nice Guidelines No 97.  Dementia: Assessment, management and support for people living with dementia and their carers.

Thesis

Rattie, V. (2018)  Exploring person-centred support in adults withi intellectual disabilities an dchallenging behaviour supported by paid carers in the community.  University College London. Available at http://discovery.ucl.ac.uk/10049834/1/Ratti_10049834_thesis.Redacted.pdf (accessed 24/07/2018)

Deinstitutionalistion and the movement of people with intellectual disabilities (ID) to the community have seen the emergence of care philosophies aimed at tailoring services to individuals' needs.  Person-centred support has been widely advocated and considered synonymous of good care.  it is usefult to investigate if day-to-day suppport provided by paid carers in the community is person-centred.

Articles

Bunn, F., Goodman, C., Russell, B, et al (2018) Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis.  BMC Geratrics 18 91): 165.  To embed SDM in practice requires a radical shift from a biomedical focus to a more person-centred ethos. Service providers will need support to change their professional behaviour and to better organise and deliver services. Face to face interactions, permission and space to discuss options, and continuity of patient-professional relationships are key in supporting older people with complex needs to engage in SDM. Future research needs to focus on inter-professional approaches to SDM and how families and carers are involved.

Disher, T., Beaubien, L., Campbell-Yeo, M. (2018)  Are guidelines for measurement of quality of life contrary to patient centred care?  Journal of Advanced Nursing, Publication ahead of print doi: 10.111/jan.13820 . Since patient and public health preferences can differ in both magnitude and direction, guideline bodies should re‐evaluate their partiality for public preferences in the reference case.

Gonzaga, CV., Enhanced patient-centered education program for HF self care management in sub-acute settings.  Applied Nursing Research 42: 22-34.  The results of the study demonstrated a statically significant increase in the mean score between the pre-and post-survey related to self-care maintenance, self-care management, and self-confidence. The results of the project suggested that patient-centered educational program can enhance self-care maintenance, management, and confidence among heart failure patients.

Stevens, A., Koke, A., van der Wiejden, T., Beurskens, A. (2018) The development of a patient-specific method of physiotherapy goal setting: a user-centred design.  Disability and Rehabilitation 40(17): 2048-2055. To deliver client-centered care, physiotherapists need to identify the patients’ individual treatment goals. However, practical tools for involving patients in goal setting are lacking. The purpose of this study was to improve the frequently used Patient-Specific Complaints instrument in Dutch physiotherapy, and to develop it into a feasible method to improve physiotherapy goal setting

Radwin, LE., Cabral, HJ., Seibert, MN., et al (2018) Patient-Centred Care in Primary Care: Pilot Development and Psychometric Assessment.  Journal of Nursing Care Quality July 24th ePub Ahead of Print. Nurse contributions to patient-centered care in primary care clinics are all but ignored in standard patient experience surveys. The purpose was to conduct a pilot study to develop and psychometrically assess a scale measuring nurses' and other providers' patient-centered care in Veteran Affairs primary care clinics. We developed a patient experience survey composed of original items and previous studies' items and scales. The survey was field tested online with patients who had a recent clinic appointment. The nonrandom analytic sample comprised 221 patients. 

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