Person Centred Care December - February 2019

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

LeBon, M. (2019) Fundamentals of nursing: the art and science of person-centred care (study guide). Wolters Kluwer, Philadelphia.  Available for lending from your local NHS Scotland Library - here.

Shibley, R. (2019)  Living with frailty: from assets and deficits to resilience. Routledge, London.  Available for lending from your local NHS Scotland Library  - here.

Taylor, C., Lynn, P., Bartlett, JL. (2019) Fundamentals of nursing: the art and science of person centred care.  Walters Kluwer, Philadelphia.  Available for lending from your local NHS Scotland Library - here

Taylor, PJ. (2019) Personal experiences of psychological therapy for psychosis and related experiences.  Available for lending from your local NHS Scotland Library  - here.

Articles

Bousquet, J., Bedbrook, A., Czarlewski, W., et al (2019) Guidance to 2018 good practice : ARIA digitally enabled, integrated, person centred care for rhinitis and asthma.  Clinical and Translational Allergy 9:16.  Adherence to treatment is the major problem of allergic disease; self management should be considerably expanded (behanvioural); change management is essential in allergic diseases; educational strategies should be reconsidered using a patient-centred approach and ; lessons learnt for allergic diseases can be expanded to chronic diseases.

Dahlberg, K., Jaensson, M., Nilsson, U.  (2019) "Let the patient decide" - Person centred postoperative follow-up contacts, initiated via a phone app after day surgery: secondary analysis of a randomised controlled trial.  International Journal of Surgery 61:33-37.  Letting the patient decide for him/herself whether, and when, contact and support is needed during the postoperative period, is possible and does not increase the frequency of contacts.

Downe, S. (2019) Focusing on what works for person-centred maternity care.  The Lancet Global Health 7(1): PE10-E11. 

Hambling, CE., Khunti, K., Cos, X., et al.  Factors influencing safe glucose-lowering in older adults with type 2 diabetes: A PeRsOn-centred ApproaCh To IndiVidualisEd (PROACTIVE) Glycemic Goals for older people: A position statement of Primary Care Diabetes Europe.  Primary Care Diabetes 18 Feb 2019.   Diabetes in later life is associated with a range of factors increasing the complexity of glycaemic management.  This position statement, developed from an extensive literature review of the subject area, represents a consensus opinion of primary care clinicians and diabetes specialists.  It highlights many challenges facing older people with type 2 diabetes and aims to support primary care clinicians in advocating a comprehensive holistic approach.  It emphasises the importance of the wishes of the individual and their carers when determining glycaemic goals, as well as the need to balance intended benefits of treatment agains the risk of adverse treatment of effects.  Its ultimate aim is to promote consistent high-quality care for older people with diabetes.

Kelly, R., Brown, D., McCance, T., Boomer, C. (2018) The experience of Person - Centred Practice in a 100% single-room environment in acute care settings - a narrative literature review Journal of Clinical Nursing 15 Dec 2018.  This review focuses on empirical studies relating to person-centred practice in the single-room environment published in the last five years.  While there is a significant body of work relating to person -centredness and the delivery of person -centred practice, and the impact of the environment on care delivery, there appears to be limited evidence linking person- centred practice, staff and patient experience and the single-room environment.

Massey, CN., Feig, EH., Duque-Serrano, L., et al. (2019) Well-being interventions for individuals with diabetes: a systematic review.  Diabetes Research and Clinical Practice 147: 118-133.  Overall, results indicate that a range of well-being interventions appear to have promise in improving health outcomes in this population, but the literature does not yet provide definative data about which specific interventions are most effective.

Richter, C., Berg, A., Langner, H., et al (2019) Effect of person-centred care on antipsychotic drug use in nursing homes (EPCentCare) : a cluster-randomised controlled trial.  Age and Ageing 26 Feb 2019.  The conclusion of this study was that the implementation of a proven person-centred care approach adapted to national conditions did not reduce antipsychotic prescriptions in German nursing homes.

Symonds, J., Miles, C., Steel, M.  Making person-centred assessments.  Journal of Social Work 19 Feb 2019.   This paper draws on interview data from 30 practitioners about their experiences of conducting social care assessments in England.  Whilt there was widespread support for the principles of a person-centred approach, tensions emerged for practitioners in three ways: the way in which 'chat' was used to build a relationship or conduct the assessment, whether to conduct the assessment via a conversation or by following the sections on the agency form and the extent to which the assessor should involve and negotiate the contributions of family members.