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Patient-Cantered Care

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Patient-Cantered Care

Patient-centred care prioritizes the patient's healthcare needs, values, and preferences. It

is a comprehensive approach considering the whole person's emotional, mental, and social well-

being, not just physical health. The strategy aims to personalize care to an individual's

circumstances and involves patients as partners in decision-making, with clear and accurate

information and respect for their values. The result is improved patient satisfaction, adherence to

treatment, and overall health outcomes. (Byrne et al., 2020). Patients who receive patient-centred

care communicate better with their healthcare providers, are more satisfied with their care and

are more likely to adhere to treatment. Additionally, patient-centred care can improve health

outcomes and reduce healthcare costs.

History and Statistics

Patient-centred care has been around for decades but has recently gained increased

attention. In the late 1990s, the Institute of Medicine (IOM) released a report titled "To Err is

Human: Building a Safer Health System" that called for a shift in healthcare from a disease-

centred model to a patient-centred model (Rodziewicz et al., 2022). The report highlighted the

importance of involving patients in their care, improving communication between patients and

healthcare providers, and reducing errors in healthcare. Since then, various organizations, such as

the Patient-Centered Primary Care Collaborative, have been established to promote patient-

centred care.

Additionally, the Affordable Care Act of 2010 included provisions to promote patient-

centred care, such as the establishment of patient-centred medical homes (PCMHs) and the

requirement that healthcare providers use electronic health records (EHRs) to improve

communication and coordination of care. In terms of statistics, Simpson et al., 2022 show that
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patients who receive patient-centred care have better health outcomes. A systematic review of

patient-centred care interventions found that they were associated with improved patient

satisfaction, better communication between patients and providers, and increased adherence to

treatment (Simpson et al., 2022).

Significance of Health Issues

Patient-centred care is particularly important for individuals with chronic health

conditions, such as diabetes or heart disease. These conditions require ongoing management and

self-care, and patients engaged in their care are more likely to stick to treatment and have well

health outcomes. Additionally, patient-centred care is essential for individuals with complex

healthcare needs, such as those who are elderly or have multiple comorbidities (Kuipers et al.,

2019). For individuals with chronic health conditions, patient-centred care can help them to

manage their condition more effectively by involving them in the decision-making process and

providing them with the support and information necessarily for making informed choices about

their care.

Furthermore, patient-centred care can help improve communication between patients and

healthcare providers, leading to better health outcomes. For individuals with complex healthcare

needs, patient-centred care can coordinate their care across different healthcare providers and

settings (Kuipers et al., 2019). According to Kuipers et al., this can improve the continuity of

care and ensure that their care is tailored to their needs and preferences. Additionally, patient-

centred care can help improve communication between patients and healthcare providers, leading

to better health outcomes.

Role of the Nurse

The nurse's role in patient-centred care is to advocate and work in partnership with the
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patient to achieve the best possible health outcomes. Nurses are responsible for assessing the

patient's needs, providing information and education, and developing a care plan tailored to the

patient's unique circumstances. To deliver patient-centred care, nurses must have strong

communication and interpersonal skills. They must listen actively, respond empathetically, and

provide clear and accurate information. They must also build trust and establish a rapport with

the patient. Nurses are also responsible for coordinating care across different healthcare

providers and settings, which is particularly important for individuals with complex healthcare

needs (Elmhurst University, 2022). This requires strong organizational and leadership skills and

collaborate effectively with other healthcare providers.

Relevance to Nursing Practice

Patient-centred care is relevant to nursing practice because it is an approach that aligns

with the nursing profession's values of patient advocacy, holistic care, and the importance of the

patient-provider relationship. By providing patient-centred care, nurses can empower patients to

take an active role in their care and achieve the best possible health outcomes. Additionally,

patient-centred care is relevant to nursing practice because it has improved patient satisfaction

and adherence to treatment and health outcomes (Kuipers et al., 2019). By providing patient-

centred care, nurses can improve their quality of care and achieve better patient health outcomes.

How it affects the Healthcare Delivery System and Nursing Care

Patient-centred care affects the healthcare delivery system by shifting the focus from a

disease-centred model to a patient-centred model. This requires healthcare providers to

collaborate to provide coordinated care tailored to the patient's unique circumstances.

Additionally, patient-centred care requires healthcare providers to use electronic health records

(EHRs) to improve communication and coordination of care. For nursing care, patient-centred
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care requires nurses to have strong communication and interpersonal skills and the ability to

collaborate effectively with other healthcare providers. Additionally, patient-centred care

requires nurses to have strong organizational and leadership skills and the ability to coordinate

care across different healthcare providers and settings (Kuipers et al., 2019). By providing

patient-centred care, nurses can improve their quality of care and achieve better patient health

outcomes.

Recommendations on Standards of Practice and How to Improve the Quality of Care

One key recommendation is to provide education and training for healthcare providers on

patient-centred care principles and communication skills. This will equip providers with the

necessary knowledge and skills to prioritize patients' needs, preferences, and values in their care.

Effective communication is crucial in building trust between patients and providers, which is

essential in the patient-centred care model. Furthermore, healthcare providers should implement

electronic health records (EHRs) to improve communication and coordination of care. EHRs

allow for easy and secure sharing of patient information between healthcare providers, leading to

improved quality of care. As well, EHRs allow healthcare providers to access patient

information from different providers and locations, leading to a more coordinated and efficient

care process. Finally, healthcare organizations should provide resources and support for

healthcare providers to help them implement patient-centred care principles in their practice.

This includes offering access to continuing education, mentoring, and other professional

development opportunities. By providing support, healthcare organizations can help providers

build solid patient-provider relationships and enhance the quality of care.

Conclusion

Patient-centred care aims at putting the patient at the center of the care process and
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emphasizes the importance of the patient-provider relationship. It has been shown to improve

patient gratification and adherence to treatment, as well as to improve health outcomes. To

provide patient-centred care, healthcare providers must have strong communication and

interpersonal skills and the ability to collaborate effectively with other healthcare providers.

Healthcare organizations should establish standards of practice that promote patient-centred care

and provide resources and support for healthcare providers to help them implement patient-

centred care principles. By delivering patient-centred care, nurses can empower patients to take

an active role in their care and achieve the best possible health outcomes.
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References

Byrne, A.-L., Baldwin, A., & Harvey, C. (2020). Whose centre is it anyway? Defining person-

centred care in nursing: An integrative review. PLOS ONE, 15(3).

https://doi.org/10.1371/journal.pone.0229923

Elmhurst University. (2022). The Nurse’s Role in Patient-Centered Care.

https://onlinedegrees.elmhurst.edu/blog/nurse-role-patient-centered-care

Kuipers, S. J., Cramm, J. M., & Nieboer, A. P. (2019). The Importance of patient-centred Care

and co-creation of Care for Satisfaction with Care and Physical and Social well-being of

Patients with multi-morbidity in the Primary Care Setting. BMC Health Services

Research, 19(1), 1–9. https://doi.org/10.1186/s12913-018-3818-y

Rodziewicz, T. L., Hipskind, J. E., & Houseman, B. (2022, May 1). Medical Error Reduction

and Prevention. National Library of Medicine; StatPearls Publishing.

https://www.ncbi.nlm.nih.gov/books/NBK499956/

Simpson, K., Nham, W., Thariath, J., Schafer, H., Greenwood-Eriksen, M., Fetters, M. D.,

Serlin, D., Peterson, T., & Abir, M. (2022). How health systems facilitate patient-centred

care and care coordination: a case series analysis to identify best practices. BMC Health

Services Research, 22(1). https://doi.org/10.1186/s12913-022-08623-w