Browse > Article
http://dx.doi.org/10.34250/jkccn.2019.12.2.61

A Concept Analysis on Patient-Centered Care in Hospitalized Older Adults with Multimorbidity  

Son, Youn-Jung (Red Cross College of Nursing, Chung-Ang University)
Yoon, Heun-Keung (Department of Nursing, Yonsei University Wonju College of Medicine)
Publication Information
Journal of Korean Critical Care Nursing / v.12, no.2, 2019 , pp. 61-72 More about this Journal
Abstract
Purpose : The aim of this study was to explore the attributes, antecedents, and consequences of patient-centered care (PCC) for older adults with multimorbidity in acute care hospitals. Methods : The concept analysis performed by Walker and Avant was used to analyze PCC. Fifteen studies from the literature related to PCC appear in systematic literature reviews in the fields of theology, medicine, psychology, and nursing. Results : PCC in acute care hospitals was defined according to the five attributes of 'maintaining patient autonomy', 'empowering self-care', 'individualized and relationship-based care', 'shared decision-making', and 'creating a homelike environment'. Antecedents of PCC were found to be a respect for patients' preferences, qualifications of the nursing staff, care coordination and integration, and organizational support. Consequences of effective PCC were a functional status; health-related quality of life; satisfaction with care, mortality, and medical costs from the perspective of the patient and family; and quality of care and therapeutic relationships from nurses' viewpoints. Conclusion : PCC as defined by the results of this study will contribute to the foundation of institutionalization and the creation of a safe and healthy acute care hospital culture focused on patients' preferences and values.
Keywords
Hospitals; Aged; Morbidity; Patient-centered care; Concept analysis;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Hansson, E., Carlstrom, E., Olsson, L., Nyman, J., & Koinberg, I. (2017). Can a person-centered care intervention improve health-related quality of life in patients with head and neck cancer? A randomized, controlled study. BMC Nursing, 18, 1-12.   DOI
2 Jayadevappa, R., & Chhatre, S. (2011). Patient centered care - A conceptual model and review of the state of the art. The Open Health Services and Policy Journal, 4, 15-25.   DOI
3 Jeong, H., & Park, M. H. (2019). A predictive model on patient-centered care of hospital nurses in Korea. Journal of Korean Academy of Nursing, 49(2), 191-202.   DOI
4 Kang, J. Y., Cho, Y. S., Jeong, Y. J., Kim, S. G., Yun, S. Y., & Shim, M. Y. (2018). Development and validation of a measurement to assess personcentered critical care nursing. Journal of Korean Academy of Nursing, 48(3), 323-334.   DOI
5 Kim, C. H., Hwang, I., & Yoo, W. S. (2014). The common patterns of multimorbidity and its impact on healthcare cost in Korea. Health Policy and Management, 24(3), 219-227.   DOI
6 Kim, S. K., & Kwon, S. (2017). Effects of empathy and attitude in caring for elders by nurses in geriatric nursing practice in long-term care hospitals. Journal of Korean Gerontological Nursing, 19(3), 203-213.   DOI
7 Kitson, A., Marshall, A., Bassett, K., & Zeitz, K. (2013). What are the core elements of patient centered care? A narrative review and synthesis of the literature from health policy, medicine and nursing. Journal of Advanced Nursing, 69(1), 4-15.   DOI
8 Koren, M. T. (2010). Person-centered care for nursing home residents: The culture-change movement. Health Affairs, 29(2), 312-317.   DOI
9 Lee, J. Y., Nam, E. S., Son, E. J., Hwang, J. H., & Nam, H. R. (2016). Influence of nurses's stress related to geriatric nursing on nursing practice for older patients in hospital. Journal of Korean Gerontological Nursing, 18(2), 53-61.   DOI
10 Lusk, J. M., & Fater, K. A. (2013). Concept analysis of patient-centered care. Nursing Forum, 48(2), 89-98.   DOI
11 McCormack, B., Dewing, J., Breslin, L., Tobin, C., Manning, M., Coyne-Nevin, A., & Kennedy, K. (2010). The implementation of a model of personcentred practice in older person settings. Health Service Executive, Report 1-213, Dublin.
12 Morgan, S., & Yoder, L. H. (2012). A concept analysis of person-centered care. Journal of Holistic Nursing, 30(1), 6-15.   DOI
13 National Statistical Office. (2018). 2018 Elderly statistics. Retrieved May 05, 2019, from http://www.kostat.go.kr
14 Reid, R. C., Chappel, N. L., & Gish, J. A. (2007). Measuring family perceived involvement in individualized long-term care. Dementia, 6(1), 89-104.   DOI
15 Edvardsson, D. (2015). Notes on person-centred care: What it is and what it is not. Nordic Journal of Nursing Research, 35(2), 65-66.   DOI
16 Castro, E. M., van Regenmortel, T., Vanhaecht, K., Sermeus, W., & van Hecke, A. (2016). Patient empowerment, patient participation and patientcenteredness in hospital care: A concept analysis based on a literature review. Patient Education Counselling, 99(12), 1923-1939.   DOI
17 Chang, H. K., Gil, C. R., Kim, H. J., Bea, H. J., Yang, E. O., Yoon, M. L., & Ha, J. H. (2018). Nurses' perceptions of person-centered care in long-term care hospitals: Focus group study. Journal of the Korea Academia-Industrial cooperation Society, 19(11), 441-453.   DOI
18 Dow, B., Fearn, M., Haralambous, B., Tinney, J., Hill, K., & Gibson, S. (2013). Development and initial testing of the person-centered health care for older adults survey. International Psychogeriatrics, 25(7), 1065-1076.   DOI
19 Rose, J. H., Bowman, K. F., O'Toole, E. E., Abbott, K., Love, T. E., Thomas, C., & Dawson, N. V. (2007). Caregiver objective burden and assessments of patient-centered, family-focused care for frail elderly veterans. Gerontologist, 47, 21-33.   DOI
20 Roen, I., Kirkevold, O., Testad, I., Selbaek, G., Engedal, K., & Bergh, S. (2017). Person centered care in Norwegian nursing homes and its relation to organizational factors and staff characteristics: A cross-sectional survey. International Psychogeriatrics, 1(12), 1279-1290.
21 Scholl, I., Zill, J. M., Harter, M., & Dirmaier, J. (2014). An integrative model of patient-centeredness-A systematic review and concept analysis. PLoS ONE, 9(9), 1-9.
22 Sim, Y. S., & Ryu, S. W. (2017). Factors on intention to use long-term care hospital in the over 60 inpatients. Journal of Health Informatics and Statistics, 42(2), 185-191.   DOI
23 Tak, Y. R., Woo, H. Y., You, S. Y., & Kim, J. H. (2015). Validity and reliability of the personcentered care assessment tool in long-term care facilities in Korea. Journal of Korean Academy of Nursing, 45(3), 412-419.   DOI
24 Flesner, M. K. (2009). Person-centered care and organizational culture in long-term care. Journal of Nursing Care Quality, 24(4), 273-276.   DOI
25 The Health Foundation Inspiring Improvement. (2014). Person-centered care made simple. What everyone should know about person-centered care. Retrieved May 10, 2019, from http://www.health.orguk/sites/health/files/personCenteredCareMadeSimple.pdf.
26 Walker, L. O., & Avant, K. C. (2011). Strategies for theory construction in nursing (5th ed.). New York: Prentice Hall. Pearson.
27 White, D. L., Newton-Curtis, L., & Lyons, K. S. (2008). Development and initial testing of a measure of person-directed care. The Gerontologist, 48, 114-123.   DOI
28 Edvardsson, D., Fetherstonhaugh, D., Nay, R., & Gibson, S. (2010). Development and initial testing of the person-centered care assessment tool (P-CAT). International Psychogeriatric, 22(1), 101-108.   DOI
29 Epstein, R. N., Fiscella, K., Lesser, C. S., & Stange, K. C. (2010). Why the nation needs a policy push on patient-centered health care. Health Affairs, 29(8), 1489-1495.   DOI
30 Wilberforce, M., Chavid, C., Davises, L., Kelly, M. P., Roberts, C., & Clarkson, P. (2016). Person centeredness in the community care of older people: A literature based concept synthesis. International Journal of Social Welfare, 26(1), 86-98.   DOI