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Nurses’ descriptions of person‐centred care for older people in an acute medical ward—On the individual, team and organisational levels’
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.ORCID-id: 0000-0002-9358-3182
Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.ORCID-id: 0000-0001-8787-2327
2019 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, nr 7–8, s. 1251-1259Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIM AND OBJECTIVES: To describe nurses' experiences of providing person-centred care for older people on an acute medical ward.

BACKGROUND: There is evidence that person-centred care for older people contributes to a higher quality care and increased satisfaction with care. However, there is a shortness of studies providing concrete examples of what facilitates nurses providing person-centred care for older people in acute care.

DESIGN: An interview study with qualitative content analysis. COREQ guidelines have been applied.

METHOD: Fourteen registered nurses and enrolled nurses from an acute care ward participated in semi structured research interviews. The interviews were conducted during 2016 and interpreted using qualitative content analyses.

RESULTS: Person-centred care was described at different levels in care; at the individual nurse level, person-centred care was described as involving person-centred assessing, relating and spacing which involved personalising assessments, relationships as well as the physical environment. At the team level, person-centred care was described in terms of person-centred goal setting, team responsibilities and team support, and involved having shared and personalised goals, different team responsibilities and a climate of support and collaboration. At the organisational level, person-centred care was described in terms of having person-centred routines, workloads and staff roles that all contributed to put the person at the core of the organisation and build routines to support this.

CONCLUSIONS: The current study emphasises that, rather than confining person-centred care to specific moments or relationships, a systematic, multilevel organisational approach seems needed to enable nurses as individuals and teams to provide person-centred care consistently and continuously to older people in acute care settings.

RELEVANCE TO CLINICAL PRACTICE: The results of this study should inspire nurses and managers to expedite implementation of person-centred care for older care recipients hospitalised in acute care wards. Examples of person-centred care are presented herein at clearly identified sites, namely, the "individual," "team" and "organisational levels."

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2019. Vol. 28, nr 7–8, s. 1251-1259
Emneord [en]
aged, care, emergency nursing, organisation, patient-centred care, person, team, ward
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-155365DOI: 10.1111/jocn.14738ISI: 000460767400021PubMedID: 30552784Scopus ID: 2-s2.0-85059650873OAI: oai:DiVA.org:umu-155365DiVA, id: diva2:1278381
Tilgjengelig fra: 2019-01-14 Laget: 2019-01-14 Sist oppdatert: 2019-04-04bibliografisk kontrollert

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