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A Description of Nurse Practitioners’ Self-Report Implementation of Patient-Centered Care

Souraya Sidani, Laura Collins, Patti Harbman, Christina Hurlock- Chorostecki, Kathleen MacMillan, Scott Reeves, Faith Donald, Mary van Soeren, Patti Staples

Abstract


This study aimed to describe the nurse practitioners’ self-reported implementation of patient-centered care (PCC) and factors that influence their delivery of PCC. It was guided by a conceptualization of PCC that identified three components that distinguish PCC (i.e. holistic, collaborative, and responsive care) and respective activities that operationalize them. A sample of 149 nurse practitioners employed in acute and long term care settings, in Ontario Canada, completed a valid and reliable measure of the extent to which they implemented the three PCC components. The results indicated that the majority of respondents reported engagement in most activities reflective of the PCC components, most of the time, and that experienced nurse practitioners performed a large number of these activities. Further research should examine the contribution of each PCC component, as implemented by nurse practitioners and other members of the healthcare team, to patient-oriented outcomes.

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References


Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the twenty-first century. Washington, DC: Institute of Medicine.

National Health Service. (2005). Creating a patient-led NHS: Delivering the NHS improvement plan. London: Department of Health.

Hudon, C., Fortin, M., Haggerty, J.L. & Poitras, M-E. (2011). Measuring patients’ perceptions of patient-centered care: A systematic review of tools for family medicine. Annals of Family Medicine 9, 155-164.

Cumbie, S.A., Conley, V.M. & Burman, M.E. (2004). Advanced practice nursing model for comprehensive care with chronic illness. Models for promoting process engagement. Advances in Nursing Science 27, 70-80.

Watts, S.A., Gee, J., O’Day, M.E., Schaub, K., Lawrence, R., Aron, D. & Kirsh, S. (2009). Nurse practitioner-led multidisciplinary teams to improve chronic illness care: The unique strengths of nurse practitioners applied to shared medical appointments / group visits. Journal of the American Academy of Nurse Practitioners 21, 167-172.

Kleinpell, R., Gawlinski, A. & Burns, S. (2005). Assessing outcomes in advanced practice nursing practice. AACN Clinical Issues 16, 43-57.

Gillespie, R., Florin, D. & Gillan. S. (2004). How is patient-centered care understood by the clinical, managerial and lay stakeholders responsible for promoting this agenda? Health Expectations 7, 142-148.

Hobbs, J.L. (2009). A dimensional analysis of patient-centered care. Nursing Research 58, 52-62.

Kitson, A., Marshall, A., Bassett, K. & Zeitz, K. (2012). 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.

Kvåle, K. & Bondevik, M. (2008). What is important for patient centred care? A qualitative study about the perceptions of patients with cancer. Scandinavian Journal of Caring Sciences 22, 582-589.

Marshall, A., Kitson, A. & Zeitz, K. (2012). Patients’ views of patient centred care: A phenomenological case study in one surgical unit. Journal of Advanced Nursing 68 (12) 2664-2673.

Radwin, L.E., Cabral, H.J. & Wilkes, G. (2009). Relationships between patient-centered cancer nursing interventions and desired health outcomes in the context of the healthcare system. Research in Nursing & Health 32, 4-17.

McCormack, B., Karlsson, B., Dewing, J. & Lerdal, A. (2010). Exploring person-centredness: A qualitative meta-synthesis of four studies. Scandinavian Journal of Caring Science 24, 620-634.

Robinson, J.H., Callister, L.C., Berry, J.A. & Dearing, K.A. (2008). Patient-centered care and adherence: Definitions and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners 20, 600-607.

Slater, L. (2006). Person-centredness: A concept analysis. Contemporary Nurse 23, 135-144.

Clayton, M.F., Latimer, S., Dunn, T.W. & Haas, L. (2011). Assessing patient-centered communication in a family practice setting: How do we measure it, and whose opinion matters. Patient Education & Counseling 84, 294-302.

Sidani, S. & Fox, M. (2013). Patient-Centered Care: Clarification of its Specific Elements to Facilitate Interprofessional Care. Journal of Interprofessional Care 28 (2) 134-141.

Morgan, S. & Yoder, L.H. (2012). A concept analysis of person-centered care. Journal of Holistic Nursing 30, 6-15.

Smith, S. Dewar, B., Pullin, S. & Tocher, R. (2010). Relationship centred outcomes focused on compassionate care for older people within in-patient care settings. International Journal of Older People Nursing 5, 128-136.

Stewart, M., Brown, J.B., Donner, A., McWhinney, I.R., Oates, J., Weston, W.W. & Jordan, J. (2000). The impact of patient-centered care on outcomes. Journal of Family Practice 49, 796-804.

Haggerty, J., Fortin, M., Beaulieu, M., Hudon, C., Loignon, C., Préville, M. & Roberge, D. (2010). At the interface of community and healthcare systems: A longitudinal cohort study on evolving health and the impact of primary healthcare from the patient’s perspective. BMC Health Services Research 10, 1-10.

Suhonen, R., Välimäki, M. & Leino-Kilpi, H. (2009). The driving and restraining forces that promote and impede the implementation of individualized nursing care: A literature review. International Journal of Nursing Studies 46, 1637-1649.

Sumsion, T. & Lencucha, R. (2007). Balancing challenges and facilitating factors when implementing client-centered collaboration in a mental health setting. British Journal of Occupational Therapy 70, 513-520.

Hill, L. (2008). Talk but no walk: Barriers to person-centred care. Journal of Dementia Care 16, 20-24.

Kelly, J. (2007). Barriers to achieving patient-centered care in Ireland. Dimensions of Critical Care Nursing 26, 29-34.

Steiner, I., Nichols, D., Blitz, S., Tapper, L., Stagg, A.P., Sharma, L. & Policicchio, C. (2009). Impact of a nurse practitioner on patient care in a Canadian emergency department. Canadian Journal of Emergency Medicine 11, 207-214.

Jarrett, L .& Emmett, M. (2009). Utilizing trauma nurse practitioners to decrease length of stay. Journal of Trauma Nursing 16, 68-72.

Sidani, S. & Doran, D. (2010). Relationships between processes and outcomes of nurse practitioners in acute care: An exploration. Journal of Nursing Care Quality 25, 31-38.

Budzi, D., Lurie, S., Singh, K. & Hooker, R. (2010). Veterans’ perceptions of care by nurse practitioners, physician assistants, and physicians: A comparison from satisfaction surveys. Journal of the American Academy of Nurse Practitioners 22, 170-176.

Donald, F., Mohide, E.A., DiCenso, A., Brazil, K., Stephenson, M. & Akhtar-Danesh, N. (2009). Nurse practitioner and physician collaboration in long-term care homes: Survey results. Canadian Journal on Aging 28, 77-87.

Sidani, S. (2008). Effects of patient-centered care on patient outcomes: An evaluation. Research & Theory for Nursing Practice 22, 24-37.

Dillman, D.A. (2007). Mail and internet surveys: The tailored design method (2nd edn.). New Jersey: John Wiley & Sons.

Sidani, S., Collins, L., Harbman, P., et al. (2014). Development of a Measure to Assess Healthcare Providers’ Implementation of Patient-Centered Care. Worldviews on Evidence-Based Nursing. In press.

Norman, G.R. & Streiner, D.L. (2008). Biostatistics: The bare essentials (3rd edn.). Shelton, CT: PMPH US.

Dierick-van Daele, A.T., Metsemakers, J.F., Derckx, E.W., Spreeuwenberg, C. & Vrijhoef, H.J. (2009). Nurse practitioners substituting for general practitioners: Randomized controlled trial. Journal of Advanced Nursing 65, 391-401.

van Soeren, M., Hurlock-Chorostecki, C., Goodwin, S. & Baker, E. (2009). The primary healthcare nurse practitioner in Ontario: A workforce study. Canadian Journal of Nursing Leadership 22, 58-72.

Crits-Christoph, P. & Mintz, J. (1991). Implications of therapist effects for the design and analysis of comparative studies of psychotherapies. Journal of Consulting and Clinical Psychology 59, 20-26.




DOI: http://dx.doi.org/10.5750/ejpch.v3i1.853

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