Whose centre is it anyway? Defining person-centred care in nursing: An integrative review.

AIM:The aims of this literature review were to better understand the current literature about person-centred care (PCC) and identify a clear definition of the term PCC relevant to nursing practice. METHOD/DATA SOURCES:An integrative literature review was undertaken using The Cumulative Index to Nurs...

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Main Authors: Amy-Louise Byrne, Adele Baldwin, Clare Harvey
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0229923
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spelling doaj-821d8f0e3e1b402a966e73d9672a1afc2021-03-03T21:35:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01153e022992310.1371/journal.pone.0229923Whose centre is it anyway? Defining person-centred care in nursing: An integrative review.Amy-Louise ByrneAdele BaldwinClare HarveyAIM:The aims of this literature review were to better understand the current literature about person-centred care (PCC) and identify a clear definition of the term PCC relevant to nursing practice. METHOD/DATA SOURCES:An integrative literature review was undertaken using The Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Scopus and Pubmed databases. The limitations were English language, full text articles published between 1998 and 2018 within Australian, New Zealand, Canada, USA, Europe, Ireland and UK were included. The international context off PCC is then specifically related to the Australian context. REVIEW METHODS:The review adopted a thematic analysis to categorise and summarise themes with reference to the concept of PCC. The review process also adhered to the Preferred Reporting System for Meta-Analysis (PRISMA) and applied the Critical Appraisal Skills Programme (CASP) tools to ensure the quality of the papers included for deeper analysis. RESULTS:While definitions of PCC do exist, there is no universally used definition within the nursing profession. This review has found three core themes which contribute to how PCC is understood and practiced, these are People, Practice and Power. This review uncovered a malalignment between the concept of PCC and the operationalisation of the term; this misalignment was discovered at both the practice level, and at the micro, meso and micro levels of the healthcare service. CONCLUSION:The concept of PCC is well known to nurses, yet ill-defined and operationalised into practice. PCC is potentially hindered by its apparent rhetorical nature, and further investigation of how PCC is valued and operationalised through its measurement and reported outcomes is needed. Investigation of the literature found many definitions of PCC, but no one universally accepted and used definition. Subsequently, PCC remains conceptional in nature, leading to disparity between how it is interpreted and operationalised within the healthcare system and within nursing services.https://doi.org/10.1371/journal.pone.0229923
collection DOAJ
language English
format Article
sources DOAJ
author Amy-Louise Byrne
Adele Baldwin
Clare Harvey
spellingShingle Amy-Louise Byrne
Adele Baldwin
Clare Harvey
Whose centre is it anyway? Defining person-centred care in nursing: An integrative review.
PLoS ONE
author_facet Amy-Louise Byrne
Adele Baldwin
Clare Harvey
author_sort Amy-Louise Byrne
title Whose centre is it anyway? Defining person-centred care in nursing: An integrative review.
title_short Whose centre is it anyway? Defining person-centred care in nursing: An integrative review.
title_full Whose centre is it anyway? Defining person-centred care in nursing: An integrative review.
title_fullStr Whose centre is it anyway? Defining person-centred care in nursing: An integrative review.
title_full_unstemmed Whose centre is it anyway? Defining person-centred care in nursing: An integrative review.
title_sort whose centre is it anyway? defining person-centred care in nursing: an integrative review.
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2020-01-01
description AIM:The aims of this literature review were to better understand the current literature about person-centred care (PCC) and identify a clear definition of the term PCC relevant to nursing practice. METHOD/DATA SOURCES:An integrative literature review was undertaken using The Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Scopus and Pubmed databases. The limitations were English language, full text articles published between 1998 and 2018 within Australian, New Zealand, Canada, USA, Europe, Ireland and UK were included. The international context off PCC is then specifically related to the Australian context. REVIEW METHODS:The review adopted a thematic analysis to categorise and summarise themes with reference to the concept of PCC. The review process also adhered to the Preferred Reporting System for Meta-Analysis (PRISMA) and applied the Critical Appraisal Skills Programme (CASP) tools to ensure the quality of the papers included for deeper analysis. RESULTS:While definitions of PCC do exist, there is no universally used definition within the nursing profession. This review has found three core themes which contribute to how PCC is understood and practiced, these are People, Practice and Power. This review uncovered a malalignment between the concept of PCC and the operationalisation of the term; this misalignment was discovered at both the practice level, and at the micro, meso and micro levels of the healthcare service. CONCLUSION:The concept of PCC is well known to nurses, yet ill-defined and operationalised into practice. PCC is potentially hindered by its apparent rhetorical nature, and further investigation of how PCC is valued and operationalised through its measurement and reported outcomes is needed. Investigation of the literature found many definitions of PCC, but no one universally accepted and used definition. Subsequently, PCC remains conceptional in nature, leading to disparity between how it is interpreted and operationalised within the healthcare system and within nursing services.
url https://doi.org/10.1371/journal.pone.0229923
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