The meaning of person‐centred care in the perioperative nursing context from the patient's perspective – an integrative review

Erebouni Arakelian, Christine Leo Swenne, Susan Lindberg, Gudrun Rudolfsson and Ann‐Christin von Vogelsang

Journal of Clinical Nursing, 2017, vol. 26, issue 17-18, 2527-2544

Abstract: Aims and objectives To determine the meaning of person‐centred care from the patient's perspective and in the context of perioperative nursing. Background Person‐centred care is used, but not defined in the perioperative context. The concept indicates an interest in the patient's own experience of health, illness, needs and preferences. As with many terms that are frequently used, there is a tendency for person‐centred care to mean different things to different people in different contexts. Design Integrative Review. Methods A two‐part search strategy was employed: first, a computerised database search of PubMed and CINAHL, using Medical Subject Headings and free terms to search articles dating from 2004–2014, was performed, and second, a hand‐search of those articles’ reference lists was performed. Twenty‐three articles were selected, and an integrative review was conducted. Results Four themes were discovered: ‘being recognised as a unique entity and being allowed to be the person you are’, ‘being considered important by having one's personal wishes taken into account’, ‘the presence of a perioperative nurse is calming, prevents feelings of loneliness and promotes well‐being, which may speed up recovery’ and ‘being close to and being touched by the perioperative nurse during surgery’. Conclusions Person‐centred care means respecting the patient as a unique individual, considering the patient's particularities and wishes and involving the patient in their own care. Person‐centred care also implies having access to one's own nurse who is present both physically and emotionally through the entire perioperative process and who guides the patient and follows up postoperatively, guaranteeing that the patient is not alone. Relevance to clinical practice By having a common understanding of the concept of person‐centred care, the nurse anaesthetists’ and theatre nurses’ caring actions or concerns will be directed towards the patient, resulting in personalisation of care rather than simply defining the concept.

Date: 2017
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