Impact of Person-Centered Interventions on Patient Outcomes in Acute Care Settings: A Systematic Review.


Journal

Journal of nursing care quality
ISSN: 1550-5065
Titre abrégé: J Nurs Care Qual
Pays: United States
ID NLM: 9200672

Informations de publication

Date de publication:
Historique:
pubmed: 8 2 2020
medline: 17 8 2021
entrez: 8 2 2020
Statut: ppublish

Résumé

Preventing adverse events is one of the most important issues in health care. The purpose of this systematic review was to determine the impact of person-centered interventions on patient outcomes in an acute care setting. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eligible interventions included person-centered interventions that address at least one of these outcomes: pressure ulcer, accidental falls, medication errors, and/or cross infection. The review showed that there is a paucity of evidence supporting the use of person-centered interventions in reducing patient falls. For the other outcomes, existing research provides an insufficient evidence base on which to draw conclusions. Theory of person-centeredness is still in its ascendency. Poor evidence may also be the result of quantitative research designs that are insufficient in studying the impact of a person-centered approach. We postulate that use of mixed-methods designs is beneficial and would give a clearer picture of the impact of person-centered interventions.

Sections du résumé

BACKGROUND BACKGROUND
Preventing adverse events is one of the most important issues in health care.
PURPOSE OBJECTIVE
The purpose of this systematic review was to determine the impact of person-centered interventions on patient outcomes in an acute care setting.
METHODS METHODS
The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eligible interventions included person-centered interventions that address at least one of these outcomes: pressure ulcer, accidental falls, medication errors, and/or cross infection.
RESULTS RESULTS
The review showed that there is a paucity of evidence supporting the use of person-centered interventions in reducing patient falls. For the other outcomes, existing research provides an insufficient evidence base on which to draw conclusions.
CONCLUSIONS CONCLUSIONS
Theory of person-centeredness is still in its ascendency. Poor evidence may also be the result of quantitative research designs that are insufficient in studying the impact of a person-centered approach. We postulate that use of mixed-methods designs is beneficial and would give a clearer picture of the impact of person-centered interventions.

Identifiants

pubmed: 32032336
pii: 00001786-202101000-00021
doi: 10.1097/NCQ.0000000000000471
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

E14-E21

Informations de copyright

Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

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Auteurs

Maja Klancnik Gruden (M)

Faculty of Health Sciences (Ms Klancnik Gruden and Drs McCormack and Stiglic), Medical Faculty (Dr Turk), and Faculty of Electrical Engineering and Computer Science (Dr Stiglic), University of Maribor, Maribor, Slovenia; University Medical Centre Ljubljana, Ljubljana, Slovenia (Ms Klancnik Gruden); School of Health Sciences, Queen Margaret University, Edinburgh, Scotland (Dr McCormack); and University of South-Eastern Norway, Drammen, Norway (Dr Turk).

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