Exploring documentation in Person-centred care: A content analysis of care plans.
chronic illness
goal setting
person-centred care
qualitative content analsysis
qualitative research
Journal
International journal of older people nursing
ISSN: 1748-3743
Titre abrégé: Int J Older People Nurs
Pays: England
ID NLM: 101267281
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
revised:
28
02
2022
received:
04
06
2021
accepted:
08
03
2022
pubmed:
9
4
2022
medline:
14
9
2022
entrez:
8
4
2022
Statut:
ppublish
Résumé
Person-centred care is a growing imperative in healthcare, but the documentation of person-centred care is challenging. According to the Gothenburg Framework of Person-centred Care, care should be documented in continuously revised care plans and based on patients' personally formulated goals and resources to secure a continuous partnership. This study aimed to examine care plans produced within a randomised controlled trial that tested a person-centred care intervention in older people with acute coronary syndrome. Nurses with training in the theory and practice of person-centred care had written the care plans. We conducted a secondary analysis of care plans developed in a randomised controlled trial for assessing person-centred care in patients with acute coronary syndrome (Myocardial Infarct [MI] or unstable angina pectoris). The study sample included 84 patients, with three care plans for each patient from inpatient (T1), outpatient (T2) and primary care (T3), that is, a total of 252 care plans. We conducted a descriptive quantitative content analysis of the care plans to examine the reported patients' life-world and medical/health resources and goals. The analysis illustrates the differences and overlaps between life-world and medical/health goals and resources. The documented goals and resources change over time: life-world goals and resources decreased with time as medical/health goals and resources documentation increased. This paper illustrates that in the setting of a randomised controlled trial, nurses with training in person-centred care recorded fewer life-world and more medical/health goals over time. Placing life-world goals at the top of the goal hierarchy enables alignment with medical/health goals. Further research should explore whether the goals and resources documented in care plans accurately reflect patients' wishes as they transition along the care chain. Swedish registry, Researchweb.org, ID NR 65 791.
Sections du résumé
BACKGROUND
BACKGROUND
Person-centred care is a growing imperative in healthcare, but the documentation of person-centred care is challenging. According to the Gothenburg Framework of Person-centred Care, care should be documented in continuously revised care plans and based on patients' personally formulated goals and resources to secure a continuous partnership.
OBJECTIVES
OBJECTIVE
This study aimed to examine care plans produced within a randomised controlled trial that tested a person-centred care intervention in older people with acute coronary syndrome. Nurses with training in the theory and practice of person-centred care had written the care plans.
METHODS
METHODS
We conducted a secondary analysis of care plans developed in a randomised controlled trial for assessing person-centred care in patients with acute coronary syndrome (Myocardial Infarct [MI] or unstable angina pectoris). The study sample included 84 patients, with three care plans for each patient from inpatient (T1), outpatient (T2) and primary care (T3), that is, a total of 252 care plans. We conducted a descriptive quantitative content analysis of the care plans to examine the reported patients' life-world and medical/health resources and goals.
RESULTS
RESULTS
The analysis illustrates the differences and overlaps between life-world and medical/health goals and resources. The documented goals and resources change over time: life-world goals and resources decreased with time as medical/health goals and resources documentation increased.
CONCLUSIONS
CONCLUSIONS
This paper illustrates that in the setting of a randomised controlled trial, nurses with training in person-centred care recorded fewer life-world and more medical/health goals over time. Placing life-world goals at the top of the goal hierarchy enables alignment with medical/health goals. Further research should explore whether the goals and resources documented in care plans accurately reflect patients' wishes as they transition along the care chain.
TRIAL REGISTRATION
BACKGROUND
Swedish registry, Researchweb.org, ID NR 65 791.
Identifiants
pubmed: 35393772
doi: 10.1111/opn.12461
pmc: PMC9540033
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12461Informations de copyright
© 2022 The Authors. International Journal of Older People Nursing published by John Wiley & Sons Ltd.
Références
Scand J Caring Sci. 2017 Dec;31(4):662-673
pubmed: 27859459
Int J Cardiol. 2015;187:693-9
pubmed: 25919754
Geriatr Nurs. 2021 Jan-Feb;42(1):213-224
pubmed: 32863037
BMJ. 2020 Sep 1;370:m2738
pubmed: 32873594
Contemp Nurse. 2012 Jun;41(2):160-8
pubmed: 22800381
Adv Health Sci Educ Theory Pract. 2019 May;24(2):353-381
pubmed: 30632026
BMC Geriatr. 2017 Jul 31;17(1):167
pubmed: 28760149
JAMA Netw Open. 2021 Apr 1;4(4):e214732
pubmed: 33825838
Soc Sci Med. 2001 Aug;53(4):487-505
pubmed: 11459399
Lancet. 2005 Dec 10;366(9502):2005-11
pubmed: 16338449
BMJ Open. 2015 Dec 10;5(12):e009403
pubmed: 26656243
Health Commun. 2022 Apr;37(4):418-424
pubmed: 33213210
Patient Educ Couns. 2012 Jan;86(1):9-18
pubmed: 21474265
Int J Older People Nurs. 2008 Mar;3(1):3-13
pubmed: 20925884
Patient Educ Couns. 2019 Jan;102(1):3-11
pubmed: 30201221
Am J Hosp Palliat Care. 2018 Jan;35(1):159-165
pubmed: 28330379
Patient Educ Couns. 2014 Mar;94(3):291-309
pubmed: 24305642
Int J Nurs Pract. 2010 Apr;16(2):112-24
pubmed: 20487056
BMC Health Serv Res. 2017 Aug 4;17(1):527
pubmed: 28778167
J Clin Nurs. 2010 Feb;19(3-4):489-97
pubmed: 20500288
Health Expect. 2017 Jun;20(3):407-418
pubmed: 27193725
J Adv Nurs. 2009 Mar;65(3):464-76
pubmed: 19222644
Int J Older People Nurs. 2022 Sep;17(5):e12461
pubmed: 35393772
Sociol Health Illn. 1982 Jul;4(2):167-82
pubmed: 10260456
J Gerontol Nurs. 2020 Nov 1;46(11):17-27
pubmed: 33095889
Eur J Cardiovasc Nurs. 2018 Feb;17(2):114-122
pubmed: 28657364
Oncol Nurs Forum. 2001 May;28(4):697-702
pubmed: 11383183
Int J Older People Nurs. 2013 Dec;8(4):309-18
pubmed: 23216647
Health Expect. 2020 Oct;23(5):1362-1375
pubmed: 32808455
Int J Older People Nurs. 2021 Jul;16(4):e12373
pubmed: 33739623
BMJ Open. 2017 Jul 17;7(7):e016491
pubmed: 28716793
Health Expect. 2020 Feb;23(1):238-246
pubmed: 31743559
Eur J Cardiovasc Nurs. 2011 Dec;10(4):248-51
pubmed: 21764386
Eur J Cardiovasc Nurs. 2021 Apr 13;20(2):93-95
pubmed: 33693738
J Adv Nurs. 2003 Aug;43(4):402-10
pubmed: 12887359
Scand J Caring Sci. 2005 Dec;19(4):344-53
pubmed: 16324058
Int J Older People Nurs. 2020 Mar;15(1):e12284
pubmed: 31642182