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손연정 ( Son Youn-Jung ) - 중앙대학교 적십자간호대학
윤현경 ( Yoon Heun-Keung ) - 연세대학교 원주의과대학 간호학과
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Abstract
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Purpose : The aim of this study was to explore the attributes, antecedents, and consequences of patientcentered care (PCC) for older adults with multimorbidity in acute care hospitals.
Methods : The concept analysis performed by Walker and Avant was used to analyze PCC. Fifteen studies from the literature related to PCC appear in systematic literature reviews in the fields of theology, medicine, psychology, and nursing.
Results : PCC in acute care hospitals was defined according to the five attributes of ‘maintaining patient autonomy’, ‘empowering self-care’, ‘individualized and relationship-based care’, ‘shared decision-making’, and ‘creating a homelike environment’. Antecedents of PCC were found to be a respect for patients’ preferences, qualifications of the nursing staff, care coordination and integration, and organizational support. Consequences of effective PCC were a functional status; health-related quality of life; satisfaction with care, mortality, and medical costs from the perspective of the patient and family; and quality of care and therapeutic relationships from nurses’ viewpoints.
Conclusion : PCC as defined by the results of this study will contribute to the foundation of institutionalization and the creation of a safe and healthy acute care hospital culture focused on patients’ preferences and values.
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KeyWords
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병원, 노인, 질환, 환자중심간호, 개념분석
Hospitals, Aged, Morbidity, Patient-centered care, Concept analysis
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원문 및 링크아웃 정보
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등재저널 정보
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