以病人为中心的护理和专业护理实践

M. Araki
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引用次数: 6

摘要

以病人为中心的护理(PCC)是质量护理的基本决定因素。以患者为中心的护理是一个多维概念,采用PCC方法的机构报告了更好的患者和组织结果。与以医生为中心的护理不同,以患者为中心的护理关注患者的信念、选择、偏好和需求[1]。PCC已被证明可以带来更好的健康结果、更好的生存率、更高的患者满意度和幸福感,然而,关于PCC方面和维度的重要性仍然知之甚少[2]。尽管人们越来越认识到以患者为中心的护理的重要性及其有效性,但研究表明,患者报告在获取信息、了解治疗方案、获得药物解释以及从卫生保健专业人员那里获得响应性服务方面存在重大问题[3]。本文讨论了以病人为中心的护理的概念,它的维度,利益关系到病人和卫生保健组织和专业护理实践相关的病人为中心的护理。以患者为中心的护理对以患者为中心的护理没有统一的定义;然而,Richardson和他的同事们[4]将PCC定义为“尊重和响应患者个人偏好、需求和价值观,并确保患者价值观指导所有临床决策”的护理。以患者为中心的护理代表着从传统的、家长式的、提供者驱动的、以疾病为重点的方法向尊重患者偏好、需求、愿望和经验的医疗保健系统的转变。PCC赋予患者权力,使医疗保健提供者能够与患者合作,更好地满足患者的目标[5]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Centered Care and Professional Nursing Practices
Introduction Patient centered care (PCC) is an essential determinant of quality care. Patient centered care is a multidimensional concept, and institutions that adopt PCC approach report better patient and organizational outcomes. Patient-centered care focuses the attention on patient‟s beliefs, choices, preferences, and needs, in contrast to physician centered care [1]. PCC has been shown to result in better health outcomes, better survival, greater patient satisfaction and wellbeing, however, little is still known about the importance of PCC aspects and dimensions [2]. Despite growing recognition of the importance of patient centered care, and its effectiveness, studies show that patients report significant problems in gaining access to information, understanding treatment options, getting explanations regarding medications, and receiving responsive service from the health care professional [3]. The paper discusses the concept of patient centered care, its dimensions, benefits in relation to both patients and health care organizations and the professional nursing practices related to patient centered care. Patient Centered Care There is no universally agreed upon definition of patient centered care; however, Richardson and his colleagues [4] defined PCC as care that is “respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions.” Patient Centered Care represents a shift from traditional, paternalistic, provider-driven, disease focused approaches towards healthcare systems that respects patients‟ preferences, needs, desires and experiences. PCC empowers patients, and enable health care providers to partner with patients to better meet patient goals [5].
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