Facilitators of person and relationship-centred care in nursing.
Tony Ryan
PMID 34590790WHAT IT FOUND
Nurses can centre care by building relationships, learning the person's life, sharing decisions, addressing social and emotional needs, and including family.
This review describes facilitators, but it does not prove these actions improve patient outcomes.
Key findings
01The review identified five key indicators of person and relationship-centred care as practiced by nurses.
02The review reports reduced length of stay, improved health related quality of life, reduced burden, reduced agitation and reduced restraint among outcomes of multi-component person-centred interventions.
03The review identifies organizational conditions as important for establishing and maintaining person-centred care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It is not a systematic review: the supplied text gives no search strategy, appraisal method or quality assessment, so the selection of studies cannot be checked. The evidence is mixed and often non-experimental; the review says rigorous evaluation is mixed and relies on qualitative and other non-experimental sources. Most evidence relates to acute, residential or nursing home settings, with little on community and home care. Many interventions are complex and multi-component, so outcomes cannot be attributed to person-centred care alone. The review contains recommendations about nurse education, leadership and workforce conditions, which are not patient-level care actions.
Declared interests
The supplied publication types list research support from non-US government. No author conflict-of-interest declaration is given.
The easy way to misread this
Do not read this as proof that person-centred care improves patient outcomes. It is a narrative review of facilitators and mixed evidence, not a tested intervention.