+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Nurses' descriptions of person-centred care for older people in an acute medical ward-On the individual, team and organisational levels'



Nurses' descriptions of person-centred care for older people in an acute medical ward-On the individual, team and organisational levels'



Journal of Clinical Nursing 28(7-8): 1251-1259



To describe nurses' experiences of providing person-centred care for older people on an acute medical ward. There is evidence that person-centred care for older people contributes to a higher quality care and increased satisfaction with care. However, there is a shortness of studies providing concrete examples of what facilitates nurses providing person-centred care for older people in acute care. An interview study with qualitative content analysis. COREQ guidelines have been applied. Fourteen registered nurses and enrolled nurses from an acute care ward participated in semi structured research interviews. The interviews were conducted during 2016 and interpreted using qualitative content analyses. Person-centred care was described at different levels in care; at the individual nurse level, person-centred care was described as involving person-centred assessing, relating and spacing which involved personalising assessments, relationships as well as the physical environment. At the team level, person-centred care was described in terms of person-centred goal setting, team responsibilities and team support, and involved having shared and personalised goals, different team responsibilities and a climate of support and collaboration. At the organisational level, person-centred care was described in terms of having person-centred routines, workloads and staff roles that all contributed to put the person at the core of the organisation and build routines to support this. The current study emphasises that, rather than confining person-centred care to specific moments or relationships, a systematic, multilevel organisational approach seems needed to enable nurses as individuals and teams to provide person-centred care consistently and continuously to older people in acute care settings. The results of this study should inspire nurses and managers to expedite implementation of person-centred care for older care recipients hospitalised in acute care wards. Examples of person-centred care are presented herein at clearly identified sites, namely, the "individual," "team" and "organisational levels."

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066009554

Download citation: RISBibTeXText

PMID: 30552784

DOI: 10.1111/jocn.14738


Related references

Towards innovation: the development of a person-centred model of care for older people in acute care. Contemporary Nurse 26(2): 164-176, 2007

Towards innovation: The development of a person-centred model of care for older people in acute care. Contemporary Nurse 26(2): 164-176, 2007

The person-centred care of older people with cognitive impairment in acute care scale (POPAC). Journal of Nursing Management 21(1): 79-86, 2013

Reconciling conceptualizations of relationships and person-centred care for older people with cognitive impairment in acute care settings. Nursing Philosophy 19(2):, 2018

The person-centred care of older people with cognitive impairment in acute care (POPAC) scale - psychometric evaluation. Journal of Nursing Management 25(2): 139-147, 2017

Reconciling conceptualizations of ethical conduct and person-centred care of older people with cognitive impairment in acute care settings. Nursing Philosophy 19(2):, 2018

44The Three Ps of Co-Designing Person-Centred Care for Frail Older People in Acute Care Settings: Public, Patient and Practitioner Involvement. Age and Ageing 47(Suppl_5): v13-v60, 2018

The third person in the room: The needs of care partners of older people in home care services-A systematic review from a person-centred perspective. Journal of Clinical Nursing 27(7-8): E1309-E1326, 2018

The influence of individual and organizational factors on person-centred dementia care. Aging and Mental Health 20(7): 700-708, 2016

Reconciling concepts of space and person-centred care of the older person with cognitive impairment in the acute care setting. Nursing Philosophy 18(3):, 2017

Reconciling concepts of time and person-centred care of the older person with cognitive impairment in the acute care setting. Nursing Philosophy 17(4): 282-289, 2016

Reconciling conceptualisations of the body and person-centred care of the older person with cognitive impairment in the acute care setting. Nursing Philosophy 18(4):, 2017

Nurses' attitudes towards older people: a comparison between nurses working in acute medical and acute care of elderly patient settings. Journal of Advanced Nursing 20(4): 605-612, 1994

Delivering person-centred holistic care for older people. Quality in Ageing and Older Adults 18(2): 157-167, 2017

Person-centred care: experiences of older people with dementia. Nursing Standard 1987) 32(8): 41-51, 2017