Patient-Centered Care as a Nursing Practice: Systematic Literature Review of Ideational Models and Instruments Measurement

Abstract

In the context of modern nursing, patient-centered care (PCC) has become one of the essential components of nursing practice as it represents a new paradigm in which disease-centered approach will be replaced by the trend towards the individualization of healthcare delivery. Although the concept has been advanced in policy and practice, its functioning in clinical arena is exercised inconsistently because of differences in conceptual definitions and excessive multiplication of measuring instruments. The proposed systematic literature review has the purpose of (1) determination and evaluation of the main conceptual models of PCC in nursing, (2) an assessment on the psychometric characteristics of the available measurements tools, and (3) providing recommendations regarding evidence-based adoption of PCC frameworks. A rigorous database search was performed in the databases such as PubMed, CINAHL and Scopus to find peer-reviewed articles between 2012 and 2024. Sixty three studies were found that matched the inclusion criteria. The results indicate that there is more overlap of models identified in the literature as Person-Centred Practice Framework McCormack and McCance or abridged Version of the Person-Centred Practice Framework, however, there is no agreement on the fundamental dimensions. Moreover, a number of instruments measuring PCC in nursing lack cross-cultural validation, as well as the construct validity. This review shows the necessity of integrative and theory-based definitions and measurement of patient-centered care in nursing, which may be relevant to education, quality improvement, and policymaking.

Keywords: Person-centered practice, Nurse-centered care, measurement tools, systematic review, nursing model, instrument validation, psychometrics, a nurse theory.

Received Date: February 25, 2024                  

Accepted Date: March 12, 2024                

Published Date: April 17, 2024

Available Online at https://www.ijsrisjournal.com/index.php/ojsfiles/article/view/399

https://doi.org/10.5281/zenodo.15798424