NSPN 2013

INTRODUCTION OF NURSING

1.2 Patient centered Care
1 HOUR

LEARNING • At the end of the training
OUTCOMES session students will be able to:

• State the definition of patient
and patient State centered care

• Describe the principles of
patient centered care.

• Explain the importance of
patient centered care..

• 1. Definition of CONTENT
• Patient OUTLINE
• Patient centered care

2. Picker’s 8 principles of patient centered care

• Respect for patients, preferences and

• expressed need

• Coordination and integration of care

• Information and education CONTENT
OUTLINE
• Physical comfort

• Emotional support & alleviation of fear &

anxiety

• Involvement of family & friends

• Continuity & transition

• Access to care

3.The importance of patient centered care

• Improve patient satisfaction

• Encourage patient to lead healthier lifestyle

• Patient to be more involved in decision

about their health care CONTENT
• Impact on patient’s health outcomes &OUTLINE

maintenance

• Reduce the patient need of healthcare

services

• Improve confidence & satisfaction of

healthcare professionals

DEFINITION
PAT I E N T

PAT I E N T C E N T E R E D C A R E

PATIENT

• A patient is someone who is waiting for or receiving medical treatment and
care.
(Taber’s Medical Dictionary)

• According to the Kamus Dewan, the word patient comes from the Latin word
meaning to suffer or to endure.

• Patient also comes from the word patience.
The old tradition

• The patient is a passive person, patiently receiving whatever treatment or care
he or she receives from the nurse.

PATIENT

Patient’s today
• attitude and feeling more

active, demand more and also
curious to know more as they
realize their rights.
• more knowledge of their
health and their disease
• have the right to take care of
their health.

PATIENT CENTERED CARE…

The IOM (Institute of
Medicine) defines
patient-centered care as:

“Providing 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…

PICKER’S 8
PRINCIPLE
S OF
PATIENT
CENTERED
CARE

A. • Involve patients in
RESPECT FOR decision-making, recognizing they are
PAT I E N T S , individuals with their own unique values
PREFERENCES and preferences.
AND
EXPRESSED • Treat patients with dignity, respect and
NEED sensitivity to his/her cultural values and
autonomy.

• Every aspect of care depends on every other aspect working as

efficiently and effectively as possible. Treatment and patient

experience must be considered as an integrated whole, with different

moving parts working in concert.

• Providers must cooperate in the interest of the patient's overall well-

B . being.
C O O R D I N AT I O N • Patients identified three areas in which care coordination can reduce
feelings of vulnerability:
AND

I N T E G R AT I O N ➢ Coordination of clinical care
OF CARE ➢ Coordination of ancillary and support services
➢ Coordination of front-line patient care

C. • When patients are fully informed, given the trust and
respect that comes with sharing all relevant facts, they
I N F O R M AT I O N will feel more empowered to take responsibility for the
AND elements of their care that are within their control.

E D U C AT I O N • To counter this fear, hospitals can focus on three kinds of
communication:

❖ Information on clinical status, progress and prognosis

❖ Information on processes of care

❖ Information to facilitate autonomy, self-care and health
promotion

D. • The level of physical comfort patients report has a
PHYSICAL significant impact on their experience.
COMFORT
• Three areas were reported as particularly
important to patients:

✓ Pain management

✓ Assistance with activities and daily living needs

✓ Hospital surroundings and environment

• Fear and anxiety associated with illness can be as
debilitating as the physical effects.

E . • Caregivers should pay particular attention to:

EMOTIONAL

S U P P O RT & ▪ Anxiety over physical status, treatment and
A L L E V I AT I O N
OF FEAR & prognosis

ANXIETY

▪ Anxiety over the impact of the illness on

themselves and family

▪ Anxiety over the financial impact of illness

F. • This principle addresses the role of family and friends in the patient
I N VO LV E M E N T experience.

O F FA M I LY & • Family dimensions of patient-centered care were identified as
FRIENDS follows:

➢ Providing accommodations for family and friends

➢ Involving family and close friends in decision making

➢ Supporting family members as caregivers

➢ Recognizing the needs of family and friends

G. • A transition from one phase of care to the next should be as fluid
and seamless as possible.
CONTINUITY
& • Patients should be well informed about what to expect.Treatment
regimens, especially medication regiments, should be clearly
TRANSITION outlined and understood.

• And everyone involved should be able to plan, and understand
what warning signs (and positive indicators) to look out for.

• Meeting patient needs in this area requires the following:

➢ Understandable, detailed information regarding medications,
physical limitations, dietary needs, etc.

➢ Coordinate and plan ongoing treatment and services after
discharge

➢ Provide information regarding access to clinical, social, physical and
financial support on a continuing basis.

H. • Patients need to know they can access care when it is needed.

ACCESS TO • Focusing mainly on ambulatory care, thefollowing areas were of
CARE importance to the patient:

➢ Access to the location of hospitals, clinics and physician offices

➢ Availability of transportation

➢ Ease of scheduling appointments

➢ Availability of appointments when needed

➢ Accessibility to specialists or specialty services when a referral is
made.

➢ Clear instructions provided on when and how to get referrals.



THE IMPORTANCE OF
PAT I E N T C E N T E R E D C A R E

• Patients receiving this kind 1. IMPROVE
of care are happier, more PATIENT
satisfied, heal more quickly, SATISFACTION
are in less pain and stay
healthier.

• It improves quality of life.

Research conducted showed: 2. ENCOURAGE
PATIENT TO
• frequent healthcare visits create an LEAD
opportunity for healthcare providers to HEALTHIER
encourage adoption and maintenance LIFESTYLE
of healthy diet and physical activity
behaviors.

• This healthcare visit is one of the
activities in patient centered

care

• Engaged patients are more likely to 3. PATIENT TO BE
receive recommended screenings, MORE INVOLVED
follow treatment guidelines, and lead IN DECISION
a healthy lifestyle. ABOUT THEIR
HEALTH CARE
• engaged patients are ones that:

➢Understand their conditions

➢Understand the treatment and what
it will do for them

➢Believe the treatment will make a
difference in their lives.

• When a patient trusts that a 4. IMPACT ON
treatment will be effective, there’s a PATIENT’S
HEALTH
much higher chance it will work for OUTCOMES &
them and produce the desired results. MAINTENANCE

• As the patient & family consistency 5. REDUCE THE
engaged with care of own health, the PATIENT NEED OF
need of healthcare services will be HEALTHCARE
reduce. SERVICES

• A more efficient system decreases 6. IMPROVE CONFIDENCE &
employee burnout, improves staff S AT I SFAC TION O F
relationships, and enhances patient- HEALTHCARE PROFESSIONALS
caretaker interactions.

• Improved retention contributes to
high-quality staff, less training costs
and decreased expenses due to
inefficient practices.

READING ARTICLES:

• https://bmchealthservres.biomedcentral.com/articles/10.1186/s1291
3-018-3818-y
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893434/
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060529/

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