scholarly journals Patient-Centered Care for Patients with Depression or Anxiety Disorder: An Integrative Review

2021 ◽  
Vol 11 (8) ◽  
pp. 776
Author(s):  
Lara Guedes de Pinho ◽  
Manuel José Lopes ◽  
Tânia Correia ◽  
Francisco Sampaio ◽  
Helena Reis do Arco ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Narrative Analysis ◽  
Patient Centered Care ◽  
Care Process ◽  
Care Planning ◽  
Patient Centered ◽  
Scientific Databases ◽  
Individualized Care ◽  
Centered Care ◽  
Care Models

People have specific and unique individual and contextual characteristics, so healthcare should increasingly opt for person-centered care models. Thus, this review aimed to identify and synthesize the indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment and care planning, including intervention. An integrative literature review with research in seven scientific databases and a narrative analysis were carried out. Twenty articles were included, with indicators for diagnostic evaluation and care/intervention planning being extracted. Care planning focused on people with depression and/or anxiety disorder must be individualized, dynamic, flexible, andparticipatory. It must respond to the specific needs of the person, contemplating the identification of problems, the establishment of individual objectives, shared decision making, information and education, systematic feedback, and case management, and it should meet the patient’s preferences and satisfaction with care and involve the family and therapeutic management in care. The existence of comorbidities reinforces the importance of flexible and individualized care planning in order to respond to the specific health conditions of each person.

scholarly journals Patient-Centered Care for People with Depression and Anxiety: An Integrative Review Protocol

2021 ◽  
Vol 11 (5) ◽  
pp. 411
Author(s):  
Lara Guedes de Pinho ◽  
Tânia Correia ◽  
Manuel José Lopes ◽  
César Fonseca ◽  
Maria do Céu Marques ◽  
...  
Keyword(s):  
Synthesis Method ◽  
Patient Centered Care ◽  
Research Strategy ◽  
Diagnostic Assessment ◽  
Quality Analysis ◽  
Care Process ◽  
Care Planning ◽  
Depression And Anxiety ◽  
Patient Centered ◽  
Centered Care

Depression and anxiety are mental diseases found worldwide, with the tendency to worsen in the current pandemic period. These illnesses contribute the most to the world’s rate of years lived with disability. We aim to identify and synthesize indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment, care planning, and intervention. Methods and analysis: An integrative literature review will be conducted, and the research carried out on the following databases: MEDLINE, PsycINFO, Scopus, and Psychology and Behavioral Sciences Collection, CINAHL, Web of Science, TrialRegistry, and MedicLatina. The research strategy contains the following terms MesH or similar: “patient-centered care,” “depression,” and “anxiety.” Two independent revisers will perform the inclusion and exclusion criteria analysis, the quality analysis of the data, and its extraction for synthesis. Disagreements will be resolved by a third revisor. All studies related to diagnostic assessment, care planning, or intervention strategies will be included as long as they focus on care focused on people with depression and anxiety, regardless of the context. Given the plurality of the eligible studies, we used the narrative synthesis method for the analysis of the diagnostic assessment, the care and intervention planning, and the facilitators and barriers. PROSPERO registration number: CRD42021235405.

Home Health Nurses’ Journey Toward Culture-Sensitive/Patient-Centered Skills: A Grounded Theory Study

2021 ◽  
pp. 108482232110278
Author(s):  
Mary Curry Narayan ◽  
Robert Kevin Mallinson
Keyword(s):  
Grounded Theory ◽  
Patient Centered Care ◽  
Home Health ◽  
Care Planning ◽  
Culturally Competent ◽  
Patient Centered ◽  
High Quality ◽  
Culturally Competent Care ◽  
Home Health Nurses ◽  
Centered Care

Introduction. Home health patients, who are members of minority and vulnerable groups, suffer disparate outcomes. Patient-centered care (PCC) and culturally-competent care (CCC) aim to facilitate high-quality, equitable care. How home health nurses incorporate PCC and CCC principles into their assessment and care-planning practices has not been -investigated. This study answers the question, “ What is the process by which home health nurses develop their culture-sensitive/patient-centered assessment and care planning skills?” Methods. Home health nurses (n= 20) were recruited into this grounded theory study from agencies around the United States via flyers, websites, and contacts. We conducted in-depth recorded interviews using a semi-structured interview guide to ask questions about nurses’ assessment and care-planning practices, their understanding of CCC and PCC principles, and facilitators/barriers to CCC and PCC practice. Results. Participants primarily gained their CCC and PCC assessment and care-planning skills through a “seat of your pants,” trial-and-error process, with little educational or agency assistance. They combined caring, diverse patient experiences, and critical, creative self-reflection on their experiences to gradually learn helpful, though not optimal, CCC and PCC strategies. However, they reported numerous barriers that discouraged or distressed them in their quest to deliver culturally-competent and patient-centered care. Only a few nurses demonstrated the resilience to overcome these challenges creatively and happily. Conclusion. If we accept that patient-centered care and culturally competent care are key elements of high-quality, equitable care, this grounded theory may help home healthcare clinicians, administrators, educators, and policy-makers identify impact points for enhancing CS/PC practices.

scholarly journals Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study

2021 ◽  
Vol 14 ◽  
pp. 117863292110224
Author(s):  
Lisanne I van Lier ◽  
Henriëtte G van der Roest ◽  
Vjenka Garms-Homolová ◽  
Graziano Onder ◽  
Pálmi V Jónsson ◽  
...  
Keyword(s):  
Home Care ◽  
Patient Centered Care ◽  
Mean Difference ◽  
Care Model ◽  
Patient Centered ◽  
Societal Costs ◽  
Centered Care ◽  
Care Models ◽  
Prospective Longitudinal ◽  
Care Performance

This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

In-hospital delays for stroke care: losing sight of patient-centered care

2013 ◽  
Vol 1 (2) ◽  
pp. 381
Author(s):  
Charles Ellis
Keyword(s):  
Stroke Care ◽  
Patient Centered Care ◽  
Comprehensive Care ◽  
Care Process ◽  
Acute Stroke Care ◽  
Patient Centered ◽  
Group Data ◽  
Focus Group Data ◽  
Centered Care ◽  
Negative Perceptions

The emergence of patient-centered care has offered a challenge for health professionals in some settings to fully engage patients in all stages of the care process. For example, stroke is a condition that requires urgent and comprehensive care. This comprehensive care may be provided to patients who are experiencing compromised cognitive and communication skills. In addition, “in-hospital delays” in care can occur during the process of evaluation and treatment. In-hospital delays in receipt of acute stroke care and the challenges of post-stroke cognitive and communication functioning can result in some patients having negative perceptions of the care process. This brief communication is an exploration of focus group data that suggest achieving the key elements of patient-centered care is challenging in acute care settings that provide care for complex conditions such as stroke.

Baseline evaluation of the patient-centered oncology care model.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 50-50
Author(s):  
Manasi A. Tirodkar ◽  
Sarah Hudson Scholle
Keyword(s):  
Patient Centered Care ◽  
Care Planning ◽  
Coordinated Care ◽  
Motivation To Change ◽  
Care Model ◽  
Patient Centered ◽  
Centered Care ◽  
Oncology Care ◽  
The Impact ◽  
The Way

50 Background: The patient-centered medical home (PCMH) model of care is being widely adopted as a way to provide accessible, proactive, coordinated care and self-care through primary care practices. During active treatment for cancer, the oncology practice is often the primary setting supporting the patient and coordinating cancer treatment. For this project, we are implementing a Patient-centered Oncology Care model in five oncology practices and evaluating the impact on cost, quality, and patient experiences. Methods: To determine the structures and processes present in the practices at baseline, we conducted a self-assessment on the standards, followed with an on-site “audit” for compliance with the standards. To get a sense for organizational culture and motivation to change, we conducted site visits which included interviews with providers, staff and patients and observation of clinical encounters and workflow. Results: Among the highest priority structures and processes, the most common were telephone triage, symptom management, advance care planning, and the use of evidence-based guidelines. The least common were patient/family orientation, availability of same day appointments, discussion and documentation of goals of therapy, symptom assessment, and tracking of appointments. All of the practices had made patient-centered care a priority and staff were motivated to change. There was variation in the way providers and the care team used health information technology during clinical workflow. There was also variation in which staff coordinated care for patients and whether or not financial counseling was offered. All of the practices stated that they needed to work on implementing survivorship care planning, shared decision-making, and patient engagement in quality improvement and practice transformation Conclusions: The pilot oncology practices have many structures and processes in common. However, there is little standardization within practices in the way these processes are established and documented. Practices vary in how they are implementing patient-centered care processes. However, with motivation to change, staff and providers are actively engaged in the transformation process.

scholarly journals Patient-Centered Care for Patients with Cardiometabolic Diseases: An Integrative Review

2021 ◽  
Vol 11 (12) ◽  
pp. 1289
Author(s):  
Maria do Céu Marques ◽  
Rute Pires ◽  
Miguel Perdigão ◽  
Luis Sousa ◽  
César Fonseca ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Patient Centered Care ◽  
Therapeutic Management ◽  
Care Planning ◽  
Shared Decision ◽  
Patient Centered ◽  
Quality Health Care ◽  
Cardiometabolic Diseases ◽  
Centered Care

Patient-centered care is essential in high-quality health care, as it leads to beneficial outcomes for patients. The objective of this review is to systematize indicators for the care of patients with cardiometabolic diseases based on patient-centered care, extending from the stages of diagnostic evaluation and care planning to intervention. An integrative literature review was conducted by searching seven scientific databases, and a narrative analysis was performed. A total of 15 articles were included, and indicators related to diagnosis and care planning/intervention were extracted. In the planning of care centered on the person with cardiometabolic diseases, the individuality, dynamics of the processes, flexibility and the participation of all stakeholders should be taken into account. The needs of the person must be addressed through the identification of problems; establishment of individual goals; shared decision making; information and education; systematic feedback; case management; meeting the patient’s preferences and satisfaction with care; engagement of the family; and therapeutic management. The indicators for intervention planning extracted were behavioral interventions, therapeutic management programs, lifestyle promotion, shared decision making, education patient and information, interventions with the use of technology, promotion of self-management, program using technology, therapeutic relationship, therapeutic adherence programs and specialized intervention.

scholarly journals Çocuk Hastalara Uygulanan Fekal Mikrobiyota Transplantasyonuna Yönelik Hemşirelik Yaklaşımı

2021 ◽  
pp. 91-95
Author(s):  
Tuğba DEDE ◽  
Müjde ÇALIKUŞU İNCEKAR
Keyword(s):  
Fecal Microbiota Transplantation ◽  
Holistic Approach ◽  
Fecal Microbiota ◽  
Care Process ◽  
Nursing Process ◽  
Individualized Care ◽  
Child Centered ◽  
Care Family ◽  
Centered Care ◽  
Care Models

Fecal Microbiota Transplantation (FMT) is the process of taking stool from a healthy donor and placing it in the gastrointestinal tract of the sick individual. Today, it has been seen that FMT is mostly used for the treatment of clostridium difficile infection. Depending on the child’s condition, physician preferences, and/or protocol requirements, the route of administration in the FMT procedure can be oral capsule, upper or lower gastrointestinal route. Detailed information about FMT, including all aspects of the process, needs to be provided in writing to children, families and donors. Pediatric nurses should plan the individualized care process with a holistic approach based on child-centered care, family-centered care, atraumatic care models in the management of the FMT process. It is the nurse’s responsibility to increase the child’s comfort, protect his privacy, and prevent complications that may arise in the child. Because the FMT procedure is a specific application, nurses need to have detailed information about a qualified nursing process. In this review, the topics of microbiota, FMT and the nursing process before, during and after the procedure are discussed. Keywords: Child, fecal microbiota transplantation, nursing, pediatrics

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