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Patient safety before and after implementing person-centred inpatient care - A quasi-experimental study.

Journal article
Authors Sofie Jakobsson
Gisela Ringström
Eva Andersson
Björn Eliasson
Gudmundur Johannsson
Magnus Simrén
Eva Jakobsson Ung
Published in Journal of clinical nursing
Volume 29
Issue 3-4
Pages 602-612
ISSN 1365-2702
Publication year 2020
Published at University of Gothenburg Centre for person-centred care (GPCC)
Institute of Health and Care Sciences
Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Pages 602-612
Language en
Links dx.doi.org/10.1111/jocn.15120
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Internal medicine, Nursing

Abstract

To evaluate aspects of patient safety before and after a person-centred (PC) inpatient care intervention.Transitioning from disease-centred to person-centred care requires great effort but can improve patient safety.A quasi-experimental study with data collection preceding and 12 months after a PC inpatient care intervention.The study consecutively recruited adult patients (2014, n = 263; 2015/2016, n = 221) admitted to an inpatient care unit. The patients reported experiences of care at discharge and their perceived pain at admission and discharge. Medical records were reviewed to gather data on medications, planned care and clinical observations. The study is reported according to TREND guidelines.At discharge, patients receiving PC inpatient care reported competent medical-technical care. Patients receiving PC inpatient care reported more effective pain relief. Updated prescribed medications at the ward were maintained, and patients were made aware of planned medical care to higher extent during PC inpatient care. The assessment of pulse and body temperature was maintained, but fewer elective care patients had their blood pressure taken during PC inpatient care. Weight assessment was not prioritised during usual or PC inpatient care.Patients receiving PC inpatient care reported that they were given the best possible care and had less pain at discharge. The PC inpatient care included improved documentation and communication of planned medical care to the patients. Vital signs were more frequently recorded for patients admitted for acute care than patients admitted for elective care. PC inpatient care had no effect on frequency of weight measurements.PC inpatient care seems beneficial for the patients. Aspects of patient safety such as prescribed medications were maintained, and PC inpatient care seems to enhance the continuity of care. Inpatient clinical observations need further evaluation as healthcare transitions from disease-centred to person-centred care.

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