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

Artikel i vetenskaplig tidskrift
Författare Sofie Jakobsson
Gisela Ringström
Eva Andersson
Björn Eliasson
Gudmundur Johannsson
Magnus Simrén
Eva Jakobsson Ung
Publicerad i Journal of clinical nursing
Volym 29
Nummer/häfte 3-4
Sidor 602-612
ISSN 1365-2702
Publiceringsår 2020
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition
Sidor 602-612
Språk en
Länkar dx.doi.org/10.1111/jocn.15120
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämneskategorier Invärtesmedicin, Omvårdnad

Sammanfattning

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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