Exploring documentation in Person-centred care : A content analysis of care plans
| Autor: | Doris Lydahl, Nicky Britten, Axel Wolf, Öncel Naldemirci, Helen Lloyd, Birgit Heckemann |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
goal setting
qualitative content analsysis Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Omvårdnad Documentation Nursing Health Care Service and Management Health Policy and Services and Health Economy Patient-Centered Care Humans Nursing Care Acute Coronary Syndrome person-centred care Gerontology Delivery of Health Care chronic illness qualitative research Aged |
| Popis: | Background: Person-centred care is a growing imperative in healthcare, but the documentation of person-centred care is challenging. According to the Gothenburg Framework of Person-centred Care, care should be documented in continuously revised care plans and based on patients’ personally formulated goals and resources to secure a continuous partnership. Objectives: This study aimed to examine care plans produced within a randomised controlled trial that tested a person-centred care intervention in older people with acute coronary syndrome. Nurses with training in the theory and practice of person-centred care had written the care plans. Methods: We conducted a secondary analysis of care plans developed in a randomised controlled trial for assessing person-centred care in patients with acute coronary syndrome (Myocardial Infarct [MI] or unstable angina pectoris). The study sample included 84 patients, with three care plans for each patient from inpatient (T1), outpatient (T2) and primary care (T3), that is, a total of 252 care plans. We conducted a descriptive quantitative content analysis of the care plans to examine the reported patients' life-world and medical/health resources and goals. Results: The analysis illustrates the differences and overlaps between life-world and medical/health goals and resources. The documented goals and resources change over time: life-world goals and resources decreased with time as medical/health goals and resources documentation increased. Conclusions: This paper illustrates that in the setting of a randomised controlled trial, nurses with training in person-centred care recorded fewer life-world and more medical/health goals over time. Placing life-world goals at the top of the goal hierarchy enables alignment with medical/health goals. Further research should explore whether the goals and resources documented in care plans accurately reflect patients' wishes as they transition along the care chain. Trial registration: Swedish registry, Researchweb.org, ID NR 65 791. |
| Databáze: | OpenAIRE |
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