January 5, 2022

The Patient-Centered Care Nursing Model: An Overview

Origin of the Model

The spectrum of perspectives amongst individuals can vary in innumerable ways. Coping mechanisms, cultural preference, socio-economic status, morals, familial preference, and personality are all variables that can influence perception. Patient centered care was developed by the Picker Institute to address the diverse need among patient populations (Ortiz, 2018).

Meaning of the Model

Defined, patient-centered care nursing (PCN) is a framework devised to assist nurses in recognizing and addressing each individual with the best applicable practices, which are suited to each individual. Patient-centered care addresses variables to ensure that care is customized. These variables include: respect, accommodation, recognition, and support (Ortiz, 2018).

Logical Adequacy and Testability

The only way to establish consistency in analysis is to establish variables, which accurately reflect implementation. This can be achieved by conducting open-ended interviews to uncover recurring themes. Conversely, as much of this model depends on subjectivity, consistency is not easy to achieve. However, as in many studies, repetitive themes can infer significance, and be correlated with other measures to create empirical evidence. The difficulty is that measurement can be skewed by expectation. Also, surveys create finite answers without any elaboration, and may not reflect nurse to patient relationships accurately.

Usefulness and Generalizability

This model is useful in that it is applicable to nearly all situations. Through assessment, nurses following the PCN model are able to better understand strategies, which are suited to increase efficacy. The model has high generalizability, because it is universally important to consider each person, rather than treat them as a number or statistic. Conversely, Maslow’s Hierarchy dictates that the treatment of highly acute patients may decrease nurses’ ability to ponder considerate interactions. Benefits of applying the PCN model includes: emotional support, anxiety mitigation, continuity, and improved access to care (Ortiz, 2018).

Parsimony

The PCN model is intuitive. It utilizes thoughtful sensitivity to establish a better relationship, and improved understanding of each individual. Simply stated, by recognizing individuality, respect can be established, and a synergistic relationship can be formed.

Validity

The validity of the patient-care model is rooted in human nature, and psychology. By considering patients’ individual needs, nurses are able to improve outcomes. This is evidence by the improvement of outcomes as a positive correlation to patient outlook (Sedikides, Luke, & Hepper, 2016).

References

Clarke P. N., Fawcett J. (2016). Nursing knowledge driving person-centered care. Nursing Science Quarterly, 29, 285–287. 

Darnell, L. K., & Hickson, S. V. (2015). Cultural Competent Patient-Centered Nursing Care. Nursing Clinics of North America, 50(1), 99-108. doi:10.1016/j.cnur.2014.10.008

Ortiz, M. R. (2018). Patient-Centered Care: Nursing Knowledge and Policy. Nursing Science Quarterly, 31(3), 291-295. doi:10.1177/0894318418774906

Sedikides, C., Luke, M. A., & Hepper, E. G. (2016). Enhancing feedback and improving feedback: Subjective perceptions, psychological consequences, behavioral outcomes. Journal of Applied Social Psychology, 46(12), 687-700. doi:10.1111/jasp.12407