The Effects of Patient-Centered Care Versus Usual Care on Patient Health and Safety

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Kennelly, Hunter

Date of Issue

2022

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en_US

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Abstract

Patient-centered care has a history of providing improved patient health and safety outcomes, yet controversy over how to define patient-centered care, as well as lacking evidence of long-term effects, produces hesitation of clinical implementation and suggests that this type of care requires further research analysis. The purpose of the following research analysis is to determine whether new, evidence-based practice protocols should be implemented regarding standardization of patient-centered care. The PICOT question relating to this review is: If nurses utilize person/ patient-centered care educational methods, compared to standardized/ usual treatment-specific methods, do patient health and safety outcomes improve? Three, independent randomized controlled trials (RCT) were assessed and included varying patient demographics, geographical region of subject population, length of study, patient medical diagnosis, and variations of nurse-led patient-centered care compared to usual methods of care determined by hospital protocol and physician standard operating procedure. Results of each RCT demonstrated statistical significance of improved patient outcomes for individuals diagnosed with chronic obstructive pulmonary disease (COPD) or congestive heart failure (CHF), acute coronary syndrome, or hypertensive nephropathy, indicated by P of 0.06, P < 0.001, and P < 0.008 respectively. Due to this mixture of variables and positive trends of positive outcomes in each study, research suggests that patient-centered care may be used for any population of patients within healthcare, and can be applied using numerous methods of nurse-led interventions.

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