The experience of Person-centred Practice in a 100% single-room environment in acute care settings – a narrative literature review

Research output: Contribution to journalLiterature review

Abstract

Aims and objectives
To review published research into the staff and adult patient experience of person-centred practice in a 100% single-room environment in acute care.
Background
There has been a significant move towards the 100% single-room environment within healthcare systems. Furthermore, there has been a global move for developing person-centred practice in a range of healthcare settings. Some studies have linked the role of the physical environment to patient outcomes and improved patient satisfaction, however these are limited. Overall, there is little evidence in the international literature of the experience of care in single rooms in adult, acute care settings.
Design
A narrative description was developed using the major constructs of the person-centred practice framework. The PRISMA checklist provided additional rigour.
Method
PEO refined the search terms to: person-centred, adult acute care, single room, staff experience and patient experience. CINAHL, Medline Ovid, PsychInfo, Embase, Web of Science and Scopus were searched for full text English language papers of empirical studies published between 2012-2017. PRISMA illustrated final paper determination and the CASP/EPHPP Frameworks were used for a critical appraisal of the 12 selected papers.
Results
The literature recognises the increasing complexity of healthcare in the acute care environment globally. The international literature available identifies staffs’ desire to practice person-centredness, but much of the evidence is focused on care delivery. The impact of the single-room environment on person-centred practice links mainly to the constructs of the Care Environment and Person-centred Processes within the Person-centred Practice Framework.
Conclusion
This review focuses on empirical studies relating to person-centred practice in the single-room environment published in the last five years. While there is a significant body of work relating to person-centredness and the delivery of person-centred practice, and the impact of the environment on care delivery, there appears to limited evidence linking person-centred practice, staff and patient experience and the single-room environment.
RELEVANCE TO CLINICAL PRACTICE
By understanding the context in which care is delivered, multiprofessional teams can explore how the delivery of person-centred practice may be influenced by the physical environment and what changes to culture, systems and processes may be required to enhance the experience of care for patients and the delivery of care for staff.

LanguageEnglish
Pages2369-2385
JournalJournal of Clinical Nursing
Volume28
Issue number13-14
Early online date15 Dec 2018
DOIs
Publication statusE-pub ahead of print - 15 Dec 2018

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Delivery of Health Care
Checklist
Patient Satisfaction
Patient Care
Language
Research

Keywords

  • Single-room environment; Person-centred practice; acute care; patient experience; staff experience.

Cite this

@article{04159bc700d04c75af076276b58be325,
title = "The experience of Person-centred Practice in a 100{\%} single-room environment in acute care settings – a narrative literature review",
abstract = "Aims and objectives To review published research into the staff and adult patient experience of person-centred practice in a 100{\%} single-room environment in acute care. Background There has been a significant move towards the 100{\%} single-room environment within healthcare systems. Furthermore, there has been a global move for developing person-centred practice in a range of healthcare settings. Some studies have linked the role of the physical environment to patient outcomes and improved patient satisfaction, however these are limited. Overall, there is little evidence in the international literature of the experience of care in single rooms in adult, acute care settings. Design A narrative description was developed using the major constructs of the person-centred practice framework. The PRISMA checklist provided additional rigour. Method PEO refined the search terms to: person-centred, adult acute care, single room, staff experience and patient experience. CINAHL, Medline Ovid, PsychInfo, Embase, Web of Science and Scopus were searched for full text English language papers of empirical studies published between 2012-2017. PRISMA illustrated final paper determination and the CASP/EPHPP Frameworks were used for a critical appraisal of the 12 selected papers. Results The literature recognises the increasing complexity of healthcare in the acute care environment globally. The international literature available identifies staffs’ desire to practice person-centredness, but much of the evidence is focused on care delivery. The impact of the single-room environment on person-centred practice links mainly to the constructs of the Care Environment and Person-centred Processes within the Person-centred Practice Framework. Conclusion This review focuses on empirical studies relating to person-centred practice in the single-room environment published in the last five years. While there is a significant body of work relating to person-centredness and the delivery of person-centred practice, and the impact of the environment on care delivery, there appears to limited evidence linking person-centred practice, staff and patient experience and the single-room environment. RELEVANCE TO CLINICAL PRACTICE By understanding the context in which care is delivered, multiprofessional teams can explore how the delivery of person-centred practice may be influenced by the physical environment and what changes to culture, systems and processes may be required to enhance the experience of care for patients and the delivery of care for staff.",
keywords = "Single-room environment; Person-centred practice; acute care; patient experience; staff experience.",
author = "Rosemary Kelly and Donna Brown and Tanya McCance and Christine Boomer",
year = "2018",
month = "12",
day = "15",
doi = "10.1111/jocn.14729",
language = "English",
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pages = "2369--2385",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
number = "13-14",

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T1 - The experience of Person-centred Practice in a 100% single-room environment in acute care settings – a narrative literature review

AU - Kelly, Rosemary

AU - Brown, Donna

AU - McCance, Tanya

AU - Boomer, Christine

PY - 2018/12/15

Y1 - 2018/12/15

N2 - Aims and objectives To review published research into the staff and adult patient experience of person-centred practice in a 100% single-room environment in acute care. Background There has been a significant move towards the 100% single-room environment within healthcare systems. Furthermore, there has been a global move for developing person-centred practice in a range of healthcare settings. Some studies have linked the role of the physical environment to patient outcomes and improved patient satisfaction, however these are limited. Overall, there is little evidence in the international literature of the experience of care in single rooms in adult, acute care settings. Design A narrative description was developed using the major constructs of the person-centred practice framework. The PRISMA checklist provided additional rigour. Method PEO refined the search terms to: person-centred, adult acute care, single room, staff experience and patient experience. CINAHL, Medline Ovid, PsychInfo, Embase, Web of Science and Scopus were searched for full text English language papers of empirical studies published between 2012-2017. PRISMA illustrated final paper determination and the CASP/EPHPP Frameworks were used for a critical appraisal of the 12 selected papers. Results The literature recognises the increasing complexity of healthcare in the acute care environment globally. The international literature available identifies staffs’ desire to practice person-centredness, but much of the evidence is focused on care delivery. The impact of the single-room environment on person-centred practice links mainly to the constructs of the Care Environment and Person-centred Processes within the Person-centred Practice Framework. Conclusion This review focuses on empirical studies relating to person-centred practice in the single-room environment published in the last five years. While there is a significant body of work relating to person-centredness and the delivery of person-centred practice, and the impact of the environment on care delivery, there appears to limited evidence linking person-centred practice, staff and patient experience and the single-room environment. RELEVANCE TO CLINICAL PRACTICE By understanding the context in which care is delivered, multiprofessional teams can explore how the delivery of person-centred practice may be influenced by the physical environment and what changes to culture, systems and processes may be required to enhance the experience of care for patients and the delivery of care for staff.

AB - Aims and objectives To review published research into the staff and adult patient experience of person-centred practice in a 100% single-room environment in acute care. Background There has been a significant move towards the 100% single-room environment within healthcare systems. Furthermore, there has been a global move for developing person-centred practice in a range of healthcare settings. Some studies have linked the role of the physical environment to patient outcomes and improved patient satisfaction, however these are limited. Overall, there is little evidence in the international literature of the experience of care in single rooms in adult, acute care settings. Design A narrative description was developed using the major constructs of the person-centred practice framework. The PRISMA checklist provided additional rigour. Method PEO refined the search terms to: person-centred, adult acute care, single room, staff experience and patient experience. CINAHL, Medline Ovid, PsychInfo, Embase, Web of Science and Scopus were searched for full text English language papers of empirical studies published between 2012-2017. PRISMA illustrated final paper determination and the CASP/EPHPP Frameworks were used for a critical appraisal of the 12 selected papers. Results The literature recognises the increasing complexity of healthcare in the acute care environment globally. The international literature available identifies staffs’ desire to practice person-centredness, but much of the evidence is focused on care delivery. The impact of the single-room environment on person-centred practice links mainly to the constructs of the Care Environment and Person-centred Processes within the Person-centred Practice Framework. Conclusion This review focuses on empirical studies relating to person-centred practice in the single-room environment published in the last five years. While there is a significant body of work relating to person-centredness and the delivery of person-centred practice, and the impact of the environment on care delivery, there appears to limited evidence linking person-centred practice, staff and patient experience and the single-room environment. RELEVANCE TO CLINICAL PRACTICE By understanding the context in which care is delivered, multiprofessional teams can explore how the delivery of person-centred practice may be influenced by the physical environment and what changes to culture, systems and processes may be required to enhance the experience of care for patients and the delivery of care for staff.

KW - Single-room environment; Person-centred practice; acute care; patient experience; staff experience.

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DO - 10.1111/jocn.14729

M3 - Literature review

VL - 28

SP - 2369

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JO - Journal of Clinical Nursing

T2 - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 13-14

ER -