TY - JOUR
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 - 2019/7/31
Y1 - 2019/7/31
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 (PcPF). The PRISMA checklist provided additional rigour. Method: Problems, Exposure, Outcomes (PEO) refined the search terms to: person-centred, adult acute care, single room, staff experience and patient experience. CINAHL, Medline Ovid, Psycinfo, 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 health care in the acute care environment globally. The international literature available identifies staffs’ desire to practise 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 PcPF. Conclusion: This review focuses on empirical studies relating to person-centred practice in the single-room environment published in the last 5 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 (PcPF). The PRISMA checklist provided additional rigour. Method: Problems, Exposure, Outcomes (PEO) refined the search terms to: person-centred, adult acute care, single room, staff experience and patient experience. CINAHL, Medline Ovid, Psycinfo, 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 health care in the acute care environment globally. The international literature available identifies staffs’ desire to practise 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 PcPF. Conclusion: This review focuses on empirical studies relating to person-centred practice in the single-room environment published in the last 5 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 - acute care
KW - patient experience
KW - person-centred practice
KW - single-room environment
KW - staff experience
UR - http://www.scopus.com/inward/record.url?scp=85060550863&partnerID=8YFLogxK
UR - https://pure.ulster.ac.uk/en/publications/the-experience-of-person-centred-practice-in-a-100-single-room-en
U2 - 10.1111/jocn.14729
DO - 10.1111/jocn.14729
M3 - Review article
C2 - 30552821
VL - 28
SP - 2369
EP - 2385
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
SN - 0962-1067
IS - 13-14
ER -