Clarifying the Concept of Patient-Centered Care Using the Method of Statement Derivation

2.50
Hdl Handle:
http://hdl.handle.net/10755/153836
Type:
Presentation
Title:
Clarifying the Concept of Patient-Centered Care Using the Method of Statement Derivation
Abstract:
Clarifying the Concept of Patient-Centered Care Using the Method of Statement Derivation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Waller, Beverly, MS, RN
P.I. Institution Name:University of Michigan
Title:Doctoral Student
Co-Authors:Huey-Ming Tzeng PhD, RN, Professor and Associate Director of Nursing and Undergraduate Programs
[22nd International Nursing Research Congress - Research Presentation] Aim. The method of statement derivation was used to clarify the concept of patient-centered care. 
Background. Patient-centered care refers to the therapeutic relationship, between health care providers and receivers of health care services, that emphasizes meeting the needs of individual patients. Though this term has been widely used, it remains a poorly defined and conceptualized phenomenon.
Methods.  The findings are summarized using the method of statement derivation, as described by Walker and Avant, to clarify the concept of patient-centered care. The Gap Model of Service Quality developed by Parasuraman, Zeithaml and Leonard in 1985 is used to guide statement derivation.
Discussion. The statement derivation results in four statements related to four gaps: 1) customer expectation vs. management perception gap; 2) management perceptions vs. service standards gap; 3) service standards vs. service delivery gap; and 4) expected service vs. perceived service gap. The next step in theory building is testing of the derived statements.
Conclusions. Four patient-centered care service quality gaps were concluded: 1) patient expectation vs. nurse perception gap; 2) nurse and nursing administration perceptions vs. patient-centered care standards gap; 3) patient-centered care standards vs. delivery of patient-centered care gap; and 4) patient expectation of health care service vs. patient perception of actual health care service received gap. Use of the derived statements may help further define patient-centered care in nursing from the patient perspective focusing on individual needs, patient satisfaction, collaboration and quality.
Relevance to Clinical Practice. The nurse administrator could use the identified gaps between patient perceptions and service provided on planning and prioritizing patient-centered care quality improvement initiatives. These gaps may help on allocating limited health care resource to system-level, management-level, staff-level, or patient-level interventions addressing selected patient characteristics. Nurse administrators may also use these gaps to identify and develop appropriate outcome measures.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleClarifying the Concept of Patient-Centered Care Using the Method of Statement Derivationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153836-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Clarifying the Concept of Patient-Centered Care Using the Method of Statement Derivation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Waller, Beverly, MS, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Michigan</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Student</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bevw@umich.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Huey-Ming Tzeng PhD, RN, Professor and Associate Director of Nursing and Undergraduate Programs</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Aim. The method of statement derivation was used to clarify the concept of patient-centered care.&nbsp;<br/>Background. Patient-centered care refers to the therapeutic relationship, between health care providers and receivers of health care services, that emphasizes meeting the needs of individual patients. Though this term has been widely used, it remains a poorly defined and conceptualized phenomenon. <br/>Methods. &nbsp;The findings are summarized using the method of statement derivation, as described by Walker and Avant, to clarify the concept of patient-centered care. The Gap Model of Service Quality developed by Parasuraman, Zeithaml and Leonard in 1985 is used to guide statement derivation. <br/>Discussion. The statement derivation results in four statements related to four gaps: 1) customer expectation vs. management perception gap; 2) management perceptions vs. service standards gap; 3) service standards vs. service delivery gap; and 4) expected service vs. perceived service gap. The next step in theory building is testing of the derived statements. <br/>Conclusions. Four patient-centered care service quality gaps were concluded: 1) patient expectation vs. nurse perception gap; 2) nurse and nursing administration perceptions vs. patient-centered care standards gap; 3) patient-centered care standards vs. delivery of patient-centered care gap; and 4) patient expectation of health care service vs. patient perception of actual health care service received gap. Use of the derived statements may help further define patient-centered care in nursing from the patient perspective focusing on individual needs, patient satisfaction, collaboration and quality. <br/>Relevance to Clinical Practice. The nurse administrator could use the identified gaps between patient perceptions and service provided on planning and prioritizing patient-centered care quality improvement initiatives. These gaps may help on allocating limited health care resource to system-level, management-level, staff-level, or patient-level interventions addressing selected patient characteristics. Nurse administrators may also use these gaps to identify and develop appropriate outcome measures.</td></tr></table>en_GB
dc.date.available2011-10-26T12:33:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:33:07Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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