7-Implementing patient centered care.
8.Strategies for implemented pcc .
9.Tools to implement ppc .
10.Core Processes of Client Centered Care
11-Barriers that faces health care leader on implement patient
12.Role of Nurses on implement patient centered care
13.Role of health care leadership on implement patient
At the end of this lecture the master student will be able to :
1-Define Patient centered care.
Identify Benefits of implement patient centered care.
3.Identify the importance of Patient centered care
4.The values and beliefs of pcc
5.Factors Contributing to Patient Centered Care
6.Explain implementing patient centered care.
7.Explain Strategies for implemented pcc .
7.Explain Strategies for implemented pcc .
8.Explain Tools to implement ppc .
9.Explain Core Processes of Client Centered Care.
10.List Barriers that faces health care leader on implement
patient centered care
11.Identify the Role of Nurses on implement patient
12.Identify Role of health care leadership on implement patient
Patient centered care (PCC) is a concept that describes organizing
system around the It is a standard of care that ensures that the patient is in
the center of healthcare delivery The PCC approach emerged in the early
50s of the previous century and became suddenly prevalent in the healthcare
policies in the
late 90s. The reason for it may be attributed to the need of healthcare system
to find ways to improve quality of care, while correcting the imbalance in
care, that is, to stay away from the biomedical model, toward a focus on
interaction, cooperation, and holistic approach
PCC is a multidimensional concept includes: biopsychosocial,
patient as a person, sharing power and responsibility.
PCC definitions are delivery of respectful and responsible care,
which considers each patient's preferences, needs, and
personal values, and ensures that personal values of each
patient will be at the base of all patient elated therapeutic
Benefits of implement patient centered car
Attain better financial performance
A hospital system that is guided by the needs of
patients and families becomes
significantly more efficient. It reduces waste of a
hospital's material and staff
resources through making fewer process delays,
maximizing patient educational
efforts and decreasing diagnostic tests and referrals
Improve market share
Hospitals implementing a more patient
centered approach successfully improve
employee satisfaction and retention. A more efficient
system decreases employee
burnout, improves staff relationships.
Improve patient health outcomes
The best reason for implementing a patient
centered model in your hospital is that
it is the right thing to do. Patients receiving this kind of care are
happier, more satisfied, heal more quickly, are in less pain and
healthier that is improved patient health outcomes
Importance of patient centered care:
1-Meeting people’s needs and expectations Person-centered
approaches, such as shared decision making and self-
2-support, specifically aim to enable people to play a more
active role in defining the outcomes that are important to them,
deciding the treatment and support that is best for them, and
managing their health .
3-Improving clinical outcome; Person centered approaches
can improve clinical outcomes.
For example, various types of self-management support have
been found to improve physical symptoms
or clinical outcomes in people with arthritis, asthma, diabetes,
hypertension, heart disease, heart failure, stroke, cancer and
other conditions, at least in the short term
4-Increasing staff satisfaction and morale
Persone centered care in nursing homes
found that this approach improved job
satisfaction, reduced emotional exhaustion.
The values and beliefs of pcc :
Those were identified as foundational to client centered care:
Respect clients‘ wishes, concerns, values, priorities,
perspectives, and strengths.
Care for clients as whole and unique human beings, not as
problems or diagnoses
Clients Are Experts for Their Own Lives:
Clients know themselves the best.
Clients as Leader
Follow the lead of clients with respect to information
giving, decision making, care in general and
involvement of others
Clients’ Goals Coordinate Care of the Health Care
Clients define the goals that coordinate the practices
of the health care team. All members of the team
work toward facilitating the achievement of these
Continuity and Consistency of Care and Caregiver
Continuity and consistency of care and caregiver provides a
foundation for client centered care.
The needs of clients and communities deserve a prompt
Responsiveness & Universal Access:
Care that is offered to clients is universally accessible and
responsive to their wishes, values, priorities, perspectives, and
Factors Contributing to Patient-Centered Care
Leadership and board of directors sufficiently committed and engaged to
sustain the organization in a common mission.
2-A strategic vision
Clearly and constantly communicated to every member of the organization.
3-Involvement of patients and families
At multiple levels, not only in the care process but as full participants in key
committees throughout the organization.
4-Care for the caregivers through a supportive work
environment That engages employees in all aspects of process
design and treats them with the same dignity and respect that
they are expected to show patients and families.
5-Supportive technology That engages patients and families
directly in the process of care by facilitating information access
and communication with their caregivers
Implementing patient centered care
Organization of the healthcare system that puts the patient in
the center requires significant changes in the process of
The PCC dimensions as described may serve as a basis for
developing policies and
procedures for implementing this approach.
Healthcare system managers who are trying to implement the
PCC approach are faced with the problem of defining PCC
within the organization
Successful implementation of client centered care
requires the following strategies:
1. Organizational and managerial support
2. Organizational champions
3. Education and training for nurses
4-Education and training for non-nurses.
5-. Model of care delivery that ensures continuity of care and
continuity of caregiver
6. Organizational and unit policies congruent with client
7- Positive worklife environment.
8-. Humanizing the physical environment, routines, and the
language of care giving
Tools to implement ppc:
Decision Aids (DA)
Print materials are often used during the clinical encounter. They usually
require the provider to explain and fill in the gaps
but often provide a good high
level summary so patients can wrap their heads around the information.
Good examples are the diabetes cards created by Victor Monitory.
There are also simplified matrixes, tables or grids.
A matrix or grid is often set up with common questions patients have about each
treatment in rows with answers to these questions in columns under each treatment
Predictive risk tools
can provide patients with a graphical model that helps
them understand how their personal traits like age,
gender, genetic markers and blood tests predict
both their risk of complications from a given treatment
and likelihood of benefiting from it.
Videos and Interactive Multimedia Programs
Videos and web-based multimedia programs are decision aids that can be
before, during or after clinician encounters.
They can cover a large amount of information by leveraging narration and
This kind of standardized presentation also helps eliminate possible
provider bias, and ensures the standard options are given equal weight.
These presentations also allow patients to watch them at home in a more
relaxed environment, when they have time to focus and absorb the
This also allows partners and family members to watch and gain the same
understanding so they can support and be part of the decision making
Barriers that faces health care leader on implement pcc:
(1) A general resistance to change.
(2) The perception that implementation would cost too much
time and resources.
(3) A lack of clarity on how to initiate and maintain a culture
change of this magnitude
Nursing and patient centered care
The PCC implementation among all health care workers is an
important and essential part in daily work, nurses play the most
significant role in PCC implementation ratings of quality of
nursing care in hospitals by patients, had the most significant
effect on the overall experience of care and services, even more
than the experience of care provided by a physician or
housekeeping services. Bad experience of nursing care had a
disproportionally negative effect on the perception of quality of
care and PCC.
Nursing education and patient centered care one of the most important
elements in PCC implementation is the training of nursing staff on PCC.
The nursing training programs should provide nurses tools to identify the
unique needs of each patient, as well as provide tools for shared decision
One of the important tools for this is advanced communication skills In
is important to teach content related to quality of care and patient safety.
Role of health care leadership on implement pcc:
*Effective leaders focus the organization‘s culture on the needs of patients
and families, tap into innovative ideas, and have the persistence and skills to
create a patient and family centered care culture. Leaders from executives
to front line managers share a commitment to this goal, and understand that
it is led by senior
leaders and is part of the organization‘s core
*Leaders must clearly articulate a hospital‘s commitment to meet the unique
Needs of its patients to establish an organizational culture that values patien
and Family centered care.
furthermore, they must demon-strate that commitment ―by
communicating openly, soliciting and responding to input from
staff, patients, families and others, and ensuring staff members
have the resources and flexibility they need to provide patient
centered care In their own behaviors and values, leaders set
the tone for the successful Implementation of patient –centered