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Can Nurses Impact Patient Outcomes Using a Patient-Centered Care Model?

Wolf, Debra PhD, RN; Lehman, Lisa BSN, RN; Quinlin, Robert MD; Rosenzweig, Margaret PhD, RN; Friede, Samuel FACHE; Zullo, Thomas PhD; Hoffman, Leslie PhD, RN

Journal of Nursing Administration: December 2008 - Volume 38 - Issue 12 - pp 532-540
doi: 10.1097/NNA.0b013e31818ebf4f
Articles

Objective: The aim of this study was to determine if nurses, using patient-centered care (PCC), affect patient satisfaction, perceptions of nursing care, and quality outcomes.

Background: The Institute of Medicine proposed PCC as 1 of 6 national quality aims, whereas the Centers for Medicare and Medicaid Services highlighted integration of PCC as 1 of 12 actions for quality improvement.

Methods: A total of 116 patients were randomized into an intervention (PCC) or control group. Patients who were to receive PCC were called before admission and cared for by nurses who trained to administer/practice PCC. Control patients received usual care. Both groups completed questionnaires and received postdischarge calls. Length of stay, falls, infections, and adverse events were measured to assess quality of care.

Results: No significant differences were found between groups for length of stay, infection, falls, postoperative complications, quality of care, satisfaction level, or perceptions of nursing care.

Conclusions: Patient-centered care did not affect patient's level of satisfaction or quality of care. However, findings yielded clinically relevant results regarding patient/staff responses.

Authors' Affiliations: Associate Professor (Dr Wolf), Slippery Rock University, Pennsylvania; Unit Director, Bariatric Unit (Ms Lehman), Bariatric Surgeon, Center of Excellence for Bariatrics (Dr Quinlin), University of Pittsburgh Medical Center, St Margaret, Pennsylvania; Director of the Governance Initiative at the Health Policy Institute (Mr Friede), Professor Emeritus (Dr Zullo), Assistant Professor (Dr Rosenzweig), Professor and Chair Acute/Tertiary Care Department (Dr Hoffman), University of Pittsburgh, School of Nursing, Pennsylvania.

Corresponding author: Dr Wolf, 112 Strain Behavioral Science Bldg, Slippery Rock University, Slippery Rock, PA 16057 (6wolfs@comcast.net; debra.wolf@sru.edu).

Funding: Financial support was received via research grants and awards through Sigma Theta Tau International Honor Society of Nursing, Eta Chapter and Theta Mu Chapter.

© 2008 Lippincott Williams & Wilkins, Inc.