Can nurses impact patient outcomes using a patient-centered care model?
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.
Wolf
Debra
D
Slippery Rock University, Slippery Rock, Pennsylvania 16057, USA. 6wolfs@comcast.net
Lehman
Lisa
L
Quinlin
Robert
R
Rosenzweig
Margaret
M
Friede
Samuel
S
Zullo
Thomas
T
Hoffman
Leslie
L
D000058:Accidental Falls / Q000706:statistics & numerical data; D000328:Adult; D003428:Cross Infection / Q000453:epidemiology; D005260:Female; D015390:Gastric Bypass / Q000451:nursing / Q000523:psychology; D006764:Hospitals, Community; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D015999:Multivariate Analysis; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration*; D010414:Pennsylvania / Q000453:epidemiology; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration