title: Nursing and the science of prevention for population health.
abstract: The topic of patient-centered care is at the very epicenter of the contemporary emphasis on a value-based approach to health care. Multiple studies confirm that positive outcomes are consistently achieved when clinicians and administrators put appropriate emphasis on patient-centered care. Although we would agree that the patient-centered approach is necessary for achieving positive clinical outcomes for individual patients, we suggest that this approach alone is insufficient to sustain these outcomes across large populations over an extended-period of time. We believe that a science-based approach to population health coupled with patient-centered care pathways will achieve the most effective, long-term impact for large groups of individuals. Furthermore, we believe that nurses play a central role in a science-based approach to patient-centered medical care. In this article, we discuss the intersection of preventative science, patient-centered care, and the role of nurses. We present our experience at Texas Health Resources with the use of clinical nurse leaders in a science-based population health approach to achieve more consistent, positive outcomes during transition of care. Finally, we suggest that care providers integrate the science of prevention with the principles of patient-centered care to more consistently deliver on the promise of population health.
authors.affiliation: Texas Health Resources, Arlington.
authors.forename: Joan Shinkus
authors.initials: JS
authors.lastname: Clark
authors.forename: Aaron
authors.initials: A
authors.lastname: Bujnowski
mesh_terms: D006801:Humans; D009729:Nursing / Q000379:methods*; D018802:Patient-Centered Care / Q000379:methods*; D011322:Primary Prevention / Q000379:methods*; D011634:Public Health / Q000379:methods*; D013781:Texas