title: Reconciling concepts of time and person-centred care of the older person with cognitive impairment in the acute care setting.
abstract: The aim of this analysis was to examine the concept of time to rejuvenate and extend existing narratives of time within the nursing literature. In particular, we hope to promote a new trajectory in nursing research and practice which focuses on time and person-centred care, specifically of older people with cognitive impairment hospitalized in the acute care setting. We consider the explanatory power of concepts such as clock time, process time, fast care, slow care and time debt for elucidating the relationship between 'good care' and 'time use'. We conclude by offering two additional concepts of time, plurotemporality and person-centred time (PCT) which we propose will help advance of nursing knowledge and practice. Nurse clinicians and researchers can use these alternative concepts of time to explore and describe different temporal structures that honour the patient's values and preferences using experiential, observation-based nursing research approaches.
authors.affiliation: Gold Coast University Hospital, School of Nursing and Midwifery/Menzies Health Institute Queensland, Griffith University, Queensland, Australia. C.Rushton@latrobe.edu.au.
authors.forename: Carole
authors.initials: C
authors.lastname: Rushton
authors.affiliation: Department of Nursing, Umeå University, Umeå, Sweden.|Latrobe University/Austin Health/Northern Health Clinical Schools of Nursing, Victoria, Australia.
authors.forename: Anita
authors.initials: A
authors.lastname: Nilsson
authors.affiliation: Department of Nursing, Umeå University, Umeå, Sweden.|Latrobe University/Austin Health/Northern Health Clinical Schools of Nursing, Victoria, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Edvardsson
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D060825:Cognitive Dysfunction / Q000150:complications* / Q000523:psychology; D005853:Geriatrics / Q000379:methods* / Q000592:standards; D006801:Humans; D018802:Patient-Centered Care / Q000379:methods*; D011320:Primary Health Care / Q000639:trends*; D013997:Time Factors
keywords: Time; acute care; cognitive impairment; person-centred care; person-centred time