title: The meaning of person-centred care in the perioperative nursing context from the patient's perspective - an integrative review.
abstract: OBJECTIVE
  To determine the meaning of person-centred care from the patient's perspective and in the context of perioperative nursing.
  
  
  BACKGROUND
  Person-centred care is used, but not defined in the perioperative context. The concept indicates an interest in the patient's own experience of health, illness, needs and preferences. As with many terms that are frequently used, there is a tendency for person-centred care to mean different things to different people in different contexts.
  
  
  METHODS
  Integrative Review.
  
  
  METHODS
  A two-part search strategy was employed: first, a computerised database search of PubMed and CINAHL, using Medical Subject Headings and free terms to search articles dating from 2004-2014, was performed, and second, a hand-search of those articles' reference lists was performed. Twenty-three articles were selected, and an integrative review was conducted.
  
  
  RESULTS
  Four themes were discovered: 'being recognised as a unique entity and being allowed to be the person you are', 'being considered important by having one's personal wishes taken into account', 'the presence of a perioperative nurse is calming, prevents feelings of loneliness and promotes well-being, which may speed up recovery' and 'being close to and being touched by the perioperative nurse during surgery'.
  
  
  CONCLUSIONS
  Person-centred care means respecting the patient as a unique individual, considering the patient's particularities and wishes and involving the patient in their own care. Person-centred care also implies having access to one's own nurse who is present both physically and emotionally through the entire perioperative process and who guides the patient and follows up postoperatively, guaranteeing that the patient is not alone.
  
  
  CONCLUSIONS
  By having a common understanding of the concept of person-centred care, the nurse anaesthetists' and theatre nurses' caring actions or concerns will be directed towards the patient, resulting in personalisation of care rather than simply defining the concept.
authors.affiliation: Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.|Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
authors.forename: Erebouni
authors.initials: E
authors.lastname: Arakelian
authors.affiliation: Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
authors.forename: Christine Leo
authors.initials: CL
authors.lastname: Swenne
authors.affiliation: Department of Anaesthesia, Skaraborg Hospital, Skövde, Sweden.
authors.forename: Susan
authors.initials: S
authors.lastname: Lindberg
authors.affiliation: Department of Health Sciences, University West, Trollhättan, Sweden.|Faculty of Professional Studies, University of Nordland, Bodø, Norway.
authors.forename: Gudrun
authors.initials: G
authors.lastname: Rudolfsson
authors.affiliation: Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.|Department of Neurosurgery, R2:02, Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Ann-Christin
authors.identifier: http://orcid.org/0000-0002-3006-2443
authors.initials: AC
authors.lastname: von Vogelsang
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D018802:Patient-Centered Care / Q000592:standards*; D013527:Perioperative Nursing / Q000379:methods*; D012648:Self Care / Q000523:psychology; D009626:Terminology as Topic
keywords: integrative review; nursing; patient perspective; perioperative; person-centred care