Abstract
Aims and objectives: To systematically review the qualitative evidence on factors that affect the experience of patients attending nurse‐led clinics and compare with key elements of person‐centred care.
Background: As the number of nurse‐led clinics increases in response to
health system needs, evaluation has focused on clinical outcomes and cost.
Patient experiences are less researched and yet, they are an important
influence on clinical outcomes and an indicator of person‐centred care. A
detailed review of existing research in this area is needed.
Design: A systematic review of primary, qualitative literature was
conducted using the Joanna Briggs Institute methodology of meta‐aggregation.
Methods: Published research from 1990–2012 was located using
CINAHL, PubMed, Medline and PsycINFO. Reference lists were searched and
analysed. Two reviewers assessed the papers for methodological quality using
instruments from the Joanna Briggs Institute to critically appraise, extract
data and meta‐aggregate findings.
Results: Eleven studies met all inclusion criteria. Three
meta‐synthesis statements were derived from 46 findings aggregated to nine
categories. The key themes relating to establishment of a therapeutic
relationship, effective communication, and clinical skills and collaboration mapped
closely to the person‐centred care framework.
Conclusion: Concepts central to person‐centred care proved to be
factors impacting patients’ subjective experience. Further research is
warranted to meet the challenge to transform the key concepts of the
person‐centred care model into everyday nursing practice.
Relevance
to clinical practice: Knowledge of
patients’ feelings and the importance of person‐centred, individualised care
may contribute to development of future training and re‐training programs in
basic nursing skills. This is significant in that it contributes to future
positive patient experience.
| Original language | English |
|---|---|
| Pages (from-to) | 19-33 |
| Number of pages | 15 |
| Journal | Journal of Clinical Nursing |
| Volume | 24 |
| Issue number | 1-2 |
| DOIs | |
| Publication status | Published - Jan 2015 |
| Externally published | Yes |
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An investigation of factors that impact patients' subjective experience of nurse-led clinics : A qualitative systematic review. / Jakimowicz, Samantha; Stirling, Christine; Duddle, Maree.
In: Journal of Clinical Nursing, Vol. 24, No. 1-2, 01.2015, p. 19-33.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - An investigation of factors that impact patients' subjective experience of nurse-led clinics
T2 - A qualitative systematic review
AU - Jakimowicz, Samantha
AU - Stirling, Christine
AU - Duddle, Maree
PY - 2015/1
Y1 - 2015/1
N2 - Aims and objectives: To systematically review the qualitative evidence on factors that affect the experience of patients attending nurse‐led clinics and compare with key elements of person‐centred care. Background: As the number of nurse‐led clinics increases in response to health system needs, evaluation has focused on clinical outcomes and cost. Patient experiences are less researched and yet, they are an important influence on clinical outcomes and an indicator of person‐centred care. A detailed review of existing research in this area is needed. Design: A systematic review of primary, qualitative literature was conducted using the Joanna Briggs Institute methodology of meta‐aggregation. Methods: Published research from 1990–2012 was located using CINAHL, PubMed, Medline and PsycINFO. Reference lists were searched and analysed. Two reviewers assessed the papers for methodological quality using instruments from the Joanna Briggs Institute to critically appraise, extract data and meta‐aggregate findings. Results: Eleven studies met all inclusion criteria. Three meta‐synthesis statements were derived from 46 findings aggregated to nine categories. The key themes relating to establishment of a therapeutic relationship, effective communication, and clinical skills and collaboration mapped closely to the person‐centred care framework. Conclusion: Concepts central to person‐centred care proved to be factors impacting patients’ subjective experience. Further research is warranted to meet the challenge to transform the key concepts of the person‐centred care model into everyday nursing practice. Relevance to clinical practice: Knowledge of patients’ feelings and the importance of person‐centred, individualised care may contribute to development of future training and re‐training programs in basic nursing skills. This is significant in that it contributes to future positive patient experience.
AB - Aims and objectives: To systematically review the qualitative evidence on factors that affect the experience of patients attending nurse‐led clinics and compare with key elements of person‐centred care. Background: As the number of nurse‐led clinics increases in response to health system needs, evaluation has focused on clinical outcomes and cost. Patient experiences are less researched and yet, they are an important influence on clinical outcomes and an indicator of person‐centred care. A detailed review of existing research in this area is needed. Design: A systematic review of primary, qualitative literature was conducted using the Joanna Briggs Institute methodology of meta‐aggregation. Methods: Published research from 1990–2012 was located using CINAHL, PubMed, Medline and PsycINFO. Reference lists were searched and analysed. Two reviewers assessed the papers for methodological quality using instruments from the Joanna Briggs Institute to critically appraise, extract data and meta‐aggregate findings. Results: Eleven studies met all inclusion criteria. Three meta‐synthesis statements were derived from 46 findings aggregated to nine categories. The key themes relating to establishment of a therapeutic relationship, effective communication, and clinical skills and collaboration mapped closely to the person‐centred care framework. Conclusion: Concepts central to person‐centred care proved to be factors impacting patients’ subjective experience. Further research is warranted to meet the challenge to transform the key concepts of the person‐centred care model into everyday nursing practice. Relevance to clinical practice: Knowledge of patients’ feelings and the importance of person‐centred, individualised care may contribute to development of future training and re‐training programs in basic nursing skills. This is significant in that it contributes to future positive patient experience.
UR - http://www.scopus.com/inward/record.url?scp=84964253713&partnerID=8YFLogxK
U2 - 10.1111/jocn.12676
DO - 10.1111/jocn.12676
M3 - Article
VL - 24
SP - 19
EP - 33
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
SN - 0962-1067
IS - 1-2
ER -