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Research Progress in "person-centered" Nursing

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Psychosomatic Medicine Research 2019年第2期1卷 39-43页

作者： Yuan Jia Meng-Ya Jing Si-Yuan Yang Li-Min Guo Fan-Jie Meng Xiang-Jie Wang Graduate School of Tianjin University of Traditional Chinese Medicine TianjinChina Tianjin University of Traditional Chinese Medicine TianjinChina Weifang Medical University ShandongChina

This paper reviews the research progress of “person-centered” nursing,and provides reference for the development of “person-centered” nursing in ***,foreign scales have been developed to measure “person-centered” nursing,such as Individualized Care Scale,P-CA,Assess Health Care Providers’ Implementation of Patient-Cen,person-centered Critical Care Nursing and Human-based Perioperative Care *** “person-centered” nursing model has been widely used in clinical nursing and nursing *** have shown that “person-centered” nursing can improve patient satisfaction and promote the physical and mental health of *** the same time,the combination of “person-centered” nursing and teaching promotes the innovation of medical education medicine,and its combination with architecture promotes the progress of hospital *** research should focus on the overall layout of hospitals and wards,use more holistic means of psychosomatic medicine to set up more comprehensive humanistic concepts such as accompanying family members area,improve the breadth and depth of humanistic nursing field,and promote the development of humanistic nursing in China.

关键词： person-centered Nursing Research progress

Healthy axis: Towards an integrated view of the gut-brain health

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World Journal of Gastroenterology 2019年第29期25卷 3838-3841页

作者： Federico Boem Amedeo Amedei Department of Oncology and Hemato-Oncology University of Milan Milano 20122 Italy Department of Experimental and Clinical Medicine University of Florence Firenze 50134 Italy Department of Biomedicine Azienda Ospedaliera Universitaria Careggi Firenze 50134 Italy

Despite the lack of precise mechanisms of action, a growing number of studies suggests that gut microbiota is involved in a great number of physiological functions of the human organism. In fact, the composition and the relations of intestinal microbial populations play a role, either directly or indirectly, to both the onset and development of various pathologies. In particular, the gastrointestinal tract and nervous system are closely connected by the so-called gut–brain axis, a complex bidirectional system in which the central and enteric nervous system interact with each other, also engaging endocrine, immune and neuronal circuits. This allows us to put forward new working hypotheses on the origin of some multifactorial diseases: from eating to neuropsychiatric disorders (such as autism spectrum disorders and depression) up to diabetes and tumors (such as colorectal cancer). This scenario reinforces the idea that the microbiota and its composition represent a factor, which is no longer negligible, not only in preserving what we call “health” but also in defining and thus determining it. Therefore, we propose to consider the gut-brain axis as the focus of new scientific and clinical investigation as long as the locus of possible systemic therapeutic interventions.

关键词： Microbiota Gut-brain axis Dysbiosis Symbiosis person-centered medicine personalized medicine

Critical reflection on the role of theater nurses in a multidisciplinary team for perioperative care in China

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Frontiers of Nursing 2019年第1期6卷 27-33页

作者： Xiao Xiao She-Ning Zhu Obstetric Department Shenzhen Maternity and Child Healthcare Hospital Nursing Administration Department Shenzhen Maternity and Child Healthcare Hospital

Objective: The aim of this article is to reflect on the role of theater nurses in a multidisciplinary team, understand the factors that have influenced theater nurses' practice, and improve the authors' clinical practice ***: The author used Smyth's model to guide the process of reflection on the practice issue. Critical reflection, critical emancipatory theory, reflexivity, and critical social theory were used to help the author analyze the factors that have affected theater nurses' practice in the ***: There are gaps between the espoused and enacted theories. A theater nurse's practice is determined by multiple factors, such as political, structural, social, historical, cultural issues, and so on. The hierarchy of the health context could hinder possible changes in theater nurses' practice. To better understand our practice and implement transformation, we should shape a supportive environment,bear in mind the practice motto of "patient-centered" care, and improve our knowledge and reflection ***: Reflection plays a significant role in the advancing of practice among theater nurses and needs to be combined with clinical practice. To provide the best service of care to perioperative patients, a theater nurse should have an insightful understanding of the factors that have influenced her/his behaviors historically, socially, and culturally. By improving their critical reflection skills,practitioners could gain knowledge from experience.

关键词： multidisciplinary team Smyth’s reflective framework reflexivity critical reflection critical emancipatory theory critical social theory task-oriented person-centered care

Listen and talk to the older patients:a critical emancipatory reflection on the practice of communication issues

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Frontiers of Nursing 2019年第1期6卷 35-40页

作者： Qiao-Miao Zeng Lian-Xiang He Department of Oncological Radiotherapy XiangYa Hospital Central South University Nursing Administration Department XiangYa Hospital Central South University

Objective: Reflection is a process of deliberating thinking and examining one's practice in the past and thereby encouraging nurses to make improvements in future care delivery. This work outlines a piece of reflection involving the practice of communication between nurses and the elderly, to emancipate the authors from their constraints, help to find values as practitioners, and gain a greater understanding of the nurse-patient ***: Using Smyth's four-stage model as a guide, as well as empirical and theoretical knowledge on nurse-patient relationships, this paper presents a deep reflection on the relationship that the authors developed with elderly patients and their families, encountered during the practice as a nurse. By applying the four main stages consisting of describe, inform, confront, and reconstruct, this model enabled the authors to frame, describe the practice issue, and explore the meaning behind it, which helps to facilitate a structured ***: Critical emancipatory reflection, in association with the Espoused theory and Theory-in-use, as well as reflexivity, critical social theory, and hegemony, was applied to uncover the various power relationships and constraining forces in the authors' practice involved in communicating with the elderly, such as the underlying false consciousness, hegemony, hidden assumptions, influential values, and dominant power structure, which are subtle and persuasive. By applying this process of critical reflection, transformative practice could be ***: The process of critical reflection facilitated the development of the abilities required to develop and maintain the nursepatient relationship. It helps to enhance the care of old patients and their families, which illuminates the future nursing practice.

关键词： emancipatory reflection older patients communication nurse-patient relationship person-centered care

Patients’ Expectations in a Geriatric Rehabilitation Ward: Matching with Actual Outcomes

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Health 2017年第11期9卷 1597-1604页

作者： Mauro Colombo Carla Facchini Achim Rusu Eleonora Marelli Giuseppe Procino Rosella Capuano Cristina Miramonti Antonio Guaita Geriatric Rehabilitation Unit/Intermediate Care Geriatric Institute “Camillo Golgi” Agency for Services to Persons (ASP) Golgi Redaelli Milano Italy Golgi Cenci Foundation Abbiategrasso Italy Sociology Department University of Milan Milano Italy

Aim: person-centered care is a core issue in rehabilitation;the study aims at: 1) enquiring the outcome expectations of patients in a geriatric rehabilitation ward;2) matching outcome expectations with actual outcomes. Methods: Expectations of 186 patients [79.4 (8.7) years, 70% females] analyzed through a questionnaire. 80.6% of patients were discharged home;functional recovery = 17.7 (22) points in Barthel Index total score, and 5 (4.2) points in Barthel Index walking subscore;also conditions with nursing needs improved significantly. Results: Patients’ expectations were coded as: functional (31.4%), overall (29.6%), and clinical improvement (21.5%), discharge home (7%);no answers or explicit lack of expectations (7.5%). Walking ability recovery differed according to outcome expectations. Highest improvements were achieved by patients wishing clinical improvement, followed by those expecting functional or overall improvement (5 points) [p = 0.009 (Welch)/p = 0.041 (Brown- Forsythe)];worst improvement in walking ability (2.8 points) were got by patients faulting or declaring explicit failure of expectations. Conditions with nursing needs improved most in those expecting clinical improvements [p = 0.029 (Brown-Forsythe)], and less in case of expectation default. No further matching was found. Conclusions: Improvement in actual outcomes matched expected improvements in two circumstances: recovery in walking ability and in conditions with nursing needs. The high yield of different favorable outcomes may have masked the statistical significance for correspondence between actual and expected results. Special attention is worthy towards patients short of expectations, as their actual outcomes result poorer.

关键词： Expectations Outcomes Geriatric Rehabilitation person-centered Care

Functional Contentment Model: Optimizing Quality of Life for Nursing Home Residents with Dementia

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International Journal of Clinical Medicine 2019年第9期10卷 439-451页

作者： Daniel M. Pierce Marilyn R. Gugliucci Shirley A. Weaver MatureCare Department of Primary Care University of New England College of Osteopathic Medicine Biddeford ME USA Division of Geriatrics Department of Primary Care University of New England College of Osteopathic Medicine Biddeford ME USA University of New England College of Osteopathic Medicine (Retired) Biddeford ME USA

The Functional Contentment Model (FCM) attains two objectives: 1) building a relationship focused plan of care for nursing home residents diagnosed with dementia;and 2) maximizing and maintaining older adults’ contentment, peace, and happiness while living in dementia care environments. There are three essential components within the FCM: 1) person/Family centered Care;2) Slow Medicine;and 3) Team Care Management. The principles of “person/Family-centered Care” are coupled with the philosophy of “Slow Medicine,” and neither can exist without the engagement of “Team Care Management.” In short, the FCM maximizes the older adult’s potential functioning in activities of daily living, cognition, gross and fine motor skills, communication, and physical well-being, while maintaining the highest possible level of contentment, peace, and happiness. This is accomplished through dynamically utilized professional modalities adapted to the changing needs of the older adult resident—pharmacologic, physical and occupational therapies, family education and involvement, dietary, spiritual, stimulating activities, as well as any individualized modality. The lead for operationalizing the Functional Contentment Model is the nursing home medical director, whose key role is assuring a team approach to care including the older adult resident, the family, and all staff (dietary, housekeeping maintenance as well as care and administrative staff). The FCM is a culture change model that has implications in practice and policy for each nursing home.

关键词： Dementia Care Functional Contentment Nursing Home person-centered Care

Significant Differences in Elderly Health between Urban and Rural Communities: A Literature Review

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Health 2019年第5期11卷 567-577页

作者： Junko Imaiso Kansai University of Social Welfare Ako-shi Hyogo Prefecture Japan

This study aimed to examine measures pertaining to elderly health in urban versus rural settings, and to identify differences in the health of elderly people living in urban and rural communities through a literature review. An electronic literature search was performed using PubMed for English articles published in peer-reviewed journals up to August 2018, with the following search terms: “urban”, “rural”, “comparison of community”, “elderly health”, and “comparison of community health”. A total of 35 articles were extracted for a critical full-text review, and six articles that met the inclusion criteria were subjected to analysis. Measures related to elderly health in urban and rural communities were classified into the following three categories: functional abilities, health, and health perception. Five of the six articles described functional abilities (e.g., social function) and health (e.g., mental health, depression) as categories with significant differences in elderly health between urban and rural communities. The results suggest that elderly health measures related to social function and mental health or depression are more important outcome measures of effective person-centered integrated community care systems from the perspective of community characteristics. As there were only a few articles reporting on elderly health according to differences in environment between urban and rural communities, further investigation is globally warranted.

关键词： Aging Society Elderly Health person-centered Integrated Community Care System Rural Urban