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Person- and Family-Centred Care Guideline at a Glance (Nursing Practice Guideline)

Person- and Family-Centred Care Guideline at a Glance (Nursing Practice Guideline) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Nursing Practice Guidelines









Guideline Title: Person – and Family – Centred Care
Effective Date: March, 2016
Approved By: Nursing Practice Guidelines Committee; Nursing Practice Council

I. Guideline Overview
This content is extracted from the adopted source document: Registered Nurses’ Association of
Ontario. (2015). Person-and-Family Centred Care. Toronto, Canada: Registered Nurses’ Association
of Ontario. Please refer to the source guideline for complete information.

This nursing Best Practice Guideline (BPG) is a comprehensive document that provides resources
for evidence
-
based nursing practice. It is not intended to be a manual or “how to” guide, but rather
a template to guide best practices associated with enhancing person- and family-centred care and
the partnerships between health-care providers, the person, and their family within the context of
the therapeutic relationship to manage health.


Best practice guidelines are systematically developed statements designed to assist nurses working
in partnership with persons and their families to make decisions about health care and services
(Field & Lohr, 1990). This nursing Best Practice Guideline (BPG) is intended to replace the RNAO
BPG Client Centred Care (2002) and its supplement (2006a).

Target Population:
It is to be used by nurses and other members of the interprofessional health-care team to enhance
the quality of their partnerships with individuals accessing care, ultimately improving clinical
outcomes and the person and family’s experience of health care through the use of evidence-based
person- and family-centred-care practices.

Nursing Practice Guideline Objectives
The purpose of this Guideline is to promote the evidence-based practices associated with person-
and family-centred care, and to help nurses and other healthcare providers acquire the knowledge
and skills necessary to become more adept at practising person- and family centred care. The
recommendations will help nurses and other health-care providers gain the knowledge required to
partner and develop empowering relationships with persons accessing care and their families, in
order to optimize health and wellness over their life continuum. This evidence-based approach,
combined with a perspective that recognizes the place of the person at the centre of heath care,
will improve individuals’ experience of and satisfaction with the care and services provided within
the health system. It applies to all domains of nursing practice, including clinical, administration,
and education.

Use of the Term “Person” in This Guideline
We have noted the various terms applied to the individual with whom health-care providers
establish a therapeutic relationship for the purposes of partnering for health. In this Guideline, the
only term that will be used is “person.” As used in this Guideline, the term is inclusive of the
individual and their family. A person’s “family” includes all those whom the person identifies as
significant in his or her life (e.g., parents, caregivers, friends, substitute decision-makers, groups,
communities, and populations). Exceptions to the use of this terminology occur in discussions of
literature (e.g., studies, reports, etc.) that use alternative terms.







University of Wisconsin Hospitals and Clinics
Nursing Practice Guideline At-a-Glance


Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Last Revised: 03/201 6EArsenaultknudsen@uwhealth.org
II. Practice Recommendations
RNAO
Recommendation
Number
RNAO Recommendation
(see full guideline for complete list of recommendations)
Type of
Evidence
Practice Recommendations
1.0 Assessment
1.1
Establish a therapeutic relationship with the person using
verbal
and non-verbal communication strategies to build a genuine,
trusting, and respectful partnership.
III
1.2
Build empowering relationships with the person to promote the
person’s proactive and meaningful engagement as an active
partner in their health care.
Ia
1.3
Listen and seek insight into the whole person to gain an
understanding of the meaning of health to the person and to
learn their preferences for care.
Ia
1.4
Document information obtained on the meaning and
experience of health to the person using the person’s own
words.
V
2.0 Planning
2.1
Develop a plan of care in partnership with the person that is
meaningful to the person within the context of their life.
Ia
2.2
Engage with the person in a participatory model of decision
making, respecting the person’s right to choose the preferred
interventions for their health, by:
1) Collaborating with the person to identify their priorities
and
goals for health care;
2) Sharing information to promote an understanding of
available
options for health care so the person can make an
informed
decision; and
3) Respecting the person as an expert on themselves and
their life.
Ia
3.0 Implementation
3.1
Personalize the delivery of care and services to ensure care is
not driven from the perspective of the health-care provider and
organization, by collaborating with the person on:
1) Elements of care;
2) Roles and responsibilities in the delivery of care; and
3) Communication strategies.
Ia
3.2
Partner with the person to tailor strategies for self-
management
of care that are based on the person’s characteristics and
preferences for learning.
V
4.0 Evaluation
4.1
Obtain feedback from the person to determine the person’s
satisfaction with care and whether the care delivered was
person and family-centred.
Ia

Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Last Revised: 03/201 6EArsenaultknudsen@uwhealth.org
Education Recommendations
5.1
Educate health-care providers at a minimum on the following
attributes of person- and family-centred care to improve the
person’s clinical outcomes and satisfaction with care:
1) Empowerment;
2) Communication; and
3) Shared decision making.
Ia
5.2
Educational institutions incorporate this Guideline into the
curricula for nurses and, as appropriate, for other health-care
providers.
V
System, Organization And Policy Recommendations
6.1
Create an organizational culture that exemplifies its
commitment
to person- and family-centred care by:
1) Demonstrating leadership and commitment to this
approach
to care;
2) Involving the person in co-designing health programs
and
services; and
3) Building healthy work environments for all health-care
providers.
V
6.2
Design an environment that demonstrably improves the
person’s
experience of health care by:
1) Creating healing environments;
2) Being flexible and partnering to personalize care
routines;
3) Improving access to care and services;
4) Enhancing the continuity and coordination of care and
services during transitions; and
5) Providing continuity of caregivers.
V
6.3
Collect continuous feedback from the person to determine
whether their experience with health care and services was
person- and family-centred, and utilize this feedback to make
improvements at all levels of the health system.
III
6.4
Government agencies and regulatory bodies must monitor,
measure, and utilize information from organizations regarding
the person’s experience of health care to improve health-
system performance.
Ia
III. Pertinent Resources
A. Policies
1. Policy 7.15: Discharge Planning Process
2. Policy 3.3.5: Participation of Patients’ Primary Supports and Visitors
3. Policy 7.44: American Family Children’s Hospital (AFCH) Admissions
B. Patient Education Resources
1. HFFY 7523: Healthy Changes: Setting Goals & Making Plans [English]
2. HFFY 7879: Healthy Changes: Setting Goals & Making Plans [Spanish]
C. Clinical Tools
1. TRIP: Discharge Education using AHCP

Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Last Revised: 03/201 6EArsenaultknudsen@uwhealth.org
2. TRIP: Bedside Shift Report
3. TRIP: Intentional/Hourly Rounding
4. Individualizing Care through RN Care
5. Patient and Family Goals: Practice Implications
6. Hospital Goals/Plan: Adding on Admission/Completing at Discharge & Initiating
Longitudinal Goals
7. Patient and Family Advisor Partnership Program
IV. References
See full guideline document for list of references.
V. Rating Scheme For The Strength Of The Recommendations
Ia Evidence obtained from meta-analysis or systematic reviews of randomized controlled trials,
and/or synthesis of multiple studies primarily of quantitative research.
Ib Evidence obtained from at least one randomized controlled trial.
IIa Evidence obtained from at least one well-designed controlled study without randomization.
IIb Evidence obtained from at least one other type of well-designed quasi-experimental study,
without randomization.
III Synthesis of multiple studies primarily of qualitative research.
IV Evidence obtained from well-designed non-experimental observational studies, such as
analytical studies or descriptive studies, and/or qualitative studies.
V Evidence obtained from expert opinion or committee reports, and/or clinical experiences of
respected authorities.
Adapted from the Scottish Intercollegiate Guidelines Network (Scottish Intercollegiate Guidelines
Network [SIGN], 2011) and Pati (2011).