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Client-centred empowering partnering in nursing.

Darlene Brown¹, Carol McWilliam, Catherine Ward-Griffin

¹Client-Centred Care Project Manager, Community Living, South Huron, Ontario, Canada. darlenembrown@hotmail.com

Journal of Advanced Nursing

|January 21, 2006

Summary

Nurses find implementing client-centered care challenging due to systemic barriers and a need to embrace professional autonomy. The home care setting provides opportunities for this shift.

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Area of Science:

Nursing Practice
Healthcare Delivery Models
Patient-Centered Care

Background:

Traditional nursing models focus on 'doing for' patients, with less emphasis on home care.
Home care presents unique challenges including isolation and limited nurse autonomy.
Existing research lacks guidance on transitioning to client-centered, empowering nursing approaches.

Purpose of the Study:

To explore Registered Nurses' experiences with a client-centered, empowering partnering approach to care one year post-implementation.
To understand the facilitators and barriers in adopting this innovative care model.

Main Methods:

Interpretive phenomenological design.
In-depth interviews with eight Registered Nurses.
Hermeneutic analysis of qualitative data.

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Main Results:

Caring, client-centeredness, and the home care context were crucial for the new approach.
Systemic, organizational, and personal barriers hindered full adoption.
Nurses began considering partnering strategies but hadn't fully utilized their professional autonomy.

Conclusions:

Nurses tend to default to expert-driven care models.
Overcoming issues of professional autonomy is key to client-centered empowering partnerships.
The home care setting is well-suited for developing and practicing this approach.