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Impact of Person-Centered Interventions on Patient Outcomes in Acute Care Settings: A Systematic Review
Maja Klancnik Gruden1, Eva Turk, Brendan McCormack
1Faculty of Health Sciences (Ms Klancnik Gruden and Drs McCormack and Stiglic), Medical Faculty (Dr Turk), and Faculty of Electrical Engineering and Computer Science (Dr Stiglic), University of Maribor, Maribor, Slovenia; University Medical Centre Ljubljana, Ljubljana, Slovenia (Ms Klancnik Gruden); School of Health Sciences, Queen Margaret University, Edinburgh, Scotland (Dr McCormack); and University of South-Eastern Norway, Drammen, Norway (Dr Turk).
Background:
Preventing adverse events is one of the most important issues in health care.
Purpose:
The purpose of this systematic review was to determine the impact of person-centered interventions on patient outcomes in an acute care setting.
Methods:
The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eligible interventions included person-centered interventions that address at least one of these outcomes: pressure ulcer, accidental falls, medication errors, and/or cross infection.
Results:
The review showed that there is a paucity of evidence supporting the use of person-centered interventions in reducing patient falls. For the other outcomes, existing research provides an insufficient evidence base on which to draw conclusions.
Conclusions:
Theory of person-centeredness is still in its ascendency. Poor evidence may also be the result of quantitative research designs that are insufficient in studying the impact of a person-centered approach. We postulate that use of mixed-methods designs is beneficial and would give a clearer picture of the impact of person-centered interventions.
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