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The Person-centred Nursing Framework: a mid-range theory for nursing practice.
Tanya McCance1, Brendan McCormack2
1Mona Grey Professor of Nursing R&D, School of Nursing and Paramedic Sciences, Ulster University, Belfast, UK.
Person-centred nursing emphasizes the human experience in healthcare, requiring supportive workplace cultures for successful implementation. The Person-centred Nursing Framework (PCNF) offers a theoretical model for practice and research.
Area of Science:
- Nursing Science
- Healthcare Philosophy
- Organizational Psychology
Background:
- Person-centredness is a global healthcare movement prioritizing the patient experience.
- Implementing person-centred care in nursing practice faces challenges, necessitating healthy workplace cultures.
- Nursing has a historical connection to person-centred care, yet its philosophical integration requires ongoing effort.
Purpose of the Study:
- To explore the theoretical development of person-centred nursing.
- To highlight the unique contribution of the Person-centred Nursing Framework (PCNF) to nursing.
- To establish the PCNF as a relevant middle-range theory for nursing practice.
Main Methods:
- Theoretical analysis and discussion of the Person-centred Nursing Framework (PCNF).
- Review of a two-decade research program focused on operationalizing person-centredness.
- Examination of research on implementing person-centred nursing in diverse healthcare settings.
Main Results:
- The PCNF articulates the complexity of person-centred nursing, emphasizing contextual, attitudinal, and moral dimensions.
- The framework's development has supported a sustained research program over 20 years.
- Research demonstrates enhanced care experiences for both patients and nurses through PCNF implementation.
Conclusions:
- The theoretical development of nursing, viewed through the PCNF, underscores the distinctiveness of person-centredness within the discipline.
- The PCNF provides a robust theoretical foundation for advancing person-centred nursing practice and research.
- Sustained focus on workplace culture is crucial for embedding person-centredness in nursing.
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