Conceptualising the Patient Ecosystem: A Holistic Framework for Home Care

Area of Science:

• Nursing Science
• Systems Biology
• Health Ecosystems

Background:

• Holistic home-based care for non-communicable diseases (NCDs) requires a comprehensive understanding of the patient's environment.
• Existing models often lack integration of biological ecosystem principles for home care.
• The concept of a 'patient ecosystem at home' is not clearly defined.

Purpose of the Study:

• To derive a conceptual model of the patient ecosystem within the home environment.
• To integrate principles from biological ecosystem theory into a model for home-based care.
• To enhance holistic care delivery for patients with NCDs.

Main Methods:

• Concept derivation approach.
• Four-step process: literature review, cross-disciplinary exploration, parent concept selection, and redefinition within the home context.
• Focus on conceptual clarity, structure, and applicability.

Main Results:

• A conceptual model of the patient ecosystem at home was developed.
• The model highlights dynamic interactions, patient agency, and collaborative support networks (informal, formal, virtual).
• Nurses are identified as key 'ecosystem managers' supporting patient homeostasis.

Conclusions:

• The patient ecosystem model offers a novel framework for home-based NCD care.
• It promotes efficient resource utilization and improved quality of life for patients and families.
• Empirical validation and cross-sector collaboration are needed for practical implementation.