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Patient-centered communication in home-based dementia caregivers: A concept analysis
Gebrezabher Niguse Hailu1,2, Maria Isabel Da Conceicao Dias Fernandes2, Allyne Fortes Vitor2
1Mekelle University, school of Nursing, Mekelle, Ethiopia.
Patient-Centered Communication (PCC) in dementia home care involves specific attributes like empathy and respect. Understanding PCC enhances caregiver support, improves communication, and boosts the quality of life for individuals with dementia.
Area of Science:
- Gerontology
- Nursing
- Communication Studies
Background:
- Patient-Centered Communication (PCC) is crucial for quality dementia care.
- Key aspects of PCC in home-based dementia care require further clarification.
Purpose of the Study:
- To systematically analyze and define Patient-Centered Communication (PCC) within the context of home-based dementia caregiving.
- To delineate the defining attributes, antecedents, and consequences of PCC in this setting.
Main Methods:
- A concept analysis using the Walker and Avant (2019) framework.
- An integrative literature review of 15 peer-reviewed studies (2009-2025) from major databases.
Main Results:
- Identified seven defining attributes of PCC: cognitive-appropriate communication, active listening, empathy, non-verbal sensitivity, compassion, individualization, and respect for autonomy.
- Antecedents include cognitive decline, communication challenges, and caregiver factors.
- Consequences encompass improved emotional well-being, communication effectiveness, reduced distress, and enhanced quality of life.
Conclusions:
- PCC is a multidimensional, relational approach vital for preserving personhood, dignity, and emotional safety in home-based dementia care.
- Clarifying PCC attributes supports targeted communication training, caregiver education, and policy development for person-centered dementia care.
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