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8 Dimensions Picker Institusi

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51 views2 pages

8 Dimensions Picker Institusi

Uploaded by

inggar ratnakusuma
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© © All Rights Reserved
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Person- and Family-Centred Care

Appendix D: Eight Dimensions


of Patient-Centered Care
The following eight dimensions of patient-centred care, also known as the Eight Picker Principles of Patient-Centered
Care, were identified through research by the Picker Institute and Harvard Medical School. The research involved
gathering information from diverse focus groups – including patients, physicians and other hospital staff, and family
members – regarding their health-care experiences, and reviewing relevant literature to determine what matters most
to patients. Figure 2 illustrates the eight dimensions of patient-centred care. The discussion of the eight principles
below is adapted from the Picker Institute (1987).

Figure 2. Eight Dimensions of Patient-Centered Care

Patients’ Emotional Physical Information


Preferences Support Comfort & Education

8 Dimensions of
Patient-Centered Care
Continuity Coordination
Access to Care Family & Friends
& Transition of Care
APPENDICES

Source: Reprinted from Eight Dimensions of Patient-Centered Care, by National Research Corporation Canada. Retrieved from http://www.nationalresearch.
com/products-and-solutions/patient-and-family-experience/eight-dimensions-of-patient-centered-care. Copyright 2015 by National Research Corporation
Canada. Reprinted with permission.

Eight Principles of Patient-Centered Care


1. Respect for Patients’ Values, Preferences, and Expressed Needs

■ Treating individuals with respect, in a way that maintains their dignity and demonstrates sensitivity
to their cultural values
■ Keeping individuals informed about their condition and involving them in decision making
■ Focusing on the person’s quality of life, which may be affected by their illness and treatment

84 R E G I S T E R E D N U R S E S ’ A S S O C I AT I O N O F O N TA R I O
Person- and Family-Centred Care

2. Coordination and Integration of Care

■ Coordinating and integrating clinical and patient care and services to reduce feelings of fear and vulnerability

3. Information and Education

■ Providing complete information to individuals regarding their clinical status, progress, and prognosis; process
of care; and information to help ensure their autonomy and their ability to self-manage, and to promote
their health

4. Physical Comfort

■ Enhancing individuals’ physical comfort during care, especially with regard to pain management, support with
the activities of daily living, and maintaining a focus on the hospital environment (e.g., privacy, cleanliness,
comforts, accessibility for visits)

5. Emotional Support and Alleviation of Fear and Anxiety

■ Helping to alleviate fear and anxiety the person may be experiencing with respect to their health statute
(physical status, treatment, and prognosis), the impact of their illness on themselves and others (family,
caregivers, etc.), and the financial impacts of their illness

6. Involvement of Family and Friends

■ Acknowledging and respecting the role of the person’s family and friends in their health-care experience by:
• Accommodating the individuals who provide the person with support during care
• Respecting the role of the person’s advocate in decision making
• Supporting family members and friends as caregivers, and recognizing their needs

7. Continuity and Transition

■ Alleviating anxiety about the person’s ability to self-manage after discharge by:

APPENDICES
• Providing information regarding medication, physical restrictions, nutrition, etc.;
• Coordinating ongoing treatment and services and sharing this information with the person and their family;
and
• Providing information regarding access to supports (e.g., social, physical, and financial) on an ongoing basis

8. Access to Care

■ Ensuring, mainly with respect to ambulatory care:


• Access to multiple health-care settings and services
• Availability of transportation
• Ease of scheduling and availability of appointments
• Access to specialists and specialty services when needed
Reference: Picker Institute. (1987). Principles of patient-centered care. Retrieved from http://pickerinstitute.org/about/picker-principles/

BEST PRACTICE GUIDELINES • w w w. R N A O . c a 85

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