Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Walter, M.
Person-centered care: Needs and preferences of adult patients with chronic cardiovascular diseases. A Scoping Review
Masterstudium; Pflegewissenschaft; [ Masterarbeit ] Medizinische Universität Graz; 2023. pp. 79
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Großschädl Franziska
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- Abstract:
- Background: Cardiovascular diseases (CVDs) are classified as chronic diseases with an increasing number of death rates worldwide. Moreover, the number of rehospitalizations of patients with CVDs is constantly increasing and represents an immense burden for the individual patient. Person-centered care (PCC) aims to consider individual patients in order to provide holistic care, but little is known about its core components in nursing care. The aim of this master thesis is therefore to identify the needs and preferences of adult patients with chronic CVDs during hospitalization. Method: Guided by the Joanna Briggs Institute (JBI) manual, a scoping review was conducted. Studies reporting on the needs and preferences of adult patients with chronic CVDs were examined. A systematic search was performed across four medical databases. Additionally, Google Scholar was used. Inclusion criteria were based on population, concept, and context characteristics. A total of 25 studies were included and subjected to a critical quality assessment using the JBI checklists. Results: The scoping review shows that patients with chronic CVDs regard information and learning needs as important aspects during their hospitalization. Patients’ needs are related to discharge information and learning how to manage their condition. Preferences such as educator preferences or the patients’ preferred role in medical decision-making during hospitalization were specified. Patients’ desire for active participation in medical-decision making decreased with age, and differences in terms of education and gender were identified. Moreover, needs expressed by patients often differed from those perceived by nurses. Conclusion: This thesis demonstrates the extent of the existing literature on patients’ needs and preferences in the hospital setting. The results indicate that nurses and discharge management play an essential role in terms of needs and preferences of adult patients with chronic CVDs. A conceptual clarification of PCC as well as further investigation in nursing research and practice is therefore needed.