What is Most Important for You Now? Person-Centered Postoperative Care in the PACU

Abstract

THE CONCEPT OF person-centered care (PCC) has an extensive long history in health care and can be traced back to Florence Nightingale, who differentiated between nursing and medicine through nursing's focus on the patient rather than the disease. In 1950, Hildegard E. Peplau, the first published nursing theorist since Nightingale, stated that the interpersonal relationship between the nurse and patient lay at the crux of nursing and that interpersonal relationships have shifted the focus from the clinician to the person receiving care, thus giving control to that individual. 1 Peplau H. Interpersonal Relations in Nursing. Putnam's Sons, New York1952: 16 Google Scholar In 2001, the Institute of Medicine identified PCC as one of the 6 pillars of quality health care and described it as providing care that is respectful of and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. 2 Richardson W. Berwick D. Bisgard J. Bristow L. Buck C. Cassel C. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. National Academy Press, Washington, DC2001 Google Scholar In a review of PCC, the following 9 themes were identified: empathy, respect, engagement, relationship, communication, shared decision-making, holistic focus, individualized focus, and coordinated care. 3 Håkansson J.E. Holmström I.K. Kumlin T. et al. “Same same or different?” A review of reviews of person-centered and patient-centered care. Patient Educ. 2019; 102: 3-11 Google Scholar Currently, PPC is largely considered to be the golden standard for health care across the world. Ulrica Nilsson, PhD, RNA, Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institute Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden