Patient-Centered Care – Patient-Centered Care (PCC) means providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. PCC means including patient context, for example social determinants of health, thinking about patients’ health and well-being broadly (beyond typical clinical outcomes), and focusing on patients in their daily lives.
CHOIR investigators are leaders in the Veterans Access Research Consortium (VARC), Goal 1 of the current VA Strategic Plan is to have “Veterans choose VA for easy access, greater choices, and clear information to make informed decisions.” Access must be responsive to Veteran needs and provide them with options so they can get the care they need in a timely manner. While care coordination is an important component of access, the goal primarily emphasizes the patient-centeredness of access – that care must be tailored to that particular Veteran’s clinical needs and preferences for accessing care, and that communications with Veterans and caregivers incorporate their needs and preferences as well. Whole Health approach to implementing Shared Decision Making for Lung Cancer Screening (WISDOM LCS) is a Research to Impact for VeteRans (RIVR) program using a multi-level intervention targeting barriers to implementing Shared Decision Making for Lung Cancer Screening in VISN 1. Continuing the Conversation (CTC) : A Multi-Site RCT Using Narrative Communication to Support Hypertension Self-Management for African American Veterans (IIR 17-185) studies the impact of online videos in which African-American Veterans share stories about challenges/successes in hypertension self-management, followed by longitudinal texting support which incorporates quotations and themes from these stories. Veteran participants are invited to select the storyteller whose narrative they found most relevant, and this selection informs the narrative-aligned text messages they receive over a 6-month period, supporting healthy self-management behaviors. The Center for Evaluating Patient-Centered Care (EPCC) was formed at CHOIR to assist VA’s Office of Patient-Centered Care and Cultural Transformation (OPCC&CT) with the evaluation of its Whole Health transformation. EPCC’s evaluation has evolved as OPCC&CT’s mission has matured from implementing wide ranging patient-centered care interventions to implementing the Whole Health System of Care as a key component of a high performing health care network.
What is PCC in nursing?
Person-centered care (PCC) has traditionally been equated with patient-centered care. The Institute of Medicine describes patient-centered care as including qualities of compassion, empathy, respect and responsiveness to the needs, values, and expressed desires of each individual patient.
- It is inclusive of care that ensures that patient values guide clinical decisions (IOM, 2001, pp.48-50).
- However, it is worth noting that person-centered care is more holistic and inclusive of family, significant others, context, prevention, promotion, and preferences, among other elements (Santana et al., 2018).
In their concept analysis of person-centered care, Morgan and Yoder (2011) identified four attributes of person-centered care, which includes that it is holistic, individualized, respectful, and empowering. They further stated that leaders in person-centered care environments set the tone for how they and others enact and maintain a person-centered care culture and that they put the relationship before the task when planning and delivering care.
- A person-centered care philosophy is uniquely supported by Jean Watson’s definition of nursing and the ten carative factors that she identified in her theory of nursing.
- Watson defined nursing as, “a human science of persons and human health-illness experiences mediated by professional, personal, scientific, esthetic and ethical human transactions” (Watson, 2007, p.54).
The crucial carative or caring factors as identified by Watson that support her theory, include altruism, enabling of faith and hope, sensitivity to self and others, human care (helping and developing trust), allowing for and accepting of positive and negative expressions of feelings, using creative problem solving solutions, being authentic when coaching / teaching, practicing from a position of dignity and respect (protective and corrective), providing for basic human needs and attending to life changes such as supporting a peaceful death (Wagner, 2010, pp.3-7; Watson, 2007, p.75),
Risten Swanson in her theory of caring (1991; 1993) describes nursing practice as including passion and commitment ; viewing the other with high regard ; being physically, emotionally and mindfully present while conveying the message that the patient is not alone; performing activities to assist in health, recovery or when the other is unable to care for self or when the patient needs assistance with a peaceful death/transition,
The last phase of her theory, enabling, includes various forms of communication, including touch, support, and presence. A third theorist, Madeleine Leininger, adds to our understanding of the connection between nursing care and culture in Culture Care Diversity & Universality: A Theory of Nursing (Leininger, 1991).
The strength of this theory is the acknowledgement and inclusion of culture and context in our caring behaviors when engaging with others who believe, hold and practice various perspectives. It asks us to think about the stated and unstated needs of all people and to develop interventions that are respectful and intentionally inclusive of the lifeways of those for whom we provide care.
The Center for Medicare and Medicaid Services (CMS) has endorsed person-centered care as critical to providing quality care. The following model illustrates this perspective and identifies the components underpinning person-centered care.
What does it mean to provide person-centered care?
What does person-centered care mean for health care providers? –
What is PCC NHS?
NHS Prescription Prepayment Certificate (PPC)
What does PCC stand for in documents?
Police Clearance Certificate (PCC) is issued to Indian Passport holders in case they have applied for Residential Status, Employment or Long term visa or for immigration. PCC cannot be issued for persons going abroad on Tourist Visa.
What are the three elements of person-centered care?
A person-centered, strength-based approach is about self-determination, treating people with respect and dignity, and working together to enhance the person’s quality of life.
What is an example of person centered practice?
Person-centred practice is a natural part of our day-to-day work – We can make person-centred practice a part of our work through our everyday interactions with patients and their family and carers, for example:
smile and introduce ourselves wear a name tag that people can see and read explain your role to the patient ask the patient how they are feeling today – both physically and emotionally see the patient as a person who has a life outside hospital treat the patient as an equal partner listen to the patient and respect the knowledge they bring about their own health listen to their family and carers acknowledge that being in hospital can be a frightening and uncertain time for patients and their families acknowledge that feeling lonely or isolated in hospital can be a common experience make sure the patient has all the information they need to make informed choices.
‘ find that the families and the carers that come along to us, with the patients, have a wealth of knowledge. When the patients can’t tell us what they need, their carers often can. – Dora, clinical resource nurse 1
What are the 6 values of person-centred care?
Person centred values in practice This video is normally available to paying customers.You may unlock this video for FREE. Enter your email address for instant access AND to receive ongoing updates and special discounts related to this topic. Person-centred values are the guiding principles that help to put the interests of the individual receiving care or support at the centre of everything we do.
- Examples include individuality, independence, privacy, partnership, choice, dignity, respect and rights.
- In health and social care, person-centred values include individuality, rights, privacy, choice, independence, dignity, respect and partnership.
- Let’s look at these in more detail.
- Individuality – Each person has their own identity, needs, wishes, choices, beliefs and values.
‘One size fits all’ does not work when it comes to providing care and support. Rights – The Human Rights Act 1998 is the main legislation that sets out the rights of people in the UK. You have the right to speak your mind and be kept safe from harm, as well as the right to respect dignity and equality.
You should make sure an individual’s rights are respected, not only by yourself but by other people involved in their care. Privacy – Everyone has a right to private space and time when they need it. Privacy affects how and where care and support are given, especially when it involves personal hygiene or intimate procedures.
Privacy includes not talking to anyone about the individual’s private information unless they give permission and it is on a need-to-know basis to improve their care and support. Choice – Each individual should be supported to make choices about their care and support.
- They should be given information in a way that they can understand so they can make informed choices.
- When working with individuals who cannot express their wants, needs and wishes in words, you must find other ways of communicating.
- Additional training and supervision can help you to develop these skills.
Independence – Promoting an individual’s independence means to look at what they can do for themselves and empower them to do as much as possible for themselves. It does not mean leaving someone to cope alone but agreeing to the support they need and want.
- Dignity – Treating somebody in a dignified way means to treat someone with respect, valuing their individuality and their ethical and moral beliefs.
- In order to provide the dignified care, you need to have an open and positive attitude.
- Take time to do things their way, don’t make assumptions about how they want to be treated and be aware of how personal care may affect their dignity.
Respect – Respecting someone means believing and showing that they have importance as an individual. It means that they have their own opinions and feelings and that even though you may not agree with them, you do respect them. Partnership – You work in partnership when you involve the individual and their family and work alongside other workers.
What does PCC stand for foundation?
The term PCC stands for plain cement concrete. The mixture of cement, fine aggregate (sand), and coarse aggregate is generally referred to as plain cement concrete (PCC).
What is CP NHS?
NHS England » Child protection information sharing system
Child protection information sharing system
The assists information sharing between the local authority and health.CP-IS identifies and safeguards unborn babies and children who are subject to a local authority Child Protection Plan when attending unscheduled healthcare settings across England.Building on the success of the initial CP-IS programme, through stakeholder engagement this programme is now being extended in a second phase to include scheduled healthcare settings.
: NHS England » Child protection information sharing system
What does CIC mean in NHS?
Overview – Community Integrated Care (CIC) – NHS.
How do I document in PCC?
After you have scanned or printed a file into PCC EHR, you can use the Import Documents screen to review the document and place it into a patient’s chart. Along the way, you can title and tag the document, create tasks for later, attach the document to a specific visit, and even make it available to the patient families in the patient portal. Or select “Import Documents” from the File menu. Optional: Set Which File Sources Appear For You PCC EHR sends scanned documents and files to one or more “buckets”, or file sources. You can use the file source drop-down to set which buckets will appear for you. For example, if you regularly work with Lab results and your office has a Lab scanner, you should add the Lab file source to your list. Select One Document or Multiple Documents Click on a document you wish to link to a patient. If there are multiple pages for a single document, hold the Shift key in order to select all pages. By default, documents appear in reverse-chronological order, so a document you just scanned will appear at the top. You can also sort by file name. Can’t Find My Document?: If your Import Documents window has been open for a long time, you may not see the most recently scanned files. You can refresh the list of scanned documents at any time by clicking “Load New Files”. You might also need to check other file sources in the File Source menu, as described in the optional step above. Review the Document in the Central Panel While sorting through multiple documents, you can review a document’s content in the Preview panel. Optionally Split a Scanned File into Pages If a single scanned document should be broken into multiple files, click “Split File”. You can then give each page of a document a different category, and/or attach it to different encounters or orders. After you click Split File, small files will split quickly. Large scans of dozens or hundreds of pages may take several seconds or minutes to divide into single pages. Find a Patient Use the Find field to find a patient. Double click on the patient to select them. You may search by patient name, date of birth, or use any of your office’s custom search keys as described in the Open a Chart help article. Open Recent Patient, One-Click ‘Last Patient’: Click on the patient find field’s drop-down menu to pick from any of the last ten patients you worked with. Add a Title, Select a Category, and Attach the Document to an Encounter After you select a patient, enter a title and then choose a document category. To associate a document with an encounter (a visit, phone note, or portal message) or a care plan, select it from the drop-down menu. Click “File as Unattached Document” to simply import the document to the chart. You can then optionally enter a date for the document and indicate whether or not the document should appear in the Visit History Index for the patient. Default: When you choose to file a document as unattached, PCC EHR assumes that you wish to add the document to the patient’s Documents section, but not to the Visit History. If you wish it to appear in the visit history, enter a date. Categories: If you wish to edit the document categories your office uses, read Edit Document Categories, Share in My Kids Chart: To share with My Kid’s Chart users, click the box to make the document available in the patient portal. Optional: Create a Document Task For each document you can add new tasks, select who the task is for, and add a note. You can add more than one task if many different users need to respond to the content of a document. Click Save Click the “Save” button at the bottom of the screen to finish importing the document.
What is PCC in psychology?
The Intervention – A Package Developed from Science Replicating Effective Programs (REP) is a CDC-initiated project that supports the translation of evidence-based HIV/AIDS prevention interventions into everyday practice, by working with the original researchers in developing a user-friendly package of materials designed for prevention providers.
PCC is one of the REP interventions. The PCC intervention package is the product of extensive collaboration among researchers, training developers, community service providers, and community-based agencies. The intervention has been field tested in two community agencies by non-research staff. Core Elements Core Elements are intervention components that must be maintained without alteration to ensure program effectiveness.
The core elements of PCC include:
- Provide one-on-one counseling focusing on a recent, memorable high risk sexual encounter.
- Provide the service with counselors trained in HIV counseling and testing and in the PCC intervention.
- Use the questionnaire specifically tailored to identify key self justifications used by clients in the target population.
- Using the questionnaire and discussion, identify specific self-justifications used by clients in making the decision to engage in specific high-risk behavior.
- Explore the circumstances and context for the risk episode in detail (before, during and after).
- Clarify how the circumstances and self-justifications are linked to the decision to engage in high-risk behavior.
- Guide the clients to re-examine the thinking that led to their decision to have high-risk sex and identify ways they might think differently, and therefore have protected sex in future potentially risky situations.
- Package Contents PCC Implementation Manual with guidance and materials for implementation.
- Timeline for Availability The package is available from CDC along with training on program implementation and technical assistance.
- For More Information on the PCC Intervention Package To find out more about future trainings, please visit,
: Personalized Cognitive Counseling (PCC) A Single Session Intervention for MSM Who Are Repeat Testers for HIV
What does PCC stand for in education?
Professional Certified Coach (PCC) Credential.
What are the 9 person centered values?
Promote person-centred values in everyday work – Promoting person-centred values means carrying out your role in a way that respects the people you work with so that they can live the life that they choose to. This should not be any different from what you would want or expect should you need care and support.
- When you go about your day-to-day work you must always be aware of the individual person that you are providing the service for.
- You may see these values expressed in the following way: individuality, independence, privacy, partnership, choice, dignity, respect, rights, equality and diversity.
- In the course of your work you may come across the term ‘self-directed support’ or ‘personalisation’.
These terms mean enabling people to be more in control of the services they receive. Look at the following resources:
The SCIE Personalisation guide provides the basic information you need. SCIE Care Skillsbase, Skill Check 37: Person-centred Care and Support, The Nursing and Midwifery Council (NMC) has produced a Guide to the Care of Older People,
What are the 8 values of person-centered care?
Person-centred values in healthcare – The eight values in person-centred healthcare are individuality, rights, privacy, choice, independence, dignity, respect, and partnership. All that you need is a healthcare professional who, at the very least, ask three questions:
Why are you here?What do you think is going on/giving you your symptoms?What do you think needs to happen for you to recover?
By asking these questions we have addressed: Individuality and respect: what you want as a patient is unique to you. I also respect that you have your own priorities, understanding of your symptoms, and expectations of how recovery should look. Choice: by engaging you with these three questions, I am able to provide you with the accurate information necessary for you to make a decision on care.
This is informed decision-making. You have a choice. Remember, what I have to say about your condition may be different from what you expect (we wouldn’t know if I didn’t ask). Without correctly understanding what is going on, you cannot make a decision that is truly informed. Dignity and partnership: co-decision making – I choose to respect you as a person and a partner in co-constructing your pain solution.
I value your individuality, ethical, and moral beliefs, and would work your recovery around them. I hope in sharing this with you, you’d have a better idea of what to look for in choosing the right person to work with you for your chronic pain. Most of you reading this would probably have experienced subpar treatments with little to no results.
What’s a CP nurse?
Description – Nursing Assistants, sometimes called nursing aides, help provide basic care to patients such as bathing and dressing, helping patients eat, taking vital signs, lifting patients into beds and wheelchairs, providing and emptying bedpans and changing bed sheets.
- The Nursing Assistant Certificate of Proficiency (CP) is designed to provide a curriculum to improve student knowledge about the health care field.
- Successful completion includes the required course content and hours specified by the Arizona Nurse Practice Act making a student eligible to take the Arizona state test to become a Certified Nursing Assistant (CNA) or Licensed Nursing Assistant (LNA).
This certification not only establishes direct-to-work credentials, it is a creditable foundation for students interested in pursuing other, allied health careers. Licensed Nursing Assistant (LNA) is a mandatory requirement for entering the NPC Nursing Program.
Is PCU considered critical care?
Choosing the Career in Nursing That’s Right for You – The job outlook for today’s nursing professionals is strong and is expected to grow by more than 12% from 2018 to 2028. In 2018, pay for registered nurses ranged from $50,800 to $106,530, with a median pay of $71,730, making these nursing careers both lucrative and rewarding.1 Acute and critical care nurses provide care for patients who are in critical condition and potentially close to death. These patients are adults and children who due to serious injury or illness are not in stable condition, not conscious, and have unstable vital signs.
Critical care nurses can work in specialized intensive care units (ICUs) for patients with burns, head injuries, or other life-threatening conditions. ICU nurses are in high demand, but must have the right education, training, and experience to work in settings that can be both emotionally and physically challenging.
In addition, nurses must gain at least two years of experience in an ICU setting before they can sit for the Critical Care Registered Nurse certification examination administered by the American Association of Critical-Care Nurses (AACCN). Nurses in progressive care units (PCU) provide a different but just as valuable form of care for hospital patients.
- A PCU serves as a bridge between an ICU and a medical-surgical unit.2 While a patient in a PCU no longer needs critical care, they typically still require a high level of nursing care and extra surveillance.
- PCUs can vary widely from offering specialized needs for cardiac, respiratory, or stroke patients, to offering care for patients with a variety of needs.
The overall goal of a PCU nurse is similar to that of other nurses: to provide cost-effective, high-quality, safe patient care. When choosing whether to pursue a career in nursing in an ICU or a PCU, a nurse should consider factors such as the nursing skills and nursing education needed in each setting, as well as personal abilities and career goals.
What does PCC stand for physiotherapy?
Background : The term patient-centered care (PCC) is increasingly used in health care with the intent of improving outcomes. How PCC is defined and operationalized in the physical therapy literature and its outcome measures have not been systematically explored.
- Such knowledge is needed in the interest of designing studies and comparing their findings.
- Objectives : (1) to describe how the term PCC is conceptualized in the physical therapy literature, and operationalized and implemented in research; and (2) to describe the measures used to evaluate its effectiveness.
Methods : CINAHL, Medline, PsycINFO, PubMed, and SportDiscus databases were searched from databases’ inceptions to April 2015, using a combination of keywords. Two investigators performed title, abstract, and full-text screening. Study protocols and expert opinion were excluded.
- Definitions of PCC and modes of implementation were extracted from the eligible articles and synthesized along with study characteristics and outcome measures.
- Results : One thousand four hundred and seventy-five articles were retrieved; 8 met inclusion criteria.
- The term PCC was defined variably.
- Frequently, no definitions were provided, even though implementation and clinical implications were described.
Mixed associations were observed between PCC and outcomes. Most articles had low levels of evidence. Conclusion : Although PCC is considered integral to physical therapy practice, there is no commonly accepted definition; thus, description of its implementation and outcomes has been non-specific and varied.