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首页> 外文期刊>Frontiers in Public Health >Person-Centered Care From a Relational Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A Scoping Review
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Person-Centered Care From a Relational Ethics Perspective for the Delivery of High Quality and Safe Healthcare: A Scoping Review

机译：从关系伦理的伦理视角下提供高质量和安全保健的人的关怀：一个范围审查

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Background: The aim of this scoping review is to explore whether or not person-centered care (PCC), in its quest to deliver high quality and safe health care, has a relational-ethics perspective. To do so, we first need to relate the extant literature pertaining to PCC and relational ethics. To this extent, the specific features that define PCC and relational ethics were identified. PCC dimensions include: patient and provider concordance, improved health outcomes, improved patient safety, individual expectations, patients' integration within the environment, patient as a person, patient as an active part of society, dialogue and interaction, sharing experience, and documentation of patient's (person's) narrative. Relational ethics framework includes the following actions: mutual respect, engagement, embodied knowledge, environment, and uncertainty. Methods: Data were retrieved through multiple keywords search on PubMed, Medline, and Scopus. Inclusion/exclusion criteria were set, and these were based on year of publication (2008–2018), language, paper focus, research method and document types. A total of 23 articles ( N = 23) were selected and reviewed. Content analysis was conducted in order to identify and compare the main features of PCC and relational ethics. Results: The most important relational ethics action referred to in conjunction with PCC features is environment (referred to as person's integration within a social environment/community). This is followed by mutual respect, engagement and embodied knowledge. These were the salient relational ethics actions both directly and indirectly linked to PCC. Uncertainty was the less recurrent relational ethical action mentioned. Conclusions: This paper revealed that while PCC features embrace most of the relational ethics approaches, these are not exploited in their entirety and therefore PCC emerges as a unique ethical stance in healthcare. PCC's ethical approach goes beyond what is explained within provider-patient relational ethics and emphasizes that the patient is an active person and a partner in care with capabilities and resources. This distinction enables us to explain the paradigm shift from “patient-centered” to “person-centered” care. The healthcare provider partnership and co-creation of the healthcare plan contributes to the delivery of high quality, safe and cost-contained healthcare.
机译：背景：该范围审查的目的是探索以人为本的护理（PCC），以提供高质量和安全的保健，具有关系伦理的观点。为此，我们首先需要与PCC和关系伦理相关的现存文献。在这种程度上，确定了定义PCC和关系伦理的具体特征。 PCC尺寸包括：患者和提供者的一致性，改善健康结果，改善患者安全性，个人期望，患者在环境中的整合，患者作为一个人，患者作为社会的积极部分，对话和互动，分享经验和文件患者（人的）叙述。关系伦理框架包括以下措施：相互尊重，参与，体现的知识，环境和不确定性。方法：通过PubMed，Medline和Scopus的多个关键字搜索检索数据。设定包含/排除标准，这些是基于出版年（2008-2018），语言，纸张焦点，研究方法和文档类型。选择并审查了共23篇（n = 23）。进行内容分析以识别和比较PCC和关系伦理的主要特征。结果：结合PCC功能的最重要的关系伦理行动是环境（称为人们在社会环境/社区内的一体化）。这是相互尊重，参与和体现的知识。这些是直接和间接相关的突出的关系伦理学作用。不确定性是提到的较低的复发关系伦理作用。结论：本文透露，虽然PCC功能拥抱大多数关系伦理方法，但这些方法不会完全利用，因此PCC作为医疗保健的独特伦理姿态。 PCC的伦理方法超出了提供者 - 患者的关系伦理中的说明，并强调患者是活跃的人和一个有能力和资源的合作伙伴。这种区别使我们能够解释从“以患者为中心”的范式转变为“以人为本”的护理。医疗保健提供商合作和合作的医疗保健计划有助于提供高质量，安全和含量的医疗保健。

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