7.1 Person-Centered Care

Person-Centered Care

Patient-centered care, also known as person-centered care, has become an increasingly popular term in healthcare over the last decade.  This is not a new concept for nurses, as our core commitment to patients is to provide the best care possible. The concept of  patient-centered care has been in the literature since the mid-20th century (Parse, 2019). In 1960, the patient-centered approach was considered “a trend in modern nursing practice . . . gradually replacing the procedure-centered approach . . . as the prime concern of the nurse” (Hofling, 1960).

However, the term has grown in popularity in an attempt to meet the challenges in healthcare.  This philosophy in creating a larger focus on patterning with patients  stems from coordinated care efforts in managing multiple chronic conditions, or co-morbidities.  While person-centered care is a philosophy that is embraced by health systems, a consistent manner of quantifying this approach has not been identified (Bokhour et al., 2018).


person-centered care: quality, safe, effective, caring, timely, system navigation
Figure 7.1 Person-Centered Care

Person-Centered Leadership

As nurse leaders, person- centered care can and should extend beyond the “patient” but should also include all stakeholders, including those that are impacted by policy and leadership decisions. In a systems-based leadership approach, person-centered collaboration includes a wide array of stakeholder expertise and commitment (Jobe et al., 2020).

Healthcare workforce shortages have a tremendous impact on the patient experience. IN a recent article shared by Planetree International (March 2023) entitled “What Makes Health care Workers Stay in Their Jobs? Culture and Caring.”  A foundation of patient-centered care and positive work culture impacts staff retention (Lampe, 2023). Effective nurse leaders can impact a positive work culture and ultimately,  staff retention.

An essential reminder of keeping the “persons” in mind when planning will go a long way to achieving optimal outcomes (Learning Exercise 7.1.1).

Learning Exercise 7.1.1

Questions to consider when leading person-centered decisions:

  • Who are our primary stakeholders?
  • Who will benefit from this decision?
  • Who will need to be included in this discussion?
  • Why are we making this change?
  • Is there another way to complete this?
  • What are our priorities?

Next: 7.2 Health Care Trends and Issues

Supplemental  Resources Appendix E Person-Centered Strategies


Icon for the Creative Commons Attribution 4.0 International License

Leading Change in Health Systems: Strategies for RN-BSN Students Copyright © 2023 by Kathy Andresen DNP, MPH, RN, CNE is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

Share This Book