Patient-Centerdness in the Perioperative Period-A Rapid Review of Current Research

Ann-Chatrin L Leonardsen; Axel Wolf; Ulrica Nilsson

doi:10.1016/j.jopan.2023.12.028

Patient-Centerdness in the Perioperative Period-A Rapid Review of Current Research

J Perianesth Nurs. 2024 Apr 11:S1089-9472(24)00003-0. doi: 10.1016/j.jopan.2023.12.028. Online ahead of print.

Authors

Ann-Chatrin L Leonardsen¹, Axel Wolf², Ulrica Nilsson³

Affiliations

¹ Department of Nursing, Health and Biosciences, Ostfold University College, Faculty of Health, Welfare and Organization, Halden, Norway; Department of Nursing and Health Sciences, University of Southeastern Norway, Faculty of health and social care, Borre, Norway. Electronic address: ann.c.leonardsen@hiof.no.
² Department of Health Sciences, Institute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway; Department of Intensive Care and Anesthesiology, Institute for Health and Care Sciences at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
³ Department of Neurobiology, Division of Nursing, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.

PMID: 38613539
DOI: 10.1016/j.jopan.2023.12.028

Abstract

Purpose: The indication of surgery is a critical moment in a person's life implying different needs, feelings, or fears. The aim of the current literature review was to elucidate the prevailing utilization of the concepts 'patient-centerdness' and 'person-centerdness' within the perioperative period.

Design: A rapid review design.

Methods: Literature searches were conducted in the databases PubMed, Scopus (Elsevier), American Psychological Association PsychInfo (Ovid), Embase (Ovid), CINAHL (Ovid), and Cochrane Library in December 2022. Rayyan software was used to assess the articles. Joanna Briggs Institute critical appraisal tools were used to evaluate the quality of the included articles. Thematic analysis was used to identify themes across the articles.

Findings: The electronic database searches identified 1,967 articles. A total of 12 articles were assessed in full text against the inclusion and exclusion criteria, and finally, a total of seven articles were included. The articles originated from six countries, employed disparate methodological approaches, and featured a heterogeneous array of participants representing various health care settings. Patient-centerdness held the mantle as the most prominently used concept across the seven articles, whereas person-centerdness emerged as the least frequently explored concept. One theme was identified across the articles; Preparedness. This was related to shared decision-making and information pre, peri- and postoperative.

Conclusions: This rapid review suggests that patient preparedness, particularly through shared decision-making and providing information, is a recurring theme in the limited studies on patient- or person-centerdness in the perioperative context. The fact that only one single study focuses on person-centered care underscores the pressing need for a comprehensive re-evaluation of modern perioperative care.

Keywords: patient-centerdness; perioperative care; person-centerdness; rapid review.

Publication types

Review