Effect of Patient-centred Care on Quality Nursing Care, Nurse-sensitive Indicators and Satisfaction of Nurses and Patients in Adult Medical Inpatients Setting: A Mixed Methods Systematic Review Protocol

Background: The Institute of Medicine (IOM) in the USA proposed Patient-centred care (PCC) as a quality health care model that relies on partnerships among health practitioners, patients and their families whereby patients’ values, needs and preferences are factored into the health care process. This allows for patients’ input in their health education, support to make decisions on their care and participation in their own care. Patient-centred care (PCC) is projected as the gold standard for quality health care with positive effect on quality of nursing care, patient satisfaction, nurse satisfaction and nurse-sensitive indicators. Even though many studies have been done on the subject of patient centred care, fewer reviews exists on the effect of Patient-centred care on outcomes such as quality nursing care, nurse satisfaction, patient satisfaction and nurse-sensitive outcomes.

Aim: The aim of this review is to identify PCC models in literature and examine their effect on quality nursing care (QNC), nurse satisfaction (NS) patient satisfaction (PS) and on nurse-sensitive indicators.

Methods: This study adopts principles of systematic literature review to do a search on the effect of patient-centred care (PCC) models on selected health outcomes. These outcomes include quality nursing care (QNC), nurse sensitive indicators (NSI) and satisfaction of nurses and patients in the hospital setting with emphasis on medical inpatient setting. Papers published in English language between 1990 and 2018 from the selected databases will be searched. To identify eligible studies, keywords search and where possible MeSH terms related to “patient-centred care”, quality nursing care, nurse satisfaction, nurse-sensitive outcomes and patient satisfaction will be used. These terms will be searched individually first and then combined with “OR”. To situate the search within the nursing context and impatient setting, the keywards or MeSH terms will be used with “nursing”, “nursing care”, “nursing services”, “inpatients”.

Discussion: The review seeks to provide evidence on existing models of PCC in literature and how they affect the quality of nursing delivery, nurse-sensitive outcomes and satisfaction of both nurses and patients in the hospital setting.

Conclusion: This review seeks to provide the international perspective on the effects of Patient-centred care (PCC) on quality nursing and satisfaction of nurses and medical inpatients on nursing services delivery during admission. Dimensions or attributes and barriers of PCC delivery will be identified and incorporated into a context-driven PCC model for implementation in the Ghanaian setting.

Systematic Review Registration: PROSPERO 2018 CRD42018107181