Cuaderno de enfermería. Revista científica

Vol. 3(1), 1-6, 2025

https://doi.org/10.62574/y7vwkx13

Nursing care from a critical and person-centred perspective. Systematic

review

Cuidado de enfermería desde la atención crítica y centrada en la persona.

Revisión sistemática

Carlos Antonio Escobar-Suarez

ua.carlosescobar@uniandes.edu.ec

Universidad Regional Autónoma de los Andes, Ambato, Tungurahua, Ecuador

https://orcid.org/0000-0002-9280-1555

ABSTRACT

Objective: to analyse nursing care from the perspective of critical and person-centred care based on

a systematic review. Method: systematic review, population of 15 articles. Conclusion: The analysis

of nursing care from the perspective of critical and person-centred care, based on this systematic

review, highlights the importance of combining technical excellence with the humanisation of care.

Person-centred care not only improves clinical outcomes, but also has a positive influence on the

perception of quality of care by patients and their families.

Descriptors: economics nursing; health planning; community health nursing. (DeCS).

RESUMEN

Objetivo: analizar el cuidado de enfermería desde la atención crítica y centrada en la persona en

base a una revisión sistemática. Método: revisión sistemática, población de 15 articulos.

Conclusión: El análisis del cuidado de enfermería desde la atención crítica y centrada en la persona,

basado en esta revisión sistemática, destaca la importancia de combinar la excelencia técnica con

la humanización del cuidado. La atención centrada en la persona no solo mejora los resultados

clínicos, sino que también influye positivamente en la percepción de calidad del cuidado por parte de

los pacientes y sus familias.

Descriptores: economía de la enfermería; planificación en salud; enfermería en salud comunitaria.

(DeCS).

Received: 19/12/2024. Reviewed: 08/01/2025. Approved: 26/01/2025. Published: 01/02/2025.

Original brief

Cuaderno de enfermería. Revista científica

Vol. 3(1), 1-6, 2025

Cuidado de enfermería desde la atención crítica y centrada en la persona.

Revisión sistemática

Nursing care from a critical and person-centred perspective. Systematic review

Carlos Antonio Escobar-Suarez

INTRODUCTION

Person-centred care has become an essential standard in nursing practice, as it

fosters empathic and personalised relationships between professionals and patients,

which has a positive impact on clinical outcomes and the perception of the care

received (6,7). In intensive care units (ICUs), where patients face highly complex

and vulnerable situations, the role of nursing is crucial to guarantee safety, quality of

care and the overall well-being of the patient.

On the other hand, the importance of implementing care models that optimise

decision-making and communication in these environments has been highlighted,

such as the use of standardised tools for the transfer of information, which have been

shown to improve patient safety and the quality of care provided (1,10). The

integration of the family in the care process has emerged as a key component in

critical care, since their active participation not only improves clinical outcomes, but

also reduces stress and anxiety in both patients and their caregivers, strengthening

the care experience (2,3).

Based on the above, the objective is to analyse nursing care from the perspective of

critical and person-centred care based on a systematic review.

METHOD

This work was carried out using a systematic review methodology, analysing 15

scientific articles following the guidelines established by the Preferred Reporting

Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol.

The search was carried out using controlled terms and keywords related to the

subject, such as ‘nursing care’, ‘critical care’, ‘person-centred care’, ‘quality of care’

and ‘intensive care units’. These terms were combined using Boolean operators

(AND, OR) to optimise the results. RESULTS

Person-centred care from the perspective of Edvardsson et al. it is said that the

perception of quality of care is closely linked to the ability of professionals to establish

Cuaderno de enfermería. Revista científica

Vol. 3(1), 1-6, 2025

Cuidado de enfermería desde la atención crítica y centrada en la persona.

Revisión sistemática

Nursing care from a critical and person-centred perspective. Systematic review

Carlos Antonio Escobar-Suarez

empathetic and personalised relationships with patients (7). For their part, Lee & Kim

emphasised that both patients and nurses consider effective communication and

empathy to be essential elements in providing quality care (6). In this sense, Cook

et al. comment that it is important to include competencies related to empathy and

communication in nursing training programmes, as these skills are fundamental for

developing person-centred practice (8). On the other hand, Izumi et al. emphasised

that quality care for patients with advanced diseases must address both physical

and emotional needs, which reinforces the need for a comprehensive approach to

care (5).

In the field of critical care, the studies by Lee & Chang (1) and López Cárdenas et

al. (11) highlight the importance of implementing care models that optimise decision-

making and communication in high-pressure environments such as intensive care

units (ICUs). The SBAR technique (Situation, Background, Assessment,

Recommendation), evaluated by Abbaszade et al., has proven to be an effective tool

for standardising the transfer of information between professionals, improving the

safety and quality of care (10). Likewise, Zhang et al. proposed an index for

evaluating the quality of psychological care in hospitalised patients, which reinforces

the need for specific tools to measure and improve care in critical environments (9).

On the other hand, the integration of the family in the care of critical patients is an

essential component of person-centred care, in view of which, Franck et al.

emphasised that the active participation of family members not only improves clinical

outcomes, but also reduces stress and anxiety in both patients and their caregivers

(2). Similarly, Glajchen et al. identified significant benefits in holding family meetings

in the context of palliative care, although they also pointed to barriers such as a lack

of staff training to handle complex family dynamics (3). Meanwhile, in paediatric care,

Calhoun et al. analysed the importance of involving families in the care of children in

critical care units, improving both the patient experience and the perception of quality

of care (4).

Likewise, the management of specific conditions in critical care requires evidence-

Cuaderno de enfermería. Revista científica

Vol. 3(1), 1-6, 2025

Cuidado de enfermería desde la atención crítica y centrada en la persona.

Revisión sistemática

Nursing care from a critical and person-centred perspective. Systematic review

Carlos Antonio Escobar-Suarez

based nursing interventions. Amatangelo & Thomas highlighted the importance of

standardised protocols for the care of stroke patients in critical care units, which

ensures timely and effective care (12, 13). On the other hand, Bento & Sousa

analysed nursing interventions in patients with delirium in the ICU, which raises the

need for specific strategies to prevent and manage this condition, which is frequent

in critical patients (14). Likewise, Tume & Trapani emphasised the relevance of

specialisation in intensive cardiac care, highlighting the need for continuous training

for nurses working in these areas, given the complexity of the patients treated (15).

It is important to bear in mind that paediatric critical care has evolved significantly in

recent decades, and Calhoun et al. analysed this evolution, highlighting the need for

specialised modes that consider the unique needs of children and their families (4).

This is in line with the trend towards more personalised and person-centred care,

even in highly complex contexts. Likewise, Franck et al. proposed the integrated

family care model, which has proven effective in the care of premature newborns,

improving both clinical outcomes and the experience of families (2).

Despite advances in critical and person-centred care, challenges remain related to

workload, lack of resources and resistance to change in some clinical settings. In

this case, Zhang et al. comment on the need to develop clear indicators to evaluate

the quality of care (9). Likewise, Izumi et al. highlighted the importance of promoting

an organisational culture that values person-centred care (5). On the other hand,

López Cárdenas et al. identified differences in the perception of care in two models

of care in the ICU, which suggests that the organisational structure also influences

the perceived quality of care (11).

CONCLUSION

The analysis of nursing care from the perspective of critical and person-centred care,

based on this systematic review, highlights the importance of combining technical

excellence with the humanisation of care. Person-centred care not only improves

clinical outcomes, but also has a positive influence on the perception of quality of

care by patients and their families. Strategies such as the use of standardised tools,

Cuaderno de enfermería. Revista científica

Vol. 3(1), 1-6, 2025

Cuidado de enfermería desde la atención crítica y centrada en la persona.

Revisión sistemática

Nursing care from a critical and person-centred perspective. Systematic review

Carlos Antonio Escobar-Suarez

such as SBAR, and the integration of the family into the care process have proven

to be fundamental to guarantee safe and quality care.

FINANCING

Non-monetary

CONFLICT OF INTEREST

There is no conflict of interest with people or institutions linked to the research.

ACKNOWLEDGEMENTS

To the UNIANDES research department.

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Cuaderno de enfermería. Revista científica

Vol. 3(1), 1-6, 2025

Cuidado de enfermería desde la atención crítica y centrada en la persona.

Revisión sistemática

Nursing care from a critical and person-centred perspective. Systematic review

Carlos Antonio Escobar-Suarez

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