Person and Family Centred Care
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A tool to assist with comparing your organization’s current practice with evidence-based RNAO best practice recommendations.
Registered Nurses Association of Ontario (2022) Gap Analysis- Person and Family Centred Care. Toronto, ON.
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The Person-and Family-Centred Care best practice guideline can be used to enhance the quality of partnerships between health-care providers with individuals accessing care, ultimately improving clinical outcomes. It is important to acknowledge that person- and family-centred care focuses on the whole person as a unique individual and not just on their illness or disease. By viewing the individual through this lens, health-care providers come to know and understand the person’s life story, experience of health, the role of family in the person’s life, and the role they may play in supporting the person to achieve health.
This guideline provides best practice recommendations in three main areas:
• Practice recommendations are directed primarily to those who provide direct care to persons in health-system settings and in the community.
• Education recommendations are directed to those responsible for staff and student education.
• System, organization, and policy recommendations apply to managers, administrators, policy-makers, nursing regulatory bodies, academic institutions, and government bodies.
Recommendations in these three areas are most effective when implemented together. This guideline replaces the previous BPG Client Centred Care.
Registered Nurses’ Association of Ontario (2015). Person-and family-centred care. Toronto, ON, Canada: Author. https://rnao.ca/sites/rnao-ca/files/FINAL_Web_Version_0.pdf This work is funded by the Ontario Ministry of Health and Long-Term Care.
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This guide was developed by Saint Elizabeth and Yee Hong Centre for Geriatric Care to share the experiences and insights after implementing person-centred care (PCC) workshops with personal support workers (PSWs) within the two organizations. Reference: Saint Elizabeth. (October 2013). A practical guide to implementing person-centred care education for PSWs in the home, community and long-term care sectors.
Bender, D. (2013). A practical guide to implementing person-centred care education for PSWs in the home, community and long-term care sectors. Retrieved from https://www.saintelizabeth.com/getmedia/3b053be0-3313-45e5-8aea-872781c0b76d/Practical-Guide-for-Implementing-PCC-Education-for-PSWs-October-2013.pdf.aspx -
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My Personhood Summary© surfaces a person’s life experiences, important relationships, personal preferences, and other psychosocial and environmental factors that influence daily life. It is a foundational tool, intended for use with people living with dementia as well as older adults living with complex mental health, substance use, and/or other neurological conditions.
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Nurses have professional and legal obligations for obtaining consent. The College's Consent practice guideline provides an overview of the major features of the relevant legislation, pertinent definitions and the steps that nurses need to take to obtain consent.
College of Nurses of Ontario. (2021). Consent. Retrieved from http://www.cno.org/en/learn-about-standards-guidelines/educational-tools/learning-modules/consent/ -
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Website containing resources and information for families of residents in Long term Care.
Family Councils Ontario (2022) retrieved from Family Councils Ontario (fco.ngo)
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nA tool to assist LTC homes in completing a gap analysis regarding how they are doing in their home with Person and Family Centred Care from a resident’s viewpoint. This tool was developed by staff at Woodingford Lodge as part of the LTC BPSO® pre-designation journey.
Woodingford Lodge. (2016). Resident Report Card. Woodstock ON. -
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A tool to assist LTC homes in completing a gap analysis regarding how they are doing in their home with Person and Family Centred Care from a front-line viewpoint. This tool was developed by staff at Woodingford Lodge as part of the LTC BPSO® pre-designation journey.
Woodingford Lodge. (2016). General Staff Report Card. Woodstock ON. -
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Downloadable practical implementation resources on implementing Person-Centred Language in Patient Documentation
Regional Geriatric Program of Toronto ( 2022) Implement Person-Centred Language in Patient Documentation retrieved from Implement Person-Centred Language in Patient Documentation | Regional Geriatric Program of Toronto (rgptoronto.ca)
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This website provides all Ontario health care practitioners the information and resources they need to:
- Prepare people and their Substitute Decision-Makers (SDMs) for future decision-making (Advance Care Planning).
- Support decision-making by engaging people and caregivers in decision-making conversations when needed (Goals of Care Discussions
Hospice Palliative Care Ontario (2022) Improving Person-Centred Conversations retrieved from Welcome to HPCO's Online Learning Portal (pcdm.ca)
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My Personhood Summary© surfaces a person’s life experiences, important relationships, personal preferences, and other psychosocial and environmental factors that influence individuals’ daily lives.
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My Transitional Care Plan© (MTCP) summarizes meaningful information that contributes to the facilitation of successful transitions across sectors for older adults presenting with, or at risk of, responsive behaviours/ personal expressions associated with dementia, complex mental health, substance use and/or other neurological conditions.
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Website of Ontario Association of Resident Councils with resources, advocacy and information for residents in LTC in Ontario
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Ontario Regulation 246/22 was made under The Fixing Long-Term Care Act, 2021 (FLTCA) was proclaimed into force to regulate Ontario's long-term care home sector April 11, 2022.
Government of Ontario (2022) Ontario Regulation 246/22. Toronto ( ON) retrieved from O. Reg. 246/22: GENERAL (ontario.ca)
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Les normes d’exercice informent les infirmières de leurs responsabilités et expliquent leur rôle au public. La relation thérapeutique est la pierre angulaire de la profession infirmière. Et son objectif premier est de favoriser la santé et le bien-être des clients. Pour établir et cultiver cette importante relation, l’infirmière fait appel à ses connaissances et compétences professionnelles ainsi qu’à sa compassion.
Ordre des infirmières et infirmiers de l’Ontario. (2006). La relation therapeutique. Toronto, ON, Canada: Auteur. Récupérée de http://www.cno.org/fr/exercice-de-la-profession/normes-et-directives-professionnelles/. Copyright © Ordre des infirmières et infirmiers de l’Ontario, 2009.
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The health care you receive should be tailored to your unique needs and goals. Person- and family-centred care invites you and your family to partner with your health-care team, helping you make decisions best suited to you.
Registered Nurses’ Association of Ontario. (2017). RNAO Person-and Family-Centred Care - fact sheet. Toronto, ON: Author. -
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Learn more about the benefits of Person-Centred Care (PCC) with this educational video that defines the fundamental concepts of PCC.
Cancer Care Ontario. (2015, May 26). Person-Centred Care [Video file]. YouTube. Retrieved Sept 14,2015 from https://www.youtube.com/watch?v=NTYRtRNsAko. -
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These guidelines have been developed to promote person-centred language.
Alzheimer Society. (n.d.). Using person-centred language. Retrieved from https://alzheimer.ca/en/take-action/become-dementia-friendly/using-person-centred-language -
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This is the Behavioural Supports Ontario (BSO) website that supports staff with pledging their commitment to Person and Family Centered. Posters and a report are also available to support adaption of Person and Family Centred Approach.
Behavioural Supports Ontario. (n.d.). Pledge: Person-centred language committment statements. retrieved from http://www.behaviouralsupportsontario.ca/Pledge -
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Tips to assist front line staff on practical ways to be more person centred. A pocket card adopted from a sample developed by Braemar Retirement Centre as part of their BPSO work.
Braemar Retirement Centre ( 2019) Pocket Card- How to be Person Centred: Tips for Health-care Providers. Wingham. On
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The aim of this guideline is to provide evidence-based recommendations to facilitate client centred learning that promotes and enables clients to take action for their health.
Registered Nurses Association of Ontario (2012) Facilitating Client Centred Learning. Toronto. ON Retrieved from Facilitating Client Centred Learning | Registered Nurses' Association of Ontario (rnao.ca)
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This nursing best practice guideline will address the therapeutic relationship and its central importance to practice.
Registered Nurses Association of Ontario (2002) Establishing therapeutic Relationships. Toronto, ON retrieved from Establishing Therapeutic Relationships | Registered Nurses' Association of Ontario (rnao.ca)
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A tool to assist with comparing your organization’s current practice with evidence-based RNAO best practice recommendations.
Registered Nurses Association of Ontario (2022) Gap Analysis-Establishing Therapeutic Relationships. Toronto. ON
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Information on the importance of person and family centred care and how it can improve the health care experience of clients, families and health providers. There are also resources such as: inventory of person and family centred care; fact sheets that summarize the concept of person and family centred care and a short video demonstrating the difference between “usual care and person centred care”.
Saint Elizabeth Heath Care. (n.d.). Person and family centered care. [website]. https://pfcc.sehc.com/resources © 2015 Saint Elizabeth Health Care Retrieved from https://www.saintelizabeth.com/Home.aspx
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Le but de la présente ligne directrice est de promouvoir les pratiques fondées sur des données probantes, qui sont associées aux soins axés sur les besoins de la personne et de la famille, et d'aider les infirmières et d'autres fournisseurs de soins de santé à acquérir les connaissances et les compétences nécessaires pour améliorer leur pratique de ces soins. Les recommandations aideront les infirmières et d'autres fournisseurs de soins de santé à obtenir le savoir requis pour collaborer et établir des relations habilitantes avec des personnes et leur famille qui font appel aux services de santé, afin d'optimiser la santé et le bien-être au cours de leur vie. Cette approche fondée sur des données probantes, et combinée à une perspective qui reconnaît la place de la personne au centre des soins de santé, permettra d'améliorer l'expérience de cette personne et sa satisfaction à l'égard des soins et des services offerts par le système de santé. Elle s'applique à tous les domaines de la pratique des soins infirmiers, y compris les secteurs clinique, administratif et éducatif.
Cette ligne directrice recommande des pratiques exemplaires dans trois domaines principaux : ■ Les recommandations au sujet des pratiques exemplaires ont été rédigées principalement à l'intention des infirmières et d'autres fournisseurs de soins de santé dans l'équipe interprofessionnelle qui offre des soins directs à des personnes dans les milieux de soins du système de santé (p. ex., soins actifs, soins de longue durée et soins à domicile) et dans la collectivité (p. ex., soins primaires, équipes de santé familiale et santé publique). ■ Les recommandations en matière d'éducation s'adressent à ceux qui sont responsables de la formation du personnel et des étudiants, tels que les éducateurs, les équipes d'amélioration de la qualité, les gestionnaires, les administrateurs ainsi que les établissements d'enseignement universitaire et professionnel. ■ Les recommandations sur le système, l'organisation et la politique s'appliquent à divers publics selon le type de recommandation. Les publics comprennent les gestionnaires, les administrateurs, les décideurs, les organismes de réglementation en soins infirmiers, les établissements d'enseignement et les organismes gouvernementaux. Pour obtenir une efficacité optimale, les recommandations dans ces trois secteurs doivent être mises en œuvre simultanément. Cette ligne directrice remplace le soin centré au client précédent .
Association des infirmières et infirmiers autorisés de l’Ontario. (2015). RNAO Soins axés sur les besoins de la personne et de la famille. Toronto, ON: Autheur. https://rnao.ca/sites/rnao-ca/files/Final_13.pdf Ce travail est financé par le Ministère de la Santé et Ministère des Soins de longue durée de l'Ontario
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The Fixing Long-Term Care Act, 2021 (FLTCA) was proclaimed into force to regulate Ontario's long-term care home sector.
The Long-Term Care Homes Act, 2007 (LTCHA) was revoked, which means it is no longer in force. The new Act also includes a new regulation.Government of Ontario (2021) Fixing Long-Term Care Act, 2021. Toronto ( ON) retrieved from Fixing Long-Term Care Act, 2021, S.O. 2021, c. 39, Sched. 1 (ontario.ca)