What it means
An approach in which the client, and the family if the client wishes, help decide the plan of care. The team respects the client's culture, beliefs and preferences, shares information openly, and supports comfort and emotional needs. It is one of the core competencies taught to nurses (QSEN).
For the nurse
Ask what matters most to the client and include it in the plan. Explain options in plain words and check understanding before decisions are made.
In a chart
"Client prefers showers in the evening; care plan changed to match."
Related terms
plan of care
A written plan that lists a client's problems, goals and the nursing actions to reach them.
advocate
To speak up and act for a client's rights, safety and wishes; also, a person who does this.
autonomy
A person's right to make their own choices about their body and their care.
health equity
A fair chance for every person to reach their best possible health.