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In this competency, nurses recognize that the patient or designee is the source of control. Patients are full partners when the nurse is providing compassionate and coordinated care. Patients identify their designees, typically family members or close friends. Nurses respect the preferences, values, and needs of their patients and the way in which patients define family.

The relationship between direct patient care and patient‐centered care is easy to understand. In addition, nurses and nurse leaders must consider patients and their designees in a broader context. Nurse leaders must create organizational cultures that assess and support patient and family preferences. They must use current evidence when designing patient care areas to promote patient‐centered care. Nurse leaders must also work within their institutions to remove barriers to the presence of families and their designees. Establishing a Patient Family Advisory Committee can be helpful in providing input for nurse leaders and other organizational leadership. Patient‐centered care is discussed in greater detail in Chapter 8.