20.500.12556/RUL-182874 Conceptualising the patient ecosystem a holistic framework for home care Aims and Objectives The study aims to derive a conceptual model of an ecosystem of a patient in their home environment, integrating principles from biological ecosystem theory to enhance holistic, home-based care for patients with non-communicable diseases. Methodological Design and Justification A concept derivation approach was employed due to the absence of any clear definition of the patient ecosystem at home concept. Ethical Issues and Approval As a conceptual study, ethical considerations were minimal. Ethical standards were upheld during the literature review, and ethical approval was not required. Research Method Concept derivation was used to derive the concept from biology and apply it to the patient's home. The process involved four steps: a literature review, cross-disciplinary exploration, selection of the parent concept, and a redefinition of the concept in the context of patients at home. Outcome Measures The conceptual clarity, structure, and applicability of the derived model of the patient ecosystem served as measures of the outcomes. These include the identification and integration of the ecosystem's key components, such as the environment, living elements, processes, and structure, and their relevance for supporting patients at home. Results The main outcome is a conceptual model of the patient ecosystem at home that highlights dynamic interactions within the ecosystem and stresses patient agency and collaboration between informal, formal, and virtual support networks. As ecosystem managers, nurses play a crucial role in supporting the patient ecosystem's capability to provide homeostasis. Study Limitations As a conceptual model not yet empirically validated, its applicability may vary across cultural and socioeconomic contexts. Conclusions The proposed patient ecosystem model provides a novel framework for understanding and supporting patients at home, facilitating efficient resource utilisation and adding to the quality of life for patients and family members. While offering theoretical insight, further validation and cross-sector collaboration are essential before implementing the model in practice. patient home environment biological ecosystem theory holistic care non-communicable diseases patient ecosystem model true false true Angleški jezik Ni določen Članek v reviji 2026-05-26 14:20:57 2026-05-26 14:20:58 2026-05-27 04:40:15 0000-00-00 00:00:00 2026 0 0 11 str. iss. 2, art. e70249 Vol. 40 Jun. 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2026-06-01 616-036.8-083 1471-6712 10.1111/scs.70249 279426563 Scandinavian_Caring_Sciences_-_2026_-_Milavec_Kapun_-_Conceptualising_the_Patient_Ecosystem__A_Holistic_Framework_for_Home.pdf Scandinavian_Caring_Sciences_-_2026_-_Milavec_Kapun_-_Conceptualising_the_Patient_Ecosystem__A_Holistic_Framework_for_Home.pdf 1 74F5D32DF6CB9E76141F5B3C7BFCE7A6 cb7f5118b690ec1e17608485bb00dd39370cdd4438453c60e83fdfa826d19fd3 5019b9c6-58fd-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=234506 https://onlinelibrary.wiley.com/doi/10.1111/scs.70249 1 03493f13-58fd-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=234505 Zdravstvena fakulteta 0 0 0