scholarly journals Facilitators and Barriers of Patient Centered Care Practice in Public Hospitals of Benishangul Gumuze Regional State, South West Ethiopia

2021 ◽  
Vol 6 (1) ◽  
pp. 10
Author(s):  
Tamiru Bogale
Keyword(s):  
Patient Centered Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Patient Centered ◽  
South West ◽  
Regional State ◽  
Centered Care ◽  
Facilitators And Barriers ◽  
South West Ethiopia

scholarly journals Bridging Gaps to Patient-Centered Care Practice

2020 ◽  
Vol 71 (1) ◽  
pp. 1-1 ◽  
Author(s):  
Kirsten Marchand
Keyword(s):  
Patient Centered Care ◽  
Care Practice ◽  
Patient Centered ◽  
Centered Care

Patient-centered care and communication in primary care practice: what is involved?

2005 ◽  
Vol 58 (3) ◽  
pp. 296-304 ◽  
Author(s):  
Virginia Aita ◽  
Helen McIlvain ◽  
Elisabeth Backer ◽  
Kristine McVea ◽  
Benjamin Crabtree
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Patient Centered Care ◽  
Care Practice ◽  
Patient Centered ◽  
Centered Care

scholarly journals Trends in Patient-Centered Care in South West Nigeria: A Holistic Assessment of the Nurses Perception of Primary Healthcare Practice

2020 ◽  
Vol 12 (6) ◽  
pp. 73
Author(s):  
Adepeju M. Lateef ◽  
Euphemia M. Mhlongo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Research Study ◽  
Patient Centered Care ◽  
Participatory Action ◽  
Patient Centered ◽  
Quality Healthcare ◽  
Primary Health ◽  
South West ◽  
Centered Care

BACKGROUND: A key dimension of a quality healthcare to patients is patient-centered care approach which is increasingly gaining recognition worldwide. However, this concept is not fully implemented in practice. AIM: The aim of this study is to provide outcomes from assessment of nurses’ perceptions about patient-centered care and the current trends in Primary Health Care system in South West Nigeria. METHODS: This study employed a qualitative participatory action research study approach and conducted a semi-structured individual interview with thirty-five nurses and four focus group discussions in Osun State South West Nigeria Primary Health Care centres. RESULTS: Primary Health Care (PHC) nurses perceived and described patient-centered care (PCC) as a global approach to improve and enhance nursing care to foster patient participation. The narratives were categorised into two: positive and negative perception. Ten main themes emerged: (I) Attitude of the nurses (ii) Lack of enforcement and implementation, (iii) Experience of the nurses, (iv) Quality-Caring, (v) Effective communication with patient, (vi) Motivated and Proactive healthcare, (vii) Sharpen the form of care, (viii) Outcome and after-effect driven healthcare, (ix) Approved support, and (x) Guarantor of service and motivation. CONCLUSION: Our participatory action research study on the assessment of nurses’ perception on the utilization of PCC at the PHC for effective and quality healthcare service revealed the importance of nurses’ role, acceptability of PCC and current nursing care practice at the Primary Health Care (PHC) rural community setting. Nurses as healthcare providers expressed PCC as a common and global approach that would enhance patient experiences and improves the quality of nursing healthcare delivery through integration of PCC and healthcare service at the PHC healthcare system.

scholarly journals A Nurse-Led Conceptual Model to Inform Patient-Centered Type 2 Diabetes Management in Public Clinical Settings

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 576-577
Author(s):  
Stella Bosun-Arije ◽  
Candidus Nwakasi
Keyword(s):  
Type 2 Diabetes ◽  
Conceptual Model ◽  
Diabetes Management ◽  
Patient Centered Care ◽  
Public Hospitals ◽  
Clinical Settings ◽  
Clinical Practices ◽  
Patient Centered ◽  
Centered Care

Abstract Globally, there is an increased need to provide patient-centered care for people diagnosed with Type 2 diabetes mellitus (T2DM). In Nigeria, a poorly financed health system worsens the difficulties associated with managing T2DM in clinical settings, resulting in a detrimental effect on patient-centered care. We aimed to develop a conceptual model to promote patient-centered T2DM care in clinical settings. We explored nurses' contextual perceptions of clinical practices and operations that are relevant to T2DM management across public hospitals in Lagos, Nigeria. Identifying a nurse-led intervention is critical to care optimization for people diagnosed with T2DM. Using a qualitative research, we used semi-structured questions and the Constant Comparison Method to interview 17 practice (registered) nurses with over 1-year experience working in public hospitals across Lagos, Nigeria. The Framework Method was used for data analysis. The nurses provided insight into four areas of patient-centered T2DM management in clinical settings. They are: empowering collaboration, empowering flexibility, empowering approach, and empowering practice. The nurses discussed an empowering pathway through which health settings could provide patient-centered care to individuals diagnosed with T2DM. The pathway includes the integration of macro, meso, and micro levels for patient management. Their views informed the development of a conceptual model for the optimization of patient care. The model developed from this research sits within the Patient-Centered Care model of healthcare delivery. The model has the potential to inform patient-centered care in countries with poorly financed healthcare systems, and developed countries with comparatively better healthcare.

scholarly journals Facilitators and barriers of patient-centered care at the organizational-level: a study of three district hospitals in the central region of Ghana

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jacqueline Nkrumah ◽  
Gordon Abekah-Nkrumah
Keyword(s):  
Patient Experience ◽  
Central Region ◽  
Patient Centered Care ◽  
Organizational Level ◽  
Exploratory Research ◽  
Patient Centered ◽  
Experience Of Care ◽  
District Hospitals ◽  
Centered Care ◽  
Facilitators And Barriers

Abstract Background Improving patient experience of care has gained enormous attention from policy makers and providers of healthcare services in Ghana. In spite of the supposed support for patient-centered care as the means for improving patient experience of care, scientific evidence point to poor patient experience of care in Ghana. Moreover, there seem to be little evidence on organizational-level factors that facilitate or hamper patient-centered care. In this study we assess organizational-level factors that facilitate or impede patient-centered care in three district hospitals in the Central Region of Ghana. Methods The study was exploratory research that used qualitative methods to collect data from seven senior managers and 3 junior managers in three district hospitals in the Central Region of Ghana. Data were collected with the aid of an interview guide and a checklist. Data were analyzed using content analysis. Results Two main Organizational-level factors were identified, namely, facilitators and barriers of patient-centered care. Facilitators to patient-centered care included: 1) Leadership commitment. 2) Leadership support. 3) Training and education for patient-centered care. Patient-centered care barriers identified in the hospitals were: 1) Leadership conceptualization of patient-centered care. 2) Lack of goals and sufficient activities for patient-centered care. 3) Communication related challenges.4) Ownership type. 5) Degree of centralization. 6) Financial constraints. Conclusion Organizational-level factors that promoted patient-centered care were fairly present in the hospitals. Yet, several other factors negatively affected patient-centered care in the hospitals. A suitable patient-focused intervention is recommended for implementation at the health system and institutional-levels to improve patient-centered care. Hospitals managers should develop suitable goals and activities to stimulate patient-centered care with the full participation of hospital employees and patients and families.

scholarly journals From a View of the Hospital as a System to a View of the Suffering Patient

2022 ◽  
Vol 9 ◽  
Author(s):  
Gillie Gabay ◽  
Smadar Ben Asher
Keyword(s):  
Patient Centered Care ◽  
Public Hospitals ◽  
Three Dimensions ◽  
System Level ◽  
Patient Centered ◽  
Patient Level ◽  
Narrative Interview ◽  
Patient’S Experience ◽  
Centered Care ◽  
Systemic View

Purpose: Hospitals aspire to provide patient-centered care but are far from achieving it. This qualitative mixed methods study explored the capacity of hospital directors to shift from a hospital systemic-view to a suffering patient-view applying the Salutogenic theory.Methods: Following IRB, we conducted in-depth narrative interviews with six directors of the six Israeli academic tertiary public hospitals, focusing on their managerial role. In a second meeting we conducted vignette interviews in which we presented each director with a narrative of a suffering young patient who died at 33 due to medical misconduct, allowing self-introspection. Provisional coding was performed for data analysis to identify categories and themes by the three dimensions of the sense-of-coherence, an anchor of Salutogenics: comprehensibility, manageability, and meaningfulness.Results: While at the system level, directors reported high comprehensibility and manageability in coping with complexity, at the patient level, when confronted with the vignette, directors acknowledged their poor comprehensibility of patients' needs and patient's experience during hospitalizations. They acknowledged their poor capacity to provide patient-centered care. Meaningfulness in the narrative interview focused on the system while meaningfulness in the vignette interview focused on providing patient care.Conclusions: The evident gaps between the system level and the patient level create lack of coherence, hindering the ability to cope with complexity, and are barriers to providing patient-centered care. To improve the delivery of patient-centered care, we suggest ways to consolidate the views, enabling the shift from a systemic-view to a patient-view.

scholarly journals The Impact of Applying Quality Management Practices on Patient Centeredness in Jordanian Public Hospitals: Results of Predictive Modeling

2018 ◽  
Vol 55 ◽  
pp. 004695801875473 ◽  
Author(s):  
Heba H. Hijazi ◽  
Heather L. Harvey ◽  
Mohammad S. Alyahya ◽  
Hussam A. Alshraideh ◽  
Rabah M. Al abdi ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Management Practices ◽  
Patient Centered Care ◽  
Accreditation Process ◽  
Public Hospitals ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Centered Care ◽  
The Impact

Targeting the patient’s needs and preferences has become an important contributor for improving care delivery, enhancing patient satisfaction, and achieving better clinical outcomes. This study aimed to examine the impact of applying quality management practices on patient centeredness within the context of health care accreditation and to explore the differences in the views of various health care workers regarding the attributes affecting patient-centered care. Our study followed a cross-sectional survey design wherein 4 Jordanian public hospitals were investigated several months after accreditation was obtained. Total 829 clinical/nonclinical hospital staff members consented for study participation. This sample was divided into 3 main occupational categories to represent the administrators, nurses, as well as doctors and other health professionals. Using a structural equation modeling, our results indicated that the predictors of patient-centered care for both administrators and those providing clinical care were participation in the accreditation process, leadership commitment to quality improvement, and measurement of quality improvement outcomes. In particular, perceiving the importance of the hospital’s engagement in the accreditation process was shown to be relevant to the administrators (gamma = 0.96), nurses (gamma = 0.80), as well as to doctors and other health professionals (gamma = 0.71). However, the administrator staff (gamma = 0.31) was less likely to perceive the influence of measuring the quality improvement outcomes on the delivery of patient-centered care than nurses (gamma = 0.59) as well as doctors and other health care providers (gamma = 0.55). From the nurses’ perspectives only, patient centeredness was found to be driven by building an institutional framework that supports quality assurance in hospital settings (gamma = 0.36). In conclusion, accreditation is a leading factor for delivering patient-centered care and should be on a hospital’s agenda as a strategy for continuous quality improvement.

scholarly journals Facilitators and Barriers for Implementation of Shared Decision Making: A Review

2021 ◽  
Vol 6 (2) ◽  
pp. 117-122
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Shared Decision Making ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Patient Centered Care ◽  
Shared Decision ◽  
Patient Centered ◽  
Centered Care ◽  
Facilitators And Barriers

Shared decision-making is patient-centered Care that involves patients and health care professionals to decide treatment for patient condition mutually. Healthcare professionals have not widely adopted shared decision-making because some barriers/facilitators stop healthcare professionals from implementing shared decision-making in the same way some barriers/facilitators are preventing patients from involving in shared decision-making. Many studies have explained barriers/facilitators that stop patients/healthcare professionals from applying in SDM individually. The objective of the study is to examine the patient-related and healthcare professional's related barriers / facilitators to implementing SDM. Keywords: SDM, Shared decision-making, barriers, facilitators.

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