Healthcare professionals’ views on patient-centered care in hospitals

In Romania, one in four children has excess weight. Because childhood obesity is a sensitive topic, many healthcare professionals find it difficult to discuss children's excess weight with parents. This study aims to identify barriers and facilitators in childhood obesity-related communication, as perceived by healthcare professionals in Romania. As part of the STOP project, healthcare professionals (family physicians, pediatricians, and dieticians) who treat children with excess weight were invited to a telephone interview. The semi-structured questions were translated from a questionnaire previously used at the Swedish study site of the STOP project. Interviews were transcribed and then used for thematic analysis. Fifteen doctors and three dieticians (16 females and 2 males), with average 18.2 ± 10.1 years of experience, were interviewed. Four main themes were identified. Professionals reported that when children began experiencing obesity-related stigma or comorbidities, this became the tipping point of weight excess, where parents felt motivated to begin treatment. Barriers in communication were part of several layers of distrust, recognized as tension between professionals and caregivers due to conflicting beliefs about excess weight, as well as lack of trust in medical studies. Most respondents felt confident using models of good practice, consisting of a gentle approach and patient-centered care. Nonetheless, professionals noted systemic barriers due to a referral system and allocation of clinical time that hinder obesity treatment. They suggested that lack of specialized centers and inadequate education of healthcare professional conveys the system does not prioritize obesity treatment and prevention. The interviewed Romanian doctors and dieticians identified patient-centered care as key to treating children with obesity and building trust with their caregivers. Howevertheir efforts are hindered by healthcare system barriers, including the lack of specialized centers, training, and a referral system. The findings therefore suggest that, to improve childhood obesity prevention and treatment, systemic barriers should be addressed.Trial Registration:ClinicalTrials.gov, NCT03800823; 11 Jan 2019.

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Patient-centered care in Russian maternity hospitals: Introducing a new approach through professionals’ agency

Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine ◽

10.1177/1363459320925871 ◽

2020 ◽

pp. 136345932092587

Author(s):

Ekaterina Borozdina ◽

Anastasiia Novkunskaya

Keyword(s):

Healthcare Professionals ◽

Ground Level ◽

Patient Centered Care ◽

Institutional Work ◽

Patient Centeredness ◽

Patient Centered ◽

Neoliberal Reforms ◽

Maternity Hospitals ◽

Centered Care ◽

Institutional Uncertainty

The article relies on qualitative research methods to investigate how by the means of institutional work healthcare professionals introduce patient-centered care in Russian maternity hospitals. Post-socialist healthcare is commonly viewed in academic literature as a highly centralized and state-controlled domain, where autonomy and agency of both patients and practitioners are significantly restricted. Our research contributes empirically to scholarly debate by questioning this assumption and by providing shreds of evidence of healthcare professionals’ ground-level initiatives. On the conceptual level, we add to the discussion about the dynamic interrelation between institutional change, clients’ demands, and the transformation of professionals’ position. We argue that neoliberal reforms in Russian healthcare have created institutional uncertainty which is strategically used by professionals to expand the scope of their workplace autonomy and to develop patient-centeredness as an institutional innovation. However, our research shows that the resulting model of patient-centeredness contributes to empowering healthcare practitioners, rather than to increasing patients’ participation in decision-making.

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

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210421 ◽

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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A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward

BMC Nursing ◽

10.1186/s12912-021-00684-2 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Abukari Kwame ◽

Pammla M. Petrucka

Keyword(s):

Healthcare Professionals ◽

Healthcare Providers ◽

Healthcare Services ◽

Patient Centered Care ◽

Patient Centered ◽

Patient Health ◽

Optimal Health ◽

Centered Care ◽

Institutional Communication ◽

Clinical Interactions

AbstractProviding healthcare services that respect and meet patients’ and caregivers’ needs are essential in promoting positive care outcomes and perceptions of quality of care, thereby fulfilling a significant aspect of patient-centered care requirement. Effective communication between patients and healthcare providers is crucial for the provision of patient care and recovery. Hence, patient-centered communication is fundamental to ensuring optimal health outcomes, reflecting long-held nursing values that care must be individualized and responsive to patient health concerns, beliefs, and contextual variables. Achieving patient-centered care and communication in nurse-patient clinical interactions is complex as there are always institutional, communication, environmental, and personal/behavioural related barriers. To promote patient-centered care, healthcare professionals must identify these barriers and facitators of both patient-centered care and communication, given their interconnections in clinical interactions. A person-centered care and communication continuum (PC4 Model) is thus proposed to orient healthcare professionals to care practices, discourse contexts, and communication contents and forms that can enhance or impede the acheivement of patient-centered care in clinical practice.

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