scholarly journals Person-Centered-Care Climate in a Tertiary Hospital: Staff Perspective

2021 ◽  
Vol Volume 14 ◽  
pp. 4269-4279
Author(s):  
Khaled Al-Surimi ◽  
Zahra Alhayek ◽  
David Edvardsson ◽  
Badr Al-Khateeb ◽  
Naila Shaheen
2021 ◽  
Vol Volume 15 ◽  
pp. 761-773
Author(s):  
Bashayer Al-Sahli ◽  
Abdelmoneim Eldali ◽  
Mohammed Aljuaid ◽  
Khaled Al-Surimi

2018 ◽  
Vol 5 ◽  
pp. 233339361878509 ◽  
Author(s):  
Lillian Hung ◽  
Alison Phinney ◽  
Habib Chaudhury ◽  
Paddy Rodney

In this article, we discuss how video-reflexive ethnography may be useful in engaging staff to improve dementia care in a hospital medical unit. Seven patients with dementia were involved in the production of patient-story videos, and fifty members of staff (nurses, physicians, and allied health practitioners) participated in video-reflexive groups. We identified five substantial themes to describe how video-reflexive groups might contribute to enacting person-centered care for improving dementia care: (a) seeing through patients’ eyes, (b) seeing normal strange and surprised, (c) seeing inside and between, (d) seeing with others inspires actions, and (e) seeing with the team builds a culture of learning. Our findings suggest that video reflexivity is not only useful for staff engagement but also effective in enhancing team capacity to enact person-centered care in the hospital setting.


2019 ◽  
Author(s):  
Bashayer Al-Sahli1 ◽  
Khaled Al-Surimi

Abstract Background: Healthcare systems around the world have begun to move towards a person (or patient)-centered care approach. Although this approach seems to have been newly adopted in some healthcare organizations, there is no evidence of person-centered care among hospitals in Saudi Arabia. The aims of this study were to assess patients’ perspectives on the climate of person-centered care and its associated factors in a Saudi tertiary hospital, and to examine the reliability of the Arabic version of the Person-centered Climate Questionnaire – Patient (PCQ-P) version. Methods: Using a cross-sectional study design, the validated version of the PCQ-P was distributed to 300 adult patients admitted to hospital for more than 48 hours. Patients from 16 inpatient departments at King Faisal Specialist Hospital and Research Center, a tertiary hospital in Riyadh, Saudi Arabia, were interviewed using the PCQ-P. Descriptive and inferential statistical analysis was performed using SPSS (version 22; IBM, NY, USA). Results: A total of 300 questionnaires were completed. Within this number of respondents, 159 (53%) were females; 119 were aged 21–40 years; 72.7% were married; 147 (49%) had attained up to a high school level of education; and (67.4%) were unemployed. Inpatients’ overall mean PCQ-P score was 73 ± 9.988 out of 85. Results suggested some significant associations between patient characteristics and their perspectives on person-centered care, such as age ( P =0.005), gender ( P <0.001), nationality ( P =0.026), area of residency ( P =0.001), route to admission ( P =0.002), length of stay ( P =0.003), and hospital preference ( P =0.010). The Arabic version of the PCQ-P was found to be reliable (Cronbach’s α=0.840), indicating its applicability to measure the climate of person-centered care in an Arabic-speaking context. Conclusions: Patient and hospital characteristics are important in terms of patients’ perceptions of the climate of person-centered care. The Arabic translation of the PCQ-P tool is a reliable way to measure this climate within the setting of an Arabic-speaking tertiary care hospital.


Author(s):  
Yvette M. McCoy

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.


2018 ◽  
Vol 28 (2) ◽  
pp. 567-570
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva

Introduction: The European definition of WONCA of general practice introduces the determinant elements of person-centered care regarding four important, interrelated characteristics: continuity of care, patient "empowerment", patient-centred approach, and doctor-patient relationship. The application of person-centred care in general practice refers to the GP's ability to master the patient-centered approach when working with patients and their problems in the respective context; use the general practice consultation to develop an effective doctor–patient relationship, with respect to patient’s autonomy; communicate, set priorities and establish a partnership when solving health problems; provide long-lasting care tailored to the needs of the patient and coordinate overall patient care. This means that GPs are expected to develop their knowledge and skills to use this key competence. Aim: The aim of this study is to make a preliminary assessment of the knowledge and attitudes of general practitioners regarding person-centered care. Material and methods: The opinion of 54 GPs was investigated through an original questionnaire, including closed questions, with more than one answer. The study involved each GP who has agreed to take part in organised training in person-centered care. The results were processed through the SPSS 17.0 version using descriptive statistics. Results: The distribution of respondents according to their sex is predominantly female - 34 (62.9%). It was found that GPs investigated by us highly appreciate the patient's ability to take responsibility, noting that it is important for them to communicate and establish a partnership with the patient - 37 (68.5%). One third of the respondents 34 (62.9%) stated the need to use the GP consultation to establish an effective doctor-patient relationship. The adoption of the patient-centered approach at work is important to 24 (44.4%) GPs. Provision of long-term care has been considered by 19 (35,2%). From the possible benefits of implementing person-centered care, GPs have indicated achieving more effective health outcomes in the first place - 46 (85.2%). Conclusion: Family doctors are aware of the elements of person-centered care, but in order to validate and fully implement this competence model, targeted GP training is required.


2021 ◽  
pp. 105477382110330
Author(s):  
Joy Davis ◽  
Sue Sinni ◽  
Stephen Maloney ◽  
Lorraine Walker

Patients are central to healthcare clinicians and organizations but often subsidiary to clinical expertise, knowledge, workplace processes, and culture. Shifting societal values, technology, and regulations have remoulded the patient-clinician relationship, augmenting the patient’s voice within the healthcare construct. Scaffolding this restructure is the global imperative to deliver person-centered care (PCC). The aim of the scoping review was to explore and map the intersection between patient feedback and strategies to improve the provision of PCC within acute hospitals in Australia. Database searches yielded 493 articles, with 16 studies meeting inclusion criteria. Integration of patient feedback varied from strategy design, through to multi-staged input throughout the initiative and beyond. Initiatives actioning patient feedback fell broadly into four categories: clinical practice, educational strategies, governance, and measurement. How clinicians can invite feedback and support patients to engage equally remains unclear, requiring further exploration of strategies to propel clinician-patient partnerships, scaffolded by hospital governance structures.


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