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 qualitative study on Patient-Centered Care and Perception of Nurses in Primary Healthcare Practice

2021 ◽  
Author(s):  
Adepeju Lateef ◽  
Euphemia Mbali Mhlongo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Healthcare Service ◽  
Patient Centered Care ◽  
Primary Health Care System ◽  
Patient Centered ◽  
Quality Healthcare ◽  
Primary Health ◽  
Centered Care

Abstract Background: Patient-centered care (PCC) approach has continued to gain recognition globally as the key to providing quality healthcare. However, this concept is not fully integrated into the management of primary health care (PHC) in existing nursing practice due to numerous challenges. Among these challenges is the perception of nursing on PCC in the Primary Health Care system. This study seeks to present the results of qualitative research performed at various selected PHC centres on nurses’ perceptions in PCC practice. This study aim was to explore the perception of nurses on PCC. A qualitative action research approach was adopted. Methods: This study involved 30 local government PHC centres located in Osun State Southwest of the federal republic of Nigeria. Data was collected through a semi-structured interview. Thereafter, data analysis was performed using thematic analysis and NVivo 12 software to generate themes, subthemes, and codes. Results: PCC perceptions of nurses that was revealed in our findings were categorised into positive and negative themes. The negative themes include: Poor approach by the nurses and lack of enforcement agency. The positive themes that emerged include: outcome driven healthcare, valued care provider, communication to sharpen care and driven healthcare service. Conclusion: There is need for continuous training, and upgrading of nurses in line with global recommended standards of providing quality healthcare service delivery to the people. Therefore, the federal and state governments and local government council through the Nursing Council body should regulate, supervise, monitor and enforce the use and implementation of PCC in the PHC healthcare system.

scholarly journals Stakeholder perceptions on patient-centered care at primary health care level in rural eastern Uganda: A qualitative inquiry

PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0221649 ◽  
Author(s):  
Everlyn Waweru ◽  
Nandini D. P. Sarkar ◽  
Freddie Ssengooba ◽  
Marc- Eric Gruénais ◽  
Jacqueline Broerse ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Patient Centered Care ◽  
Qualitative Inquiry ◽  
Stakeholder Perceptions ◽  
Patient Centered ◽  
Care Level ◽  
Primary Health ◽  
Centered Care ◽  
Eastern Uganda

scholarly journals Nurses’ Encountered Challenges with Patient-centered Care in Rural Primary Health Care Centers: A Case Study of Nigeria

2021 ◽  
Author(s):  
Adepeju Lateef ◽  
Euphemia Mbali Mhlongo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Patient Centered Care ◽  
Health Care Facilities ◽  
Management Support ◽  
Patient Centered ◽  
Primary Health ◽  
Care Facilities ◽  
Centered Care ◽  
Primary Health Care Facilities

Abstract BackgroundGlobally, patient-centered care has become the focus of the healthcare system. Therefore, it is imperative to note that patient-centered care seeks to empower partnering approaches to primary health care and has recently gained prominence in nursing practice and applied nursing research. However, nurses are faced with numerous challenges in achieving the desired results and objectives related to Patient-centered care in the Primary Health Care system. Thus, the study explores the negative factors influencing the implementation of Patient-centered care in rural Primary Health Care facilities in Nigeria.MethodA qualitative participatory action research design was used. Data collection was conducted with the nurses from Primary Health Care facilities through individual interviews and focus group discussions. Data saturation was achieved with 35 participants from 30 Primary Health Care facilities in Osun State, Southwest Nigeria, using a purposive sampling technique. All interviews were audio-recorded, which were later transcribed verbatim and analyzed using a thematic content analysis approach. NVivo 12 software was used for data management.ResultsThe results from this study was categorized into two: organizational factors and individual factors. Five themes that emerged from the study include: inadequate management support, insufficient operational skills and knowledge /equipped learning, increased workload and time constraints, health personnel readiness, dearth enthusiasm for change and accountability of the staff.ConclusionThe results of this study show that nurses encountered diverse challenges in the implementation of patient-centered care. To improve healthcare delivery quality in the Primary Health Care facilities, there is a need to reinforce adequate management support, education, training, and the nurses’ internal motivation to achieve a transformative healthcare outcome.

scholarly journals A Qualitative Study on Patient-Centered Care and Perception of Nurses in Primary Healthcare Practice

2020 ◽  
Author(s):  
Adepeju Lateef ◽  
Euphemia Mbali Mhlongo
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Primary Health Care ◽  
Healthcare Service ◽  
Patient Centered Care ◽  
Primary Health Care System ◽  
Patient Centered ◽  
Primary Health ◽  
Centered Care ◽  
The Government

Abstract Background: Patient-centered care (PCC) approach has continued to gain recognition globally as the key to providing quality healthcare. However, this concept is not fully integrated into the management of primary health care (PHC) in existing nursing practice due to numerous challenges. Among these challenges is the perception of nursing on PCC in the Primary Health Care system. This study seeks to present the results of qualitative research performed at various selected PHC centers on nurses’ perceptions in PCC practice.Aim: This study aims at exploring the perception of nurses on PCC.Method: A qualitative research approach was adopted for this study. This study involved thirty local government PHC centers located in Osun State of southwest Nigeria. The sample comprised 28 female nurses and 7 male nurses. Data were collected through a semi-structured interview schedule in different sessions that were conducted on a one on one basis. Thereafter, data analysis was performed using thematic analysis and NVivo 12 software to generate themes, subthemes, and codes.Results: The findings of the study revealed a number of perceptions on PCC that were categorized into positive and negative themes. The negative themes include: Poor approach by the nurses and lack of enforcement agency. The positive themes that emerged include: Outcome-driven healthcare, valued care provider, communication to sharpen care, and driven healthcare service. In addition, the findings established a positive correlation between perception and years of working experience. 68.5 % of the participants, who had working experience in the range of 12 – 31 years, expressed a mixed perception of PCC practice. The remaining 31.5 % of the participants interviewed who had working experience in the range of 2, 6 – 11 years, expressed positive perceptions on the provision of PCC. Conclusion: From the findings of this study, there is a need for the government to enforce the utilization and provision of PCC in the PHC setting. This should be done through the provision of an enabling environment in the PHC setting. In addition, the government should provide regulations and monitoring mechanisms in the PHC institutions. Enforcement agencies should also offer opportunities for continuous training to enhance the nursing care skills of nurses to stimulate and sustain improved healthcare services. Lastly, the government should remunerate and promote nurses based on merit as another means of supporting improved healthcare service delivery by the nurses.

scholarly journals The covid-19 in the Primary Health Care context

2021 ◽  
Vol 10 (3) ◽  
pp. e49010313602
Author(s):  
Ana Valesca Fernandes Gilson Silva ◽  
Simone de Pinho Barbosa ◽  
Fernanda Moura Lanza ◽  
Maria Marta Amancio Amorim ◽  
Érika de Azevedo Leitão Mássimo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Care Process ◽  
Health Issues ◽  
Patient Centered ◽  
Structural Problems ◽  
Primary Health ◽  
Health Care Context ◽  
Centered Care

This article aims to develop a reflective theoretical study with an emphasis on the actions, challenges and recommendations of practices for the prevention, control and monitoring of PHC disease. The COVID-19 pandemic has been demanding a remodeling of structures, not only in hospital care, but, especially in interventions in communities and their social, urban and structural problems. The article highlights the work process and new technical and dynamic incorporations for prevention, surveillance and monitoring imposed by SARS-CoV2 on primary health care, which must also guarantee access to essential care. As it allows thinking about the most feasible forms of action, this article recognizes the principles of action in the health system, offering to managers and health professionals, through the interlocution between related studies, several measures that can help in assistance of pandemic. The COVID-19 pandemic changed the course of some health policies in the world. Patient-centered care requires a change in perspective towards a concept of community-centered care. As the primary health care is the first level of contact for individuals, family and community in a health system, constituting the preferred gateway to the care process, it is expected that the reflections raised by this article will contribute to an analysis that answers the main public health issues from the perspective of primary health care, preserving its stability, avoiding the disintegration of its actions and maintaining its functionality with the strengthening of local and community actions.

scholarly journals Patient participation in care safety: Primary Health Care professionals’ perception

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Pedro Rodrigues Carvalho ◽  
Emannuela Sofia Dantas Ferraz ◽  
Cristiane Chagas Teixeira ◽  
Valéria Bertonha Machado ◽  
Ana Lúcia Queiroz Bezerra ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Professionals ◽  
Patient Involvement ◽  
Federal District ◽  
Structured Interview ◽  
Patient Centered ◽  
Primary Health ◽  
Centered Care ◽  
Intervening Factors

ABSTRACT Objectives: to analyze health professionals’ perception about the meaning and practice of patient involvement in care safety in Primary Health Care. Methods: this is an exploratory, qualitative study, developed with 22 professionals in the Federal District, Brazil. A semi-structured interview was conducted between October and November/2018. Content analysis was carried out according to Bardin. Results: nurses, physicians, dentists, among others, participated. The following categories emerged: Meaning of patient involvement in care safety; Factors intervening in patient involvement in care safety; Strategies for patient involvement in care safety; Qualification for patient involvement in care safety. Final Considerations: the meaning of patient involvement for care safety was associated with co-responsibility and patient-centered care. Professionals’ practice revealed intervening factors and the use of involvement strategies. A gap was identified in training on patient involvement in care safety.

scholarly journals Concordance and Patient-Centered Care in Medicaid Enrollees’ Care Experience With Providers

2021 ◽  
Vol 8 ◽  
pp. 237437352110340
Author(s):  
Iwimbong Kum Ghabowen ◽  
Neeraj Bhandari
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Patient Centered Care ◽  
Care Utilization ◽  
Federal State ◽  
Patient Centered ◽  
Care Experience ◽  
Centered Care ◽  
State And Local ◽  
Privately Insured

Patient-centered care is at the nexus of several overlapping institutional reforms to improve health care system performance. However, we know little regarding Medicaid patients’ experience with their doctors along several key dimensions of patient-centered care, and how their experience compares with Medicare and privately insured patients. We studied 4 outcomes using the 2017 National Health Interview Survey: patient–provider concordance on racial/sexual/cultural identity, respectful provider attitude, solicitation of patient opinion/beliefs during the care encounter, and patient-centered communication (PCC). The primary independent variable was Medicaid enrollee status. We dichotomized responses and ran multivariate logistic regressions for each type of care experience outcome, controlling for sociodemographic factors, health care access, and health care utilization of respondents. Compared to Medicare and privately insured enrollees, Medicaid enrollees reported much lower odds of seeing providers who treated them with respect (OR = 1.91, P < .001; OR = 1.62, P < .01) and who offered PCC (OR = 1.35, P < .05; OR = 1.35, P < .01), but similar odds of seeing concordant providers (OR = 0.78, P = .96; OR = 0.96, P = .72). Importantly, Medicaid enrollees reported higher odds of seeing providers who solicited their opinion/beliefs/preferences than their Medicare or privately insured counterparts (OR = 0.82, P < .05; OR = 0.87 P < .10). Medicaid enrollees report less patient-centered experiences in some important facets of their provider interaction than their Medicare or privately insured counterparts. Federal, state, and local policies and practices directed at improving these facets of patient–provider interaction are needed and should be aimed squarely at Medicaid providers, especially those working in geographic areas and settings with a disproportionate number of racial, gender, cultural, and linguistic minorities.

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