Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis

Abstract

Background Patient centred care is commonly recommended in clinical practice guidelines to improve patient outcomes and reduce healthcare costs. Identifying measurement tools used to assess healthcare students’ attitudes towards patient centered care and determining their attitudes is the first step to ensuring patient centred care is provided in the future. The primary aim of this review was to describe the measurement tools used to assess healthcare students’ attitudes towards patient centred care. The secondary aim was to quantify healthcare students’ attitudes towards patient centred care. Methods An electronic database search was conducted in MEDLINE, EMBASE, CINAHL from inception until March 1, 2021, with combined terms relating to ‘patient centred care’, ‘attitudes’, and ‘healthcare students’. Studies that quantitatively assessed healthcare students’ attitudes towards patient centred care were included. Measurement tools used in the included studies were qualitatively described. Meta-analysis was conducted to quantify healthcare students’ attitudes towards patient centred care and assess the respective influence of gender, profession, and study geographical location on healthcare students’ attitudes towards patient centred care. Results The electronic search identified 3948 total studies. One hundred twenty-nine full texts were screened, and 49 studies were included. There were 16 measurement tools used to assess healthcare students’ attitudes towards patient centered care. Most studies (53%, n = 26) used the Patient-Practitioner Orientation Scale (PPOS) to assess patient centered care. Meta-analyses of 20 studies with 26 total groups resulted in a pooled mean PPOS score of 4.16 on a 0–6 scale (95% Confidence Interval [CI]: 3.95, 4.37), indicating low attitudes towards patient centered care. Additional analyses found that women have significantly higher attitudes towards patients centred care than men (pooled effect 0.14 [95% CI: 0.05, 0.23], n = 8 studies) and mean PPOS scores appear similar among sub-groups of only medical students (pooled mean 4.13, 95% CI: 3.85, 4.42, n = 13 studies) and only American healthcare students (pooled mean 4.49, 95% CI: 4.35, 4.64, n = 5 studies). Conclusions Several different measurement tools have been used to assess healthcare students’ attitudes towards patient centred care, but the most commonly used is the PPOS. Our results indicate that healthcare students have low attitudes towards patient centred care. Future studies should evaluate if attitudes towards patient centred care can be improved during healthcare education.

Lebanese nursing students' perceptions of barriers to the implementation of person‐centered care in clinical settings: A qualitative study

“…In order to perform organised nursing education, institutions must also improve their collaboration with academic organisations. It would be preferable to enhance role modelling as it was previously mentioned as a key tactic used by instructors to teach clinicians about person‐centered care (Bejarano et al., 2022). In addition, nursing students must follow a systematic strategy for learning about person‐centered care in the program of study (Moore et al., 2021).…”

Pelatihan Patient Centered Care pada Mahasiswa Bidan Meningkatkan Kesejahteraan Pasien Post SC

“…Patient Centered Care (PCC) diperlukan untuk memecahkan masalah di bidang pelayanan kesehatan. Hal ini tercermin dari keterlibatan tim pekerja dalam menyelesaikan ketidakpastian pasien dalam pemilihan pengobatan melalui pengetahuan, sikap, dan perilaku professional mereka (Bejarano et al, 2022).…”

Candid insights and overlooked facets: what medical students write about patient-centeredness in diaries on longitudinal patient contacts

“…Educators have long been dedicated to designing medical education programs with the aim of fostering patient-centeredness, while researchers have sought to determine the most effective educational approaches in this regard [ 1 , 2 ]. Despite these efforts, the existing literature consistently reveals a concerning trend: the patient-centered attitude of medical students tends to decline over the course of studies [ 3 , 4 ]. However, the fundamental principle remains unaltered: every patient deserves a doctor who perceives them as a unique individual, with their own interests and wishes, norms and values, and who takes these into consideration when providing medical care.…”

“…In summary, existing research indicates that students learn about patient-centeredness through different educational interventions [ 16–24 ]. However, we also know that despite these efforts, there is evidence of a decline in students’ patient-centered attitude as they progress through their studies [ 3 , 4 ]. Patient-centeredness is a multifaceted concept with numerous dimensions to explore [ 11 , 12 , 26 ].…”