Perceptions of person‐centred care in two large university hospitals: A cross‐sectional survey among healthcare professionals

Johnsen, Anna Thit; Hølge‐Hazelton, Bibi; Skovbakke, Søren Jensen; Rottmann, Nina; Thomsen, Thora Grothe; Eskildsen, Nanna Bjerg; Pedersen, Susanne S.

doi:10.1111/scs.13014

Cited by 11 publications

(7 citation statements)

References 36 publications

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“…The nurses show more difficulty in being mutual with the patient, especially in the aspects related to the sharing of emotions, objectives, planning [19], and patient participation [33]. Patient involvement and sharing with the patient are the basis of patient‐centred care [34]. This may be related to a ‘task‐based’ approach rather than a patient‐centred approach of nurses [35].…”

Section: Discussionmentioning

confidence: 99%

Mutuality between nurses and patients with chronic illnesses: A cross‐sectional descriptive study

Cilluffo,

Bassola,

Pucciarelli

et al. 2024

Scandinavian Caring Sciences

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Background and AimMutuality is a process in which the patient participates and is involved in decision‐making and care interventions. The aim of this study was to measure mutuality in the relationship between nurses and chronic illness patients.MethodsThis study had a cross‐sectional design; the sample included 249 patients and 249 nurses. Mutuality was measured with the Nurse–Patient Mutuality in Chronic Illness scale.ResultsPatients had higher scores in almost all items (p < 0.001). Patients demonstrate high reciprocity towards nurses and the ability to express and share their emotions. Patients consider nurses their point of reference and share with them their health goals. Nurses show more difficulty in being mutual with the patient, especially in the aspects related to the sharing of emotions, objectives, and planning. The egalitarian relationship score was low in both patients and nurses.ConclusionThese findings are important to consider at clinical, educational, organisational, and policy levels. Nurse education and organisation must push towards respect for the wishes of patients, the possibility of expressing their choices, and their involvement in the care plan.Practice ImplicationsIn clinical practice, it is necessary to put the patients more at the centre, involving them in the identification of objectives and in making decisions.

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Section: Discussionmentioning

confidence: 99%

Mutuality between nurses and patients with chronic illnesses: A cross‐sectional descriptive study

Cilluffo,

Bassola,

Pucciarelli

et al. 2024

Scandinavian Caring Sciences

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“…The quality of the patient–professional relationship has a direct impact on the quality of care, and professionals' support, empathy, care and good relationships with patients have a decisive role in shaping patients' participation and attitudes [41]. The difficulty of involving patients has been recognised by previous studies and may be related to the time that is available to professionals [15].…”

Section: Discussionmentioning

confidence: 99%

“…Although the importance of PCC is generally recognised, professionals' and patients' perceptions of PCC differ. Variation in experiences of PCC may be explained by such variation in perceptions of PCC among professionals and patients [15,16], limited understanding of the concept [16], attitudinal problems [12], or lack of prioritisation given to PCC by managers [15]. To improve health outcomes, it is important to understand the uniqueness of an individual's perceptions and experience of a phenomenon [17].…”

Section: Introductionmentioning

confidence: 99%

Patients' experiences of patient‐centred care in hospital setting: A systematic review of qualitative studies

Havana

Kuha

Laukka

et al. 2023

Scandinavian Caring Sciences

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BackgroundPatient‐centred care (PCC) has been proposed as an appropriate approach for addressing current shifts in healthcare needs. Although the importance of PCC is generally recognised, PCC is poorly understood by patients in the hospital settings.ObjectivesTo identify patients' experiences of PCC in hospital settings.Methodological designThis systematic review followed the Joanna Briggs Institute's (JBI) guidance for systematic reviews of qualitative evidence and the PRISMA checklist for reporting systematic reviews. The search strategy included peer‐reviewed qualitative studies published after 2010 in English or Finnish. The databases searched were SCOPUS, MEDLINE, CINAHL and Medic. Unpublished studies and grey literature were searched in MedNar. Ten qualitative studies were included, and their quality was assessed by two independent reviewers using JBI quality assessment criteria. The data were analysed using thematic analysis.Setting and participantsStudies were included if they had explored adult patient experiences of PCC in hospital settings.ResultsA thematic analysis produced 14 subthemes which were grouped into five analytical themes: the presence of the professional, patient involvement in care, receiving information, the patient–professional relationship and being seen as a person.Conclusions and implicationsThis review suggests that the implementation and provision of PCC in hospitals is incomplete and patients' involvement in their own care should be in the focus of PCC. The majority of patients experienced receiving PCC, but others did not. The need for improvement of patient involvement was strongly emphasised. Patients highlighted the importance of professionals being present and spending time with patients. Patients felt well‐informed about their care but expressed the need for better communication. Meaningful patient–professional relationships were brokered by professionals demonstrating genuine care and respecting the patient as an individual. To improve the implementation of PCC, patient experiences should be considered in the development of relevant hospital care strategies. In addition, more training in PCC and patient–professional communication should be provided to health care professionals.

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“…Finally, if possible, using motivational interviews such as goal setting to implicitly incentivize patients to participate in the treatment process is also of value in improving satisfaction with treatment. In the future, to further promote PCC, efforts should be made at an organizational level (Johnsen et al, 2022), and PCC content should be included in medical/nursing curricula (Engle et al, 2021) and incorporated in clinical guidelines (Kim et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

The Satisfaction With Care of Patients With Schizophrenia in Taiwan: A Cross-Sectional Survey of Patient-Centered Care Domains

Chen

Chueh

Chen

et al. 2023

Journal of Nursing Research

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Background: Pharmacological interventions combined with nonpharmacological treatments such as patient-centered care (PCC)-related activities are widely used to enhance outcomes in patients with schizophrenia. However, few studies have examined and identified the PCC factors essential to achieving better outcomes in patients with schizophrenia.Purpose: This study was designed to identify the Picker-Institute-identified PCC domains associated with satisfaction and to determine which of these domains are most important in the context of schizophrenia care.Methods: Data were collected using patient surveys in outpatient settings and record reviews at two hospitals in northern Taiwan between November and December 2016. PCC data were collected in five domains: (a) support of patient autonomy; (b) goal setting; (c) collaboration and integration of healthcare services; (d) information, education, and communication; and (e) emotional support. The outcome measure was patient satisfaction. The study controlled for demographic factors, including age, gender, education, occupation, marriage, and urbanization level in the respondent's area of residence. Clinical characteristics included the Clinical Global Impressions severity and improvement index scores, previous admission, previous emergency department visit, and readmission within 1 year. Methods were adopted to prevent common method variance bias. Multivariable linear regression with stepwise selection and the generalized estimating equation were used to analyze the data.Results: After controlling for confounding factors, the generalized estimating equation model found only three PCC factors significantly associated with patient satisfaction, which differed slightly from the results of the multivariable linear regression. These three factors are as follows, in order of importance: information, education, and communication (parameter = 0.65 [0.37, 0.92], p < .001); emotional support (parameter = 0.52 [0.22, 0.81], p < .001); and goal setting (parameter = 0.31 [0.10, 0.51], p = .004). Conclusions:The three critical PCC-related factors were evaluated in terms of enhancing patient satisfaction in patients with schizophrenia. Practicable strategies related to these three factors should also be developed for implementation in clinical settings.

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Perceptions of person‐centred care in two large university hospitals: A cross‐sectional survey among healthcare professionals

Cited by 11 publications

References 36 publications

Mutuality between nurses and patients with chronic illnesses: A cross‐sectional descriptive study

Mutuality between nurses and patients with chronic illnesses: A cross‐sectional descriptive study

Patients' experiences of patient‐centred care in hospital setting: A systematic review of qualitative studies

The Satisfaction With Care of Patients With Schizophrenia in Taiwan: A Cross-Sectional Survey of Patient-Centered Care Domains

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