Trends in Patient-Centered Care in South West Nigeria: A Holistic Assessment of the Nurses Perception of Primary Healthcare Practice

Lateef, Adepeju; Mhlongo, Euphemia Mbali

doi:10.5539/gjhs.v12n6p73

Cited by 4 publications

(5 citation statements)

References 68 publications

(69 reference statements)

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“…Nurses in this study also discussed the negative impact of the hostility of patients, families and management and authoritarian and condescending attitudes of physicians on PCC. In line with previous research (Lateef & Mhlongo, 2020; Russell, 2021), nurses desired autonomy, respect and appreciation from the healthcare team and management to focus on their self‐care and improve the quality of care for complex patients. This finding brings to attention the role of interprofessional collaboration and organisational support in improving PCC quality for patients.…”

Section: Discussionsupporting

confidence: 63%

“…The power struggles among nurses and physicians and the hostility towards nurses have been an ongoing issue in various contexts (Kieft et al, 2014; Lateef & Mhlongo, 2020; Leake, 2018) and affect the quality of PCC (Kieft et al, 2014; Lateef & Mhlongo, 2020). Nurses in this study also discussed the negative impact of the hostility of patients, families and management and authoritarian and condescending attitudes of physicians on PCC.…”

Section: Discussionmentioning

confidence: 99%

Section: Physical and Mental Exhaustion (Domain: Emotion)mentioning

confidence: 99%

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Nurses’ perceived barriers to the delivery of person‐centred care to complex patients: A qualitative study using theoretical domains framework

Younas

Inayat

Masih³

2022

Journal of Clinical Nursing

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Aims and Objectives To determine nurses’ perceived barriers to the delivery of person‐centred care to complex patients with multiple chronic conditions in acute care settings. Background Complex patients have multiple physical and mental health problems, and their life is also greatly affected by sociocultural and economic determinants of health. These patients require person‐centred care, but nurses often find it challenging to provide effective care to these patients due to their complex health needs. Design A descriptive qualitative design was used. The COREQ guidelines were followed for reporting. Methods Semi‐structured interviews were conducted with a purposive sample of 19 nurses in two hospitals. Data were analysed using deductive thematic analysis guided by the Theoretical Domains Framework, which entails 14 domains about factors affecting behaviours. Results The key barriers were identified under environmental context and resources, social influences, emotions, knowledge and skills domains. Deep‐rooted social issues delay patients’ health‐seeking and nurses’ abilities to understand patients’ needs and discern appropriate care. Interpersonal hostility influenced nurse–patient–families interactions, and doctor–nurses conflicts affected collaborative efforts towards optimal care. Conclusions Nurses’ perceived barriers to care were intertwined with the deep‐rooted social and cultural beliefs about nurses’ image, patients’ expectations and families’ preference for home remedies over specialised nursing care. These barriers to person‐centred care demonstrate an intricate interplay of personal, social and organisational issues and power struggles. Multifaceted implementation strategies targeting environmental context and resources, social influences, emotions, knowledge and skills domains may be beneficial to enable nurses to provide better person‐centred care to complex patients. Relevance to clinical practice Designing implementation facilitation teams, organising person‐centred care grand rounds, and allocation of stress management resources to address hostility, social‐cultural influences, and organisational barriers is essential. Nurses could focus on their self‐awareness and collaborative skills to address emotional and interprofessional conflicts.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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Nurses’ perceived barriers to the delivery of person‐centred care to complex patients: A qualitative study using theoretical domains framework

Younas

Inayat

Masih³

2022

Journal of Clinical Nursing

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“…Today, nurses are task oriented instead of patient-centeredness due to many hurdles [ 30 , 31 ], such as healthcare providers communication, structural factor like hospital size, work overload, and organisational factor [ 32 , 33 ]. There is one resounding response to these problems for centuries in the literature of nursing that is PCC concept [ 34 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study on patient-centered care and perceptions of nurses regarding primary healthcare facilities in Nigeria

Adepeju

Mhlongo

2022

Cost Eff Resour Alloc

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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. Methods A qualitative action research approach was adopted. The 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 guide questions. 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 and Midwifery Council body should regulate, supervise, monitor and enforce the use and implementation of PCC in the PHC healthcare system.

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“…When patients are provided with accurate and clear information through effective partnership and collaboration, they can have a better understanding of what they are required to do. [ 44 ] In addition, nurses can educate patients about their rights to participate in care and about the questions they may ask care providers to obtain the information they need to make care decisions. Patient empowerment has been advocated as a way for patients to participate in the self-management of chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

Effective strategies for implementing patient-centered care in cardiac care unit

Charosaei

Rostami

Molavynejad

et al. 2021

Journal of Education and Health Promotion

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BACKGROUND: Patient-centered care (PCC) is a cornerstone for health-care professionals to improve the quality of care they provide to patients with cardiac disease. However, implementation of PCC programs has always accompanied with unpredictable challenges and obstacles. Therefore, the present study was conducted to determine effective strategies for the implementation of PCC from the perspective of patients and healthcare providers. MATERIALS AND METHODS: The present research was a qualitative study using conventional content analysis method in one of the university hospitals of Abadan University of Medical Sciences during 2019–2020. Purposive sampling was performed until data saturation was achieved. Data were collected through four focused group discussions and 24 in-depth semi-structured interviews with 22 health-care providers and seven cardiac patients. Depending on the interview process and the responses of each individual, the sequencing of questions was different from one participant to another. Data analysis was performed continuously and concurrently with data collection, using a comparative method. RESULTS: After data analysis, seven subcategories and three main categories were extracted. The main categories included structural, process, and outcome strategies. The category of structural strategies included subcategories of nursing care organization, application of appropriate motivational mechanisms, and expansion of team coordination. Process strategies included three subcategories, namely, promoting communication, respectful and compassionate care, and the development of holistic care. Finally, the outcome strategy consisted of the subcategory of patient empowerment. CONCLUSION: The practical strategies for the implementation of PCC in coronary care unit revealed in this study were at structural, process, and outcome levels. Health-care managers and administrators can avail themselves of the findings of the present study to promote the quality care for cardiac care unit patients and improve patient satisfaction.

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Trends in Patient-Centered Care in South West Nigeria: A Holistic Assessment of the Nurses Perception of Primary Healthcare Practice

Cited by 4 publications

References 68 publications

Nurses’ perceived barriers to the delivery of person‐centred care to complex patients: A qualitative study using theoretical domains framework

Nurses’ perceived barriers to the delivery of person‐centred care to complex patients: A qualitative study using theoretical domains framework

A qualitative study on patient-centered care and perceptions of nurses regarding primary healthcare facilities in Nigeria

Effective strategies for implementing patient-centered care in cardiac care unit

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