A predictive model of the perceptions of patient-centered care among nurses in long-term care hospitals: A cross-sectional study

Park, Myonghwa; Jeong, Hyun Chul; Giap, Thi‐Thanh‐Tinh

doi:10.1016/j.gerinurse.2021.02.019

Cited by 3 publications

(7 citation statements)

References 45 publications

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“…18 Several studies have been conducted to specify and delineate which factors have influenced the implementation of PCC. 9 These studies report that work environment and organizational factors had stronger influences on PCC, 19 in which the organizational system fosters shared decision making and facilitates the PCC process through activities. Additionally, the concept and practice of PCC have been described as essential for being incorporated into all organizational policies and procedures.…”

Section: Introductionmentioning

confidence: 99%

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

Al-Surimi¹,

Alhayek²,

Edvardsson³

et al. 2021

RMHP

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Introduction:Most health care systems strive to improve the quality, safety and value of healthcare, with an emphasis on moving towards patient-centered care/person-centered care (PCC) approach. The aim of the current study was to assess health care providers' perspectives on PCC climate in hospital setting and to identify the role of providers in determining the perception of the PCC climate. Methods: A survey, using person-centered climate questionnaire-staff version, was employed in health care providers of a tertiary care hospital. Data included variables age, gender, education level, occupation, and years of experience and three PCC dimensions. PCC overall and subscale scores were reported as mean and standard deviation. Factors associated with PCC climate perception were analyzed using a Poisson model. Results: Out of 1216 respondents; the majority 47% aged between 18 and 34 years; 79% women, 68% were nurses. The overall mean score was 45.96±15.36 (range 0-70). Subscale scores were Safety 20.15±5.0 (range 0-30), Everydayness 12.02±3.52 (range 0-20) and Community 13.79±3.34 (range 0-20). Increasing age was a significant factor associated with PCC scores for the overall, safety, everydayness, and community scales, with a positive association. Lower scores were reported more by women compared with men, for overall (p=0.0005), and everydayness (p=0.006) scales. Higher safety scores were reported by health care providers with a diploma compared to master's degree (p=0.009), Ph.D. (p=0.007), for technicians compared with nurses (p=0.007), and for day shift compared with day/night shift workers (p=0.025). PCC scores were not significantly different across health care providers' years of experience. Conclusion: There is a room for PCC climate improvement based on the low scores compared to the literature. The study findings indicated that the main factors associated with HCPs' perception of PCC were higher age and female gender, and these factors would benefit from further research.

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Section: Introductionmentioning

confidence: 99%

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

Al-Surimi¹,

Alhayek²,

Edvardsson³

et al. 2021

RMHP

View full text Add to dashboard Cite

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“…Zhou et al [2020] suggested the need to reduce the spread of the pandemic with correct and effective information that is valid and reliable [Shang and Zuo, 2020]. This creates a good understanding of phenomena that avoid threatening conditions needed to explain or predict public health behavior [Park et al, 2021]. This condition will prevent barriers to self-efficacy, which reflects the patient's belief that they can overcome obstacles needed to obtain health services [Jacobs et al, 2012].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Patient experience and cognitive characteristics shape willingness to engage in safety [Docherty, 2012;Berger et al, 2014;Vaismoradi et al, 2014]. Park et al (2021) and Stewart et al (2006) found that the practice of patient-centered care will improve their health status, quality of care, and efficiency of care. The perception of patient-centered care is in accordance with their families through the various active health involvement needs, preferences, and beliefs [Mason, 2018].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Patients believe in the quality of hospital services that provide a satisfying experience and are willing to go to the hospital under any circumstances [Sillence, 2019]. The pandemic increased the need for return visits [Park et al, 2021], involvement in self-efficacy, feeling confident and comfortable with error prevention, extraversion as a personality trait, and attitudes about fear or risk of error, increasing willingness to act [Docherty, 2012;Berger et al, 2014;Vaismoradi, 2014]. Self-efficacy is strongly related to behavior that considers the impact of nursing care on patient health [Hayes et al, 2012;Ausili, 2013].…”

Section: Literature Reviewmentioning

confidence: 99%

“…The perception of patient-centered care is also a variable that significantly influences a person's intention to do something [Ajzen, 1991], namely repeat visits to the hospital. However, this process is avoided assuming the patient has an unpleasant experience on a return visit [Park et al, 2021], leading to avoiding a cooperative relationship [Zampetakis and Melas, 2021;Vaismoradi, 2014]. Based on this, the hypothesis developed is as follows:…”

Section: Literature Reviewmentioning

confidence: 99%

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The Role of Mediation Barriers to Self-Efficacy in Improving Hospital Revisitation: Empirical Evidence in the Healthcare Industry in Indonesia

Andry

Ewaldo

Adhikara

et al. 2023

Acad. J. Interdiscip. Stud.

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This research aims to determine the role of barriers to self-efficacy as mediation on the repeat visits by patients in the National Health Insurance (JKN) at Advanced Referral Health Facilities (FKRTL) Class C in Indonesia. This is an explanatory causality research with the purposive sampling method used to collect data from a cross-sectional survey of 225 patients of class C FKRLT in Jakarta, Bogor, Depok, and Bekasi using a questionnaire. The data collected were analyzed using structural equation modelling (SEM). The results showed that brand image and perception of patient-centered services positively affect barriers to self-efficacy and are a mediator to increasing patient return visits. These findings are helpful for stakeholders to make decisions in improving patient-centered regulations and service standards for the realization of hospital sustainability, good governance, and effective strategies to retain BPJS patients. Received: 17 October 2022 / Accepted: 29 December 2022 / Published: 5 January 2023

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A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries

Biel

Grondys

Androniceanu

2022

IJERPH

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A health crisis caused by a pandemic tested the effectiveness of national healthcare systems by testing both financing and organizational and technical performance of patient care. At that time, the structural flaws in healthcare systems and inequalities in the level of healthcare in its different dimensions and countries due to resource constraints were highlighted. Therefore, the paper concentrates on investigating how the crisis in the health system affects the quality of healthcare services as a result of changes in the availability of financial, material, and human resources belonging to this system. The quantitative data, in terms of healthcare characterizing the OECD countries and selected non-member economies, treated as an example of economically developed regions, were chosen for the analysis. The study included five areas of resources, i.e., demographic, financial, human, technical, and the delivery of basic services in healthcare. T-test method for dependent samples, supplemented with Hedge’s g statistics, was applied to test the differences between the mean values of individual indicators. The results indicate the occurrence of changes in some areas of the healthcare system due to a crisis. Identifying areas that are particularly vulnerable to sudden changes in the healthcare system helps to understand which resource areas need to be strategically managed first, as shifts in levels respond to deteriorating healthcare quality outcomes.

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A predictive model of the perceptions of patient-centered care among nurses in long-term care hospitals: A cross-sectional study

Cited by 3 publications

References 45 publications

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

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

The Role of Mediation Barriers to Self-Efficacy in Improving Hospital Revisitation: Empirical Evidence in the Healthcare Industry in Indonesia

A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries

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