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

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. 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.

Nurse managers' perceptions of patient‐centred care and its influence on quality nursing care and nurse job satisfaction: Empirical research qualitative

“…Additionally, the nurse managers also emphasized good nurse–patient relationships and effective communication highlighted in this excerpt from a participant with code WMM ‘… good interpersonal relationships and open communication between the nurse and the patient improve the patient's trust… the patient will open up and tell you exactly what he feels about his condition’ which resonates with Lateef and Mhlongo ( 2022 ) findings that interpersonal relationships and nurse–patient communication are key aspects of patient‐centredness. Adequate communication and good nurse–patient relationships catalyse patient‐centredness.…”

Pelaksanaan Konsep Patient Centered Care Berdasarkan Perspektif Pasien dan Persektif Perawat

“…Dimana dalam hasil penelitiannya mengatakan bahwa kualitas pelayanan mampu mempengaruhi kepuasan pasien dan juga sebagai factor mediasi kualitas layanan pasien. Dalam implementasi patient centered care perawat di tuntut untuk selalu menjadi komunikator atau komunikan yang efektif (Lateef & Mhlongo, 2020;Mardiyono, 2022;). Dalam memberikan pelayanan seorang perawat harus memandang pasien sebagai subjek dalam pelayanan bukan objek dalam pelayanan (Fauzan & Widodo, 2019).…”

Patient Centered Care (PCC) dalam Dokumentasi Keperawatan

“…Oleh sebab itu, proses pendokumentasian PCC hendaknya memasukan informasi terkait masalah psikososial yang berisi perasaan dan pengalaman serta kehendak pasien dalam perawatannya. Selain itu, faktor yang memberikan kontribusi penting dalam pelaksanaan PCC yakni ketersediaan sumber daya (Lateef & Mhlongo, 2022). Studi yang relevan melaporkan, penggunaan EHR dalam pendokumentasian dapat meningkatkan kompleksitas tugas dan pencarian informasi dalam pencatatan PCC (Burridge et al, 2018).…”