Development of an Academic Course in Person-Centred Care for Students in Higher Education: Teachers’ Perspectives

Rosengren, Kristina; Danielsson, Louise; Jansson, Inger; Wallengren, Catarina

doi:10.1155/2018/9854169

“…However, the lack of emphasis on PCC education in nurse training institutions generally was observed from this study. These ndings are similar to the results presented in other settings by these authors [35,67,74].…”

Section: Discussionsupporting

confidence: 93%

A qualitative study on Patient-Centered Care and Perception of Nurses in Primary Healthcare Practice

Adepeju

¹

,

Mhlongo

²

2021

Preprint

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

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“…However, these research ndings reveal the lack of emphasis on PCC education in nurse training institutions generally. These ndings are similar to the results presented in other settings [65][66][67].…”

Section: Discussionsupporting

confidence: 91%

A Qualitative Study on Patient-Centered Care and Perception of Nurses in Primary Healthcare Practice

Lateef

¹

,

Mhlongo

²

2020

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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 centers on nurses’ perceptions in PCC practice.Aim: This study aims at exploring the perception of nurses on PCC.Method: A qualitative research approach was adopted for this study. This study involved thirty local government PHC centers located in Osun State of southwest Nigeria. The sample comprised 28 female nurses and 7 male nurses. Data were collected through a semi-structured interview schedule in different sessions that were conducted on a one on one basis. Thereafter, data analysis was performed using thematic analysis and NVivo 12 software to generate themes, subthemes, and codes.Results: The findings of the study revealed a number of perceptions on PCC that were categorized 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. In addition, the findings established a positive correlation between perception and years of working experience. 68.5 % of the participants, who had working experience in the range of 12 – 31 years, expressed a mixed perception of PCC practice. The remaining 31.5 % of the participants interviewed who had working experience in the range of 2, 6 – 11 years, expressed positive perceptions on the provision of PCC. Conclusion: From the findings of this study, there is a need for the government to enforce the utilization and provision of PCC in the PHC setting. This should be done through the provision of an enabling environment in the PHC setting. In addition, the government should provide regulations and monitoring mechanisms in the PHC institutions. Enforcement agencies should also offer opportunities for continuous training to enhance the nursing care skills of nurses to stimulate and sustain improved healthcare services. Lastly, the government should remunerate and promote nurses based on merit as another means of supporting improved healthcare service delivery by the nurses.

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“…However, person-centred care is regarded as an unclear concept because of limited knowledge and understanding among healthcare professionals (Lodge et al, 2017;Moore et al, 2017;Naldemirci et al, 2017;Oppert et al, 2018). Therefore, this study highlights areas for improvement, such as the education of healthcare professionals (Rosengren et al, 2018). Britten et al (2020) emphasised the use of practical insights from health professionals to facilitate successful clinical work for further adoption and implementation of person-centred care.…”

Section: Introductionmentioning

confidence: 97%

“…Previous research has highlighted the importance of healthcare organisation, content of healthcare curriculum and financial systems used in healthcare ( Chenoweth et al , 2019 ; Gyllensten et al , 2019 ; Pirhonen et al , 2017 , 2019 ; Rosengren et al , 2018 ). The traditional model of healthcare is focused on diseases (medicine and natural science) and does not acknowledge patients' resources and abilities to be an expert in their own life based on their lived experiences ( CEN, 2020 ; IAPO, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…However, person-centred care is regarded as an unclear concept because of limited knowledge and understanding among healthcare professionals ( Lodge et al , 2017 ; Moore et al , 2017 ; Naldemirci et al , 2017 ; Oppert et al , 2018 ). Therefore, this study highlights areas for improvement, such as the education of healthcare professionals ( Rosengren et al , 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Adoption of the concept of person-centred care into discourse in Europe: a systematic literature review

Rosengren

¹

,

Brannefors

²

,

Carlström

³

2021

JHOM

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PurposeThis study aims to describe how person-centred care, as a concept, has been adopted into discourse in 23 European countries in relation to their healthcare systems (Beveridge, Bismarck, out of pocket).Design/methodology/approachA literature review inspired by the SPICE model, using both scientific studies (CINHAL, Medline, Scopus) and grey literature (Google), was conducted. A total of 1,194 documents from CINHAL (n = 139), Medline (n = 245), Scopus (n = 493) and Google (n = 317) were analysed for content and scope of person-centred care in each country. Countries were grouped based on healthcare systems.FindingsResults from descriptive statistics (percentage, range) revealed that person-centred care was most common in the United Kingdom (n = 481, 40.3%), Sweden (n = 231, 19.3%), the Netherlands (n = 80, 6.7%), Northern Ireland (n = 79, 6.6%) and Norway (n = 61, 5.1%) compared with Poland (0.6%), Hungary (0.5%), Greece (0.4%), Latvia (0.4%) and Serbia (0%). Based on healthcare systems, seven out of ten countries with the Beveridge model used person-centred care backed by scientific literature (n = 999), as opposed to the Bismarck model, which was mostly supported by grey literature (n = 190).Practical implicationsAdoption of the concept of person-centred care into discourse requires a systematic approach at the national (politicians), regional (guidelines) and local (specific healthcare settings) levels visualised by decision-making to establish a well-integrated phenomenon in Europe.Social implicationsEvidence-based knowledge as well as national regulations regarding person-centred care are important tools to motivate the adoption of person-centred care in clinical practice. This could be expressed by decision-making at the macro (law, mission) level, which guides the meso (policies) and micro (routines) levels to adopt the scope and content of person-centred care in clinical practice. However, healthcare systems (Beveridge, Bismarck and out-of-pocket) have different structures and missions owing to ethical approaches. The quality of healthcare supported by evidence-based knowledge enables the establishment of a well-integrated phenomenon in European healthcare.Originality/valueOur findings clarify those countries using the Beveridge healthcare model rank higher on accepting/adopting the concept of person-centered care in discourse. To adopt the concept of person-centred care in discourse requires a systematic approach at all levels in the organisation—from the national (politicians) and regional (guideline) to the local (specific healthcare settings) levels of healthcare.

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Development of an Academic Course in Person-Centred Care for Students in Higher Education: Teachers’ Perspectives

Cited by 7 publications

References 38 publications

A qualitative study on Patient-Centered Care and Perception of Nurses in Primary Healthcare Practice

A qualitative study on Patient-Centered Care and Perception of Nurses in Primary Healthcare Practice

A Qualitative Study on Patient-Centered Care and Perception of Nurses in Primary Healthcare Practice

Adoption of the concept of person-centred care into discourse in Europe: a systematic literature review

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