Perceptions of Quality of Patient-Centered Nursing Care among Women with Breast Cancer

Abstract

Purpose: This study aimed to investigate the quality of patient-centered nursing care (PCNC) among women with breast cancer at a cancer center in Seoul, Korea. Methods: In a cross-sectional survey design, 223 women with breast cancer were recruited from the oncology surgery unit. The Korean version of the oncology patients' perceptions of the quality of nursing care scale, which is conceptualized in four sub-dimensions (individualization, proficiency, responsiveness, and coordination) was used for measurement. Data were analyzed using descriptive statistics and ANOVA. Results: The participants were all women, with a mean age of 51.3 years. The mean score of PCNC was high and significantly different from each other according to age group. Breast cancer women, who had mastectomy, were satisfied highly in terms of proficiency and responsiveness care, but less satisfied with individualization and coordination care than those of other women. Conclusion: The findings of this study show the quality of cancer nursing care, especially focusing on patient-centeredness, can be measured from the patients'perspective. The individualized and coordinated nursing care is considered to be the core of quality cancer care implying patient-centeredness. Based on the findings of this study, more research is necessary to explore the patients' view of quality cancer care and to test the effects of PCNC within the context of comparative effectiveness.

Effects of health literacy competencies on patient-centered care among nurses

“…Most nurses prioritize identifying patients’ disease state when providing nursing care and perceive that it is important to identify patients’ needs in clinical situations and reflecting them in nursing care [ 40 ]. As the recent trend of medical services has changed from disease- to patient-centered, patient-centered communication has been emphasized as a factor that positively affects patient health outcomes [ 41 ]. However, for its active application, as in the US and European countries, sufficient communication training should be provided to nursing students, considering patients’ health literacy levels and clinical situations in nursing education curriculums at nursing colleges.…”

Emergency Room Nurses’ Experiences in Person-Centred Care

“…Additionally, other studies argued that person-centred care would guarantee quality healthcare in the chaotic ER [5,28] and have shown powerful evidence that person-centred communication improved clinical outcomes in diabetes, hy-pertensive and cancer patients [29][30][31][32]. Of the studies in Korea, those with stroke patients, patients with cardiovascular disease [33,34] and women with breast cancer [35] demonstrated that nursing satisfaction increased and depression decreased as the awareness of person-centred care improved, confirming that quantitatively-and qualitatively-enriched nursing is provided through person-centred care.…”

Stakeholders’ Experiences and Perspectives Regarding Care Quality for Women With Breast Cancer

“…34,40 Results showed that positive and negative incentives triggered the information needs and patient activities; for example, when patients experienced symptoms of side effects or inquiries from doctors. 24,27,32 Subsequently, 5 variables were reported to moderate or inhibit the development of information needs 34,40 such as young patients caring more about new research advances and effects of treatment on career and fertility compared with older patients. 34,40 Likewise, results highlighted different information needs of patients with different stages of breast cancer because the process of treatment is sequential and often accompanied by different treatment approaches in a clinical system.…”

“…The database search identified 386 publications from 1998 to 2020: 87 from Scopus, 163 from Google Scholar, 73 from the ISI Web of Science, and 63 from PubMed. Of these, 21 full text articles met inclusion criteria for analysis, and they were included 6,[18][19][20][23][24][25][26][27][28][29][30][31] The first studies on the quality healthcare services in breast cancer treatment were undertaken in 2005. 32 We included 14 qualitative studies, 6,18,20,[23][24][25][28][29][30][31][33][34][35] 5 cross-sectional studies, 19,26,27,32,36 and 2 pilot and cohort studies.…”