D. The Recommendations of the Participants in Enhancing Patient
centered care.
"Regular training sessions and workshops" is the most frequently mentioned, with 32 mentions. Programs that address nurse fatigue are mentioned 28 times, and assuring adequate nurse-to-patient ratios is mentioned 26 times. There are 24 mentions of the importance of fostering a workplace culture that prioritizes patient- centered care, and 22 mentions of the importance of adjusting scheduling to facilitate meaningful patient engagement. They both rank highly. Although less frequently mentioned, it is essential to provide the requisite resources (18 mentions) and capture patient feedback (16 mentions) on a regular basis. The essential but less prioritized tasks of fostering collaboration among healthcare team members (12 mentions) and enhancing communication skills (8 mentions) are both crucial. The implementation of technology solutions with four mentions is the lowest-ranked, suggesting a need for improved integration.
These findings align with Carthon, et.al., (2020), who emphasize the importance of continuous professional development and a supportive work environment in promoting patient-centered care. A supportive work environment and continuous professional development are essential for the promotion of patient-centered care.
Ongoing training guarantees that nurses are well-versed in the most recent information and abilities to effectively address the diverse requirements of patients, thereby promoting improved clinical competence, empathy, and communication.
Enhanced job satisfaction and reduced fatigue are the results of a supportive work environment that is defined by a culture that prioritizes patient-centered practices,
adequate personnel, and resources. This environment enables nurses to deliver more personalized and focused care.
In the same manner, Kim, et.al. (2020) reinforce the importance of nurse fatigue and sufficient personnel in improving the quality of care. Regular training and a supportive culture are essential for the enhancement of patient-centered practices, ensuring that nurses are endowed with the requisite skills and resources to provide effective, personalized, and empathetic care.
Proposed Enhancement of Patient-Centered Care
In order to improve patient-centered care, there are several suggestions that can be made to create a more effective, empathetic, and efficient healthcare experience.
1. Integrating advanced technologies, such as electronic health records (EHRs), telehealth, and patient portals, can greatly enhance the delivery of patient-centered care. Electronic health records (EHRs) enhance the management of patient information, promoting improved communication among healthcare providers and facilitating well-informed decision-making.
Telehealth provides patients with increased access to care, especially for those in remote or underserved areas. Patient portals enable individuals to take an active role in managing their health by granting them access to their medical records, test results, and communication tools with their healthcare team.
is crucial to customize care plans to address the specific requirements, preferences, and values of every patient. This ensures that treatment methods are not only medically efficient but also in line with the patient's individual objectives and way of life. This approach promotes increased patient engagement, adherence to treatment, and overall satisfaction with the care provided.
3. In addition, it is crucial to enhance patient and family education in order to enhance patient-centered care. Offering thorough and clear information on diagnoses, treatment options, and self-care strategies empowers patients to make informed decisions and actively engage in their own care. It is crucial to develop educational materials that are sensitive to different cultures and easily understandable by diverse populations. This is necessary to bridge the gap in health literacy and to ensure that all patients are well-informed.
4. Effective communication skills training for healthcare providers is also crucial. Being able to effectively communicate is crucial for providing patient-centered care. It is important for training programs to prioritize skills such as active listening, empathy, and clear, respectful dialogue. By honing these abilities, healthcare professionals can cultivate deeper connections with patients, handle concerns with greater efficiency, and foster a more nurturing care atmosphere.
5. Utilizing a multidisciplinary approach can greatly improve the quality of patient-centered care. Collaboration among different healthcare professionals, such as physicians, nurses, social workers, and mental health specialists, guarantees a comprehensive approach to meeting all of a patient's needs. Teams with diverse expertise can collaborate to create comprehensive care plans, exchange knowledge, and offer well-rounded assistance, leading to better results and patient contentment.
6. In addition, it is essential to include patients in decision-making processes.
Shared decision-making models enable patients to take an active role in their healthcare, allowing them to make decisions that align with their personal values and preferences. Using tools like decision aids can make this process easier by giving patients straightforward and unbiased information about their choices and possible results.
7. Consistently evaluating and addressing patient feedback is crucial for ongoing enhancement in patient-centered care. Introducing methods for patients to share their thoughts, like surveys or focus groups, enables healthcare organizations to pinpoint areas that need improvement and make the necessary changes to enhance the overall care experience.
8. Ultimately, fostering an environment of empathy and dignity in healthcare settings can have a profound effect on providing care that prioritizes the needs of patients. Promoting a compassionate and considerate approach from healthcare professionals creates a nurturing atmosphere that values
physical well-being.
By incorporating these improvements, healthcare systems can prioritize patient- centered care, resulting in better outcomes, higher patient satisfaction, and a more comprehensive approach to health and well-being. These enhancements include utilizing technology, tailoring care to individual needs, enhancing education, facilitating effective communication, encouraging collaboration among different healthcare disciplines, involving patients in decision-making, addressing feedback, and promoting compassion.
Summary of Findings
Based on the results of the study, the following findings are presented:
1. As to the extent the nurse participants use patient-centered care, it is
“Often” implemented. The "Often" implementation of patient-centered care by nurse participants implies that while they regularly apply PCC principles, there is room for improvement to ensure more consistent and comprehensive integration. This suggests that while patient-centered practices are a routine part of care, achieving a higher standard remains a goal.
2. As to the level of knowledge, attitude and skills of the participants in using patient-centered care, it was found out that the nurse-participants’
knowledge is good which means that are knowledgeable on PCC but
they still need more training and additional information on it so they can apply it to the fullest.
As to their attitudes toward PCC, it was found out that they “Agree” with its use or implementation in their areas of assignment. They are motivated to adapt their practices to better meet patients' individual needs.
As to the skills on the application of PCC, the participants rated themselves as
“Good”. When participants rate their skills in applying Patient-Centered Care (PCC) as "Good," it suggests that they have a strong sense of confidence and effectiveness in integrating PCC principles into their practice. Nevertheless, this rating also implies that there is potential for improvement in order to reach a higher standard of patient-centered practices.
3. In terms of the challenges encountered by the participants in utilizing patient centered care, it was found out that the lack of cooperation from patients makes it difficult for them to implement patient-centered care. However, they do not find the hospital layout as a hindrance to the PCC.
4. As to the recommendations of the participants in enhancing patient centered care, most of them suggests to provide regular training sessions and workshops focused on patient-centered care practices.
Conclusions
Based on the findings of the study, the following conclusions are drawn.
1. Patient Centered Care is used by nurses in hospitals.
very positive.
3. The most challenging part of its implementation is on the cooperation of the patient and family members.
4. The foremost recommendation made by the nurses is for further training and workshops to be made available to them.
Recommendations
In light of the conclusions drawn, the following recommendations are hereby proposed:
1. To advocate for patients' needs and preferences in patient-centered care, nurses should actively listen, respect the patients’ values, involve them in decision-making, and tailor treatment plans to align with their personal goals and preferences.
2. To effectively address patients' emotional and psychological needs, the nurses should prioritize empathetic communication, active listening, and supportive counseling. They should create a safe space where patients feel heard, validated, and encouraged to express their feelings.
3. The patients should be involved in their care to enhance outcomes despite potential slowdowns in the delivery of healthcare. Engaging them ensures informed decisions, boosts compliance, and fosters trust, ultimately leading to more efficient and personalized care over time.
4. To manage conflicts between patients and family members, nurses should practice active listening, mediate discussions with empathy, and facilitate collaborative problem-solving, ensuring all perspectives are considered and maintaining a focus on patient well-being.
5. Encourage patient cooperation in patient-centered care by actively involving them in planning for their care, clearly explaining treatment options, and addressing their concerns appropriately. The nurse should build a trusting relationship and foster open communication.
6. Promote the use of technology solutions like electronic health records and telehealth by highlighting their benefits for patient-centered care, such as improved communication, accessibility, and personalized treatment. Provide training and support to ensure seamless integration.
7. Future researchers should explore the impact of integrating advanced technology in patient-centered care, focusing on patient outcomes, satisfaction, and efficiency. They should investigate barriers to adoption and strategies to enhance technology’s effectiveness in diverse healthcare settings.
Amato, C., McCanne, L., Yang, C., Ostler, D., Ratib, O., Wilhelm, D., & Bernhard, L. (2022). The hospital of the future: rethinking architectural design to enable new patient-centered treatment concepts. International Journal of Computer Assisted Radiology and Surgery, 17(6), 1177-1187.
Baek, H., Han, K., Cho, H., & Ju, J. (2023). Nursing teamwork is essential in promoting patient-centered care: a cross-sectional study. BMC nursing, 22(1), 433.
Barry, M. J., & Edgman-Levitan, S. (2019). Shared decision making—the pinnacle of patient-centered care. New England Journal of Medicine, 366(9), 780-781.
Bolton, D. (2019). The Biopsychosocial Model 40 Years On. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK552030/
Bolton, R. E., Bokhour, B. G., Hogan, T. P., Luger, T. M., Ruben, M., & Fix, G. M.
(2020). Integrating personalized care planning into primary care: a multiple-case study of early adopting patient-centered medical homes. Journal of general internal medicine, 35, 428-436.
Carthon, J. M. B., Brom, H., Poghosyan, L., Daus, M., Todd, B., & Aiken, L. (2020).
Supportive clinical practice environments associated with patient-centered care.
The Journal for Nurse Practitioners, 16(4), 294-298.
Chan, D. N., & So, W. K. (2021). Effectiveness of motivational interviewing in enhancing cancer screening uptake amongst average-risk individuals: A systematic review. International Journal of Nursing Studies, 113, 103786.
Chegini, Z., Arab‐Zozani, M., Shariful Islam, S. M., Tobiano, G., & Abbasgholizadeh Rahimi, S. (2021, October). Barriers and facilitators to patient engagement in patient safety from patients and healthcare professionals' perspectives: A systematic review and meta‐synthesis. In Nursing Forum (Vol. 56, No. 4, pp. 938- 949).
Doroteo, H. J., Lorenzo, F. M., Obillo, A., & Teh, D. (2020). A research study on the patient experience (PX) in the Philippines: journey towards optimal health. Int J Public Health Saf, 5(3), 188.
Ebrahimi, Z., Patel, H., Wijk, H., Ekman, I., & Olaya-Contreras, P. (2021). A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings. Geriatric Nursing, 42(1), 213-224.
Eklund, J. H., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., ... & Meranius, M. S. (2019). “Same same or different?” A review of reviews of person-centered and patient-centered care. Patient education and counseling, 102(1), 3-11.
Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., &
Meterko, M. (2021.). Evidence-based practice and patient-centered care: Doing both well. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8162222/
Forstner, J. M. (2024). Continuity of care at the interface of primary care and other healthcare providers (Doctoral dissertation).
Grover, S., Fitzpatrick, A., Azim, F. T., Ariza-Vega, P., Bellwood, P., Burns, J., ... &
Ashe, M. C. (2022). Defining and implementing patient-centered care: An umbrella review. Patient education and counseling, 105(7), 1679-1688.
Karaca, A., & Durna, Z. (2019). Patient satisfaction with the quality of nursing care.
Nursing open, 6(2), 535-545.
Kim, L. Y., Rose, D. E., Ganz, D. A., Giannitrapani, K. F., Yano, E. M., Rubenstein, L. V., & Stockdale, S. E. (2020). Elements of the healthy work environment associated with lower primary care nurse burnout. Nursing outlook, 68(1), 14-25.
Moody-Williams, J. (2020). A journey towards patient-centered healthcare quality.
Springer International Publishing.
hospitals. International journal of health care quality assurance, 32(3), 550-561.
O'Donnell, D. (2021). Learning to Become a Person-centred Healthcare Professional: A Mixed Methods Study (Doctoral dissertation, Ulster University).
Pekonen, A., Eloranta, S., Stolt, M., Virolainen, P., & Leino-Kilpi, H. (2020).
Measuring patient empowerment–A systematic review. Patient education and counseling, 103(4), 777-787.
Rassouli, M., Zamanzadeh, V., Valizadeh, L., Ghahramanian, A., & Asghari, E.
(2020). Limping along in implementing patient-centered care: Qualitative study.
Nursing Practice Today.
Strong, S., Letts, L., Gillespie, A., Martin, M. L., & McNeely, H. E. (2023). Preparing an integrated self‐management support intervention for people living with schizophrenia: Creating collaborative spaces. Journal of Evaluation in Clinical Practice, 29(1), 22-31.
Uda, R., & Bagolong, S. (2023). Implementation of Nursing Service Operations in Maguindanao Provincial Hospital, Philippines. JPAIR Multidisciplinary Research, 54(1), 110-129.
APPENDICES
Research Instrument Name (Optional)
Directions: Put a check mark on the column that best describe your response using the legend below.
A. Extent of the Use of PCC
4 3.25 - 4.00 Always 3 2.50 - 3.24 Often 2 1.75 - 2.49 Sometimes 1 1.00 - 1.74 Never
Items 4 3 2 1
Prerequisites
I am confident in my clinical skills and
knowledge.
I regularly update my professional skills
and knowledge.
I render care adequately because I am
trained to deliver patient-centered care.
I build trusting relationships with patients.
I listen carefully to what patients have to
say.
I am sensitive to patients' emotional
needs.
I always put the patients' needs first.
I am committed to providing the highest
quality care possible.
preferences.
The Care Environment
I encourage teamwork and collaboration in
my workplace
There is a strong culture of respect and
dignity for patients.
My organization supports continuous
learning and development.
The care environment is comfortable and
welcoming for patients.
There are sufficient resources available to
provide quality care.
The physical layout of my workplace
supports patient privacy.
I have access to adequate support and
resources to perform my job.
There is effective communication among
healthcare team members.
I receive sufficient administrative support
to deliver patient-centered care.
Person-Centered Processes
I provide clear and understandable
information to patients.
I ensure that patients have the opportunity
to ask questions.
I use active listening techniques in my
interactions with patients.
I tailor care plans to meet the unique
needs of each patient.
I involve patients in the development of
their care plans.
I regularly review and update care plans
based on patients' feedback.
I encourage patients to take an active role
in their care.
I respect patients' decisions regarding their
care.
I involve patients' families and friends in
the care process when appropriate.
Outcomes
I ensure that patients under my care report
high levels of satisfaction.
I see to it that my patients feel valued and respected during their interactions with
me.
I know that my patients are satisfied with the information they receive about their
care.
Patients experience improvements in their
health as a result of my care.
Patients are able to manage their
conditions more effectively.
Patients achieve their personal health
goals.
Patients report an enhanced quality of life
due to my care.
Patients feel more empowered to make
decisions about their health.
Patients experience a greater sense of
well-being.
B.1 Knowledge
4 3.25 - 4.00 Excellent
3 2.50 - 3.24 Good
2 1.75 - 2.49 Fair
1 1.00 - 1.74 Poor
Items Mean Interpretation
1. I am familiar with the core principles of
patient-centered care 2.59 Good
2. I understand the strategies for
involving patients in their care decisions 3.21 Good 3. I am knowledgeable about how to
address patients' emotional and
psychological needs. 1.98 Fair
4. I know the importance of respecting patients' cultural and personal
preferences 2.01 Fair
5. I can explain the benefits of patient-
centered care to my colleagues. 3.15 Good 6. I understand the role of patient
education in empowering patients to
participate in their care. 3.26 Excellent 7. I am aware of the different
communication techniques that can
enhance patient engagement. 2.65 Good
8. I know how to assess patient needs
and preferences effectively. 2.68 Good 9. I am familiar with the ethical
considerations related to patient-
centered care. 2.94 Good
10. I understand the importance of interdisciplinary collaboration in
delivering patient-centered care. 2.51 Good
B.2 Attitudes
4 3.25 - 4.00 Very Much Agree
3 2.50 - 3.24 Agree
2 1.75 - 2.49 Slightly Agree
1 1.00 - 1.74 Disagree
Items 4 3 2 1
1. I put importance to working
collaboratively with interdisciplinary teams
to provide patient-centered care.
2. I feel that patient-centered care is essential for providing high-quality
healthcare.
3. I am motivated to adapt my practices to
better meet patients' individual needs.
4. I feel confident in my ability to implement patient-centered care in my
practice.
5. I believe that patient-centered care
leads to better patient satisfaction.
6. I believe that patient-centered care should be a priority in all healthcare
settings.
7. I feel that involving patients in their care can sometimes slow down the care
process.
8. I think that understanding a patient's life context is crucial to providing effective
care.
contributes to better patient adherence to
treatment plans.
10. I believe that implementing patient- centered care requires additional training
for all healthcare staff.
B.3 Skills
4 3.25 - 4.00 Excellent
3 2.50 - 3.24 Good
2 1.75 - 2.49 Fair
1 1.00 - 1.74 Poor
Items 4 3 2 1
1.I communicate effectively with patients
about their care options.
2. I can develop individualized care plans
based on patients' preferences and needs.
3. I integrate patients' cultural and
personal preferences into their care.
4. I routinely seek feedback from patients
to improve their care experience.
5. I effectively involve patients' families in
the care process when appropriate
6. I am proficient in using motivational interviewing techniques to engage
patients.
7. I can effectively manage conflicts that arise from differing patient and family
member opinions.
8. I routinely assess and document patients' preferences and values in their
care plans.
9. I am skilled in coordinating with interdisciplinary teams to ensure holistic
care.
10. I can adapt my communication style to
meet the diverse needs of my patients.
C. Challenges Encountered
4 3.25 - 4.00 Very Much Agree
3 2.50 - 3.24 Agree
2 1.75 - 2.49 Slightly Agree
1 1.00 - 1.74 Disagree
Items 4 3 2 1
1. I often do not have enough time to provide patient-centered care due to heavy
workloads.
2. The shortage of nursing staff makes it difficult to implement patient-centered
care.
3. I have not received sufficient training in
patient-centered care practices.
4. Administrative tasks reduce the time I
can spend on patient-centered care.
5. The culture in my workplace does not
prioritize patient-centered care.
6. There are insufficient resources (e.g., equipment, materials) to deliver patient-
centered care effectively.
7. I do not receive enough support from management to practice patient-centered
care.
8. Hospital policies and procedures do not
facilitate patient-centered care.
healthcare team hinders patient-centered
care.
10. The physical layout of the hospital makes it difficult to provide patient-
centered care.
11. High patient expectations make it challenging to meet their needs
consistently.
12. Lack of cooperation from patients makes it difficult to implement patient-
centered care.
13. The diversity of patient backgrounds and needs poses challenges for patient-
centered care.
14. Insufficient time to educate patients about their care hinders patient-centered
care.
15. Managing complex patient cases makes it difficult to maintain a patient-
centered approach.
16. Emotional burnout affects my ability to
provide patient-centered care.
17. Difficulty in maintaining work-life balance impacts my patient-centered care
practices.
18. Low job satisfaction affects my motivation to practice patient-centered
care.
19. High levels of stress hinder my ability
to deliver patient-centered care.
20. Lack of confidence in my clinical skills makes it challenging to practice patient-
centered care.