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Patient Centred Care: Current Situation and Development

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A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: closed (15 December 2024) | Viewed by 7927

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Special Issue Editors

Dr. Pablo Martínez-Angulo

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Guest Editor

1. Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), 14004 Córdoba, Spain
2. Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), 14071 Córdoba, Spain
Interests: qualitative research; social determinants of health; vulnerable populations; gender

Dr. Luís Ángel Pérula-De-Torres

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Guest Editor

Maimónides Biomedical Research Institute of Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14004 Córdoba, Spain
Interests: preventive medicine; epidemiology; social determinants of health; community care

Dr. Pedro E. Ventura-Puertos

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Guest Editor

1. Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), 14004 Córdoba, Spain
2. Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), 14071 Córdoba, Spain
Interests: nursing; emotion; qualitative research; transcultural nursing; factors of health behaviors; emotional universes (health, well-being, and care)

Special Issue Information

Dear Colleagues,

The patient-centred care paradigm has emerged as a cornerstone in delivering high-quality, holistic healthcare services in contemporary healthcare systems. This approach emphasises understanding patients' unique needs, preferences, and values and actively involving them in decision-making related to their health. As healthcare landscapes evolve, exploring the current state and future development of patient-centred care is crucial for optimising healthcare outcomes and enhancing patient experiences.

This Special Issue aims to comprehensively examine the current situation and the evolution of patient-centred care across diverse healthcare settings. By delving into various aspects of patient-centred care delivery, we seek to shed light on emerging trends, challenges and innovative strategies shaping the landscape of modern healthcare. We invite contributions that address a wide range of topics, including, but not limited to:

Patient Engagement and Shared Decision Making: Exploring models and approaches to enhance patient involvement in healthcare decision-making processes.
Health Equity and Access to Patient-centred Care: Analysing disparities in access to patient-centred care and strategies to promote health equity for underserved populations.
Cultural Competence and Diversity in Patient Care: Investigating the impact of cultural, social and demographic factors on patient experiences and healthcare outcomes.
Interdisciplinary Collaboration and Team-Based Care: Exploring collaborative models of care delivery that prioritise interdisciplinary teamwork and communication to meet patient needs effectively.
Policy Implications and Regulatory Frameworks: This section examines policy initiatives and regulatory frameworks that aim to promote patient-centred care at the local, national and international levels.
Patient-centred care in Special Populations: Investigating approaches to address the unique needs and preferences of vulnerable populations, such as older people, children, individuals with disabilities and those with chronic illnesses.

We invite researchers, clinicians, educators, policymakers and other healthcare professionals to contribute original research articles, systematic reviews, case studies and perspectives that advance our understanding of patient-centred care. All submissions will undergo rigorous peer review, and accepted manuscripts will be featured in this Special Issue, providing valuable insights and actionable recommendations for improving patient-centred care delivery practices.

We look forward to receiving your contributions and engaging in fruitful discussions on the current state and future directions of patient-centred care.

Dr. Pablo Martínez-Angulo
Dr. Luís Ángel Pérula-De-Torres
Dr. Pedro E. Ventura-Puertos
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

patient-centred care
health service
nursing
primary care
community care

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Published Papers (7 papers)

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Research

14 pages, 310 KiB

Open AccessArticle

Healing Through Humanized Care: Lessons from a Patient-Centered Perinatal Loss Protocol

by Rosana Caro-Costa, José Manuel Alcaide-Leyva, Lourdes García-Luque, Sandra Alcaraz-Clariana, José Miguel Guzmán-García and Maria del Rocío Jiménez-Mérida

Healthcare 2025, 13(3), 242; https://doi.org/10.3390/healthcare13030242 - 24 Jan 2025

Viewed by 533

Abstract

Background/Objectives: Perinatal loss is a challenging experience that significantly impacts families and healthcare professionals. This study aimed to explore the perceptions and experiences of the nursing team in the gynecology unit at a Spanish hospital regarding the implementation of a new protocol for perinatal bereavement care. Methods: A qualitative descriptive study was conducted involving a focal group interview with nursing staff from the gynecology unit. Participants were selected through purposive sampling, and data were analyzed using thematic analysis to identify recurring patterns and insights. Results: The findings revealed a disparity in attitudes toward perinatal bereavement care, with some nurses demonstrating empathy and understanding, while others expressed discomfort and avoidance behaviors. Barriers to effective care included a lack of formal training, insufficient emotional support, and practical challenges in implementing the protocol. Participants suggested improvements such as enhanced communication training, the appointment of a bereavement coordinator, and earlier psychological interventions to support both families and staff. Conclusions: The study highlights the need for continuous education and emotional support to facilitate the adoption of perinatal bereavement protocols. Involving nursing staff in protocol development and addressing systemic barriers can improve the quality of care for bereaved families while supporting healthcare professionals’ emotional well-being. Full article

(This article belongs to the Special Issue Patient Centred Care: Current Situation and Development)

12 pages, 1997 KiB

Open AccessArticle

Patient Preferences or Provider Pressure? The Relationship Between Coercive Contraceptive Care and Preferred Contraceptive Use

by Laura E. T. Swan, Lindsay M. Cannon, Madison Lands and Iris Huimeng Zhao

Healthcare 2025, 13(2), 145; https://doi.org/10.3390/healthcare13020145 - 14 Jan 2025

Viewed by 602

Abstract

Background/Objectives: Coercion in contraceptive care occurs when healthcare providers unduly influence patients to use or not use birth control. Contraceptive coercion is antithetical to quality patient-centered care. However, it is unclear how experiencing contraceptive coercion relates to patients’ lives and contraceptive outcomes. In this study, we examined associations between contraceptive coercion and a patient-centered outcome: preferred contraceptive use. Methods: In 2023, we used the Prolific panel to recruit reproductive-aged people in the USA who were assigned female at birth. Our analytic sample included surveyed participants who had ever talked to a healthcare provider about contraception (N = 1197). We conducted chi-square and regression analyses to investigate associations between contraceptive coercion and preferred contraceptive use. We added context by mapping the current and preferred contraceptive method(s) for participants who experienced coercion and were not using their preferred method(s). Results: After adjusting for potential confounders, participants who reported downward coercion (pressure to not use birth control) at their last contraceptive counseling were less likely to be using their preferred contraceptive method(s). The odds of using preferred contraception did not differ significantly based on whether participants experienced upward contraceptive coercion (pressure to use birth control). Patterns in unmet contraceptive preference for patients experiencing coercion include use of the pill when it is not the desired method and unmet desire for permanent contraception. Conclusions: In this study, patients who perceived pressure from a provider to not use birth control were less likely to be using their preferred contraceptive method(s). Promoting reproductive autonomy requires comprehensive, patient-centered, and unbiased contraceptive care. Full article

(This article belongs to the Special Issue Patient Centred Care: Current Situation and Development)

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20 pages, 1167 KiB

Open AccessArticle

Translation, Cultural Adaptation, and Validation of the Spanish Version of the Person-Centred Practice Inventory-Staff (PCPI-S)

by Ana Carvajal-Valcárcel, Edgar Benitez, Marta Lizarbe-Chocarro, María José Galán-Espinilla, Mónica Vázquez-Calatayud, Begoña Errasti-Ibarrondo, Ana Choperena, Brendan McCormack, Vaibhav Tyagi and Virginia La Rosa-Salas

Healthcare 2024, 12(23), 2485; https://doi.org/10.3390/healthcare12232485 - 9 Dec 2024

Viewed by 672

Abstract

Background: Person-centredness, a global movement in healthcare, is consistent with international developments in healthcare policy. It is important to have instruments to measure person-centred care. The Person-Centred Practice Inventory-Staff (PCPI-S) is an internationally recognized instrument that aims to measure how healthcare staff experience person-centred practice. Aim: To perform the cultural adaptation and psychometric testing of a Spanish version of the PCPI-S (PCPI-S (Sp)). Method: A two-stage research design was implemented as follows: (1) the translation and cultural adaptation of the PCPI-S from English to Spanish using the “Translation and Cultural Adaptation of Patient Reported Outcomes Measures-Principles of Good Practice”; (2) a quantitative cross-sectional survey for the psychometric evaluation of the PCPI-S. Test–retest reliability was evaluated using the Kendall tau concordance coefficient, internal reliability was assessed through the ordinal theta (OT) coefficient, and confirmatory factor analysis was performed to examine the theoretical measurement model. Results: A Spanish version of the PCPI-S was obtained. There were no significant difficulties in the translation process or the consulting sessions. A sample of 287 healthcare professionals participated in the study at least once. All the items showed at least a fair level of test–retest reliability. The OT scores were adequate (>0.69). The model showed good to adequate levels of fit: CFI = 0.89, SRMR = 0.068; RMSEA = 0.060 with CI90% (0.056–0.063). Conclusions: The Spanish translation of the PCPI-S was psychometrically valid when tested with Spanish healthcare professionals. This instrument will help identify professionals’ perceptions of person-centred practice, track the evolution of this practice over time, and assess interventions aimed at improving person-centred practice. Full article

(This article belongs to the Special Issue Patient Centred Care: Current Situation and Development)

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10 pages, 252 KiB

Open AccessArticle

Factors Influencing Person-Centered Care Among Psychiatric Nurses in Hospitals

by Ji Su Lee, Mi Heui Jang and Min Jung Sun

Healthcare 2024, 12(22), 2269; https://doi.org/10.3390/healthcare12222269 - 14 Nov 2024

Viewed by 1087

Abstract

Objectives: This study aimed to examine the association between psychiatric nurses’ empathy, teamwork, nursing work environment, and the degree of person-centered care, as well as to identify factors influencing person-centered care (PCC). Methods: An online cross-sectional survey was conducted from 11 January to 19 January 2024, using four validated questionnaires. Results: Participants included 167 psychiatric nurses with more than one year of clinical experience working in South Korea. Person-centered care was positively correlated (p < 0.001) with empathy, teamwork, and the nursing work environment. Hierarchical regression analysis was used to identify factors influencing person-centered care among psychiatric nurses. The analysis revealed that the nursing work environment (p < 0.001), teamwork (p < 0.001), empathy (p < 0.001), type of hospital (general hospital) (p = 0.002), and age (p = 0.037) significantly influenced person-centered care, explaining 78.7%. Conclusions: Enhancing PCC among psychiatric nurses requires the development of training and educational programs that bolster empathy and teamwork. Additionally, improvements and strategic enhancements to the nursing work environment are essential. Full article

(This article belongs to the Special Issue Patient Centred Care: Current Situation and Development)

18 pages, 1141 KiB

Open AccessArticle

Effectiveness of a Motivational Interviewing-Based Intervention in Decreasing Risky Alcohol Use in Primary Care Patients in Spain: A Controlled Clinical Trial

by Celia Pérula-Jiménez, Esperanza Romero-Rodríguez, José Angel Fernández-García, Juan Manuel Parras-Rejano, Ana Belén Carmona-Casado, Manuel Rich-Ruiz, Ana González-De la Rubia, Juan Baleato-Gomez and on behalf of the Collaborative Group ALCO-AP20 Study

Healthcare 2024, 12(19), 1970; https://doi.org/10.3390/healthcare12191970 - 2 Oct 2024

Viewed by 1068

Abstract

Objective: Our study aimed to evaluate the effectiveness of an intervention based on Motivational Interviewing (MI) performed by healthcare professionals in Primary Care (PC) patients with risky alcohol use through a multicenter, two-arm parallel, cluster-randomized, open-label controlled clinical trial. Methods: PC professionals were randomized into two groups: an Experimental Group (EG) and a Control Group (CG). The study was carried out in PC centers of the Andalusian Health Service, located in Cordoba, Spain. An MI-based approach was implemented with patients recruited in the EG, while health advice was provided to those included in the CG. The follow-up period was 12 months, with five visits scheduled. The consumption of standard drinking units per week was quantified, and risky alcohol use was estimated using the Alcohol Use Disorders Identification Test (AUDIT). An intention-to-treat statistical analysis was performed. Relative risk (RR), absolute risk reduction (ARR) and the number of subjects needed to treat (NNT) were used to estimate the intervention effect size. Results: A total of 268 patients were included, 148 in the EG and 120 in the CG. Considering the quantification of risky alcohol use, the ARR at 12 months after baseline visit was 16.46% (95% CI: 5.37–27.99), with an NNT of 6 (95% CI: 4–19). According to the AUDIT, the ARR at 12 months was 13.15% (95% CI: 2.73–24.24%), and the NNT was 8 (95% CI: 4–37). Conclusions: We concluded that MI is more effective than the usual health advice in decreasing risky alcohol use in patients treated in PC. Full article

(This article belongs to the Special Issue Patient Centred Care: Current Situation and Development)

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11 pages, 260 KiB

Open AccessArticle

What Is So Great about Inpatient Rehabilitation from the Patient Experience Perspective: Qualitative Content Analysis of an Appreciative Inquiry during a Bedside Experience Rounding

by Tiago S. Jesus, Julia Buschbacher, Jan Struhar, Taylor Walters, Courtney Lopez, Andrea Fernandez, Kristen Gracz and Karen Colby

Healthcare 2024, 12(17), 1711; https://doi.org/10.3390/healthcare12171711 - 27 Aug 2024

Viewed by 922

Abstract

Background: Positive person-centered attributes of inpatient rehabilitation need to be identified from the patient’s perspective to be further developed and sustained. Purpose: To identify which attributes patients openly evoke as being great care experiences, using an open appreciative inquiry during the inpatient rehabilitation stay. Methods: Qualitative secondary analysis of appreciative patient comments during a bedside patient experience rounding facilitated by a neutral party was performed. Two independent analysts employed an inductive, summative form of content analysis. Results: Among 150 patients rounded, 122 provided categorizable appreciative accounts. Over two-thirds of the patients (67.2%) focused on “staff attributes” in their great-experience accounts. Those attributes were mostly interpersonal such as being “attentive & caring—beyond clinical duty” and being “encouraging (but not too hard) & reassuring”. These interpersonal staff attributes were reported with words showing deep levels of personal significance or patient appreciation. Beyond staff attributes, the perceived quality of “patient care” (31.1%) and opportunities for “leisure and social activities” (9.0%) were also frequently evoked. Amenities like food or customer service were the least evoked, rarely so as an exclusive attribute (0.8% for each). Conclusions: The human(e) factor, especially the interpersonal qualities of staff, emerged as greatly appreciated from the patient experience perspective during inpatient rehabilitation. These experiences help identify which person-centered attributes of care might be further developed and sustained. Full article

(This article belongs to the Special Issue Patient Centred Care: Current Situation and Development)

20 pages, 525 KiB

Open AccessArticle

Family Caregivers’ Experiences during the COVID-19 Pandemic: Qualitative Study

by Milagros Rico-Blázquez, Raquel Sánchez-Ruano, Cristina Oter-Quintana, Elena Polentinos-Castro, Ángel Martín-García, Pedro Otones-Reyes, Damián González-Beltrán and Mercedes Martínez-Marcos

Healthcare 2024, 12(10), 970; https://doi.org/10.3390/healthcare12100970 - 8 May 2024

Cited by 3 | Viewed by 2245

Abstract

Background: The COVID-19 pandemic imposed lockdown measures that affected caregiving. Understanding caregivers’ context provides reveals their adaptive strategies to continue caring in this situation of uncertainty and isolation. Objective: To better understand the caregiving experiences of caregivers looking after dependent individuals living in the community during the pandemic. Design: Qualitative research, phenomenological approach. Setting: Primary healthcare centers in Madrid region (Spain). Participants: 21 family caregivers. Methods: Purposive and theoretical sampling was used to recruit caregivers across nurses from primary healthcare centers. Participants were interviewed using a semi-structured interview guide to explore the caring experience. Interview transcripts were evaluated using thematic analysis. Results: The findings were categorized into two themes: “Caregivers during lockdown—providing care in a time of adversity” and “Caregiving toward normality”. The sub-themes identified were the re-structuring of before-care services and the introduction of new care approaches, managing the dependent person’s health problems, looking after oneself, and dealing with adversity. To adapt to the new normal, strategies were put in place designed to recover confidence and trust, reincorporate assistance, and reconnect with others. Conclusions: Care intensified during the pandemic. Caregivers took on the task without assistance, focusing on preventing contagion and protecting themselves to be able to continue giving care. Full article

(This article belongs to the Special Issue Patient Centred Care: Current Situation and Development)

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