Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study.

IF 2.4 Q1 NURSING
Majeda A Al-Ruzzieh, Yahia M Al-Helih, Anas Haroun, Omar Ayaad
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引用次数: 0

Abstract

Background: Patient center care (PCC) plays a crucial role in achieving the organizational and patient outcomes. Literature suggests that PCC enhance patient's adherence to treatment, lower the cost of health care organization. This study aimed explore the higher and middle managers' perceptions of patient-centered care (PCC) in an oncology setting, identify the PCC implementation challenges in the oncology setting, and understand the role of managers in facilitating PCC within the oncology context.

Methods: Sampling involved the use of the purposive sampling technique on 17 middle managers and 6 upper managers who had been working in an oncology setting. The six-step thematic analysis method was used for data analysis.

Results: The interviews identified six main themes and seventeen subthemes: "comprehensive care, partnership, and informed decision-making", "infrastructure and support systems", "leadership influence on patient-centered care", "cultural and operational barriers", "perceived outcomes", and "strategies to enhance PCC in oncology". The subthemes of comprehensive care included fostering partnerships and enabling informed decisions. The infrastructure and support systems encompassed educational empowerment and service integration. Leadership influence highlighted the role of elevating awareness, providing organizational support, and promoting comprehensive care. The cultural and operational barriers addressed the challenges faced in implementation. The perceived outcomes focused on the results of patient-centered care, while strategies to enhance PCC in oncology provided actionable insights for improvement. This provides a comprehensive understanding of the perceptions of middle and higher managers on patient-centered care (PCC) in oncology settings. It identifies key challenges in PCC implementation, highlights the critical role of managers in facilitating PCC, and offers actionable strategies for enhancing PCC.

肿瘤学领域中高层管理人员对 "以病人为中心的护理 "的看法:定性研究。
背景:患者中心护理(PCC)在实现组织和患者成果方面发挥着至关重要的作用。文献表明,以患者为中心的护理能提高患者对治疗的依从性,降低医疗机构的成本。本研究旨在探讨肿瘤科中高层管理人员对 "以患者为中心的护理"(PCC)的看法,确定在肿瘤科环境中实施 PCC 所面临的挑战,并了解管理人员在肿瘤科环境中促进 PCC 的作用:方法:采用目的性抽样技术,对在肿瘤科工作的 17 名中层管理人员和 6 名高层管理人员进行抽样。采用六步主题分析法进行数据分析:结果:访谈确定了六个主主题和十七个次主题:结果:访谈确定了六个主主题和十七个次主题:"全面护理、伙伴关系和知情决策"、"基础设施和支持系统"、"领导层对以患者为中心的护理的影响"、"文化和操作障碍"、"感知结果 "和 "加强肿瘤科以患者为中心的护理的策略"。全面护理的次主题包括促进伙伴关系和促成知情决策。基础设施和支持系统包括教育赋权和服务整合。领导力的影响强调了提高认识、提供组织支持和促进全面护理的作用。文化和操作障碍涉及实施过程中面临的挑战。感知结果侧重于以患者为中心的护理结果,而在肿瘤学中加强 PCC 的策略则为改进提供了可操作的见解。本研究全面了解了肿瘤科中高层管理人员对以患者为中心的护理(PCC)的看法。它指出了实施以患者为中心的护理所面临的主要挑战,强调了管理人员在促进以患者为中心的护理方面所起的关键作用,并为加强以患者为中心的护理提供了可行的策略。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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