A cross-sectional study on patient-centered care in a selected hospital in eThekwini district, KwaZulu-Natal, South Africa.

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Health SA Gesondheid Pub Date : 2025-03-31 eCollection Date: 2025-01-01 DOI:10.4102/hsag.v30i0.2913

Marcel Peruma, Waheedha Emmamally, Mildred Mooi, Uchenna B Okafor

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Abstract

Background: Clinical healthcare reform demands high-quality patient care, especially in emergencies. Patient-centred care (PCC) prioritises therapy based on health, characteristics, and needs.

Aim: This study examines critical care nurses' views on PCC in a hospital in eThekwini, KwaZulu-Natal.

Setting: The study was conducted at a selected tertiary care facility in eThekwini district, KwaZulu-Natal, South Africa.

Methods: This cross-sectional study examined 119 conveniently selected critical care nurses from five units treating critically ill adult patients in a central tertiary care hospital in eThekwini district, KwaZulu-Natal, South Africa. Personified patient care was measured using the Individualised Care Scale (ICS).

Results: The mean values for nurse-supported customised care ranged from 4.27 ± 0.66 to 4.44 ± 0.61. Fear and anxiety during patient discussions have the highest mean score (4.44 ± 0.61). The mean values for four personal life statements were 4.22 ± 0.72 to 4.29 ± 0.65. Hospitalisation experience was surveyed by 90.8% of people, with a mean score of 4.29 ± 0.61. Patients' desire to understand their illness was surveyed by nurses (91.60%) with a mean score of 4.39 ± 6.39. The majority (94.9%) of nurses encouraged patients to express care preferences, whereas 85.8% were inquired about their preferred bathing time. The majority (59.70%) scored average, while 38.70% high.

Conclusion: Patient-centred care support was average among critical care nurses. Training and education in critical care should emphasise PCC. To strengthen PCC in clinical practice, execute PCC activities regularly.

Contribution: The study revealed PCC actions and indicated critical care nurses' average support.

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在南非夸祖鲁-纳塔尔省eThekwini区一家选定医院进行的以患者为中心的护理横断面研究。

背景：临床医疗改革需要高质量的病人护理，特别是急诊病人。以病人为中心的护理（PCC）优先考虑基于健康、特征和需求的治疗。目的：本研究考察了夸祖鲁-纳塔尔省德班尼市一家医院重症监护护士对PCC的看法。环境：本研究在南非夸祖鲁-纳塔尔省eThekwini区选定的一家三级医疗机构进行。方法：本横断面研究调查了119名来自南非夸祖鲁-纳塔尔省eThekwini区一家中央三级医院五个单位的重症监护护士，这些单位负责治疗危重成人患者。个性化患者护理采用个性化护理量表（ICS）进行测量。结果：护士支持定制护理的平均值为4.27±0.66 ~ 4.44±0.61。患者讨论时的恐惧和焦虑得分最高（4.44±0.61）。四项个人生活陈述的平均值为4.22±0.72 ~ 4.29±0.65。90.8%的人对住院经历进行了调查，平均得分为4.29±0.61。护士对患者了解病情意愿的调查占91.60%，平均得分为4.39±6.39。绝大多数（94.9%）护士鼓励患者表达护理偏好，85.8%的护士询问患者偏好的沐浴时间。大多数人（59.70%）得分一般，38.70%得分高。结论：重症监护护士以患者为中心的护理支持水平一般。重症监护的培训和教育应强调PCC。在临床实践中加强PCC，定期开展PCC活动。贡献：该研究揭示了PCC的行动，并指出了重症监护护士的平均支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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