Abstract

BACKGROUND: A key dimension of a quality healthcare to patients is patient-centered care approach which is increasingly gaining recognition worldwide. However, this concept is not fully implemented in practice.
 
 AIM: The aim of this study is to provide outcomes from assessment of nurses’ perceptions about patient-centered care and the current trends in Primary Health Care system in South West Nigeria.
 
 METHODS: This study employed a qualitative participatory action research study approach and conducted a semi-structured individual interview with thirty-five nurses and four focus group discussions in Osun State South West Nigeria Primary Health Care centres.
 
 RESULTS: Primary Health Care (PHC) nurses perceived and described patient-centered care (PCC) as a global approach to improve and enhance nursing care to foster patient participation. The narratives were categorised into two: positive and negative perception. Ten main themes emerged: (I) Attitude of the nurses (ii) Lack of enforcement and implementation, (iii) Experience of the nurses, (iv) Quality-Caring, (v) Effective communication with patient, (vi) Motivated and Proactive healthcare, (vii) Sharpen the form of care, (viii) Outcome and after-effect driven healthcare, (ix) Approved support, and (x) Guarantor of service and motivation.
 
 CONCLUSION: Our participatory action research study on the assessment of nurses’ perception on the utilization of PCC at the PHC for effective and quality healthcare service revealed the importance of nurses’ role, acceptability of PCC and current nursing care practice at the Primary Health Care (PHC) rural community setting. Nurses as healthcare providers expressed PCC as a common and global approach that would enhance patient experiences and improves the quality of nursing healthcare delivery through integration of PCC and healthcare service at the PHC healthcare system.

Highlights

  • Introduction and BackgroundPatient centered care (PCC) in public health environment is not a new concept

  • Thirty-five individual interviews and four focus group discussions were conducted among the nurses in the Primary Health Care (PHC) that resulted into a sample size that was determined by the saturation levels of the data

  • Humanities and Social Sciences Research Ethics Committee, University of KwaZulu-Natal with Protocol reference number: HSS/1772/018D, from all participants informed consent was obtained, and the research was conducted in line with Osun State PHC Board Research Ethic Committee (OSHREC) ethics. The purpose of this participatory action research is to explore the perception of nurses regarding utilization of patient-centered care (PCC) in provision of nursing healthcare services at selected PHC in Osun State Nigeria

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Summary

Introduction

Patient centered care (PCC) in public health environment is not a new concept. It is one of the creative approaches to improving planning, delivery and evaluation of health care services. PCC principle was proposed by the Children's Healthcare Association around 1987 in recognition of the role patients play in their own healthcare This principle, has not been implemented at all levels in the healthcare system, healthcare institutions and organisations (Abraham & Moretz, 2012). A key dimension of a quality healthcare to patients is patient-centered care approach which is increasingly gaining recognition worldwide. This concept is not fully implemented in practice

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