Explaining the Context of Patient-Centered Care in Critical Care Units

• Main Authors: Maryam Esmaeili, Mohammad Ali Cheraghi, Mahvash Salsali
• Format: Article
• Language: English
• Published: Shahid Beheshti School of Nursing and Midwifery, Rasht 2017-10-01
• Series: Journal of Holistic Nursing and Midwifery
• Subjects: Patient-Centered Care; Critical Care Units; Hospital; Nursing Staff
• Online Access: http://hnmj.gums.ac.ir/browse.php?a_code=A-10-454-27&slc_lang=en&sid=1

Introduction: Patient-centered care refers to care with respect for and responsiveness to patients preferences, needs, and values; in this type of care, it is ensured that a patient's values are valued in clinical decision-making. Achieving Patient-centered care is not simple and needs a proper context to be provided. Objectives: The purpose of this study is to explain the context of Patient-centered care in critical care units. Materials and Methods: This study is of a qualitative nature with a content analysis approach. A total of 26 deep, semi-structured interviews were used in this study. The research setting included critical care units of selected hospitals of the Tehran University of Medical Sciences. Participants' speeches were recorded with a tape recorder and immediately transcribed word-by-word. After reading the interviews, the resulting data were coded and then classified according to the similarities and differences in order to understand the general text of the interviews; the sub-categories and the sub- categories were extracted. Results: The study data led to the identification of three categories: specialized nature of care, individual factors, and organizational factors. The third category consisted of three sub- categories such as hardware, attention-to-model experiences, and the actual performance of managers. Conclusion: Patient-centered care is a multidimensional and subjective concept focused on nurses' perceptions. In order to achieve Patient-centered care, not only the effectiveness of the nurses' efforts but up-to-date knowledge, the hardware structure of care, and the performance of managers at a wider level are also important.