[Home ] [Archive]    
:: Main Archive Search Submit Manuscript Publication Ethics Contact ::
:: Volume 4, Issue 2 (4-2019) ::
CJHR 2019, 4(2): 28-32 Back to browse issues page
Nurses’ and Patients’ Perspective toward Patient-Centered Care in Selected Hospitals of Yazd
Mohsen Pakdaman1, Sara Geravandi2, Naeimeh Keyghobadi3, Mostafa Sahab Moradi 4
1- Department of Healthcare management , School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- School of Public Health, Tehran University of Medical Sciences
3- Department Statistics and Epidemiology, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Department of Healthcare management , School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , mpakdaman@ssu.ac.ir
Abstract:   (468 Views)
Background: Over the past two decades, patient-centered care has become one of the important dimensions of health care delivery, given that patients are expected to receive appropriate care from the service center. This study aimed to evaluate the various dimensions of patient-centered care from the viewpoint of nurses and patients in order to improve the patient-centered care of health services.
Methods: This cross-sectional study was conducted on two hospitals in city of Yazd, Iran. A total of 100 nurses and 100 patients were selected by simple random sampling method. Data was collected using a validated questionnaire and analyzed using one-way ANOVA test.
Results: The mean score of patient-centered care was 2.34 (standard deviation (SD) = 0.58) from nurses' point of view and 2.23(SD = 0.07) from patients' point of view. The dimensions of patient's dignity, patient's values and social support for the patient had the highest score and quick attention to the patients had the lowest score from nurses’ perspectives. Respecting dignity and quality of health service provider had the lowest score from the patients’ viewpoint. The quality of health service received significantly lower score from the patients than the nurses
(P-value = 0.03).
Conclusion: The quality of the physical environment, observance of the patient's dignity and quick considered as the priority of action to improve the patient-centered care. It is recommended that the authorities should give priority to these dimensions in order to increase satisfaction and loyalty of patients.
Keywords: Nurse, Patient, Patient-centered care, Quality of Health Care
Full-Text [PDF 516 kb]   (126 Downloads)    
Article Type: Original Contributions | Subject: Health Management
Received: 2018/12/20 | Accepted: 2019/01/27 | Published: 2019/04/1
1. World Health Organization. World Health Organization Report. Mental health: New understanding, new hope. Geneva, Switzerland: World Health Organization; 2001.
2. Shadpour K. Health sector reform in Islamic Republic of Iran [in Persian]. Hakim Health Sys Res. 2006,9(3):1-18.
3. Coulter A. Paternalism or partnership? Patients have grown up-and there's no going back. BMJ. 1999;319(7212):719-720. doi: 10.1136/bmj.319.7212.719. [DOI:10.1136/bmj.319.7212.719]
4. Roter DL, Frankel RM, Hall JA, Sluyter D. The expression of emotion through nonverbal behavior in medical visits. Mechanisms and outcomes. J Gen Intern Med. 2006;21(Suppl 1):S28-34. doi: 10.1111/j.1525-1497.2006.00306.x. [DOI:10.1111/j.1525-1497.2006.00306.x]
5. Bissell P, May CR, Noyce PR. From compliance to concordance: barriers to accomplishing a re-framed model of health care interactions. Soc Sci Med. 2004;58(4):851-862. doi:10.1016/S0277-9536(03)00259-4. [DOI:10.1016/S0277-9536(03)00259-4]
6. Ebrahimipour H, Vafaei Najjar A, KhaniJahani A, Pourtaleb A, Javadi M, Rezazadeh A, et al. Health system responsiveness: a case study of general hospitals in Iran. International journal of health policy and management. 2013;1(1):85-90. doi: 10.15171/ijhpm.2013.13. [DOI:10.15171/ijhpm.2013.13]
7. Ong LM, Visser MR, Lammes FB, de Haes JC. Doctor-patient communication and cancer patients' quality of life and satisfaction. Patient Educ Couns. 2000;41(2):145-156. Doi: 10.1016/S0738-3991(99)00108-1. [DOI:10.1016/S0738-3991(99)00108-1]
8. Adib-Hajbaghery M, Zare M. The barriers to patient education from the viewpoint of nurses in Iran: a systematic review [in Persian]. J Urmia Nurs Midwifery Fac. 2017, 15(7): 544-558.
9. Dancet EA, Nelen WL, Sermeus W, de Leeuw L, Kremer JA, D'Hooghe TM. The patients' perspective on fertility care: a systematic review. Hum Reprod Update. 2010;16(5):467-487. doi: 10.1093/humupd/dmq004. [DOI:10.1093/humupd/dmq004]
10. Little P, Everitt H, Williamson I, Warner G, Moore M, Gould C, et al. Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ. 2001;323(7318):908-911. doi: 10.1136/bmj.323.7318.908. [DOI:10.1136/bmj.323.7318.908]
11. Vosough Taghi Dizaj A, Ezabadi Z, Takbiri A, Baniasadi A. Infertility care in Royan Institute: a patient centeredness analysis [in Persian]. Payesh. 2016;15(3):325-332.
12. Balint E. The possibilities of patient-centered medicine. J R Coll Gen Pract. 1969;17(82):269-276.
13. Byrne PS, Long BEL. Doctors talking to patients: a study of the verbal behaviour of general practitioners consulting in their surgeries. 2nd ed. Richmond, UK. Stationery Office; 1976.
14. Laine C, Davidoff F. Patient-centered medicine. A professional evolution. JAMA. 1996;275(2):152-156. doi:10.1001/jama.1996.03530260066035. [DOI:10.1001/jama.1996.03530260066035]
15. Robb G, Seddon M. Effective Practice Informatics and Quality (EPIQ). Quality improvement in New Zealand healthcare. Part 6: keeping the patient front and centre to improve healthcare quality. N Z Med J. 2006;119(1242):U2174.
16. Chou E, Abboudi H, Shamim Khan M, Dasgupta P, Ahmed K. Should surgical outcomes be published? J R Soc Med. 2015;108(4):127-135. doi: 10.1177/0141076815578652. [DOI:10.1177/0141076815578652]
17. Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, et al. The impact of patient-centered care on outcomes. J Fam Pract. 2000;49(9):796-804.
18. Bauman AE, Fardy HJ, Harris PG. Getting it right: why bother with patient-centred care? Med J Aust. 2003;179(5):253-256. doi: 10.5694/j.1326-5377.2003.tb05532.x.
19. Arab M, Hamouzadeh P, Yousefvand M, Namani F, Abdi M. Comparison of patient-centered situation in selected hospitals affiliated to Tehran University of Medical Sciences from the viewpoint of nurses and patients [in Persian]. J Hospital. 2016;15(3):31-39.
20. Hajinezhad ME, Azodi P, Rafii F, Ramezanian N, Tarighat M. Perspectives of patients and nurses on caring behaviors of nurses [in Persian]. Hayat. 2012;17(4):36-45.
21. Arian M, Mortazavi H, Tabatabaeichehr M, Tayebi V, Gazerani A. The comparison between motivational factors and barriers to patient education based on the viewpoints of nurses and nurse managers [in Persian]. J Nurs Edu. 2015;4(3):66-77.
22. Javadi M, Karimi S, Raiesi A, Yaghoubi M, Kaveh K. Comparison of patients' and nurses' viewpoints about responsiveness among a sample from public and private hospitals of Isfahan. Iran J Nurs Midwifery Res. 2011;16(4):273-277.
Send email to the article author

Add your comments about this article
Your username or Email:


XML     Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Pakdaman M, Geravandi S, keyghobadi N, Sahab Moradi M. Nurses’ and Patients’ Perspective toward Patient-Centered Care in Selected Hospitals of Yazd . CJHR. 2019; 4 (2) :28-32
URL: http://cjhr.gums.ac.ir/article-1-115-en.html

Volume 4, Issue 2 (4-2019) Back to browse issues page
Caspian Journal of Health Research
Creative Commons License
Persian site map - English site map - Created in 0.15 seconds with 32 queries by YEKTAWEB 4080