Challenges in implementation of patient-centred care in cardiac care unit: A qualitative study.
Firouzeh Charosaei, Shahnaz Rostami, Maryam Esmaeili and 2 others
PMID 36057965WHAT IT FOUND
CCU patients said nurses only spoke when giving medicine or changing tubes, while nurses blamed staffing, task routines and limited training for not being able to educate, listen or follow up.
Barriers were organisational, provider and patient-related.
Key findings
01Barriers to patient-centred care in the CCU were grouped into organisation, healthcare provider and patient challenges.
02Organisation challenges included manpower shortage, inadequate equipment, inefficient nursing organisation, lack of guidelines and practical models, limited learning resources, lack of role models and weak staff training.
03Provider and patient challenges included lack of holistic care, weak patient-centredness, ineffective professional interactions, low job motivation, low health literacy and acceptance of paternalism.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one cardiac care unit in a teaching hospital in Iran, so the themes may not apply to other units or countries. Participants were chosen purposively, not randomly, so they are not representative of all CCU patients or staff. The paper reports perceptions and experiences, not measured patient outcomes, tested interventions or cost effects. Only interviews were used, with no observation or focus groups, so some barriers may not have been captured.
Declared interests
The authors declared no conflicts of interest. The study was funded by Ahvaz Jundishapur University of Medical Sciences.
The easy way to misread this
Do not read these barriers as evidence that patient-centred care improves outcomes or that fixing staffing will improve care. The study describes perceived obstacles in one cardiac care unit and does not test any intervention or measure patient outcomes.