Challenges in implementation of patient-centred care in cardiac care unit: A qualitative study.

AIM: This study aimed to explore the barriers to the implementation of patient-centred care (PCC) in the cardiac care unit (CCU) from the perspectives of patients, nurses, physicians and nursing managers. DESIGN: This study was performed with a descriptive qualitative study approach. METHODS: In this study, the data were collected through face-to-face in-depth semi-structured interviews with 10 cardiac care nurses, one assistant nurse, two cardiologists, seven patients admitted to the CCU and nine nursing managers and analysed by Graneheim and Lundman content analysis method. RESULTS: After analysing the data, eight subcategories and three main categories were extracted. The main categories included challenges related to: organization, healthcare providers and patients. This study demonstrated the barriers to the implementation of PCC in the CCU. Insights into these barriers can guide interventions aimed at improving the quality of PCC in the CCU, which in turn can lead to improved disease outcomes.

Effective strategies for implementing patient-centered care in cardiac care unit: An opportunity for change.

BACKGROUND: Patient-centered care (PCC) is a cornerstone for health-care professionals to improve the quality of care they provide to patients with cardiac disease. However, implementation of PCC programs has always accompanied with unpredictable challenges and obstacles. Therefore, the present study was conducted to determine effective strategies for the implementation of PCC from the perspective of patients and healthcare providers. MATERIALS AND METHODS: The present research was a qualitative study using conventional content analysis method in one of the university hospitals of Abadan University of Medical Sciences during 2019-2020. Purposive sampling was performed until data saturation was achieved. Data were collected through four focused group discussions and 24 in-depth semi-structured interviews with 22 health-care providers and seven cardiac patients. Depending on the interview process and the responses of each individual, the sequencing of questions was different from one participant to another. Data analysis was performed continuously and concurrently with data collection, using a comparative method. RESULTS: After data analysis, seven subcategories and three main categories were extracted. The main categories included structural, process, and outcome strategies. The category of structural strategies included subcategories of nursing care organization, application of appropriate motivational mechanisms, and expansion of team coordination. Process strategies included three subcategories, namely, promoting communication, respectful and compassionate care, and the development of holistic care. Finally, the outcome strategy consisted of the subcategory of patient empowerment. CONCLUSION: The practical strategies for the implementation of PCC in coronary care unit revealed in this study were at structural, process, and outcome levels. Health-care managers and administrators can avail themselves of the findings of the present study to promote the quality care for cardiac care unit patients and improve patient satisfaction.

Evaluating Preferred and Perceived Leadership Styles of Nurse Managers Employed in Teaching Hospitals Affiliated to Yasuj University of Medical Sciences.

BACKGROUND AND OBJECTIVES: Nurse Managers are required to apply leadership styles suited to the complicated and constantly changing healthcare system. This study aimed to compare the perceived and preferred perceptions of nursing personnel and managers toward leadership styles of nurse managers. MATERIALS AND METHODS: This cross-sectional and analytical study was conducted on 341 subjects selected from nurse managers and staff employed in the teaching and treatment centers affiliated to YUMS, Yasuj, Iran. Data collection tool was the change, production, employee (CPE) model questionnaire, and data analysis was performed by Independent t-test. RESULTS: The total score of preferred view of the nurse manager was higher, compared to the perceived perception of these individuals. In addition, a statistically significant difference was observed for area of change and production (P<0.01). In this research, the highest and lowest means of the perceived viewpoint of nurse managers were related to the area of employees (17.20) and task (15.02), respectively. CONCLUSION: According to the results of this study, there was a difference between nurse managers and nursing personnel in terms of expectations toward nurse managers' leadership styles, which confirms the importance of comparison and evaluation of preferred and perceived leadership styles of nurse managers and staff.