Lateef Monsurat Adepeju, Mhlongo Euphemia Mbali
Department of Nursing, College of Health Sciences, University of KwaZulu-Natal, Howard College, Durban, South Africa.
Cost Eff Resour Alloc. 2022 Aug 13;20(1):40. doi: 10.1186/s12962-022-00375-y.
Patient-centered care (PCC) approach has continued to gain recognition globally as the key to providing quality healthcare. However, this concept is not fully integrated into the management of primary health care (PHC) in existing nursing practice due to numerous challenges. Among these challenges is the perception of nursing on PCC in the Primary Health Care system. This study seeks to present the results of qualitative research performed at various selected PHC centres on nurses' perceptions in PCC practice. This study aim was to explore the perception of nurses on PCC.
A qualitative action research approach was adopted. The study involved 30 local government PHC centres located in Osun State Southwest of the federal republic of Nigeria. Data was collected through a semi-structured interview guide questions. Thereafter, data analysis was performed using thematic analysis and NVivo 12 software to generate themes, subthemes, and codes.
PCC perceptions of nurses that was revealed in our findings were categorised into positive and negative themes. The negative themes include: poor approach by the nurses and lack of enforcement agency. The positive themes that emerged include: outcome driven healthcare, valued care provider, communication to sharpen care and driven healthcare service.
There is need for continuous training, and upgrading of nurses in line with global recommended standards of providing quality healthcare service delivery to the people. Therefore, the federal and state governments and local government council through the Nursing and Midwifery Council body should regulate, supervise, monitor and enforce the use and implementation of PCC in the PHC healthcare system.
以患者为中心的护理（PCC）方法作为提供优质医疗保健的关键，在全球范围内不断获得认可。然而，由于诸多挑战，这一概念在现有护理实践中尚未完全融入初级卫生保健（PHC）管理。这些挑战之一是初级卫生保健系统中护士对PCC的认知。本研究旨在呈现对各选定初级卫生保健中心护士在PCC实践中的认知进行的定性研究结果。本研究的目的是探讨护士对PCC的认知。
采用定性行动研究方法。该研究涉及尼日利亚联邦共和国西南部奥孙州的30个地方政府初级卫生保健中心。通过半结构化访谈指南问题收集数据。此后，使用主题分析和NVivo 12软件进行数据分析，以生成主题、子主题和代码。
我们的研究结果中揭示的护士对PCC的认知分为积极和消极主题。消极主题包括：护士的方法不当和缺乏执行机构。出现的积极主题包括：以结果为导向的医疗保健、受重视的护理提供者、加强护理的沟通和驱动的医疗服务。
需要根据为民众提供优质医疗服务的全球推荐标准，持续培训和提升护士。因此，联邦和州政府以及地方政府委员会应通过护理和助产士理事会机构，对初级卫生保健系统中PCC的使用和实施进行监管、监督和强制执行。
