Patient-centered care: a study in clinical and surgical hospitalization units
DOI:
https://doi.org/10.21527/2176-7114.2025.50.16878Keywords:
Patient-Centered Care, Patient Participation, Quality of HealthcareAbstract
Objective: To understand patient-centered care from the perspective of adult inpatients during hospitalization. Method: This qualitative, exploratory, and descriptive study was conducted with 31 patients admitted to the medical and surgical units. Data were collected through recorded interviews, which were transcribed, validated, and processed using Iramuteq software. Categories were constructed based on the Institute of Medicine’s guiding principles for patient-centered care, and content analysis was applied. The study complied with ethical principles for research involving human subjects and was approved by the Institutional Review Board of the Federal University of Rio Grande do Sul (CAAE No. 73679623.4.0000.5324). Results: Four categories emerged: respecting patient preferences; information, education, and integration of care; physical comfort and emotional support; and access to care. Including patients and family members in the care process is essential to ensure greater safety, understanding, and support. Conclusions: The study offered insights into patient-centered care from the perspective of patients and families, revealing both strengths and obstacles to its consolidation. It highlights the importance of patients’ role as active participants in creating a safe environment and improving clinical conditions.
References
1. Ventura F, Moreira, I; Raposo V, Queirós PJP, Mendes, A. A prática centrada na pessoa: da idiossincrasia do cuidar à inovação em saúde. Caderno Saúde Pública. 2022;8(10):e00278121. DOI: https://doi.org/10.1590/0102-311XPT278121
2. INSTITUTE OF MEDICINE. Crossing the Quality Chasm: A New Health System for the 21st Century; Washington, 2018.
3. Ribeiro, RV; Signor E, Forgiarini G. Theoretical approach to the concept of Person-Centered Care: An integrative literature review. Research, Society and Development. 2023;12(10):e59121043453. DOI: https://doi.org/10.33448/rsd-v12i10.43453
4. Okeny P, Pittalis C, Monaghan CF, Brugha, R, Gajewski J. Dimensions of patient-centred care from the perspective of patients and healthcare workers in hospital settings in sub-Saharan Africa: A qualitative evidence synthesis. PloS one, 2024;19(4): e0299627. DOI: https://doi.org/10.1371/journal.pone.0299627
5. Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021;20(1):158. DOI: http://dx.doi.org/10.1186/s12912-021-00684-2.
6. Lilleheie I, Debesay J, Bye A, Bergland A. Experiences of elderly patients regarding participation in their hospital discharge: a qualitative metasummary. BMJ Open. 2019;3;9(11):e025789. DOI: https://doi.org/10.1136/bmjopen-2018-025789.
7. Tong A, Sainsbury P, Craig J. Consolida-te criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. DOI: https://doi.org/10.1093/intqhc/mzm042
8. Ministério da Educação. História Empresa Brasileira de Serviços Hospitalares EBSERH. 2020. Atual em 2023. Disponível em: Relatos e Histórias — Empresa Brasileira de Serviços Hospitalares (www.gov.br).Acesso em: 26 set. 2024.
9. Silva, R; Ribeiro EAW. O software IRAMUTEQ como ferramenta metodológica para análise qualitativa nas pesquisas em educação profissional e tecnológica. BRAJETS. 2021;14(2):275-84. DOI: https://10.14571/brajets.v14.n2.275-284
10. Bardin L. Análise de Conteúdo. São Paulo: Edições 70; 2016.
11. Lima LAR, Santos BB, Barros CL, Santos AL. Conceito e implementação do cuidado centrado na pessoa na perspectiva do médico da estratégia saúde da família. Braz J Develop. 2020;6(9):7378699. DOI: http://dx.doi.org/10.34117/bjdv6n9-728
12. Ferreira JDO, Campos TNC, Dias DEM, Silva IL, Dantas TH, Dantas DS. Estratégias de humanização da assistência no ambiente hospitalar: revisão integrativa. Revista Ciência Plural. 2021;7(1):147-163, 2021. DOI: https://doi.org/10.21680/2446-7286.2021v7n1ID23011
13. Yang Y.Efects of health literacy competencies on patient-centered care among nurses BMC Health Services Research. 2022.22:1172. DOI: 10.1186/s12913-022-08550-w
14. Tinetti ME, Naik AD, Dindo L, Costello DM, Esterson J, Geda M, et al. Association of Patient Priorities-Aligned Decision-Making With Patient Outcomes and Ambulatory Health Care Burden Among Older Adults With Multiple Chronic Conditions: A Nonrandomized Clinical Trial. JAMA Intern Med. 2019;179(12):1688-1697. DOI: https://doi.org/10.1001/jamainternmed.2019.4235.
15. Antoine A, Fitchett G, Marin D, Sharma V, Garman A, Haythorn T, et al. What organizational and business models underlie the provision of spiritual care in healthcare organizations? An initial description and analysis. J Health Care Chaplain. 2022:28(2):272-284. DOI: http://dx.doi.org/10.1080/08854726.2020.1861535.
16. DeRosa AP, Baltich Nelson B, Delgado D, Mages KC, Martin L, Stribling JC. Involvement of information professionals in patient- and family-centered care initiatives: a scoping review. J Med Libr Assoc. 2019,107(3):314-322. DOI: https://doi.org/10.5195/jmla.2019.652.
17. Almeida HOC, Góis RMO. Avaliação da satisfação do paciente: indicadores assistenciais de qualidade. Rev. Adm. Saúde, 2020, 20(81),e244. DOI: http://dx.doi.org/10.23973/ras.81.244
18. G/egziabher R, Biks GA, Worku N, Endalew B, Dellie E. Patient-Centered Care and Associated Factors among Adult Admitted Patients in South Wollo Public Hospitals, Northeast Ethiopia. Patient Preference and Adherence. 2022;16, 333–342. DOI: 10.2147/PPA.S346000
19. Adetunji A, Bishai D, Pham CV, Taylor J, Thi NT, Khan Z, et al. Patient-centered care and geriatric knowledge translation among healthcare providers in Vietnam: translation and validation of the patient-centered care measure. MC Health Serv Res. 2023.19;23(1):379. DOI: 10.1186/s12913-023-09311-z
20. Metz A, Albers B, Burke K, Bartley L, Louison L, Ward C, et al. Implementation Practice in Human Service Systems: Understanding the Principles and Competencies of Professionals Who Support Implementation. Human Service Organizations: Management, Leadership & Governance. 2021;45(3), 238–259. DOI :https://doi.org/10.1080/23303131.2021.1895401
21. Ewunetu M, Temesgen W, Zewdu D, Andargie A, Kebede M, Lidetu T. Patients' Perception of Patient-Centered Care and Associated Factors Among Patients Admitted in Private and Public Hospitals: A Comparative Cross-Sectional Study. Patient Prefer Adherence. 2023. 17;17:1035-1047. doi: 10.2147/PPA.S402262.
22. Castro EM, Van Regenmortel T, Vanhaecht K, Sermeus W, Van Hecke A. Patient empowerment, patient participation and patient-centeredness in hospital care: A concept analysis based on a literature review. Patient Educ Couns. 2016;99(12):1923-1939. DOI: http://dx.doi.org/10.1016/j.pec.2016.07.026
23. Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. Health Aff (Millwood). 2018 Nov;37(11):1736-1743. DOI: http://dx.doi.org/10.1377/hlthaff.2018.0738. PMID: 30395508.
24. Souza MF, Viana VC, Silva MC, Guimarães CCV, Cruz VOO, Beatriz GCA, et al. Brazilian Journal of Development. 2019;5(12):29325-29327. DOI: https://doi.org/10.34117/bjdv5n12-090
25. Schuttner L, Hockett Sherlock S, Simons CE, Johnson NL, Wirtz E, Ralston JD, et al. My Goals Are Not Their Goals: Barriers and Facilitators to Delivery of Patient-Centered Care for Patients with Multimorbidity. J Gen Intern Med. 2022;37(16):4189-4196. DOI: 10.1007/s11606-022-07533-1.
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Copyright (c) 2025 Natalia Antiqueira Garcia, Laurelize Pereira Rocha, Raissa Garcia Brum, Laís Farias Juliano, Caroline Passos Arruda, Julia Severo dos Santos
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