Predictors of patient-centered care provision among nurses in acute care setting

J Nurs Manag. 2020 Sep;28(6):1400-1409. doi: 10.1111/jonm.13100. Epub 2020 Jul 31.

Abstract

Aim: The study was conducted to assess the predictors of patient-centred care provision among nurses working in an acute care setting. We hypothesized that higher structural empowerment and compassion satisfaction and lower burnout would predict the provision of patient-centred care.

Background: Patient-centred care is a crucial aspect of quality health care and the heart of nursing care. Although previous studies have highlighted some determinants of patient-centred care provision among nurses, there remains a gap in understanding the factors that predict the provision of patient-centred care.

Methods: A cross-sectional predictive design was used. Through random sampling, 255 nurses were recruited from five hospitals providing acute care services in Saudi Arabia.

Results: Multiple linear regression revealed that compassion satisfaction (β = 0.260 [95% CI: 0.201-0.645]), burnout (β = -0.266 [95% CI: -0.998 to -0.403]) and structural empowerment (β = 0.273 [95% CI: 0.462-1.427]) jointly explained significant variance (27.5%) in the provision of patient-centred care by nurses.

Conclusions: The study findings reveal that lower burnout, higher compassion satisfaction and structural empowerment increase nurses' provision of patient-centred care.

Implications for nursing management: Leadership and managerial strategies that not only address compassion satisfaction and burnout but also empower nurses are crucial for the provision of patient-centred care by nurses.

Keywords: Saudi nurses; acute care; burnout; compassion satisfaction; patient-centered care; structural empowerment.

MeSH terms

  • Burnout, Professional*
  • Compassion Fatigue*
  • Cross-Sectional Studies
  • Humans
  • Job Satisfaction
  • Nurses*
  • Patient-Centered Care
  • Saudi Arabia
  • Surveys and Questionnaires