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

Nurs Open. 2023 Feb;10(2):838-849. doi: 10.1002/nop2.1352. Epub 2022 Sep 4.

Abstract

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.

Keywords: cardiac care unit; patient-centred care; qualitative study.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Coronary Care Units
  • Health Personnel
  • Humans
  • Patient-Centered Care
  • Physicians*
  • Qualitative Research