Journal of Education and Health Promotion

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

Document Type : Original Article

Authors

. Firouzeh Charosaei
. Shahnaz Rostami 1
. Maryam Esmaeili 2
. Shahram Molavynejad 1
. Zohreh Vanaki 3

1 Nursing Care Research Center in Chronic Disease, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

Abstract
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.

Keywords

Coronary care units
patient‑centered care
qualitative research
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Journal of Education and Health Promotion
Volume 11, Issue 9
October 2021
Pages 1-9

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