Document Type : Original Article


1 Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Internal Medicine, School of Medicine, Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND: Patient‑centered care (PCC) is a key component of high‑quality care. Given the 
different effects of cancer on patients, patient‑centeredness is very important in oncology nursing 
care. The aim of this study was to explore nurses’ perceptions of the patient‑centered in oncology 
nursing care.
MATERIALS AND METHODS: This descriptive qualitative study was conducted in 2018–2020, Iran. 
Data collection methods included observation and semi‑structured interviews. Patient, family, and nurse 
behaviors were observed (total: 318 h). In addition, interviews were conducted with nurses and nursing 
managers (12 interviews). Data analysis was performed using Graneheim and Lundman’s approach.
RESULTS: Data analysis resulted in the emergence of four themes: “Organizational structure as 
a barrier to the PCC,” “Lack of institutionalization of PCC in nurses,” “Understanding and paying 
attention to the patient as PCC,” and “Situational PCC.” The final theme of this study is “PCC in the 
shadow of paternalism.”
CONCLUSIONS: The paternalism approach in the context of oncology nursing care has made the 
realization of PCC difficult. The first step to promote PCC is increasing nurses’ awareness of the impact 
of paternalism on patient‑centeredness. Providing patient‑centered oncology nursing care requires 
changing attitudes, values, and behaviors at individual, professional, and organizational levels.


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