Barriers to patient-centered care: a thematic analysis study.
OBJECTIVE
To explore nurses' attitudes and experience toward the barriers to achieving patient-centered care in the critical care setting.


METHODS
A qualitative exploratory design with thematic analysis approach was used to collect and analyze data, and identify barriers to patient-centered care. Data collection was based on in-depth semi-structured interviews.


RESULTS
Data analyses resulted in the identification of three themes: (a) lack of common understanding of teamwork, (b) individual barriers, and (c) organizational barriers.


CONCLUSIONS
This study goes beyond reporting problems with patient-centered care to try to understand why patients do not always receive high-quality care.


CONCLUSIONS
For achieving patient-centered care, not only nurses' individual efforts in following up-to-date evidence-based practice and having a holistic view are necessary, but also team coordination, organizational support, and elimination of nursing job problems.
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Maryam
M
Esmaeili
Mohammad
M
Ali Cheraghi
Mahvash
M
Salsali
D001291:Attitude of Health Personnel; D003422:Critical Care; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D009740:Nursing Staff / Q000523:psychology*; D010348:Patient Care Team; D018802:Patient-Centered Care
Barriers; nursing; patient-centered care; quality of care; thematic analysis