Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers

The aim of this study was to identify and explore organisational barriers to, and enablers of, patient and family centred care within an Australian acute care hospital from the perspective of that hospital’s management staff. A qualitative study, incorporating purposive sampling and semi-structured...

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Autores principales:	Bradley Lloyd, Mark Elkins, Lesley Innes
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2018
Materias:	patient centred care patient experience healthcare quality health services research Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e00f29fd6dfe4ce29faa1e5cd4838d05
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spelling	oai:doaj.org-article:e00f29fd6dfe4ce29faa1e5cd4838d052021-11-15T04:25:59ZBarriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers2372-0247https://doaj.org/article/e00f29fd6dfe4ce29faa1e5cd4838d052018-11-01T00:00:00Zhttps://pxjournal.org/journal/vol5/iss3/9https://doaj.org/toc/2372-0247The aim of this study was to identify and explore organisational barriers to, and enablers of, patient and family centred care within an Australian acute care hospital from the perspective of that hospital’s management staff. A qualitative study, incorporating purposive sampling and semi-structured interviews was undertaken in a 215-bed metropolitan acute care public hospital in Sydney, Australia. Fifteen health managers from a broad range of professional groups, including Medicine, Nursing, Allied Health and non-clinical services were interviewed. Interview data were recorded, transcribed, and analysed for key themes using the Framework Approach. The key barriers to patient and family centred care were: i) staffing constraints and reduced levels of staff experience, ii) high staff workloads and time pressures, iii) physical resource and environment constraints and iv) unsupportive staff attitudes. The key enablers of patient and family centred care were: i) leadership focus on patient and family centred care, ii) staff satisfaction and positive staff relations, iii) formal structures and processes to support patient and family centred care, iv) staff cultural diversity and v) health professional values and role expectations. This study provides an understanding of the factors that restrict and enhance patient and family centred care specific to an Australian acute care hospital setting. Implementation of strategies targeted at these factors may help the study site, and potentially other hospitals in similar settings, to improve patient and family centred care. In turn, this may lead to improved outcomes for patients, families, staff and healthcare organisations.Bradley LloydMark ElkinsLesley InnesThe Beryl Institutearticlepatient centred carepatient experiencehealthcare qualityhealth services researchMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient centred care patient experience healthcare quality health services research Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient centred care patient experience healthcare quality health services research Medicine (General) R5-920 Public aspects of medicine RA1-1270 Bradley Lloyd Mark Elkins Lesley Innes Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers
description	The aim of this study was to identify and explore organisational barriers to, and enablers of, patient and family centred care within an Australian acute care hospital from the perspective of that hospital’s management staff. A qualitative study, incorporating purposive sampling and semi-structured interviews was undertaken in a 215-bed metropolitan acute care public hospital in Sydney, Australia. Fifteen health managers from a broad range of professional groups, including Medicine, Nursing, Allied Health and non-clinical services were interviewed. Interview data were recorded, transcribed, and analysed for key themes using the Framework Approach. The key barriers to patient and family centred care were: i) staffing constraints and reduced levels of staff experience, ii) high staff workloads and time pressures, iii) physical resource and environment constraints and iv) unsupportive staff attitudes. The key enablers of patient and family centred care were: i) leadership focus on patient and family centred care, ii) staff satisfaction and positive staff relations, iii) formal structures and processes to support patient and family centred care, iv) staff cultural diversity and v) health professional values and role expectations. This study provides an understanding of the factors that restrict and enhance patient and family centred care specific to an Australian acute care hospital setting. Implementation of strategies targeted at these factors may help the study site, and potentially other hospitals in similar settings, to improve patient and family centred care. In turn, this may lead to improved outcomes for patients, families, staff and healthcare organisations.
format	article
author	Bradley Lloyd Mark Elkins Lesley Innes
author_facet	Bradley Lloyd Mark Elkins Lesley Innes
author_sort	Bradley Lloyd
title	Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers
title_short	Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers
title_full	Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers
title_fullStr	Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers
title_full_unstemmed	Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers
title_sort	barriers and enablers of patient and family centred care in an australian acute care hospital: perspectives of health managers
publisher	The Beryl Institute
publishDate	2018
url	https://doaj.org/article/e00f29fd6dfe4ce29faa1e5cd4838d05
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Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers

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