Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study

Background: Patient center care (PCC) plays a crucial role in achieving the organizational and patient outcomes. Literature suggests that PCC enhance patient’s adherence to treatment, lower the cost of health care organization. This study aimed explore the higher and middle managers’ perceptions of...

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Main Authors: Majeda A. AL-Ruzzieh, Yahia M. AL-Helih, Anas Haroun, Omar Ayaad
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Nursing Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4403/14/4/244
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author Majeda A. AL-Ruzzieh
Yahia M. AL-Helih
Anas Haroun
Omar Ayaad
author_facet Majeda A. AL-Ruzzieh
Yahia M. AL-Helih
Anas Haroun
Omar Ayaad
author_sort Majeda A. AL-Ruzzieh
collection DOAJ
description Background: Patient center care (PCC) plays a crucial role in achieving the organizational and patient outcomes. Literature suggests that PCC enhance patient’s adherence to treatment, lower the cost of health care organization. This study aimed explore the higher and middle managers’ perceptions of patient-centered care (PCC) in an oncology setting, identify the PCC implementation challenges in the oncology setting, and understand the role of managers in facilitating PCC within the oncology context. Methods: Sampling involved the use of the purposive sampling technique on 17 middle managers and 6 upper managers who had been working in an oncology setting. The six-step thematic analysis method was used for data analysis. Results: The interviews identified six main themes and seventeen subthemes: “comprehensive care, partnership, and informed decision-making”, “infrastructure and support systems”, “leadership influence on patient-centered care”, “cultural and operational barriers”, “perceived outcomes”, and “strategies to enhance PCC in oncology”. The subthemes of comprehensive care included fostering partnerships and enabling informed decisions. The infrastructure and support systems encompassed educational empowerment and service integration. Leadership influence highlighted the role of elevating awareness, providing organizational support, and promoting comprehensive care. The cultural and operational barriers addressed the challenges faced in implementation. The perceived outcomes focused on the results of patient-centered care, while strategies to enhance PCC in oncology provided actionable insights for improvement. This provides a comprehensive understanding of the perceptions of middle and higher managers on patient-centered care (PCC) in oncology settings. It identifies key challenges in PCC implementation, highlights the critical role of managers in facilitating PCC, and offers actionable strategies for enhancing PCC.
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spelling doaj-art-34a8f452c4e444b2ae3bb2fcee80a37a2024-12-27T14:44:14ZengMDPI AGNursing Reports2039-439X2039-44032024-11-011443378339010.3390/nursrep14040244Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative StudyMajeda A. AL-Ruzzieh0Yahia M. AL-Helih1Anas Haroun2Omar Ayaad3Nursing Department, King Hussein Cancer Center, P.O. Box 1269, AL-Jubeiha, Amman 11941, JordanNursing Department, King Hussein Cancer Center, P.O. Box 1269, AL-Jubeiha, Amman 11941, JordanNursing Department, King Hussein Cancer Center, P.O. Box 1269, AL-Jubeiha, Amman 11941, JordanQuality and Accreditation Department, Sultan Qaboos Comprehensive Cancer Care and Research Center, University Medical City, P.O. Box 566, Muscat 123, OmanBackground: Patient center care (PCC) plays a crucial role in achieving the organizational and patient outcomes. Literature suggests that PCC enhance patient’s adherence to treatment, lower the cost of health care organization. This study aimed explore the higher and middle managers’ perceptions of patient-centered care (PCC) in an oncology setting, identify the PCC implementation challenges in the oncology setting, and understand the role of managers in facilitating PCC within the oncology context. Methods: Sampling involved the use of the purposive sampling technique on 17 middle managers and 6 upper managers who had been working in an oncology setting. The six-step thematic analysis method was used for data analysis. Results: The interviews identified six main themes and seventeen subthemes: “comprehensive care, partnership, and informed decision-making”, “infrastructure and support systems”, “leadership influence on patient-centered care”, “cultural and operational barriers”, “perceived outcomes”, and “strategies to enhance PCC in oncology”. The subthemes of comprehensive care included fostering partnerships and enabling informed decisions. The infrastructure and support systems encompassed educational empowerment and service integration. Leadership influence highlighted the role of elevating awareness, providing organizational support, and promoting comprehensive care. The cultural and operational barriers addressed the challenges faced in implementation. The perceived outcomes focused on the results of patient-centered care, while strategies to enhance PCC in oncology provided actionable insights for improvement. This provides a comprehensive understanding of the perceptions of middle and higher managers on patient-centered care (PCC) in oncology settings. It identifies key challenges in PCC implementation, highlights the critical role of managers in facilitating PCC, and offers actionable strategies for enhancing PCC.https://www.mdpi.com/2039-4403/14/4/244patient-centered carequalitativehigher and middle manageroncology
spellingShingle Majeda A. AL-Ruzzieh
Yahia M. AL-Helih
Anas Haroun
Omar Ayaad
Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study
Nursing Reports
patient-centered care
qualitative
higher and middle manager
oncology
title Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study
title_full Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study
title_fullStr Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study
title_full_unstemmed Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study
title_short Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study
title_sort higher and middle management perspectives on patient centered care in an oncology setting a qualitative study
topic patient-centered care
qualitative
higher and middle manager
oncology
url https://www.mdpi.com/2039-4403/14/4/244
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