Experience of Cardiovascular Care Unit (CVCU) Nurses in Implementing Person Centered Care
DOI:
https://doi.org/10.33755/jkk.v11i2.830Keywords:
Person Centered Care, experience, CVCU nurses, phenomenologyAbstract
Background: Nurses in the Cardiovascular Care Unit (CVCU) have a key role in delivering Person Centered Care (PCC), which focuses on respecting patient preferences and improving care quality. Despite its importance, the implementation of PCC still faces several challenges in clinical practice.
Objective: This study aimed to explore the experiences of CVCU nurses in implementing Person Centered Care in a hospital setting.
Method: A qualitative research design with a phenomenological approach was used. Six nurses working in the CVCU were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed through thematic analysis based on Colaizzi’s method.
Results: The study identified five main themes: (1) Satisfaction with nursing care, (2) Involvement of patients and families, (3) Communication and collaboration between nurses and doctors, (4) Suboptimal communication patterns between nurses and patients, and (5) Time management and workload.
Discussion: The findings indicate that PCC contributes to greater satisfaction in nursing care delivery. However, several barriers, such as limited communication and workload issues, need to be addressed. These insights can inform strategies for broader PCC implementation across different hospital wards. Hospital management should support this process by addressing potential obstacles and facilitating a supportive environment for PCC.
References
1. Rahmi C, Yasni H, Irwan S, Lizam TC. Patient Centered Care (PCC) dan Penerapannya di Rumah Sakit. Penerbit NEM; 2023.
2. Rosa EM. Patient centered care di rumah sakit konsep dan implementasi. Yogyakarta: LP3M Universitas Muhammadiyah Yogyakarta. 2018;1–105.
3. Halvorsen K, Jensen JF, Collet MO, Olausson S, Lindahl B, Sætre Hansen B, et al. Patients’ experiences of well‐being when being cared for in the intensive care unit—An integrative review. J Clin Nurs. 2022;31(1–2):3–19. https://doi.org/10.1111/ jocn. 15910
4. Schwartz AC, Dunn SE, Simon HFM, Velasquez A, Garner D, Tran Jr DQ, et al. Making family-centered care for adults in the ICU a reality. Front Psychiatry. 2022;13:837708. https://doi.org/10.3389/fpsyt.2022.837708
5. Jakimowicz S, Perry L. A concept analysis of patient‐centred nursing in the intensive care unit. J Adv Nurs. 2015;71(7):1499–517
6. Andersson EK, Sjöström‐Strand A, Willman A, Borglin G. Registered nurses views of caring in coronary care–a deductive and inductive content analysis. J Clin Nurs. 2015;24(23–24):3481–93. https://doi.org/10.1111/jocn.12975
7. Setianingsih E, Susilaningsih S, Anna A. Gambaran TIngkat Pengetahuan Perawat Tentang Patient Centered Care (PCC) di Ruang ICU RS di Kabupaten Kebumen. In: Prosiding University Research Colloquium. 2018. p. 386–91.
8. Saragih OSM. Pengalaman Perawat Pelaksana dalam Menerapkan Patient Centered Care (PCC) di Ruang Rawat Inap Rumah Sakit Universitas Sumatera Utara. Universitas Sumatera Utara; 2021.
9. West E, Barron DN, Reeves R. Overcoming the barriers to patient‐centred care: time, tools and training. J Clin Nurs. 2005;14(4):435–43.
10. Putra ACM, Muttaqin D. Hubungan Antara Dukungan Sosial dengan Burnout Pada Perawat di Rumah Sakit X. Psikostudia: Jurnal Psikologi. 2020;9(2):82–3. https://doi.org/10.30872/psikostudia.v9i2.3901
11. Tunny H, Tandi D, Massa PI. Kemampuan Perawat Dalam Menerapkan Patient Centered Care Di RSUD Dr. M. Haulussy Ambon. Jurnal Rumpun Ilmu Kesehatan. 2022;2(3):165–76. https://doi.org/10.55606/jrik.v2i3.1270
12. Yulia M. Hubungan Pelaksanaan Patient Centered Care (PCC) dengan Kepuasan Pasien Rawat Inap. Jurnal Health Sains. 2023;4(2):91–103. https://doi.org/10.46799/jhs.v4i2.846
13. Kim JM, Kim NG, Lee EN. Emergency room nurses’ experiences in person-centred care. Nurs Rep. 2022;12(3):472–81. https://doi.org/10.3390/nursrep12030045
14. Ilham M. Pengaruh Pelaksanaan Patient Center Care Terhadap Kepuasan Pasien Di Ruang Rawat Inap Rsu Mitra Medika Medan. HEALTH AND SCIENCE JOURNAL MUHAMMADIYAH (HSJM). 2023;1(2):58–66.
15. Dasaryandi KR, Arif Y, Wijaya ER. Kepuasan Masyarakat Terhadap Pelayanan Rumah Sakit Rujukan di Provinsi Kepulauan Riau Tahun 2019: Community Satisfaction with Referral Hospital Services in Riau Islands Province Riau Year 2019. NERS Jurnal Keperawatan. 2019;15(2):119–24. https://doi.org/10.25077/njk.15.2.119 -124.2019
16. Suharti S, Judijanto L, Utami SD, Lestari P. Keperawatan Keluarga: Teori dan Implementasi. PT. Sonpedia Publishing Indonesia; 2024.
17. Mohtar MS, Amin F, Yuandari E. Prinsip Patient Centered Care (Pcc) dalam Asuhan Keperawatan Gawat Darurat pada Kasus Kegawatan Kardiovaskular. CNJ (Caring Nursing Journal). 2021;5(1):8–14. https://doi.org/10.35747/cnj.v5i1.453
18. Tiainen M, Suominen T, Koivula M. Nursing professionals’ experiences of person‐centred practices in hospital settings. Scand J Caring Sci. 2021;35(4):1104–13. https://doi.org/10.1111/scs.12925
19. Dewi WN, Nazriati E. Barriers and enablers to the implementation of person-centred care in an Indonesian hospital: a qualitative study. Jurnal Ners. 2024;19(VEMBER):424. . https://doi.org/10.20473/jn.v19i4.55840
20. Fauziyah N, Hariyati RRTS, Rachmi SF. HUBUNGAN KETERAMPILAN KOMUNIKASI PERAWAT DENGAN PELIBATAN PASIEN (PATIENT ENGAGEMENT) DALAM ASUHAN KEPERAWATAN DI MASA PANDEMI COVID-19. JIKSA-Jurnal Ilmu Keperawatan Sebelas April. 2022;4(1):31–9.
21. Crocker AF, Smith SN. Person-first language: are we practicing what we preach? J Multidiscip Healthc. 2019;125–9. https://doi.org/10.2147/JMDH.S140067
22. Lloyd B, Elkins M, Innes L. Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers. Patient Exp J. 2018;5(3):55–64. https://doi.org/10.35680/2372-0247.1270
23. Goldfarb MJ, Saylor MA, Bozkurt B, Code J, Di Palo KE, Durante A, et al. Patient-centered adult cardiovascular care: a scientific statement from the American Heart Association. Circulation. 2024;149(20):e1176–88. https://doi.org/10.1161/CIR.0000000000001233
24. Youn H, Lee M, Jang SJ. Person-centred care among intensive care unit nurses: A cross-sectional study. Intensive Crit Care Nurs. 2022;73:103293. https://doi.org/10.1016/j.iccn.2022.103293
25. Calisanie NNP, Prayoga H. Factors affecting sleep quality of treated patients in the intensive cardiac care unit room. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal). 2023;9(1). https://doi.org/10.33755/jkk.v9i1.466
