Nurses' understanding of patient-centred care in Bhutan

Pelzang, Rinchen, Wood, Beverley and Black, Simon 2010, Nurses' understanding of patient-centred care in Bhutan, British journal of nursing, vol. 19, no. 3, pp. 186-193.

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Title Nurses' understanding of patient-centred care in Bhutan
Author(s) Pelzang, Rinchen
Wood, Beverley
Black, Simon
Journal name British journal of nursing
Volume number 19
Issue number 3
Start page 186
End page 193
Total pages 8
Publisher Mark Allen Healthcare
Place of publication London, Eng.
Publication date 2010
ISSN 0966-0461
Keyword(s) nursing attitudes
nursing role
Bhutan
healthcare reform
descriptive research
content analysis
convenience sample
nurse-patient relations
Summary Aim The purpose of the study was to explore nurses' perceptions and understanding of patient-centred care (PCC) in Bhutan. Background Nurses' perceptions and understanding of PCC in Bhutan are unknown. Methods A non-probability convenience sample was taken and a mixed method (quantitative and qualitative descriptive) used. Survey questionnaires were administered to 87 Bhutanese nurses in three types of hospitals -- the National Referral Hospital, the regional referral hospital and the district hospital. Descriptive statistics including frequency distribution, mean and standard deviation (SD) were used for analysis. Spearman's correlation coefficients were used to investigate relationships between demographic variables. Results The nursing labour force in Bhutan knows which behaviours are considered necessary for practising PCC. The mean (SD) rating of behaviours considered critical for practising PCC was 4.29 (0.22), five being the highest score. Bhutanese nurses described PCC, according to qualitative descriptive analysis, as being based on individual patient assessment (22/87 or 25% of respondents), using a holistic model of care (38/87 or 44%) that was based on evidence (38/87 or 44%). A higher level of education (79/87 or 91%) was found to be the main factor that would facilitate the development of PCC, while inadequate staffing, in terms of insufficient numbers of staff and lack of advanced practitioners (56/87 or 64%), was revealed as the main factor that hinders development of PCC. Conclusion Bhutanese nurses believed certain behaviours were critical to PCC. Reform of higher nursing education, putting an emphasis on PCC, would improve nursing practice and increase its scope.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, Mark Allen Healthcare
Persistent URL http://hdl.handle.net/10536/DRO/DU:30063773

Document type: Journal Article
Collection: School of Nursing and Midwifery
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