Assessment of Person centered care climate from the viewpoint of Patients UndergoingHemodialysis and Nurses working in Hemodialysis Units of Imam Reza and Sina Medical Research and Training Centers, Tabriz,2021

Abstract

Abstract

Background and Aim: Person-centered care (PCC) is usually considered as an important component of high quality care. In patients undergoing hemodialysis, it is more important to pay attention to the needs and priorities of patients and provide person centered care. The aim of the present study was to assess the Person-centered climate from the perspective of hemodialysis patients and nurses working in hemodialysis unit. Methods: This cross-sectional study was performed on 200 patients and 71 nurses working in two hemodialysis units. Data were collected using demographic information questionnaire, person-centered climate questionnaire-patient version (PCQ-P) and person-centered climate questionnaire-staff version (PCQ-S). Data were analyzed using ANOVA and independent t-tests by SPSS software (ver. 24). Results: The mean score of person-centered climate from the patients' view was 81.49±7.14 (Possible score range:17-102). Independent t-test showed that the mean total score of PCQ-P in patients undergoing hemodialysis in the Imam Reza Hospital (82.26±7.09) was more than those undergoing hemodialysis in the Sina Hospital (78.60±6.61) (P<0.05). The mean score of Person centered climate showed a statistically significant difference in terms of age variable and mean safety score of PCC climate (P<0.05). The mean total score of PCQ-S from the nurses' view was 66.86±8.07 (score range: 14 to 84). The mean score of the everydayness subscale showed a statistically significant difference between nurses working in two hemodialysis units (P<0.05). Also, the comparison of the normalized score between patients and nurses showed that the mean score of nurses in the areas of everydayness and hospitality was higher than that of patients undergoing hemodialysis treatment (p<0.05). Conclusion: The results showed that the mean total score of person centered climate in Imam Reza Hemodialysis Center was higher than Sina Hemodialysis Center. It seems that most of these differences are related to the appropriate physical structure and standardization of physical space and facilities available in the hemodialysis ward of Imam Reza Hemodialysis Center. Therefore, it is suggested that in establishing dialysis centers, more attention be paid to the physical structure, location of the ward, the amount of lighting in the ward, the distance between the beds and other necessary standards. Moreover, the practical strategies should be considered for training person centered care for dialysis staffs. Nurses should try to provide care based on the needs of each patient, taking into account the characteristics and preferences of each patient.