FACTORS INFLUENCING THE IMPLEMENTATION OF PATIENT CENTERED CARE IN HEALTH SERVICES: A SCOPING REVIEW
Abstrak
Patient-Centered Care (PCC) is a crucial approach to improving service quality, patient engagement, and health outcomes by placing patient needs, preferences, and values at the center of the care process. Although the benefits of PCC are widely recognized, its implementation, especially in developing countries, still faces various challenges, such as lack of understanding among healthcare workers, time constraints, high workloads, and minimal organizational support. This article aims to conduct a scoping review of factors influencing PCC implementation. Articles were systematically searched through PubMed, ProQuest, and Google Scholar using the keywords: "patient-centered care, factors influencing PCC, barriers to PCC." Inclusion criteria included primary studies, systematic reviews, or feasibility studies published in Indonesian, English, or Korean between 2019 and 2024. Of the 1,450 articles identified, 16 met the criteria and were further analyzed. The review results indicate that internal factors influencing PCC implementation include empathy, health literacy competency, work burnout, patient safety competency, humanistic training, work stress, quality of life, nurse professionalism, and effective communication. External factors include a supportive work environment, a PCC-based organizational culture, facility infrastructure, management support, accessibility, and patient perceptions. Conclusion: PCC is a strategic approach that provides significant benefits to patient health outcomes and service efficiency. However, successful implementation requires policy support, training, and systemic change within the healthcare organization.
Artikel teks lengkap
##article.generated_from_xml##
Referensi
1. Rosa E. Patient Centered Care Di Rumah Sakit Konsep Dan Implementasi. LP3M; 2018.
2. Araki M. Patient Centered Care and Professional Nursing Practices. JBRCI. 2019;1(1). doi:10.31546/JBRCI.1004
3. Schuttner L, Reddy A, Rosland AM, Nelson K, Wong ES. Association of the Implementation of the Patient-Centered Medical Home with Quality of Life in Patients with Multimorbidity. J GEN INTERN MED. 2020;35(1):119-125. doi:10.1007/s11606-019-05429-1
4. Byrne AL, Baldwin A, Harvey C. Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. Vaingankar JA, ed. PLoS ONE. 2020;15(3):e0229923. doi:10.1371/journal.pone.0229923
5. Huh A, Shin JH. Person-Centered Care Practice, Patient Safety Competence, and Patient Safety Nursing Activities of Nurses Working in Geriatric Hospitals. IJERPH. 2021;18(10):5169. doi:10.3390/ijerph18105169
6. Lewandowski RA, Lewandowski JB, Ekman I, Swedberg K, Törnell J, Rogers HL. Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap. IJERPH. 2021;18(5):2205. doi:10.3390/ijerph18052205
7. Suhonen R, Lahtinen K, Stolt M, Pasanen M, Lemetti T. Validation of the Patient-Centred Care Competency Scale Instrument for Finnish Nurses. JPM. 2021;11(6):583. doi:10.3390/jpm11060583
8. Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021;20(1):158. doi:10.1186/s12912-021-00684-2
9. Wong A, Bhyat R, Srivastava S, Boissé Lomax L, Appireddy R. Patient Care During the COVID-19 Pandemic: Use of Virtual Care. J Med Internet Res. 2021;23(1):e20621. doi:10.2196/20621
10.Rachma A, Kamil H. Pelaksanaan Patient Centered Care Di Rumah Sakit Umum Kota Banda Aceh. Idea Nursing Journal. 2019;X(1).
11.Handayani F. Hubungan Komunikasi Dan Reward Dengan Paenerapan Patient Centered Care Di Instalasi Rawat Inap. Journal of Borneo Holistic Health. 2019;2(1):125-134.
12.Ernawati E, Lusiani M. Pelaksanaan Patient Center Care Perspektif Pasien dan Perawat di RS dr. Dradjat Prawiranegara Serang. Faletehan Health Journal. 2019;6(3):83-90. http://journal.lppm-stikesfa.ac.id/ojs/index.php/FHJ
13. Wati DK, Faculty of Medicine, Universitas Islam Malang, et al. Patient-Centered Care: How do Patients Perceive Its Implementation? In: Promoting Population Mental Health and Well-Being. Masters Program in Public Health, Universitas Sebelas Maret; 2019:611-611. doi:10.26911/theicph.2019.05.10
14. Çakmak C, Uğurluoğlu O. The Impact of Person-Centered Care and Professional Values on Job Satisfaction Among Nurses: The Mediating Role of Work Engagement. Journal of Health Management. Published online 2024.
15. Yang Y. Effects of health literacy competencies on patient-centered care among nurses. BMC Health Serv Res. 2022;22(1):1172. doi:10.1186/s12913-022-08550-w
16. Yu C, Xian Y, Jing T, et al. More patient-centered care, better healthcare: the association between patient-centered care and healthcare outcomes in inpatients. Front Public Health. 2023;11:1148277. doi:10.3389/fpubh.2023.1148277
17 .Kwon S, Kim K. Factors Associated with Person-Centered Care among Hospice Nurses.J Hosp Palliat Care.2022;25(2). doi:https://doi.org/10.14475/jhpc.2022.25.2.ss
18. Shen L, Xu D, Zhang X. What factors influencing surgical nurses’ competence in implementing person-centered care in the perioperative period?: A cross-sectional study. Medicine. 2024;103(41):e40035. doi:10.1097/MD.0000000000040035
19 .Choi J, Kim D, Yoon J. Person-centered care environments and staff outcomes in long-term care facilities. Journal of Nursing Research. 2021;29(1):e133. doi:https://doi.org/ 10.1097/jnr.00000000000000412
20. Abekah-Nkrumah G, Nkrumah J. Perceived work environment and patient-centered behavior: A study of selected district hospitals in the central region of Ghana. Schouten B, ed. PLoS ONE. 2021;16(1):e0244726. doi:10.1371/journal.pone.0244726
21. Al-Sahli B, Eldali A, Aljuaid M, Al-Surimi K. Person-Centered Care in a Tertiary Hospital Through Patient’s Eyes: A Cross-Sectional Study. PPA. 2021;Volume 15:761-773. doi:10.2147/PPA.S286237
22. Ewunetu M, Temesgen W, Zewdu D, Andargie A, Kebede M, Lidetu T. Patients’ Perception of Patient-Centered Care and Associated Factors Among Patients Admitted in Private and Public Hospitals: A Comparative Cross-Sectional Study. Women’s Health Reports.2023;4(1).doi:https://doi.org/10.1089/whr.2022.0089
23. Lee JS, Lee SY. Nursing Practice Environment and Moral Distress Impact on Person-centered Care of Long-term Care Hospital Nurses. Journal of the Korean Applied Science and Technology. 2020;37(6):1790-1797. doi:10.12925/JKOCS.2020.37.6.1790
24. Choi N, Kim J, Kim H. The influence of patient-centeredness on patient safety perception among inpatients. Seale H, ed. PLoS ONE. 2021;16(2):e0246928. doi:10.1371/journal.pone.0246928
25.Hwang JI, Kim SW, Chin HJ. Patient Participation in Patient Safety and Its Relationships with Nurses’ Patient-Centered Care Competency, Teamwork, and Safety Climate. Asian Nursing Research. 2019;13(2):130-136. doi:10.1016/j.anr.2019.03.001
26. Kim MS, Cho YO, Park J. Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small–Medium-Sized Hospitals: A Cross-Sectional Study. Nursing Reports. 2022;12(4):861-872. doi:10.3390/nursrep12040083
27. CHANG H, GIL C, KIM H, BEA H. Person-centered care, job stress, and quality of life: a cross-sectional study of dementia care staff in South Korea. The Journal of Nursing Research. 2020;28(5). doi:doi.org/10.1097/ jnr.0000000000000398
28. Kang HS, Seo M. The Factors Affecting Person-centered Care Nursing in Intensive Care Unit Nurses. J Korean Crit Care Nurs. 2021;14(3):14-25. doi:10.34250/jkccn.2021.14.3.14
29. Lee M, Ihm J. Empathy and attitude toward communication skill learning as a predictor of patient-centered attitude: a cross-sectional study of dental students in Korea. BMC Med Educ. 2021;21(1):225. doi:10.1186/s12909-021-02674-z
30. Kim M, Cha J. The influence of health literacy competencies on patient-centered care among clinical nurses. J Korean Acad Soc Nurs Educ. 2021;27(2):132-143. doi:10.5977/jkasne.2021.27.2.132
31. Sumantri S, Utami TN, Astuty DA. Hubungan Beban Kerja dengan Kelelahan Kerja pada Perawat Instalasi Rawat Inap di Rumah Sakit Islam Malahayati Medan. J Keskom. 2024;10(2):315-323. doi:10.25311/keskom.Vol10.Iss2.1907
32. Antonini M, Bellier-Teichmann T, O’reilly L, et al. Effects of an educational intervention to strengthen humanistic practice on haemodialysis nurses’ caring attitudes and behaviours and quality of working life: a cluster randomised controlled trial. BMC Nurs. 2021;20(1):255. doi:10.1186/s12912-021-00729-6
33. Devi Azhari. Faktor yang berhubungan dengan Stress Kerja Perawat di Ruang Rawat Inap RSUD Pringsewu Tahun 2024. Ventilator. 2024;2(4):125-151. doi:10.59680/ventilator.v2i4.1539
34. Layali I, Ghajar M, Abedini E, Emadian S, Joulaei M. Role of Job Stressors on Quality of Life in Nurses. Journal of Mazandaran University of Medical Sciences. 2020;29(180):129-133.
35. Lee W, Jang I. Effect of Nurses’ Professionalism, Work Environment, and Communication with Health Professionals on Patient Safety Culture (AHRQ 2.0.): A Cross-Sectional Multicenter Study. Alamri M, ed. Journal of Nursing Management. 2023;2023:1-11. doi:10.1155/2023/1591128
36. Arsat N, Chua BS, Wider W, Dasan N. The Impact of Working Environment on Nurses’ Caring Behavior in Sabah, Malaysia. Front Public Health. 2022;10:858144. doi:10.3389/fpubh.2022.858144
37. Bardhia M, Batran A, Ayed A, Ejheisheh MA, Alassoud B, Abu-Siam I. The Relationship Between the Nurse Practice Environment and Perceived Patient-Centered Care in Intensive Care Units: Nursing Perspective. SAGE Open Nursing. 2025;11:23779608251321365. doi:10.1177/23779608251321365
38. Rumintjap FM, Wahyudi A, Meher C, Yuliana D, Yuwanto L. Patient Experience: Innovating the Application of LAFKI Concept in Person-Centred Care at Healthcare Facilities. FJST. 2024;3(4):641-670. doi:10.55927/fjst.v3i4.8843
39. Dewi WN, Nazriati E. Barriers and enablers to the implementation of person-centred care in an Indonesian hospital: a qualitative study. J Ners. 2024;19(4):424-432. doi:10.20473/jn.v19i4.55840
2. Araki M. Patient Centered Care and Professional Nursing Practices. JBRCI. 2019;1(1). doi:10.31546/JBRCI.1004
3. Schuttner L, Reddy A, Rosland AM, Nelson K, Wong ES. Association of the Implementation of the Patient-Centered Medical Home with Quality of Life in Patients with Multimorbidity. J GEN INTERN MED. 2020;35(1):119-125. doi:10.1007/s11606-019-05429-1
4. Byrne AL, Baldwin A, Harvey C. Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. Vaingankar JA, ed. PLoS ONE. 2020;15(3):e0229923. doi:10.1371/journal.pone.0229923
5. Huh A, Shin JH. Person-Centered Care Practice, Patient Safety Competence, and Patient Safety Nursing Activities of Nurses Working in Geriatric Hospitals. IJERPH. 2021;18(10):5169. doi:10.3390/ijerph18105169
6. Lewandowski RA, Lewandowski JB, Ekman I, Swedberg K, Törnell J, Rogers HL. Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap. IJERPH. 2021;18(5):2205. doi:10.3390/ijerph18052205
7. Suhonen R, Lahtinen K, Stolt M, Pasanen M, Lemetti T. Validation of the Patient-Centred Care Competency Scale Instrument for Finnish Nurses. JPM. 2021;11(6):583. doi:10.3390/jpm11060583
8. Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021;20(1):158. doi:10.1186/s12912-021-00684-2
9. Wong A, Bhyat R, Srivastava S, Boissé Lomax L, Appireddy R. Patient Care During the COVID-19 Pandemic: Use of Virtual Care. J Med Internet Res. 2021;23(1):e20621. doi:10.2196/20621
10.Rachma A, Kamil H. Pelaksanaan Patient Centered Care Di Rumah Sakit Umum Kota Banda Aceh. Idea Nursing Journal. 2019;X(1).
11.Handayani F. Hubungan Komunikasi Dan Reward Dengan Paenerapan Patient Centered Care Di Instalasi Rawat Inap. Journal of Borneo Holistic Health. 2019;2(1):125-134.
12.Ernawati E, Lusiani M. Pelaksanaan Patient Center Care Perspektif Pasien dan Perawat di RS dr. Dradjat Prawiranegara Serang. Faletehan Health Journal. 2019;6(3):83-90. http://journal.lppm-stikesfa.ac.id/ojs/index.php/FHJ
13. Wati DK, Faculty of Medicine, Universitas Islam Malang, et al. Patient-Centered Care: How do Patients Perceive Its Implementation? In: Promoting Population Mental Health and Well-Being. Masters Program in Public Health, Universitas Sebelas Maret; 2019:611-611. doi:10.26911/theicph.2019.05.10
14. Çakmak C, Uğurluoğlu O. The Impact of Person-Centered Care and Professional Values on Job Satisfaction Among Nurses: The Mediating Role of Work Engagement. Journal of Health Management. Published online 2024.
15. Yang Y. Effects of health literacy competencies on patient-centered care among nurses. BMC Health Serv Res. 2022;22(1):1172. doi:10.1186/s12913-022-08550-w
16. Yu C, Xian Y, Jing T, et al. More patient-centered care, better healthcare: the association between patient-centered care and healthcare outcomes in inpatients. Front Public Health. 2023;11:1148277. doi:10.3389/fpubh.2023.1148277
17 .Kwon S, Kim K. Factors Associated with Person-Centered Care among Hospice Nurses.J Hosp Palliat Care.2022;25(2). doi:https://doi.org/10.14475/jhpc.2022.25.2.ss
18. Shen L, Xu D, Zhang X. What factors influencing surgical nurses’ competence in implementing person-centered care in the perioperative period?: A cross-sectional study. Medicine. 2024;103(41):e40035. doi:10.1097/MD.0000000000040035
19 .Choi J, Kim D, Yoon J. Person-centered care environments and staff outcomes in long-term care facilities. Journal of Nursing Research. 2021;29(1):e133. doi:https://doi.org/ 10.1097/jnr.00000000000000412
20. Abekah-Nkrumah G, Nkrumah J. Perceived work environment and patient-centered behavior: A study of selected district hospitals in the central region of Ghana. Schouten B, ed. PLoS ONE. 2021;16(1):e0244726. doi:10.1371/journal.pone.0244726
21. Al-Sahli B, Eldali A, Aljuaid M, Al-Surimi K. Person-Centered Care in a Tertiary Hospital Through Patient’s Eyes: A Cross-Sectional Study. PPA. 2021;Volume 15:761-773. doi:10.2147/PPA.S286237
22. Ewunetu M, Temesgen W, Zewdu D, Andargie A, Kebede M, Lidetu T. Patients’ Perception of Patient-Centered Care and Associated Factors Among Patients Admitted in Private and Public Hospitals: A Comparative Cross-Sectional Study. Women’s Health Reports.2023;4(1).doi:https://doi.org/10.1089/whr.2022.0089
23. Lee JS, Lee SY. Nursing Practice Environment and Moral Distress Impact on Person-centered Care of Long-term Care Hospital Nurses. Journal of the Korean Applied Science and Technology. 2020;37(6):1790-1797. doi:10.12925/JKOCS.2020.37.6.1790
24. Choi N, Kim J, Kim H. The influence of patient-centeredness on patient safety perception among inpatients. Seale H, ed. PLoS ONE. 2021;16(2):e0246928. doi:10.1371/journal.pone.0246928
25.Hwang JI, Kim SW, Chin HJ. Patient Participation in Patient Safety and Its Relationships with Nurses’ Patient-Centered Care Competency, Teamwork, and Safety Climate. Asian Nursing Research. 2019;13(2):130-136. doi:10.1016/j.anr.2019.03.001
26. Kim MS, Cho YO, Park J. Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small–Medium-Sized Hospitals: A Cross-Sectional Study. Nursing Reports. 2022;12(4):861-872. doi:10.3390/nursrep12040083
27. CHANG H, GIL C, KIM H, BEA H. Person-centered care, job stress, and quality of life: a cross-sectional study of dementia care staff in South Korea. The Journal of Nursing Research. 2020;28(5). doi:doi.org/10.1097/ jnr.0000000000000398
28. Kang HS, Seo M. The Factors Affecting Person-centered Care Nursing in Intensive Care Unit Nurses. J Korean Crit Care Nurs. 2021;14(3):14-25. doi:10.34250/jkccn.2021.14.3.14
29. Lee M, Ihm J. Empathy and attitude toward communication skill learning as a predictor of patient-centered attitude: a cross-sectional study of dental students in Korea. BMC Med Educ. 2021;21(1):225. doi:10.1186/s12909-021-02674-z
30. Kim M, Cha J. The influence of health literacy competencies on patient-centered care among clinical nurses. J Korean Acad Soc Nurs Educ. 2021;27(2):132-143. doi:10.5977/jkasne.2021.27.2.132
31. Sumantri S, Utami TN, Astuty DA. Hubungan Beban Kerja dengan Kelelahan Kerja pada Perawat Instalasi Rawat Inap di Rumah Sakit Islam Malahayati Medan. J Keskom. 2024;10(2):315-323. doi:10.25311/keskom.Vol10.Iss2.1907
32. Antonini M, Bellier-Teichmann T, O’reilly L, et al. Effects of an educational intervention to strengthen humanistic practice on haemodialysis nurses’ caring attitudes and behaviours and quality of working life: a cluster randomised controlled trial. BMC Nurs. 2021;20(1):255. doi:10.1186/s12912-021-00729-6
33. Devi Azhari. Faktor yang berhubungan dengan Stress Kerja Perawat di Ruang Rawat Inap RSUD Pringsewu Tahun 2024. Ventilator. 2024;2(4):125-151. doi:10.59680/ventilator.v2i4.1539
34. Layali I, Ghajar M, Abedini E, Emadian S, Joulaei M. Role of Job Stressors on Quality of Life in Nurses. Journal of Mazandaran University of Medical Sciences. 2020;29(180):129-133.
35. Lee W, Jang I. Effect of Nurses’ Professionalism, Work Environment, and Communication with Health Professionals on Patient Safety Culture (AHRQ 2.0.): A Cross-Sectional Multicenter Study. Alamri M, ed. Journal of Nursing Management. 2023;2023:1-11. doi:10.1155/2023/1591128
36. Arsat N, Chua BS, Wider W, Dasan N. The Impact of Working Environment on Nurses’ Caring Behavior in Sabah, Malaysia. Front Public Health. 2022;10:858144. doi:10.3389/fpubh.2022.858144
37. Bardhia M, Batran A, Ayed A, Ejheisheh MA, Alassoud B, Abu-Siam I. The Relationship Between the Nurse Practice Environment and Perceived Patient-Centered Care in Intensive Care Units: Nursing Perspective. SAGE Open Nursing. 2025;11:23779608251321365. doi:10.1177/23779608251321365
38. Rumintjap FM, Wahyudi A, Meher C, Yuliana D, Yuwanto L. Patient Experience: Innovating the Application of LAFKI Concept in Person-Centred Care at Healthcare Facilities. FJST. 2024;3(4):641-670. doi:10.55927/fjst.v3i4.8843
39. Dewi WN, Nazriati E. Barriers and enablers to the implementation of person-centred care in an Indonesian hospital: a qualitative study. J Ners. 2024;19(4):424-432. doi:10.20473/jn.v19i4.55840
Penulis
Tinggogoy, M., Putra, K. R., & Kapti, R. E. (2025). FACTORS INFLUENCING THE IMPLEMENTATION OF PATIENT CENTERED CARE IN HEALTH SERVICES: A SCOPING REVIEW. JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103, 17(2), 517–528. https://doi.org/10.34011/juriskesbdg.v17i2.2944
Artikel ini berlisensi Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.