Patient-centeredness, in the context of evidence-based practice, refers to a new approach that tends to establish an excellent relationship between patients and their assigned healthcare practitioners. Patient-centered is intended to encourage patients to take an active role in contributing to the achievement of their sense of well-being. In this case, patients have the authority to take part in decision-making processes, especially as appertains to improving their health (Di Bartolo & Braun, 2017). Besides, the incorporation of evidence-based in the understanding of the concept of patient-centeredness invites all patients to express their concerns and values regarding the healthcare service provided by the medics.
There exist numerous barriers to the implementation of patient-centered evidenced-based care. One of the barriers entails staffing constraints and the reduced level of staffing experience. Issues of recruitment delays come out as affirmative reasoning behind the limitation of healthcare practitioners’ targets towards the full implementation of patient-centered evidence-based care (Ingraham, Agarwal, Jung, Liepert, O’Rourke & Scarborough, 2018). Another significant barrier is high staff workload and time pressure. Given the increased intervention programs in the healthcare sector that focuses on quality service delivery, numerous healthcare professional tends to battle with the pressure of workload and time pressure of adopting evidence-based practice (Politi, Estlund, Milne, Buckel, Peipert & Madden, 2016). The concern of scarce resource and environment constraints also comes out as a barrier to the implementation of patient-centered evidence-based care.
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The action that needs to be taken to alleviate barriers to the implementation of patient-centered evidence-based care includes leadership focus on patient-centered care. The moral support given to healthcare practitioners by their leaders and managers would play a significant role in reshaping the attitude towards full implementation of patient-centeredness (Politi et al., 2016). The need to focus on staff satisfaction and positive relations between and among staff and their patients would alleviate issues of barriers. Ultimately, advocating for the cultural staff diversity and embracing professional values role expectations of both patients and their assigned caregivers are potential actions that would alleviate issues of barriers to the implementation of patient-centered evidenced-based care.
References
Di Bartolo, C. A., & Braun, M. K. (2017). Introduction: Evidence-Based Practice in Patient-Centered Care. In Pediatrician's Guide to Discussing Research with Patients (pp. 1-16). Springer, Cham.
Ingraham, A. M., Agarwal, S. K., Jung, H. S., Liepert, A. E., O’Rourke, A. P., & Scarborough, J. E. (2018). Patient-centered outcome spectrum: an evidence-based framework to aid in shared decision-making. Annals of surgery , 268 (6), 980-984.
Politi, M. C., Estlund, A., Milne, A., Buckel, C. M., Peipert, J. F., & Madden, T. (2016). Barriers and facilitators to implementing a patient-centered model of contraceptive provision in community health centers. Contraception and reproductive medicine , 1 (1), 21.
