Background <p>Patient-centred care (PCC) is central to high-quality healthcare. Yet few studies have examined the orientation of multidisciplinary staff toward patient-centredness in community hospital settings. The study aimed to assess patient-centred orientation among healthcare professionals in a Singaporean community hospital and to identify factors associated with this orientation.</p> Methods <p>A cross-sectional survey of 261 physicians, nurses, and rehabilitation professionals was conducted in St Luke’s Hospital, a community hospital in Singapore. The 18-item Patient-Practitioner Orientation Scale (PPOS) was used to assess patient-centred orientation, with higher scores indicating greater patient-centredness. Multivariable linear regression analyses identified factors associated with patient-centred orientation.</p> Results <p>The mean PPOS score was 3.75 points (<i>SD</i> = 0.63) on a 1–6 scale. Physicians scored significantly higher than nurses and therapy aides (<i>p</i> &lt; 0.001). In multivariable analysis, professional role, a hospital culture that promotes PCC, and occasional stress without burnout were independently associated with higher PPOS scores.</p> Conclusion <p>Significant variation in patient-centred orientation may exist across professional groups, highlighting the need for targeted interventions to foster patient-centred orientation, particularly among nurses and therapy aides. Organisational culture and staff well-being also represent important considerations for promoting patient-centred orientation among healthcare professionals. Further research should examine whether patient-centred orientation translates into patient-centred behaviours in clinical practice.</p>

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Patient-centred orientation among healthcare professionals in a Singapore community hospital

  • Chiong Xiao-Ying Cleo,
  • Lay Hoon Goh,
  • Anna Szücs,
  • Wong Wei Mon

摘要

Background

Patient-centred care (PCC) is central to high-quality healthcare. Yet few studies have examined the orientation of multidisciplinary staff toward patient-centredness in community hospital settings. The study aimed to assess patient-centred orientation among healthcare professionals in a Singaporean community hospital and to identify factors associated with this orientation.

Methods

A cross-sectional survey of 261 physicians, nurses, and rehabilitation professionals was conducted in St Luke’s Hospital, a community hospital in Singapore. The 18-item Patient-Practitioner Orientation Scale (PPOS) was used to assess patient-centred orientation, with higher scores indicating greater patient-centredness. Multivariable linear regression analyses identified factors associated with patient-centred orientation.

Results

The mean PPOS score was 3.75 points (SD = 0.63) on a 1–6 scale. Physicians scored significantly higher than nurses and therapy aides (p < 0.001). In multivariable analysis, professional role, a hospital culture that promotes PCC, and occasional stress without burnout were independently associated with higher PPOS scores.

Conclusion

Significant variation in patient-centred orientation may exist across professional groups, highlighting the need for targeted interventions to foster patient-centred orientation, particularly among nurses and therapy aides. Organisational culture and staff well-being also represent important considerations for promoting patient-centred orientation among healthcare professionals. Further research should examine whether patient-centred orientation translates into patient-centred behaviours in clinical practice.