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Cited by 1,067Patient-Provider Communication in HealthcarePatient Satisfaction in HealthcareHealthcare Quality and Satisfaction

A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward

Open access
Kwame, Abukari, Petrucka, Pammla M.·2021·BMC Nursing
DOI 10.1186/s12912-021-00684-2PMC PMC8414690
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Abstract

Providing healthcare services that respect and meet patients’ and caregivers’ needs are essential in promoting positive care outcomes and perceptions of quality of care, thereby fulfilling a significant aspect of patient-centered care requirement. Effective communication between patients and healthcare providers is crucial for the provision of patient care and recovery. Hence, patient-centered communication is fundamental to ensuring optimal health outcomes, reflecting long-held nursing values that care must be individualized and responsive to patient health concerns, beliefs, and contextual variables. Achieving patient-centered care and communication in nurse-patient clinical interactions is complex as there are always institutional, communication, environmental, and personal/behavioural related barriers. To promote patient-centered care, healthcare professionals must identify these barriers and facitators of both patient-centered care and communication, given their interconnections in clinical interactions. A person-centered care and communication continuum (PC4 Model) is thus proposed to orient healthcare professionals to care practices, discourse contexts, and communication contents and forms that can enhance or impede the acheivement of patient-centered care in clinical practice.

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  • Barriers such as the patient's previous experience, mental health, and cultural and social background can hinder the development of trust and communication with clinicians during the diagnostic process.

    “some barriers, such as the patient’s previous experience, mental health, and cultural and social background, can hinder the development of trust and communication with clinicians during the diagnostic process [63].”

    From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [63]

    The ‘Personal and Behaviour Related Barriers’ section (page unavailable) says past experiences and cultural backgrounds can affect nurse–patient communication. It does not establish mental health as one of these barriers or specifically connect the listed factors to trust and communication during the diagnostic process. (LLM, conf=0.85)

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Cited by

Sorted by citations

Authors
Kwame, A., & Petrucka, P. M.
Affiliations
  • University of Saskatchewan (CA)
  • University of Regina (CA)
Corresponding author
Kwame, Abukari
ORCID
Venue
BMC Nursing
Publisher
Springer Science and Business Media LLC
Published
2021-09-03
Volume
20
Issue
1
Pages
158-158
ISSN
1472-6955 (ISSN-L)
DOI
10.1186/s12912-021-00684-2
PMC
PMC8414690
OpenAlex
W3197926488
Cited by
1,067
References
2
Citations by year
2026: 243 · 2025: 379 · 2024: 284 · 2023: 127 · 2022: 32 · 2021: 2
FWCI
22.99
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Nursing (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
  • Health Sciences › Health Professions › General Health Professions › Healthcare Quality and Satisfaction
Keywords
patient-centered care, nurse-patient communication, barriers and facilitators, quality of care, individualized care, nursing values, patient-provider communication

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