Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis
Abstract Background Patient centred care is commonly recommended in clinical practice guidelines to improve patient outcomes and reduce healthcare costs. Identifying measurement tools used to assess healthcare students’ attitudes towards patient centered care and determining their attitudes is the f...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-022-03371-1 |
| _version_ | 1817982149318410240 |
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| author | Geronimo Bejarano Ben Csiernik James J. Young Kent Stuber Joshua R. Zadro |
| author_facet | Geronimo Bejarano Ben Csiernik James J. Young Kent Stuber Joshua R. Zadro |
| author_sort | Geronimo Bejarano |
| collection | DOAJ |
| description | Abstract Background Patient centred care is commonly recommended in clinical practice guidelines to improve patient outcomes and reduce healthcare costs. Identifying measurement tools used to assess healthcare students’ attitudes towards patient centered care and determining their attitudes is the first step to ensuring patient centred care is provided in the future. The primary aim of this review was to describe the measurement tools used to assess healthcare students’ attitudes towards patient centred care. The secondary aim was to quantify healthcare students’ attitudes towards patient centred care. Methods An electronic database search was conducted in MEDLINE, EMBASE, CINAHL from inception until March 1, 2021, with combined terms relating to ‘patient centred care’, ‘attitudes’, and ‘healthcare students’. Studies that quantitatively assessed healthcare students’ attitudes towards patient centred care were included. Measurement tools used in the included studies were qualitatively described. Meta-analysis was conducted to quantify healthcare students’ attitudes towards patient centred care and assess the respective influence of gender, profession, and study geographical location on healthcare students’ attitudes towards patient centred care. Results The electronic search identified 3948 total studies. One hundred twenty-nine full texts were screened, and 49 studies were included. There were 16 measurement tools used to assess healthcare students’ attitudes towards patient centered care. Most studies (53%, n = 26) used the Patient-Practitioner Orientation Scale (PPOS) to assess patient centered care. Meta-analyses of 20 studies with 26 total groups resulted in a pooled mean PPOS score of 4.16 on a 0–6 scale (95% Confidence Interval [CI]: 3.95, 4.37), indicating low attitudes towards patient centered care. Additional analyses found that women have significantly higher attitudes towards patients centred care than men (pooled effect 0.14 [95% CI: 0.05, 0.23], n = 8 studies) and mean PPOS scores appear similar among sub-groups of only medical students (pooled mean 4.13, 95% CI: 3.85, 4.42, n = 13 studies) and only American healthcare students (pooled mean 4.49, 95% CI: 4.35, 4.64, n = 5 studies). Conclusions Several different measurement tools have been used to assess healthcare students’ attitudes towards patient centred care, but the most commonly used is the PPOS. Our results indicate that healthcare students have low attitudes towards patient centred care. Future studies should evaluate if attitudes towards patient centred care can be improved during healthcare education. |
| first_indexed | 2024-04-13T23:16:58Z |
| format | Article |
| id | doaj.art-f59420df39d045c4842156d6d991d22a |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-04-13T23:16:58Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-f59420df39d045c4842156d6d991d22a2022-12-22T02:25:23ZengBMCBMC Medical Education1472-69202022-04-0122112210.1186/s12909-022-03371-1Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysisGeronimo Bejarano0Ben Csiernik1James J. Young2Kent Stuber3Joshua R. Zadro4Michael & Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston (UTHealth)Canadian Memorial Chiropractic CollegeCanadian Memorial Chiropractic CollegeCanadian Memorial Chiropractic CollegeSydney School of Public Health, Faculty of Medicine and Health, Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health DistrictAbstract Background Patient centred care is commonly recommended in clinical practice guidelines to improve patient outcomes and reduce healthcare costs. Identifying measurement tools used to assess healthcare students’ attitudes towards patient centered care and determining their attitudes is the first step to ensuring patient centred care is provided in the future. The primary aim of this review was to describe the measurement tools used to assess healthcare students’ attitudes towards patient centred care. The secondary aim was to quantify healthcare students’ attitudes towards patient centred care. Methods An electronic database search was conducted in MEDLINE, EMBASE, CINAHL from inception until March 1, 2021, with combined terms relating to ‘patient centred care’, ‘attitudes’, and ‘healthcare students’. Studies that quantitatively assessed healthcare students’ attitudes towards patient centred care were included. Measurement tools used in the included studies were qualitatively described. Meta-analysis was conducted to quantify healthcare students’ attitudes towards patient centred care and assess the respective influence of gender, profession, and study geographical location on healthcare students’ attitudes towards patient centred care. Results The electronic search identified 3948 total studies. One hundred twenty-nine full texts were screened, and 49 studies were included. There were 16 measurement tools used to assess healthcare students’ attitudes towards patient centered care. Most studies (53%, n = 26) used the Patient-Practitioner Orientation Scale (PPOS) to assess patient centered care. Meta-analyses of 20 studies with 26 total groups resulted in a pooled mean PPOS score of 4.16 on a 0–6 scale (95% Confidence Interval [CI]: 3.95, 4.37), indicating low attitudes towards patient centered care. Additional analyses found that women have significantly higher attitudes towards patients centred care than men (pooled effect 0.14 [95% CI: 0.05, 0.23], n = 8 studies) and mean PPOS scores appear similar among sub-groups of only medical students (pooled mean 4.13, 95% CI: 3.85, 4.42, n = 13 studies) and only American healthcare students (pooled mean 4.49, 95% CI: 4.35, 4.64, n = 5 studies). Conclusions Several different measurement tools have been used to assess healthcare students’ attitudes towards patient centred care, but the most commonly used is the PPOS. Our results indicate that healthcare students have low attitudes towards patient centred care. Future studies should evaluate if attitudes towards patient centred care can be improved during healthcare education.https://doi.org/10.1186/s12909-022-03371-1Patient centredStudentsPatient-practitioner orientation scale |
| spellingShingle | Geronimo Bejarano Ben Csiernik James J. Young Kent Stuber Joshua R. Zadro Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis BMC Medical Education Patient centred Students Patient-practitioner orientation scale |
| title | Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis |
| title_full | Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis |
| title_fullStr | Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis |
| title_full_unstemmed | Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis |
| title_short | Healthcare students’ attitudes towards patient centred care: a systematic review with meta-analysis |
| title_sort | healthcare students attitudes towards patient centred care a systematic review with meta analysis |
| topic | Patient centred Students Patient-practitioner orientation scale |
| url | https://doi.org/10.1186/s12909-022-03371-1 |
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