A Study on the Challenges of Implementing Person-Centered Care for Elderly Patients in Gombe State
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Background of the Study
Person-centered care (PCC) is a healthcare approach that prioritizes the preferences, values, and needs of patients, particularly in elderly care. This model emphasizes dignity, autonomy, and individualized care planning to enhance the quality of life for older adults (World Health Organization, 2024). PCC has been linked to improved patient satisfaction, better health outcomes, and reduced hospital readmissions (Aliyu et al., 2023).
Despite the benefits of PCC, its implementation in Nigerian healthcare settings, including Gombe State, faces significant challenges. Resource limitations, inadequate nurse training, high patient-to-nurse ratios, and cultural perceptions of elderly care often hinder the successful adoption of PCC principles (Bello et al., 2023).
Furthermore, elderly patients in Nigeria often rely on family-based care, which may conflict with healthcare providers' ability to deliver structured, individualized care plans (Oladipo & Hassan, 2024). Institutional constraints, such as rigid hospital policies and lack of geriatric healthcare infrastructure, also present barriers to PCC implementation. This study aims to explore the challenges of implementing PCC for elderly patients in Gombe State and recommend strategies for improvement.
Statement of the Problem
Despite global advocacy for person-centered care, many healthcare institutions in Nigeria, including those in Gombe State, continue to rely on traditional, disease-focused models of care (Ahmed & Yusuf, 2023). Elderly patients often receive generalized treatments rather than individualized care plans that consider their preferences and psychosocial needs.
Additionally, nurses may lack the necessary training and institutional support to fully implement PCC practices. High patient loads, inadequate staffing, and resistance to change further complicate efforts to establish a person-centered approach in elderly care (Bello et al., 2024). Without addressing these challenges, elderly patients may continue to experience suboptimal care outcomes. This study seeks to identify the barriers to PCC implementation and propose practical solutions.
Objectives of the Study
1. To identify the challenges of implementing person-centered care for elderly patients in Gombe State.
2. To assess nurses’ perceptions of PCC and its feasibility in elderly care.
3. To propose strategies for improving PCC implementation in healthcare settings.
Research Questions
1. What are the key challenges in implementing person-centered care for elderly patients?
2. How do nurses perceive the feasibility of PCC in elderly care?
3. What strategies can enhance the adoption of PCC in Gombe State healthcare facilities?
Research Hypotheses
1. Limited resources and staff shortages hinder the effective implementation of person-centered care.
2. Nurses' perceptions of PCC influence its adoption in elderly care facilities.
3. Institutional reforms and targeted training programs can improve PCC implementation.
Scope and Limitations of the Study
The study will be conducted in hospitals and elderly care facilities in Gombe State. Limitations include variations in PCC implementation across different healthcare settings and potential resistance from healthcare staff.
Definition of Terms
• Person-Centered Care (PCC): A healthcare approach that focuses on individual patient preferences, needs, and values.
• Elderly Patients: Individuals aged 60 and above who require specialized healthcare attention.
• Patient Autonomy: The right of patients to make informed decisions about their healthcare.
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