Literatur Review: Kepemimpinan Dalam Konsep Patient Centered Care

Authors

  • Dwi Siwi Murni Hastuti Universitas Karya Husada
  • Elisma Theresia Aritonang Department of Nursing, Universitas Karya Husada
  • Erna Irawati Department of Nursing, Universitas Karya Husada
  • Shindi Hapsari Department of Nursing, Universitas Karya Husada

DOI:

https://doi.org/10.30643/jiksht.v20i2.433

Keywords:

Kepemimpinan, Patient centered care, perawat

Abstract

Pendahuluan: Beberapa tahun terakhir telah terlihat peningkatan signifikan dalam fokus pada perawatan yang berpusat pada pasien. Namun, implementasinya kompleks. Perawatan yang berpusat pada pasien secara bersamaan digambarkan sebagai fundamental dan sebagai tambahan untuk praktik keperawatan. Meskipun pentingnya kepemimpinan untuk pemberian perawatan yang berpusat pada pasien diakui, lebih sedikit diketahui tentang apa yang diperlukan.

Tujuan: Menggambarkan kepemimpinan dalam konteks perawatan yang berpusat pada pasien.

Metode: Strategi pencarian berfokus pada dua konsep utama: pemimpin dan perawatan yang berpusat pada pasien, dengan hasil terbatas pada penelitian yang diterbitkan antara 2010 dan 2023. Sintesis data konvergen dilakukan, memungkinkan analisis karakteristik studi dan analisis induktif tematik dari studi kualitatif, kuantitatif dan teoretis dalam satu.

Hasil: Sebanyak 27 kajian disertakan. Dalam studi ini, kajian kepemimpinan hampir semuanya terkait dengan posisi formal. Studi yang disertakan merujuk pada beberapa komponen kepemimpinan, termasuk visi dan budaya yang berpusat pada pasien, keterampilan, menjadi panutan, komitmen atau dukungan, keterlibatan klien dan memfasilitasi forum serta kondisi untuk perawatan yang berpusat pada pasien Semua komponen berkaitan dengan interaksi atau hubungan. Ini dapat ditemukan pada tingkat yang berbeda, mulai dari interaksi dengan diri sendiri, kolega, pasien, dalam tim dan dalam organisasi.

Kesimpulan: Tinjauan ini menunjukkan kepemimpinan sebagai konsep yang terhubung dengan posisi dan peran formal dan sebagai seperangkat kualitas, karakteristik keterampilan individu. Namun, ini juga menunjukkan pentingnya visi yang berpusat pada pasien dan budaya yang berpusat pada pasien dalam kepemimpinan. Ini termasuk fokus implisit pada nilai-nilai perawatan yang baik dan pada interaksi atau hubungan. Penelitian selanjutnya disarankan untuk menjelaskan dua elemen terakhir dalam gagasan kepemimpinan yang berpusat pada pasien sebagai titik awal untuk meningkatkan praktik dan pelatihan keperawatan.

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References

Abbott, R. A., Cheeseman, D., Hemsley, A., & Thompson Coon, J. (2021). Can person-centred care for people living with dementia be delivered in the acute care setting? Age and Ageing, 50(4), 1077–1080. https://doi.org/10.1093/ageing/afab065

Ali, S., & Terry, L. (2017). Exploring senior nurses’ understanding of compassionate leadership in the community. British Journal of Community Nursing, 22(2), 77–87. https://doi.org/10.12968/bjcn.2017.22.2.77

Aloisio, L. D., Coughlin, M., & Squires, J. E. (2021). Individual and organizational factors of nurses’ job satisfaction in long-term care: A systematic review. International Journal of Nursing Studies, 123, 104073. https://doi.org/10.1016/j.ijnurstu.2021.104073

Arksey, H., & O’Malley, L. (2021). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Backman, A., Ahnlund, P., Sjögren, K., Lövheim, H., McGilton, K. S., & Edvardsson, D. (2020). Embodying person-centred being and doing: Leading towards person-centred care in nursing homes as narrated by managers. Journal of Clinical Nursing, 29(1–2), 172–183. https://doi.org/10.1111/jocn.15075

Backman, A., Lövheim, H., Lindkvist, M., Sjögren, K., & Edvardsson, D. (2022). The significance of nursing home managers’ leadership—longitudinal changes, characteristics and qualifications for perceived leadership, person-centredness and climate. Journal of Clinical Nursing, 31(9–10), 1377–1388. https://doi.org/https://doi.org/10.1111/jocn.15999

Backman, A., Sandman, P.-O., & Sköldunger, A. (2021). Characteristics of nursing home units with high versus low levels of person-centred care in relation to leadership, staff- resident- and facility factors: findings from SWENIS, a cross-sectional study in Sweden. BMC Geriatrics, 21(1), 498. https://doi.org/10.1186/s12877-021-02434-0

Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., Lavela, S. L., Hill, J. N., Solomon, J. L., & Lukas, C. V. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Services Research, 18(1), 168. https://doi.org/10.1186/s12913-018-2949-5

Brownie, S., Scott, R., & Rossiter, R. (2016). Therapeutic communication and relationships in chronic and complex care. Nursing Standard (Royal College of Nursing (Great Britain) : 1987), 31(6), 54–63. https://doi.org/10.7748/ns.2016.e9847

Byrne, A.-L., Baldwin, A., & Harvey, C. (2020). Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. PloS One, 15(3), e0229923. https://doi.org/10.1371/journal.pone.0229923

Cardiff, S., McCormack, B., & McCance, T. (2018). Person-centred leadership: A relational approach to leadership derived through action research. Journal of Clinical Nursing, 27(15–16), 3056–3069. https://doi.org/https://doi.org/10.1111/jocn.14492

Carvajal, A., Haraldsdottir, E., Kroll, T., McCormack, B., Errasti-Ibarrondo, B., & Larkin, P. (2019). Barriers and facilitators perceived by registered nurses to providing person-centred care at the end of life. A scoping review. International Practice Development Journal, 9, 1–22. https://doi.org/10.19043/ipdj.92.008

Corazzini, K., & Anderson, R. (2014). Adaptive Leadership and Person-Centered Care: A New Approach to Solving Problems. North Carolina Medical Journal, 75, 352–354. https://doi.org/10.18043/ncm.75.5.352

den Hertog, R., & Boshuizen, H. P. A. (2022). Learning Professional Knowledge: Bachelor Nursing Students’ Experiences in Learning and Knowledge Quality Outcomes in a Competence-Based Curriculum. Vocations and Learning, 15(1), 21–47. https://doi.org/10.1007/s12186-021-09274-4

Deuling, M., Bagchus, C., Jacobs, G., & Wallner, C. (2025). Mapping Leadership in a Person-Centred Care Context: A Scoping Review. Journal of Nursing Management, 2025(1), 3535620. https://doi.org/https://doi.org/10.1155/jonm/3535620

Dewar, B., & Cook, F. (2014). Developing compassion through a relationship centred appreciative leadership programme. Nurse Education Today, 34(9), 1258–1264. https://doi.org/10.1016/j.nedt.2013.12.012

Dinh, J. E., Lord, R. G., Gardner, W. L., Meuser, J. D., Liden, R. C., & Hu, J. (2019). Leadership theory and research in the new millennium: Current theoretical trends and changing perspectives. The Leadership Quarterly, 25(1), 36–62. https://doi.org/https://doi.org/10.1016/j.leaqua.2013.11.005

Ebrahimi, Z., Patel, H., Wijk, H., Ekman, I., & Olaya-Contreras, P. (2021). A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings. Geriatric Nursing (New York, N.Y.), 42(1), 213–224. https://doi.org/10.1016/j.gerinurse.2020.08.004

Hernandez, S., Conrad, D., Marcus-Smith, M., Reed, P., & Watts, C. (2012). Patient-centered innovation in health care organizations: A conceptual framework and case study application. Health Care Management Review, 38. https://doi.org/10.1097/HMR.0b013e31825e718a

Hong, Q. N., Pluye, P., Bujold, M., & Wassef, M. (2017). Convergent and sequential synthesis designs: implications for conducting and reporting systematic reviews of qualitative and quantitative evidence. Systematic Reviews, 6(1), 61. https://doi.org/10.1186/s13643-017-0454-2

Janerka, C., Leslie, G. D., & Gill, F. J. (2023). Development of patient-centred care in acute hospital settings: A meta-narrative review. International Journal of Nursing Studies, 140, 104465. https://doi.org/10.1016/j.ijnurstu.2023.104465

Kirkley, C., Bamford, C., Poole, M., Arksey, H., Hughes, J., & Bond, J. (2011). The impact of organisational culture on the delivery of person-centred care in services providing respite care and short breaks for people with dementia. Health & Social Care in the Community, 19(4), 438–448. https://doi.org/10.1111/j.1365-2524.2011.00998.x

Kornman, K., Wilson, V., & Paterson, S. (2013). Leadership development: an essential ingredient in supporting nursing unit managers. Journal of Healthcare Leadership, 2013, 53. https://doi.org/10.2147/JHL.S52719

Kuluski, K., Reid, R. J., & Baker, G. R. (2021). Applying the principles of adaptive leadership to person-centred care for people with complex care needs: Considerations for care providers, patients, caregivers and organizations. Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, 24(2), 175–181. https://doi.org/10.1111/hex.13174

Lewandowski, R. (2020). The WE-CARE Roadmap: A Framework for Implementation of Person-Centred Care and Health Promotion in Medical Organizations. 9, 120–132.

Lynch, B. (2015). Partnering for performance in situational leadership: a person-centred leadership approach. International Practice Development Journal, 5, 1–10. https://doi.org/10.19043/ipdj.5SP.007

Lynch, B. M., McCance, T., McCormack, B., & Brown, D. (2018). The development of the Person-Centred Situational Leadership Framework: Revealing the being of person-centredness in nursing homes. Journal of Clinical Nursing, 27(1–2), 427–440. https://doi.org/10.1111/jocn.13949

Lynch, B. M., McCormack, B., & McCance, T. (2011). Development of a model of situational leadership in residential care for older people. Journal of Nursing Management, 19(8), 1058–1069. https://doi.org/10.1111/j.1365-2834.2011.01275.x

McCaffrey, R., & Reinoso, H. (2017). Transformational Leadership: A Model for Advanced Practice Holistic Nurses. Journal of Holistic Nursing, 35(4), 397–404. https://doi.org/10.1177/0898010116685242

Mccormack, B., Borg, M., Cardiff, S., Dewing, J., Jacobs, G., Janes, N., Bengt, K., McCance (DPhil MSc, Bs. H. T., Mekki, T., Porock, D., Lieshout, F., & Wilson, V. (2015). Person-centredness – the ‘state’ of the art. International Practice Development Journal, 5, 1–15. https://doi.org/10.19043/ipdj.5SP.003

McCormack, B., & McCance, T. (2010). Person-Centred Nursing: Theory and Practice. Person-Centred Nursing: Theory and Practice, 1–194. https://doi.org/10.1002/9781444390506

Moenke, L., Handley, M., & Goodman, C. (2023). The Influence of Care Home Managers’ Leadership on the Delivery of Person-Centred Care for People Living with Dementia: A Systematic Review. Journal of Nursing Management, 2023. https://doi.org/10.1155/2023/9872272

Nkrumah, J., & Abekah-Nkrumah, G. (2019). Facilitators and barriers of patient-centered care at the organizational-level: a study of three district hospitals in the central region of Ghana. BMC Health Services Research, 19(1), 900. https://doi.org/10.1186/s12913-019-4748-z

Phelan, A., McCormack, B., & Dewing, J. (2020). Review of developments in person-centred healthcare. International Practice Development Journal, 10(Suppl2), 1–29. https://doi.org/10.19043/ipdj.10suppl2.003

PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. (2018). Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850

Quasdorf, T., & Bartholomeyczik, S. (2019). Influence of leadership on implementing Dementia Care Mapping: A multiple case study. Dementia (London, England), 18(6), 1976–1993. https://doi.org/10.1177/1471301217734477

Ree, E. (2020). What is the role of transformational leadership, work environment and patient safety culture for person-centred care? A cross-sectional study in Norwegian nursing homes and home care services. Nursing Open, 7(6), 1988–1996. https://doi.org/10.1002/nop2.592

Riggio, R. E., & Reichard, R. J. (2018). The emotional and social intelligences of effective leadership. Journal of Managerial Psychology, 23(2), 169–185. https://doi.org/10.1108/02683940810850808

Rokstad, A. M. M., Vatne, S., Engedal, K., & Selbæk, G. (2015). The role of leadership in the implementation of person-centred care using Dementia Care Mapping: a study in three nursing homes. Journal of Nursing Management, 23(1), 15–26. https://doi.org/https://doi.org/10.1111/jonm.12072

Rutten, J. E. R., Backhaus, R., Tan, F., Prins, M., van der Roest, H., Heijkants, C., Hamers, J. P. H., & Verbeek, H. (2021). Work environment and person-centred dementia care in nursing homes-A cross-sectional study. Journal of Nursing Management, 29(7), 2314–2322. https://doi.org/10.1111/jonm.13386

Shin, S.-U., & Yeom, H.-E. (2021). The Effects of the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses. Journal of Hospice and Palliative Care, 24(3), 174–183. https://doi.org/10.14475/jhpc.2021.24.3.174

Taylor, R., & Martindale, S. (2013). Clinical leadership in primary care. Primary Health Care, 23, 32–37. https://doi.org/10.7748/phc2013.06.23.5.32.e795

Thomas, C., Ufs, B. O. T., Ufs, M. O. T., Care, D., & Bradford, M. (2014). Leadership : The key to person-centred care. 44(3).

Willis, S., & Anstey, S. (2019). Compassionate leadership in district nursing: A case study of a complex wound. British Journal of Community Nursing, 24, 50–57. https://doi.org/10.12968/bjcn.2019.24.2.50

Zhang, F., Huang, L., Fei, Y., Peng, X., Liu, Y., Zhang, N., Chen, C., & Chen, J. (2024). Impact of caring leadership on nurses’ work engagement: examining the chain mediating effect of calling and affective organization commitment. BMC Nursing, 23(1), 716. https://doi.org/10.1186/s12912-024-02388-9

ZINL. (2022). Kader Passende zorg - Van goede zorg verzekerd. 19.

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Published

2025-12-07

How to Cite

Literatur Review: Kepemimpinan Dalam Konsep Patient Centered Care. (2025). Jurnal Ilmiah Keperawatan SHT, 20(2), 48-63. https://doi.org/10.30643/jiksht.v20i2.433

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