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. 2022 Jun 6:10:919608.
doi: 10.3389/fpubh.2022.919608. eCollection 2022.

Hospital Culture and Healthcare Workers' Provision of Patient-Centered Care: A Moderated Mediation Analysis

Xianhong Huang  1 , Yuan Gao  1 , Hanlin Chen  1 , Hao Zhang  1 , Xiaoting Zhang  2
Affiliations

Hospital Culture and Healthcare Workers' Provision of Patient-Centered Care: A Moderated Mediation Analysis

Xianhong Huang et al. Front Public Health. .

Abstract

Background: Patient-centered care (PCC) is globally recognized as a high-quality and high-value healthcare service. It emphasizes the broad participation of patients and families in health-related decision-making and the provision of healthcare services that cater to patients' needs, preferences, and values. However, the mechanisms driving healthcare workers' provision of PCC are yet to be fully uncovered.

Methods: Using stratified random sampling, we recruited 1,612 healthcare workers from different levels of public hospitals in Hangzhou. We conducted survey interviews using questionnaires based on psychometrically sound scales. Structural equation modeling was used to analyze the effects of hospital culture, self-efficacy, and achievement motivation on the perceived provision of PCC by healthcare workers and to explore the mechanisms underlying their relationships.

Results: Self-efficacy had a positive mediating effect in the relationship between hospital culture and healthcare workers' perceived provision of PCC (β = 0.424, p < 0.001). Furthermore, the pursuit of success positively moderated the mediating role of self-efficacy (β = 0.128, p < 0.001), whereas, the avoidance of failure negatively moderated the mediating role of self-efficacy (β = -0.017, p < 0.001).

Conclusion: The findings suggest that hospitals should foster patient-centered and innovative cultures and develop strategies focusing on both internal motivation (self-efficacy and achievement motivation) and external environments (hospital culture) to help and encourage healthcare workers to implement PCC. For example, hospitals could further communication skills training, enhance leadership, build team spirit, and promote collaboration among healthcare workers.

Keywords: achievement motivation; healthcare worker; hospital culture; patient-centeredness; self-efficacy.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer XW declared a shared affiliation with all authors at the time of review.

Figures

Figure 1
Figure 1
sResearch model diagram of healthcare workers' patient-centered care.
Figure 2
Figure 2
(A) Moderating effect of the pursuit of success in the relationship between hospital culture and healthcare workers' self-efficacy. (B) Moderating effect of the avoidance of failure in the relationship between hospital culture and healthcare workers' self-efficacy.
See this image and copyright information in PMC

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