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Barriers and Facilitators To Patient-Centered Care In Nursing Leadership Practice: A Systematic Review

Matsum, Iwan (Unknown)
Maelani, Ina (Unknown)
Hapsari, Shindi (Unknown)



Article Info

Publish Date
15 Dec 2025

Abstract

Background: Patient-centered care (PCC) represents the gold standard in healthcare delivery. Nursing leadership plays a critical role in implementing PCC; however, organizational barriers remain insufficiently explored. Methods: This systematic review employed the SPIDER framework (Sample, Phenomenon of Interest, Design, Evaluation, Research Type). Academic databases searched included PubMed, ScienceDirect, and Google Scholar, with articles published between 2020 and 2025. Results: Three key themes emerged from the analysis. The first theme encompasses barriers, including toxic leadership (57%), rigid hierarchical structures (50%), and high workloads (63%). The second theme relates to facilitating factors, consisting of transformational leadership (79%) and interprofessional collaboration (86%). The third theme involves technological support, reflected in the utilization of Electronic Health Records (EHR) and digital feedback tools (71%). Conclusion: Transforming nursing leadership to support PCC requires deconstructing hierarchical structures, strategic resource allocation, and implementing simulation-based communication training.

Copyrights © 2025






Journal Info

Abbrev

jmkeperawatanFK

Publisher

Subject

Nursing

Description

This Journal aims to improve nursing science development, especially in nursing education by publishing scientific papers from researchers, lecturers, and practitioners of nursing and health professional both on a national and ...