{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:18:36Z","timestamp":1791839916010,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T00:00:00Z","timestamp":1644192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>To determine nurses\u2019 perceived barriers to the delivery of person\u2010centred care to complex patients with multiple chronic conditions in acute care settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Complex patients have multiple physical and mental health problems, and their life is also greatly affected by sociocultural and economic determinants of health. These patients require person\u2010centred care, but nurses often find it challenging to provide effective care to these patients due to their complex health needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A descriptive qualitative design was used. The COREQ guidelines were followed for reporting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured interviews were conducted with a purposive sample of 19 nurses in two hospitals. Data were analysed using deductive thematic analysis guided by the Theoretical Domains Framework, which entails 14 domains about factors affecting behaviours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The key barriers were identified under environmental context and resources, social influences, emotions, knowledge and skills domains. Deep\u2010rooted social issues delay patients\u2019 health\u2010seeking and nurses\u2019 abilities to understand patients\u2019 needs and discern appropriate care. Interpersonal hostility influenced nurse\u2013patient\u2013families interactions, and doctor\u2013nurses conflicts affected collaborative efforts towards optimal care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nurses\u2019 perceived barriers to care were intertwined with the deep\u2010rooted social and cultural beliefs about nurses\u2019 image, patients\u2019 expectations and families\u2019 preference for home remedies over specialised nursing care. These barriers to person\u2010centred care demonstrate an intricate interplay of personal, social and organisational issues and power struggles. Multifaceted implementation strategies targeting environmental context and resources, social influences, emotions, knowledge and skills domains may be beneficial to enable nurses to provide better person\u2010centred care to complex patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Designing implementation facilitation teams, organising person\u2010centred care grand rounds, and allocation of stress management resources to address hostility, social\u2010cultural influences, and organisational barriers is essential. Nurses could focus on their self\u2010awareness and collaborative skills to address emotional and interprofessional conflicts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16245","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T04:19:38Z","timestamp":1644293978000},"page":"368-381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Nurses\u2019 perceived barriers to the delivery of person\u2010centred care to complex patients: A qualitative study using theoretical domains framework"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0157-5319","authenticated-orcid":false,"given":"Ahtisham","family":"Younas","sequence":"first","affiliation":[{"name":"Swat College of Nursing  Swat Pakistan"},{"name":"Faculty of Nursing Memorial University of Newfoundland  St. John's Newfoundland and Labrador Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahzad","family":"Inayat","sequence":"additional","affiliation":[{"name":"Isra College of Nursing Al\u2010Nafees Medical College Isra University  Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Masih","sequence":"additional","affiliation":[{"name":"College of Nursing Bashir Institute of Health Sciences  Islamabad Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm6030033"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100605\u20109"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010018\u20102949\u20105"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201037"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2017.02.005"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047\u20103095.12012"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010018\u20102915\u20102"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NUR.0000451064.21061.25"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.1229"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12833"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/fsh0000479"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201014\u2010249"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.253"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.2944"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.5539\/gjhs.v12n6p73"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442\u20102018.2007.00292.x"},{"key":"e_1_2_13_19_1","volume-title":"Nursing, power, and gender in interprofessional collaboration","author":"Leake P. 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