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Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria

Thesis (MFamMed)--Stellenbosch University, 2017.

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Main Author: Yakubu, Kenneth
Other Authors: Malan, Zelra
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2017
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access_status_str Open Access
author Yakubu, Kenneth
author2 Malan, Zelra
author_browse Malan, Zelra
Yakubu, Kenneth
author_facet Malan, Zelra
Yakubu, Kenneth
author_sort Yakubu, Kenneth
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MFamMed)--Stellenbosch University, 2017.
format Thesis
id oai:scholar.sun.ac.za:10019.1/102546
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:43:51.865Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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spelling oai:scholar.sun.ac.za:10019.1/102546 Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria Yakubu, Kenneth Malan, Zelra Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. Chronic diseases -- Nigeria Ambulatory medical care -- Nigeria Physicians (General practice) -- Nigeria Family medicine -- Nigeria UCTD Thesis (MFamMed)--Stellenbosch University, 2017. The published article for this Master’s is available at http://hdl.handle.net/10019.1/106435 ENGLISH SUMMARY : Background: Few studies in Africa have described patients’ preferences for family involvement in their care. Such perceptions when elicited, can provide the patient-oriented evidence needed for implementation of family-centred care (FCC) in an African context. The aim of this study was to explore perceptions of FCC among patients with chronic diseases. Specific objectives where therefore to elicit (1) patients’ perceptions of the meaning of FCC, explore (2) current involvement of family members in patient care (3), value of FCC from the patient’s perspective and (4) patients’ preferences in the delivery of FCC. Methods: A mixed-methods phenomological study design incorporating structured and semi-structured, individual in-depth interviews for 21 adult patients with chronic diseases was used. It was carried out at the general out-patient clinic of the Jos University Teaching Hospital, Jos, Plateau state, Nigeria. Results: Patients described FCC using various levels of family engagement with their care including, the doctor inquiring about history of similar disease in the family, information sharing with family members and fostering of family ties/relationships. These levels were also seen in the description of current family involvement in their care, including inquiring about their health, going with them to the clinic, offering material/social support and health advice. Similarly, patients considered the value of FCC based on how it meets information needs of the family, influences individual health behaviour and addresses family dynamics. The patients showed a broad range of preferences from minimal to maximum engagement of family in their care. This preference was influenced by the need for confidentiality, perception of the illness experience and whose opinion they valued most. Conclusion: Not all patients showed a preference for maximum family engagement in their care. Hence, there exists a need to be sensitive to the patient’s preferences during consultations. However, depending on perceived benefit, the family doctor may need to educate and negotiate with the patient, the extent to which family members can be involved in their care. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. 2017-10-13T09:58:12Z 2017-12-11T10:23:35Z 2017-10-13T09:58:12Z 2017-12-11T10:23:35Z 2017-12 Thesis http://hdl.handle.net/10019.1/102546 en_ZA Stellenbosch University 40 pages, includes annexures application/pdf Stellenbosch : Stellenbosch University
spellingShingle Chronic diseases -- Nigeria
Ambulatory medical care -- Nigeria
Physicians (General practice) -- Nigeria
Family medicine -- Nigeria
UCTD
Yakubu, Kenneth
Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria
title Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria
title_full Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria
title_fullStr Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria
title_full_unstemmed Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria
title_short Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria
title_sort perceptions about family centred care among adult patients with chronic diseases at a general out patient clinic in nigeria
topic Chronic diseases -- Nigeria
Ambulatory medical care -- Nigeria
Physicians (General practice) -- Nigeria
Family medicine -- Nigeria
UCTD
url http://hdl.handle.net/10019.1/102546
work_keys_str_mv AT yakubukenneth perceptionsaboutfamilycentredcareamongadultpatientswithchronicdiseasesatageneraloutpatientclinicinnigeria