Health care employee perceptions of patient-centered care

Qual Health Res. 2015 Mar;25(3):417-25. doi: 10.1177/1049732314553011. Epub 2014 Oct 1.


Given the importance of health care employees in the delivery of patient-centered care, understanding their unique perspectives is essential for quality improvement. The purpose of this study was to use photovoice to evaluate perceptions and experiences around patient-centered care among U.S. Veterans Affairs (VA) health care employees. We asked participants to take photographs of salient features in their environment related to patient-centered care. We used the photographs to facilitate dialogue during follow-up interviews. Twelve VA health care employees across two VA sites participated in the project. Although most participants felt satisfied with their work environment and experiences at the VA, they identified several areas for improvement. These included a need for more employee health and wellness initiatives and a need for enhanced opportunities for training and professional growth. Application of photovoice enabled us to learn about employees' unique perspectives around patient-centered care while engaging them in an evaluation of care delivery.

Keywords: health care; health care professionals; photography / photovoice; quality improvement; research, qualitative.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Environment
  • Female
  • Humans
  • Inservice Training
  • Interviews as Topic
  • Job Satisfaction
  • Male
  • Middle Aged
  • Occupational Health
  • Patient-Centered Care / organization & administration*
  • Perception*
  • Photography*
  • United States
  • United States Department of Veterans Affairs