Skip header and navigation

2 records – page 1 of 1.

Barriers and facilitators to the implementation of person-centred care in different healthcare contexts.
Scand J Caring Sci. 2017 Dec; 31(4):662-673
Publication Type
Journal Article
Lucy Moore
Nicky Britten
Doris Lydahl
Öncel Naldemirci
Mark Elam
Axel Wolf
Author Affiliation
Institute of Health Research, University of Exeter Medical School, Exeter, UK.
Scand J Caring Sci. 2017 Dec; 31(4):662-673
Publication Type
Journal Article
Delivery of Health Care - organization & administration
Patient-Centered Care
To empower patients and improve the quality of care, policy-makers increasingly adopt systems to enhance person-centred care. Although models of person-centredness and patient-centredness vary, respecting the needs and preferences of individuals receiving care is paramount. In Sweden, as in other countries, healthcare providers seek to improve person-centred principles and address gaps in practice. Consequently, researchers at the University of Gothenburg Centre for Person-Centred Care are currently delivering person-centred interventions employing a framework that incorporates three routines. These include eliciting the patient's narrative, agreeing a partnership with shared goals between patient and professional, and safeguarding this through documentation.
To explore the barriers and facilitators to the delivery of person-centred care interventions, in different contexts.
Qualitative interviews were conducted with a purposeful sample of 18 researchers from seven research studies across contrasting healthcare settings. Interviews were transcribed, translated and thematically analysed, adopting some basic features of grounded theory.
The ethical code of conduct was followed and conformed to the ethical guidelines adopted by the Swedish Research Council.
Barriers to the implementation of person-centred care covered three themes: traditional practices and structures; sceptical, stereotypical attitudes from professionals; and factors related to the development of person-centred interventions. Facilitators included organisational factors, leadership and training and an enabling attitude and approach by professionals. Trained project managers, patients taking an active role in research and adaptive strategies by researchers all helped person-centred care delivery.
At the University of Gothenburg, a model of person-centred care is being initiated and integrated into practice through research. Knowledgeable, well-trained professionals facilitate the routines of narrative elicitation and partnership. Strong leadership and adaptive strategies are important for overcoming existing practices, routines and methods of documentation. This study provides guidance for practitioners when delivering and adapting person-centred care in different contexts.
Cites: Patient Educ Couns. 2013 Mar;90(3):405-10 PMID 22079211
Cites: J Adv Nurs. 2009 Aug;65(8):1626-35 PMID 19493145
Cites: Med Health Care Philos. 2008 Dec;11(4):455-63 PMID 18398697
Cites: BMJ. 2015 Feb 20;350:h985 PMID 25701152
Cites: Scand J Caring Sci. 2015 Sep;29(3):555-62 PMID 25377095
Cites: Eur J Cardiovasc Nurs. 2011 Dec;10(4):248-51 PMID 21764386
Cites: Eur J Gen Pract. 2013 Sep;19(3):141-2 PMID 24024484
Cites: J Adv Nurs. 2006 Dec;56(5):472-9 PMID 17078823
Cites: Int J Nurs Stud. 2010 Feb;47(2):154-65 PMID 19577752
Cites: Int J Cardiol. 2015;187:693-9 PMID 25919754
Cites: Scand J Caring Sci. 2010 Sep;24(3):620-34 PMID 21050249
Cites: J Clin Nurs. 2013 Feb;22(3-4):456-65 PMID 23231540
Cites: Patient Educ Couns. 2008 Aug;72(2):174-5 PMID 18585593
Cites: J Health Organ Manag. 2012;26(2):175-91 PMID 22856175
Cites: Eur Heart J. 2012 May;33(9):1112-9 PMID 21926072
Cites: J Clin Nurs. 2009 Feb;18(3):409-17 PMID 19191988
Cites: J Clin Nurs. 2004 Mar;13(3a):31-8 PMID 15028037
Cites: BMJ. 2015 Feb 10;350:h181 PMID 25670186
Cites: Scand J Caring Sci. 2011 Sep;25(3):575-82 PMID 21241347
Cites: BMJ. 2015 Feb 10;350:h148 PMID 25670184
Cites: J Eval Clin Pract. 2011 Apr;17(2):384-6 PMID 21208349
Cites: BMJ. 2015 Feb 10;350:h160 PMID 25670185
Cites: BMJ. 2015 Feb 10;350:g7757 PMID 25670180
Cites: Patient Educ Couns. 2012 Aug;88(2):170-6 PMID 22360841
Cites: Nurse Res. 2006 Jul 1;13(4):84 PMID 27702218
PubMed ID
27859459 View in PubMed
Less detail