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Barriers and facilitators to the implementation of person-centred care in different healthcare contexts.

https://arctichealth.org/en/permalink/ahliterature294242
Source
Scand J Caring Sci. 2017 Dec; 31(4):662-673
Publication Type
Journal Article
Date
Dec-2017
Author
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.
Source
Scand J Caring Sci. 2017 Dec; 31(4):662-673
Date
Dec-2017
Language
English
Publication Type
Journal Article
Keywords
Delivery of Health Care - organization & administration
Humans
Patient-Centered Care
Sweden
Abstract
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.
Notes
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PubMed ID
27859459 View in PubMed
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