Characteristic of person-centered care as documented in medical records at a medical department – a mixed methods

Rosengren, Kristina; Ulin, Kerstin; Carlström, Eric

doi:10.5430/jha.v8n2p7

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…The results show that PC coaches should not be responsible for all PC work in a ward because the transition to PC is a shared responsibility. [24] The PC coaches emphasised that existing routines and documentation systems are not flexible enough to meet a more person-centred approach, [25] which is in line with Moore et al, [26] who emphasise the importance of strong leadership in overcoming barriers (such as existing documentation systems). Among several facilitators, the researchers [26] also emphasise strong leadership in the successful implementation of PC.…”

Section: Discussionmentioning

confidence: 87%

Through the lens of work-integrated learning: Staff experiences of participating in person-centredness coach training in a Swedish hospital

Alverbratt

Hall

2020

JNEP

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Background/Objective: Over the past decade, many scientific articles have focused on the importance of person-centred care (or person centredness) in the health care sector. In practice, however, person centredness is difficult to operationalise. Thus, the role of “person-centredness coach” was created in a Swedish hospital to provide information, education, and reflection on person centredness. The aim was to describe this new role of a person-centeredness coach, and how the coaches experienced the development of a person-centred working method.Methods: Qualitative semi-structured individual interviews were conducted with nine nursing staff. The data were analysed using inductive content analysis.Results: The analysis resulted in three categories with seven subcategories: an eye opener (with the subcategories of a welcome change and person centredness throughout the organisation); an obstacle with potential (with the subcategories of theoretical vs. practical development of person centredness, difficulties in developing person centredness and proposals for promoting patient participation); and a challenging role (with the subcategories of necessary but a role that takes a long time to develop and the importance of favourable conditions).Conclusions: The person-centredness coaches believed that the person-centred approach was important and that it should be the foundation of all care work within health care but, despite this, had difficulty in integrating person centredness into their practice. The person-centredness coaches found the coach training rewarding. They perceived that, from a learning perspective and through the lens of work-integrated learning, the results could be related to creating praxis, which may be seen as a development area for further research in operationalising person centredness.

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Section: Discussionmentioning

confidence: 87%

Through the lens of work-integrated learning: Staff experiences of participating in person-centredness coach training in a Swedish hospital

Alverbratt

Hall

2020

JNEP

View full text Add to dashboard Cite

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“…Specifically, there is a need to switch mindsets from diagnosis to resources, using all expertise, scientific and lived experiences, working in partnership. This way of changing healthcare organisation, facilitating shared leadership and improving teamwork in partnership with all involved, is a key to PCC (Rosengren et al 2019).…”

Section: Person-centred Carementioning

confidence: 99%

A life in the shadow of COPD : Symptom burden, caregiver burden and strategies to manage daily life

Johansson

2024

Linköping University Medical Dissertations

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Chronic obstructive pulmonary disease (COPD) is an irreversible obstructive lung disease. In Sweden, 400,000 to 700,000 individuals are affected by this disease, and it is the third most common diagnosis. Among those with COPD, approximately 3% are at Global Initiative for Chronic Obstructive Lung Disease (GOLD) stages III and IV, representing severe disease. Persons affected by COPD have symptoms such as breathing problems, cough, and increased mucus production. The persons affected by COPD and the next of kin have an affected life. The affected person need support from the next of kin and from society.next of kin and being an informal caregiver and can be problematic (Suresh 2022).

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Sustainable implementation of person-centred care in residential care facilities: hindering and supporting factors when improving incontinence care

Alexiou

Kjellberg

Wijk

2021

Nursing and Residential Care

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Purpose: The aim of the present study was to focus on the impact of the implementation of a person-centred approach on staff perception of the likelihood of being able to provide person-centred care and strain in the workplace. Design: The study was a controlled prospective cohort study performed at three residential care facilities in western Sweden involving all nursing staff members active from 2013 through 2015 at baseline and at three follow-ups during and after the implementation period. Two of the residential care facilities were assigned to the intervention group and one was assigned to the control group. Method: The study was designed to test the sustainability of a person-centred approach based on three aspects: partnership, narrative and documentation. A cross-section of 20 coworkers were purposively sampled from a total of 100 persons working at the two Intervention nursing homes to participate in the intervention group. The process outcome was measured as: perceived ward atmosphere, using the staff version of the validated Person-Centred Climate Questionnaire; person-centred care, measured using the validated Person-centred Care Assessment Tool; and experience of strain in work, using the Strain in Nursing Care Assessment Scale. Descriptive statistics were calculated for all variables using the SPSS Statistics software package. Findings: The results show that, at the control site, there were lower staff perceptions of the care atmosphere, higher level of strain experienced in their work and a lower likelihood of providing a person-centred care approach, whereas these factors remained rather stable over time at the intervention residential care facilities. Two contrasting results were observed—namely, that the higher the staff's perception of the likelihood of being able to provide individualised care and of a more person-centred ward atmosphere, the higher their stress levels experienced at work. In addition, older ages and long durations of work experience significantly negatively affected the staff's assessment of their ability to create an atmosphere of everydayness and to adopt a person-centred approach in care. Conclusions: The findings show that sustainability of a person-centred ward atmosphere is possible in the care of older people, despite staffing problems and other organisational challenges, according to the staff's assessment, after implementation of a person-centred programme. The more experienced staff members assessed their likelihood of being able to provide a person-centred care as lower after the implementation phase, indicating that despite the ambition of supporting person-centredness and quality of care, staffing and management difficulties that are present at the outset of the programme's implementation can later lead to stress and frustration relating to roles and routines.

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Characteristic of person-centered care as documented in medical records at a medical department – a mixed methods

Cited by 3 publications

References 26 publications

Through the lens of work-integrated learning: Staff experiences of participating in person-centredness coach training in a Swedish hospital

Through the lens of work-integrated learning: Staff experiences of participating in person-centredness coach training in a Swedish hospital

A life in the shadow of COPD : Symptom burden, caregiver burden and strategies to manage daily life

Sustainable implementation of person-centred care in residential care facilities: hindering and supporting factors when improving incontinence care

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