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Your search keyword '"Lydahl, Doris"' showing total 2 results
Start Over Author "Lydahl, Doris" Topic interprofessional relations Topic person-centred care
2 results on '"Lydahl, Doris"'

1. Deliberate and emergent strategies for implementing person-centred care: a qualitative interview study with researchers, professionals and patients

Author

Naldemirci, Öncel, Wolf, Axel, Elam, Mark, Lydahl, Doris, Moore, Lucy, and Britten, Nicky

Subjects
Sweden, Attitude of Health Personnel, lcsh:Public aspects of medicine, Interprofessional Relations, Person-centred care, lcsh:RA1-1270, Research Personnel, Normalization process theory, Patient-Centered Care, Humans, Qualitative, Qualitative Research, Research Article, Implementation strategies, Deliberate and emergent strategies
Abstract

Background The introduction of innovative models of healthcare does not necessarily mean that they become embedded in everyday clinical practice. This study has two aims: first, to analyse deliberate and emergent strategies adopted by healthcare professionals to overcome barriers to normalization of a specific framework of person-centred care (PCC); and secondly, to explore how the recipients of PCC understand these strategies. Methods This paper is based on a qualitative study of the implementation of PCC in a Swedish context. It draws on semi-structured interviews with 18 researchers and 17 practitioners who adopted a model of PCC on four different wards and 20 patients who were cared for in one of these wards. Data from these interviews were first coded inductively and emerging themes are analysed in relation to normalization process theory (NPT). Results In addition to deliberate strategies, we identify emergent strategies to normalize PCC by (i) creating and sustaining coherence in small but continuously communicating groups (ii) interpreting PCC flexibly when it meets specific local situations and (iii) enforcing teamwork between professional groups. These strategies resulted in patients perceiving PCC as bringing about (i) a sense of ease (ii) appreciation of inter-professional congruity (ii) non-hierarchical communication. Conclusion NPT is useful to identify and analyse deliberate and emergent strategies relating to mechanisms of normalization. Emergent strategies should be interpreted not as trivial solutions to problems in implementation, but as a possible repertoire of tools, practices and skills developed in situ. As professionals and patients may have different understandings of implementation, it is also crucial to include patients’ perceptions to evaluate outcomes.

Published
2017

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

Author

Moore, Lucy, Britten, Nicky, Lydahl, Doris, Naldemirci, Öncel, Elam, Mark, and Wolf, Axel

Subjects
GROUNDED theory, HEALTH care teams, INTERPROFESSIONAL relations, INTERVIEWING, RESEARCH methodology, CASE studies, MEDICAL care, PATIENT-professional relations, PROFESSIONAL employee training, RESEARCH funding, TEAMS in the workplace, EVIDENCE-based medicine, PROFESSIONAL practice, JUDGMENT sampling, DATA analysis, NARRATIVES, THEMATIC analysis, PATIENT-centered care
Abstract

Background 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. Aim To explore the barriers and facilitators to the delivery of person-centred care interventions, in different contexts. Method 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. Ethical issues The ethical code of conduct was followed and conformed to the ethical guidelines adopted by the Swedish Research Council. Results 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. Conclusion 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. [ABSTRACT FROM AUTHOR]

Published
2017
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