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. 2022 Aug 1;22(1):589.
doi: 10.1186/s12909-022-03657-4.

Person-centred care on the move - an interview study with programme directors in Swedish higher education

I Björkman  1   2 , C Feldthusen  3 , E Forsgren  3   4 , A Jonnergård  3   4 , I Lindström Kjellberg  3   4 , C Wallengren Gustafsson  3   4 , M Lundberg  3   4   5
Affiliations

Person-centred care on the move - an interview study with programme directors in Swedish higher education

I Björkman et al. BMC Med Educ. .

Abstract

Background: There is an increasing trend towards person-centred care (PCC) worldwide, suggesting that PCC should be mastered by future health care professionals. This study aims to explore programme directors' views on facilitators and barriers to implementing PCC in four of the largest national study programmes in Sweden training future health care professionals.

Methods: A qualitative design was applied and interviews were conducted with 19 programme directors of Swedish national study programmes in medicine, nursing, occupational therapy and physiotherapy. The interviews were analysed using qualitative content analysis. Themes were sorted according to the Consolidated Framework for Implementation Research (CFIR) in an abductive approach. COREQ guidelines were applied.

Results: The overarching theme, as interpreted from the programme directors' experiences, was 'Person-centred care is on the move at different paces.' The theme relates to the domains identified by the CFIR as outer setting, innovation, inner setting and process. PCC was understood as something familiar but yet new, and the higher education institutions were in a state of understanding and adapting PCC to their own contexts. The movement in the outer setting consists of numerous stakeholders advocating for increased patient influence, which has stirred a movement in the inner setting where the higher educational institutions are trying to accommodate these new demands. Different meanings and values are ascribed to PCC, and the concept is thus also 'on the move', being adapted to traditions at each educational setting.

Conclusion: Implementation of PCC in Swedish higher education is ongoing but fragmented and driven by individuals with a specific interest. There is uncertainty and ambiguity around the meaning and value of PCC and how to implement it. More knowledge is needed about the core of PCC as a subject for teaching and learning and also didactic strategies suitable to support students in becoming person-centred practitioners.

Keywords: Health care professionals; Higher education; Interview study; Local course syllabus change; Person-centred care.

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Conflict of interest statement

The authors have no competing interests to report.

Figures

Fig. 1
Fig. 1
Overview of subthemes and themes in relation to overarching theme and CFIR
See this image and copyright information in PMC

References

    1. World Health Organization. WHO global strategy on people-centred and integrated health services: interim report: World Health Organization; 2015. p. 48. Available from: https://apps.who.int/iris/handle/10665/155002.
    1. Swedberg K, Cawley D, Ekman I, Rogers HL, Antonic D, Behmane D, et al. Testing cost containment of future healthcare with maintained or improved quality – the COSTCARES project. Health Sci Rep. 2021;4(2):e309. doi: 10.1002/hsr2.309. - DOI - PMC - PubMed
    1. Miles A, Asbridge JE. The European Society for Person Centered Healthcare (ESPCH) – raising the bar of health care quality in the century of the patient. J Eval Clin Pract. 2014;20(6):729–733. doi: 10.1111/jep.12317. - DOI - PubMed
    1. Rosengren K, Brannefors P, Carlstrom E. Adoption of the concept of person-centred care into discourse in Europe: a systematic literature review. J Health Organ Manag. 2021;35(9):265–280. doi: 10.1108/JHOM-01-2021-0008. - DOI - PMC - PubMed
    1. Byrne AL, Baldwin A, Harvey C. Whose Centre is it anyway? Defining person-centred care in nursing: an integrative review. PLoS One. 2020;15(3):e0229923. doi: 10.1371/journal.pone.0229923. - DOI - PMC - PubMed

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