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Observable indicators of person-centred care: an interview study with patients, relatives and professionals
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden; Deparment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden; Deparment of Public Health and Primary Care, KU Leuven, Leuven, Belgium; Department of Pediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0001-5598-0737
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2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, no 4, article id e059308Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To identify key observable indicators of person-centred care (PCC) from interviews with patients, relatives and professionals with experience of receiving or working with PCC.

DESIGN: A qualitative interview study using deductive content analysis.

SETTING: Primary and hospital care settings in Western Sweden.

PARTICIPANTS: Twelve participants with extensive experience of receiving or working with PCC were interviewed: two patients, two patients representative with long-term conditions, one relative and informal carer, three registered nurses, one physician, two occupational therapists and one social worker/researcher.

RESULTS: Nine observable indicators were identified and subsumed under three predetermined categories: initiating, working and safeguarding the partnership. The first category comprised three subcategories: welcoming, interested and courteous reception; agreeing on structure and aims of the conversation; and eliciting patients' wishes for involvement of significant others. The second category comprised four subcategories: attentive, empathic and encouraging manner; promoting mutual understanding; promoting patient engagement; and encouraging and friendly body language. The last category consisted of two subcategories: collaboration and transparency in documentation and verifying that patient's and professional's views, goals and wants are correctly documented.

CONCLUSION: Our results underline the need for health professionals to actively and conscientiously convey to patients their interest in and respect for the patient as a person and their willingness to collaborate as partners in their care from the very outset of the interaction. Non-verbal behaviours were seen to play a major role in shaping patients' impressions of health professionals. Given that patients' first impressions were considered to impact the content, course and outcomes of the interaction, more research attention should be given to their implications for the effective delivery of PCC.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2022. Vol. 12, no 4, article id e059308
Keywords [en]
Public Health, Qualitative Research, Quality in health care
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-194462DOI: 10.1136/bmjopen-2021-059308ISI: 000784798300015PubMedID: 35443963Scopus ID: 2-s2.0-85128798570OAI: oai:DiVA.org:umu-194462DiVA, id: diva2:1657035
Funder
Swedish Research Council, 2009-1088Available from: 2022-05-09 Created: 2022-05-09 Last updated: 2023-08-28Bibliographically approved

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Boström, Eva

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