Evidence map›Paper›PMID 28778167›Full record

ArticleBMC health services research2017

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

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

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Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Development of client-centredness: Perceptions of interprofessional health care students.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2025
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  18. Practising the ethics of person-centred care balancing ethical conviction and moral obligations.Nursing philosophy : an international journal for healthcare professionals · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Öncel NaldemirciDepartment of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden. oncel.naldemirci@gu.se.ORCID 0000-0003-0100-2043
Axel WolfInstitute of Health Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-6111-8377
Mark ElamDepartment of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-4813-9584
Doris LydahlDepartment of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-0058-0362
Lucy MooreInstitute of Health Research, University of Exeter Medical School, Exeter, UK.ORCID 0000-0002-9852-6312
Nicky BrittenInstitute of Health Research, University of Exeter Medical School, Exeter, UK.ORCID 0000-0002-7533-414X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsThis 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).

resultsIn 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.

conclusionNPT 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.

Indexed as

Research PersonnelAttitude of Health PersonnelHumansInterprofessional RelationsPatient-Centered CareQualitative ResearchSwedenDeliberate and emergent strategiesImplementation strategiesNormalization process theoryPerson-centred careQualitative

Identifiers

PMID28778167
PMCPMC5545038

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.