Evidence map›Paper›PMID 30858711›Full record

ArticleJournal of multidisciplinary healthcare2019

Health care professionals' experiences and enactment of person-centered care at a multidisciplinary outpatient specialty clinic.

Gudrun Evén, Jonas Spaak, Magnus von Arbin, Åsa Franzén-Dahlin, Terese Stenfors

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

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  11. Patients' and Nurses' Perceptions of Diabetes Self-Management in Oman: A Qualitative Study.International journal of environmental research and public health · 2022
    Article
  12. Commentary: how person-centred is pharmaceutical care?International journal of clinical pharmacy · 2022
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  13. Article
  14. Article
  15. Article
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  17. Multidisciplinary Chronic Kidney Disease Clinic Practices: A Scoping Review.Canadian journal of kidney health and disease · 2019
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  18. Article
  19. Article
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

5 authors.

Gudrun EvénDepartment of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden, gudrun.even@ki.se.
Jonas SpaakDepartment of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden, gudrun.even@ki.se.
Magnus von ArbinDepartment of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden, gudrun.even@ki.se.
Åsa Franzén-DahlinDepartment of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden, gudrun.even@ki.se.
Terese StenforsDepartment of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPerson-centered care (PCC) appears particularly suitable for patients with complex diseases and in multidisciplinary care. However, previous research tends to focus on each profession and condition separately. PURPOSE: We studied how health care professionals (HCPs) understand PCC, and whether their clinical practice is aligned with their theoretical understanding, when starting clinical practice at a novel multidisciplinary clinic.

methodsIn total, 16 semi-structured interviews with HCPs and 31 non-participatory observations of outpatient meetings and other activities at the clinic such as team meetings were conducted at a multidisciplinary, integrated outpatient clinic in Sweden. All patients had simultaneous diabetes mellitus, chronic kidney disease and established cardiovascular disease. The clinic employed a PCC approach. Data were analyzed using an inductive thematic approach.

resultsTwo key findings emerged. First, PCC requires a holistic view of the patient at all times during care, with everything focused on the patient. This requires that the HCPs know the patient well enough as an individual to be able to tailor the care together with them. Second, working with a PCC philosophy leads to transformed roles for HCPs in patient meetings, with more active involvement by the patient and often also their next of kin. The observations, in comparison with the interviews, showed that not all HCPs applied their views on PCC in patient meetings. Observations showed that some patient meetings were less person-centered than others, potentially due to stress or lack of time.

conclusionPCC require HCPs to have a holistic view of the patients and a deeper understanding of their situation, as individuals. Working with PCC also leads to a more coaching, supportive role of the HCPs.

Indexed as

cardiologyendocrinologyhealth care professionalsinterviewsmultidisciplinarynephrologyobservationsperson-centered carequalitative researchthematic analysis

Identifiers

PMID30858711
PMCPMC6385746

What OpenQuestion holds

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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.