ArticleBMC health services research2022
Tracking, naming, specifying, and comparing implementation strategies for person-centred care in a real-world setting: a case study with seven embedded units.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Navigating a learning journey in person-centered leadership: a grounded theory study.BMC health services research · 2026Article
- Reporting and Specifying the Implementation Strategies Used in a National Programme of Primary Care Youth Mental Health.Early intervention in psychiatry · 2026Article
- Considering Preference-Based Patient Participation-Scientific and Clinical Outcome Measures With the Patient Preferences for Patient Participation Tool.Journal of evaluation in clinical practice · 2026Article
- Tailored implementation of a behaviour change intervention for post-stroke physical activity: A mixed-methods feasibility study.Clinical rehabilitation · 2025Article
- Mapping Implementation Strategies and Outcomes When Using Evidence Based Practice Implementation Models in Nursing Settings: A Scoping Review.Worldviews on evidence-based nursing · 2025Article
- Learning from the implementation of person-centred care: a meta-synthesis of research related to the Gothenburg framework.Frontiers in health services · 2025Review
- Person-centered workplace culture: insights from an inpatient department for older adults with chronic illnesses.Frontiers in medicine · 2025Article
- Implementation of cross-sectoral rehabilitation in the Nordic countries: a scoping review.Frontiers in health services · 2025Review
- Enhancing Clinicians' Use of Electronic Patient-Reported Outcome Measures in Outpatient Care: Mixed Methods Study.Journal of medical Internet research · 2024Article
- How is tailored implementation undertaken using a self-guided toolkit? Qualitative study of the ItFits-toolkit in the ImpleMentAll project.Implementation science : IS · 2024Article
- A collaborative endeavour to integrate leadership and person-centred ethics: a focus group study on experiences from developing and realising an educational programme to support the transition towards person-centred care.BMC health services research · 2024Article
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Authors and funding
3 authors.
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Abstract
backgroundThe implementation of person-centred care (PCC) is advocated worldwide. Stakeholders in charge of implementing PCC as a broad-scale change across the health care sector face two intertwined and complex challenges. First, making sense of PCC as an intervention with complex innovation characteristics and second, staging implementation of PCC by choosing appropriate implementation strategies. We aimed to explore one of these challenges by tracking, naming, specifying, and comparing which strategies and how strategies were enacted to support the implementation of more PCC in a real-world setting represented by one health care region in Sweden.
methodsA case study with seven embedded units at two organisational levels within a health care region was conducted from 2016 to 2019. Data were collected from three sources: activity logs, interviews, and written documents. Strategies were identified from all sources and triangulated deductively by name, definition, and cluster in line with the taxonomy Expert Recommendations for Implementing Change (ERIC) and specified according to recommendations by Proctor and colleagues as actor, action, action target, temporality, dose, outcome, and justification.
resultsFour hundred thirteen activities were reported in logs, representing 43 discrete strategies identified in ERIC (n = 38), elsewhere (n = 1), or as emerging strategies (n = 4). The highest reported frequencies of discrete strategies were identified as belonging to two clusters: Train and educate stakeholders (40%) and Develop stakeholder interrelationships (38%). We identified a limited number of strategies belonging to the cluster Use evaluative and iterative strategies (4.6%) and an even smaller number of strategies targeting information to patients about the change initiative (0.8%). Most of the total dose of 11,076 person-hours in the 7 units was spent on strategies targeting health care professionals who provide PCC (81.5%) while the dose of strategies targeting support functions was 18.5%.
conclusionsOur findings show both challenges and merits when strategies for implementation of PCC are conducted in a real-world setting. The results can be used to support and guide both scientists and practitioners in future implementation initiatives.
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