title: Barriers and facilitators to the implementation of person-centred care in different healthcare contexts.
abstract: BACKGROUND
  To empower patients and improve the quality of care, policy-makers increasingly adopt systems to enhance person-centred care. Although models of person-centredness and patient-centredness vary, respecting the needs and preferences of individuals receiving care is paramount. In Sweden, as in other countries, healthcare providers seek to improve person-centred principles and address gaps in practice. Consequently, researchers at the University of Gothenburg Centre for Person-Centred Care are currently delivering person-centred interventions employing a framework that incorporates three routines. These include eliciting the patient's narrative, agreeing a partnership with shared goals between patient and professional, and safeguarding this through documentation.
  
  
  OBJECTIVE
  To explore the barriers and facilitators to the delivery of person-centred care interventions, in different contexts.
  
  
  METHODS
  Qualitative interviews were conducted with a purposeful sample of 18 researchers from seven research studies across contrasting healthcare settings. Interviews were transcribed, translated and thematically analysed, adopting some basic features of grounded theory.
  
  
  METHODS
  The ethical code of conduct was followed and conformed to the ethical guidelines adopted by the Swedish Research Council.
  
  
  RESULTS
  Barriers to the implementation of person-centred care covered three themes: traditional practices and structures; sceptical, stereotypical attitudes from professionals; and factors related to the development of person-centred interventions. Facilitators included organisational factors, leadership and training and an enabling attitude and approach by professionals. Trained project managers, patients taking an active role in research and adaptive strategies by researchers all helped person-centred care delivery.
  
  
  CONCLUSIONS
  At the University of Gothenburg, a model of person-centred care is being initiated and integrated into practice through research. Knowledgeable, well-trained professionals facilitate the routines of narrative elicitation and partnership. Strong leadership and adaptive strategies are important for overcoming existing practices, routines and methods of documentation. This study provides guidance for practitioners when delivering and adapting person-centred care in different contexts.
authors.affiliation: Institute of Health Research, University of Exeter Medical School, Exeter, UK.
authors.forename: Lucy
authors.initials: L
authors.lastname: Moore
authors.affiliation: Institute of Health Research, University of Exeter Medical School, Exeter, UK.
authors.forename: Nicky
authors.initials: N
authors.lastname: Britten
authors.affiliation: Department of Sociology and Work Sciences, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Doris
authors.initials: D
authors.lastname: Lydahl
authors.affiliation: Department of Sociology and Work Sciences, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Öncel
authors.initials: Ö
authors.lastname: Naldemirci
authors.affiliation: Department of Sociology and Work Sciences, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Mark
authors.initials: M
authors.lastname: Elam
authors.affiliation: Institute of Health Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.|Gothenburg Centre for Person Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
authors.forename: Axel
authors.initials: A
authors.lastname: Wolf
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D018802:Patient-Centered Care; D013548:Sweden
keywords: barriers; facilitators; intervention research; long-term conditions; nurse-patient relationships; nurse-physician relationships; person-centred care; qualitative methods