Lalloo Ewa Carlsson, Bergström Anna, Eriksson Leif, Wallin Lars, Barenfeld Emmelie
Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Borås, Sweden.
Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Implement Sci Commun. 2025 May 30;6(1):68. doi: 10.1186/s43058-025-00752-7.
Despite legislative support, PCC is not systematically practiced. An online facilitation training program targeting healthcare staff was developed in Sweden. This study aims to explore the acceptability, appropriateness, and feasibility of this facilitation training program, designed to support PCC implementation.
This interview study evaluates the FaciLitating Implementation of Person-centered care (FLIP) training program according to the implementation outcomes acceptability, appropriateness, and feasibility, using deductive qualitative content analysis. FLIP integrates the Building Implementation Capacity for Facilitation (BIC-F), which focuses on behavioral change, and PCC principles. FLIP included workshops and supervision sessions held online, led by external facilitators. Between these meetings, the FLIP participants worked with implementation plans in co-creation with their colleagues. Five healthcare units, with different healthcare contexts, in Sweden, participated over 12 weeks with two healthcare staff assigned the role as internal facilitators per unit, selected and supported by their managers. All internal facilitators, managers, and external facilitators were invited to participate in evaluating FLIP. A total of 17 participants, eight internal facilitators, five managers, and four external facilitators were interviewed in semi-structured individual and group interviews.
FLIP was generally accepted among all participants, due to its emphasis on PCC, comprehensive content, and clear structure, as well as its blend of training, collaboration, and mutual support. Nevertheless, the acceptability was negatively affected by low attendance, low engagement due to the online format, and initial struggles with the systematic implementation model. The systematic implementation model used in FLIP was perceived as appropriate for implementing PCC in clinical practice; however, the training on PCC was viewed as insufficient, leading to challenges operationalizing PCC elements. The participants' perceptions of FLIP's feasibility varied; while delivery was manageable, busy schedules and technical disruptions negatively affected attendance and engagement.
Becoming a facilitator capable of supporting the implementation of PCC is demanding and requires an understanding of both implementation and PCC. The BIC-F model was found to be accepted and appropriate, but operationalizing PCC requires more focus. Managerial support is needed to increase feasibility. Further research is required to evaluate whether facilitation skills can be trained online for large-scale PCC implementation.
尽管有立法支持，但以患者为中心的沟通（PCC）并未得到系统实施。瑞典开发了一个针对医护人员的在线促进培训项目。本研究旨在探讨这个旨在支持PCC实施的促进培训项目的可接受性、适宜性和可行性。
本访谈研究采用演绎性定性内容分析法，根据实施结果的可接受性、适宜性和可行性对以患者为中心的护理促进实施（FLIP）培训项目进行评估。FLIP整合了侧重于行为改变的促进实施能力建设（BIC-F）和PCC原则。FLIP包括由外部促进者在线主持的工作坊和督导会议。在这些会议之间，FLIP参与者与同事共同制定实施计划。瑞典的五个具有不同医疗环境的医疗单位参与了为期12周的项目，每个单位有两名医护人员被指定为内部促进者，由他们的经理挑选并提供支持。所有内部促进者、经理和外部促进者都被邀请参与对FLIP的评估。总共17名参与者，包括8名内部促进者、5名经理和4名外部促进者，接受了半结构化的个人和小组访谈。
FLIP在所有参与者中普遍被接受，这得益于其对PCC的强调、全面的内容、清晰的结构，以及培训、协作和相互支持的结合。然而，低出勤率、在线形式导致的低参与度以及在系统实施模式上的初期困难对可接受性产生了负面影响。FLIP中使用的系统实施模式被认为适合在临床实践中实施PCC；然而，对PCC的培训被认为不足，导致在将PCC要素付诸实践时面临挑战。参与者对FLIP可行性的看法各不相同；虽然培训交付是可行的，但繁忙的日程安排和技术故障对出勤率和参与度产生了负面影响。
成为一名能够支持PCC实施的促进者具有挑战性，需要对实施过程和PCC都有理解。BIC-F模型被认为是可接受的且适宜的，但实施PCC需要更多关注。需要管理支持以提高可行性。需要进一步研究来评估促进技能是否可以通过在线培训用于大规模的PCC实施。
