Rosted Elizabeth, Christensen Helle Gert, Lanther Tina, McCormack Brendan, Kjerholt Mette
Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
Department of Oncology and Palliative Care, Zealand University Hospital, Roskilde, Denmark.
Front Health Serv. 2025 Jun 6;5:1583478. doi: 10.3389/frhs.2025.1583478. eCollection 2025.
Despite the growing recognition of person-centred practice in political declarations, strategic visions, and healthcare policies, a significant gap remains between the theoretical underpinnings of person-centred practice and its practical application in clinical settings. To bridge this gap, two departments at a university hospital in Denmark embarked on a collaborative initiative aimed at developing a person-centred culture and implementing a person-centred approach as the framework for nursing care.
An action research study was undertaken from June 2020 to December 2023. To capture both the processes and outcomes of the study, data were collected through a combination of field studies, interviews and questionnaires. Data were analysed using thematic analysis.
Five themes were generated from the data (1) We have learned a lot in relation to PCP; (2) The PCP framework is complex and difficult to understand and get hold of; (3) When implementing a person-centred framework, the overall context of the departments is important; (4) Psychological safety is important; (5) Values and Beliefs.
Overall, the study findings showed outcomes arising from the development of a caring culture towards one that is more person-centred. Both nurses and leaders' competencies in relation to PCP were developed. The study resulted in increased awareness, knowledge and learning of PCP and during the study period new initiatives were initiated that contributed to the changes in and of clinical practice towards a more person-centred culture. During the study, blind spots like a disconnect between espoused values and experiences in clinical practice, as well as inappropriate workflows in the departments and the organization were uncovered.
尽管在政治宣言、战略愿景和医疗政策中，以患者为中心的实践越来越受到认可，但以患者为中心的实践的理论基础与其在临床环境中的实际应用之间仍存在显著差距。为了弥合这一差距，丹麦一家大学医院的两个部门开展了一项合作倡议，旨在培育以患者为中心的文化，并将以患者为中心的方法作为护理框架加以实施。
于2020年6月至2023年12月进行了一项行动研究。为了全面了解研究的过程和结果，通过实地研究、访谈和问卷调查相结合的方式收集数据。采用主题分析法对数据进行分析。
从数据中提炼出五个主题：（1）我们在以患者为中心的实践方面学到了很多；（2）以患者为中心的实践框架复杂，难以理解和掌握；（3）在实施以患者为中心的框架时，各部门的整体环境很重要；（4）心理安全很重要；（5）价值观和信念。
总体而言，研究结果显示，在从关爱文化向更以患者为中心的文化发展过程中取得了成效。护士和领导者在以患者为中心的实践方面的能力得到了提升。该研究提高了对以患者为中心的实践的认识、知识水平和学习效果，在研究期间启动了新的举措，推动了临床实践向更以患者为中心的文化转变。在研究过程中，还发现了一些盲点问题，如临床实践中所宣称的价值观与实际体验之间的脱节，以及各部门和组织中不合适的工作流程。
