“We are already person-centred in our practice”—A Qualitative Study of Ambulance Clinicians’ Experiences of Person-Centred Care
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Setting
2.3. Contextual Introduction of the Person-Centred Care Concept
2.4. Sample and Participants
2.5. Data Collection
2.6. Data Analysis
2.7. Ethical Considerations
3. Results
3.1. Organisational Perspective
3.1.1. Prerequisites for Person-Centred Care in the AS
I see the whole person, what they may need, and which different social networks they have and how they get along at home.(Informant 13)
You could stay a bit longer at the scene or in the ambulance arrival zone at the Accident and Emergency Department if you’re not ready or finished … we need to talk a little more with the patient.(Informant 13)
3.1.2. Involvement in Development Work
For example, they already decided before this education that they would not work according to the PCC concept.(Informant 26)
They (managers) do not work in a person-centred way, which reflects on the staff and they do not do so either.(Informant 16)
3.2. Contextual Culture
3.2.1. Cultural Influence of the Medical Perspective
I find it positive that you should try to focus more on patients and relatives than you did before. So you try to break the old approach or trend.(Informant 28)
3.2.2. Already have Person-centred Practice
I am not bringing a yellow abdominal pain, I am actually bringing a person.(Informant 13)
…those who, e.g., have depression or anxiety, you need to talk to them and come to a mutual agreement.(Informant 26)
You clap each other on the shoulder and say, “that was person-centred care”.(Informant 26)
3.2.3. Avoiding Conflicts with Colleagues
It´s delicate to raise… maybe I think this wasn´t all right. It´s really hard to raise the subject with your colleague with whom you work closely together.(Informant 26)
It´s regarded as foolish to say that you work in a PCC way… many won´t admit thinking like that, although they do so.(Informant 14)
3.2.4. Professional Conduct
You can’t sit and learn how to take care of people, you must be the type who has that ability. But many want to work in such an acute area and it’s a bit cheeky.(Informant 29)
…perhaps the conclusion is ok, here we did not reach out to the patient and could have done something differently. We then try to reflect on the situation and what we should have done.(Informant 27)
This is where we must begin to think about our own behaviour.(Informant 16)
If we do not care about what the patient says it is like a product that is to be processed at the factory. You use your role as a position of power, as it in fact is.(Informant 26)
Yes, but much depends on how receptive the patient and significant others are to information.(Informant 18)
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Seeing the Individual in Need of Care as a Person Instead of a Patient | |
---|---|
Organisational perspective | Contextual culture |
Prerequisites for Person-Centred Care in the AS Involvement in Development Work | Cultural influence of the medical perspective Already have person-centred practice Avoiding conflicts with colleagues Professional conduct |
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Rantala, A.; Ingoldsson, A.; Persson, E.I. “We are already person-centred in our practice”—A Qualitative Study of Ambulance Clinicians’ Experiences of Person-Centred Care. Healthcare 2019, 7, 115. https://doi.org/10.3390/healthcare7040115
Rantala A, Ingoldsson A, Persson EI. “We are already person-centred in our practice”—A Qualitative Study of Ambulance Clinicians’ Experiences of Person-Centred Care. Healthcare. 2019; 7(4):115. https://doi.org/10.3390/healthcare7040115
Chicago/Turabian StyleRantala, Andreas, Anton Ingoldsson, and Eva I Persson. 2019. "“We are already person-centred in our practice”—A Qualitative Study of Ambulance Clinicians’ Experiences of Person-Centred Care" Healthcare 7, no. 4: 115. https://doi.org/10.3390/healthcare7040115