Cecilie Fromholt Olsen1, Astrid Bergland2, Jonas Debesay3, Asta Bye3, Anne G Langaas2. 1. Department of Physiotherapy, OsloMet- Oslo Metropolitan University, Oslo, Norway. Electronic address: cecifo@oslomet.no. 2. Department of Physiotherapy, OsloMet- Oslo Metropolitan University, Oslo, Norway. 3. Department of Nursing and Health Promotion, OsloMet- Oslo Metropolitan University, Oslo, Norway.
Abstract
OBJECTIVE: The aim of this article was to synthesize research findings about health care providers' experiences of patient-centered care in the home setting. METHODS: This is a meta-synthesis of qualitative findings using the analytical method of meta-ethnography developed by Noblit and Hare. We performed a systematic literature search in seven databases and assessed potential studies against eligibility criteria and quality. Subsequently, 10 primary studies were included for analysis. RESULTS: The core theme "being a balance artist" emerged from the synthesis, incorporating the participants' experiences when faced with conflicting and competing responsibilities and needs. Two subthemes-"balancing the older clients' needs against organizational demands" and "balancing the older clients' needs against professional standards"-further elaborated on this core theme. CONCLUSION: Health care providers' experiences indicate that organizational factors play a crucial role in shaping the conditions for patient-centered care for older people in the home setting. PRACTICE IMPLICATIONS: To motivate and facilitate health care providers to move to a more patient-centered practice, it is important to expand the values of patient-centered care beyond the clinical encounter into the organization.
OBJECTIVE: The aim of this article was to synthesize research findings about health care providers' experiences of patient-centered care in the home setting. METHODS: This is a meta-synthesis of qualitative findings using the analytical method of meta-ethnography developed by Noblit and Hare. We performed a systematic literature search in seven databases and assessed potential studies against eligibility criteria and quality. Subsequently, 10 primary studies were included for analysis. RESULTS: The core theme "being a balance artist" emerged from the synthesis, incorporating the participants' experiences when faced with conflicting and competing responsibilities and needs. Two subthemes-"balancing the older clients' needs against organizational demands" and "balancing the older clients' needs against professional standards"-further elaborated on this core theme. CONCLUSION: Health care providers' experiences indicate that organizational factors play a crucial role in shaping the conditions for patient-centered care for older people in the home setting. PRACTICE IMPLICATIONS: To motivate and facilitate health care providers to move to a more patient-centered practice, it is important to expand the values of patient-centered care beyond the clinical encounter into the organization.
Authors: Cecilie Fromholt Olsen; Astrid Bergland; Asta Bye; Jonas Debesay; Anne G Langaas Journal: BMC Health Serv Res Date: 2021-04-07 Impact factor: 2.655
Authors: Cecilie Fromholt Olsen; Jonas Debesay; Astrid Bergland; Asta Bye; Anne G Langaas Journal: BMC Health Serv Res Date: 2020-04-16 Impact factor: 2.655