A learning process towards person‐centred care: A second‐year follow‐up of guideline implementation

Abstract

Background Research claims that ‘learning by doing’ creates new thinking, often leading to new practice. Objectives The aim was to explore and describe the staff learning process from the first to the second year when adopting person‐centred care into clinical practice in a nursing home for persons with dementia. Method The data consisted of poster texts from staff and written notes by researchers obtained from the group discussions. The study involved 24 care units (200 staff). Content analysis was chosen as method to explore the learning process. Result The staff described the actions that they took during year 1 and year 2, in which five categories emerged, activities, environment, information, priorities and staff routines. With researchers' analysis the categories together created the learning process and formed a sub‐theme. They further formed an overarching theme from simplicity to complexity and consensus. Staff changes year 1 pertained more to planning and doing, while year 2 changes constituted a larger complexity of person‐centred care with reflection, collaborative learning and a mind‐set change. Conclusion Staff chose the development area, and the learning process was illuminated by the researchers. This underscores the value to visualise and verbalise the steps of change as well as include these steps in the design of an implementation process. The concept of person‐centred care could be viewed on different levels. The findings may contribute to a more comprehensive understanding of staff learning process when implementation of person‐centred care. Implications for practice Making staff's learning process visible can be a guide for improvement and change from a generic care towards person‐centred care. The Regional Board of Research Ethics approved the study (Reg no. 2010/1234‐31/5).

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Women’s experience of the health information process involving a digital information tool before commencing radiation therapy for breast cancer: a deductive interview study

“…Understanding the speci c characteristics of this process and women's unique needs for information can provide HCPs with essential insight. This can enhance understanding for the women's health information needs while safeguarding PCC in daily practice (26,27). HL is a concept seen as a health asset that encompasses crucial dimensions, each of which requires speci c cognitive skills and depends on the quality of the information provided (28).…”

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