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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Deliberate and emergent strategies for implementing person-centred care: a qualitative interview study with researchers, professionals and patients
|
|---|---|
| Published in |
BMC Health Services Research, August 2017
|
| DOI | 10.1186/s12913-017-2470-2 |
| Pubmed ID | |
| Authors |
Öncel Naldemirci, Axel Wolf, Mark Elam, Doris Lydahl, Lucy Moore, Nicky Britten |
| Abstract |
The introduction of innovative models of healthcare does not necessarily mean that they become embedded in everyday clinical practice. This study has two aims: first, to analyse deliberate and emergent strategies adopted by healthcare professionals to overcome barriers to normalization of a specific framework of person-centred care (PCC); and secondly, to explore how the recipients of PCC understand these strategies. This paper is based on a qualitative study of the implementation of PCC in a Swedish context. It draws on semi-structured interviews with 18 researchers and 17 practitioners who adopted a model of PCC on four different wards and 20 patients who were cared for in one of these wards. Data from these interviews were first coded inductively and emerging themes are analysed in relation to normalization process theory (NPT). In addition to deliberate strategies, we identify emergent strategies to normalize PCC by (i) creating and sustaining coherence in small but continuously communicating groups (ii) interpreting PCC flexibly when it meets specific local situations and (iii) enforcing teamwork between professional groups. These strategies resulted in patients perceiving PCC as bringing about (i) a sense of ease (ii) appreciation of inter-professional congruity (ii) non-hierarchical communication. NPT is useful to identify and analyse deliberate and emergent strategies relating to mechanisms of normalization. Emergent strategies should be interpreted not as trivial solutions to problems in implementation, but as a possible repertoire of tools, practices and skills developed in situ. As professionals and patients may have different understandings of implementation, it is also crucial to include patients' perceptions to evaluate outcomes. |
X Demographics
The data shown below were collected from the profiles of 21 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 5 | 24% |
| Ireland | 2 | 10% |
| Canada | 2 | 10% |
| Australia | 1 | 5% |
| France | 1 | 5% |
| United Kingdom | 1 | 5% |
| New Zealand | 1 | 5% |
| United States | 1 | 5% |
| Unknown | 7 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 15 | 71% |
| Scientists | 6 | 29% |
Mendeley readers
The data shown below were compiled from readership statistics for 100 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 100 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 17 | 17% |
| Student > Ph. D. Student | 15 | 15% |
| Researcher | 9 | 9% |
| Student > Postgraduate | 8 | 8% |
| Student > Bachelor | 7 | 7% |
| Other | 12 | 12% |
| Unknown | 32 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 17 | 17% |
| Business, Management and Accounting | 15 | 15% |
| Medicine and Dentistry | 11 | 11% |
| Engineering | 3 | 3% |
| Social Sciences | 3 | 3% |
| Other | 15 | 15% |
| Unknown | 36 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 13. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 March 2018.
All research outputs
#2,822,019
of 25,366,663 outputs
Outputs from BMC Health Services Research
#1,216
of 8,620 outputs
Outputs of similar age
#50,341
of 323,597 outputs
Outputs of similar age from BMC Health Services Research
#44
of 178 outputs
Altmetric has tracked 25,366,663 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,620 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one has done well, scoring higher than 85% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 323,597 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 84% of its contemporaries.
We're also able to compare this research output to 178 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 75% of its contemporaries.