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Acceptability, appropriateness, and feasibility of an online facilitation training program designed to support the implementation of person-centered care in Swedish healthcare-a qualitative study
Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Borås; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg.
Center for Epidemiology and Community Medicine, Region Stockholm, Stockholm; Department of Women's and Children's Health, Uppsala University, Uppsala; Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm.
Center for Epidemiology and Community Medicine, Region Stockholm, Stockholm; Department of Women's and Children's Health, Uppsala University, Uppsala.
Dalarna University, School of Health and Welfare, Caring Science/Nursing.ORCID iD: 0000-0001-9035-0669
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2025 (English)In: Implementation Science Communications, E-ISSN 2662-2211, Vol. 6, no 1, article id 68Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Despite legislative support, PCC is not systematically practiced. An online facilitation training program targeting healthcare staff was developed in Sweden. This study aims to explore the acceptability, appropriateness, and feasibility of this facilitation training program, designed to support PCC implementation.

METHODS: This interview study evaluates the FaciLitating Implementation of Person-centered care (FLIP) training program according to the implementation outcomes acceptability, appropriateness, and feasibility, using deductive qualitative content analysis. FLIP integrates the Building Implementation Capacity for Facilitation (BIC-F), which focuses on behavioral change, and PCC principles. FLIP included workshops and supervision sessions held online, led by external facilitators. Between these meetings, the FLIP participants worked with implementation plans in co-creation with their colleagues. Five healthcare units, with different healthcare contexts, in Sweden, participated over 12 weeks with two healthcare staff assigned the role as internal facilitators per unit, selected and supported by their managers. All internal facilitators, managers, and external facilitators were invited to participate in evaluating FLIP. A total of 17 participants, eight internal facilitators, five managers, and four external facilitators were interviewed in semi-structured individual and group interviews.

RESULTS: FLIP was generally accepted among all participants, due to its emphasis on PCC, comprehensive content, and clear structure, as well as its blend of training, collaboration, and mutual support. Nevertheless, the acceptability was negatively affected by low attendance, low engagement due to the online format, and initial struggles with the systematic implementation model. The systematic implementation model used in FLIP was perceived as appropriate for implementing PCC in clinical practice; however, the training on PCC was viewed as insufficient, leading to challenges operationalizing PCC elements. The participants' perceptions of FLIP's feasibility varied; while delivery was manageable, busy schedules and technical disruptions negatively affected attendance and engagement.

CONCLUSIONS: Becoming a facilitator capable of supporting the implementation of PCC is demanding and requires an understanding of both implementation and PCC. The BIC-F model was found to be accepted and appropriate, but operationalizing PCC requires more focus. Managerial support is needed to increase feasibility. Further research is required to evaluate whether facilitation skills can be trained online for large-scale PCC implementation.

Place, publisher, year, edition, pages
2025. Vol. 6, no 1, article id 68
Keywords [en]
Distance education, Facilitation, Health personnel, Implementation outcomes, Implementation science, Patient-centered care, Person-centered care
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:du-50677DOI: 10.1186/s43058-025-00752-7ISI: 001499679300002PubMedID: 40448214OAI: oai:DiVA.org:du-50677DiVA, id: diva2:1963589
Available from: 2025-06-03 Created: 2025-06-03 Last updated: 2025-10-09Bibliographically approved

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Wallin, Lars

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