دورية أكاديمية
An Evaluation of the Relationship between Training of Health Practitioners in a Person-Centred Care Model and their Person-Centred Attitudes.
| العنوان: | An Evaluation of the Relationship between Training of Health Practitioners in a Person-Centred Care Model and their Person-Centred Attitudes. |
|---|---|
| المؤلفون: | Lim ELP; School of Health and Welfare, Jönköping University, Jönköping, Sweden.; Allied Health Division, Singapore General Hospital, Singapore.; Centre for Person-centred Care, Singapore Health Services, Singapore.; Population Health and Integrated Care Office, Singapore General Hospital, Singapore., Ong RHS; Health Services Research, Changi General Hospital, Singapore., Thor J; School of Health and Welfare, Jönköping University, Jönköping, Sweden.; Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden., Allgurin M; School of Health and Welfare, Jönköping University, Jönköping, Sweden., Gäre BA; School of Health and Welfare, Jönköping University, Jönköping, Sweden.; Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden.; Futurum, Region Jönköping County, Jönköping, Sweden., Thumboo J; SingHealth Office of Regional Health, Singapore Health Services, Singapore.; SingHealth Centre for Population Health Research and Implementation, Singapore Health Services, Singapore.; Department of Rheumatology and Immunology, Singapore General Hospital, Singapore. |
| المصدر: | International journal of integrated care [Int J Integr Care] 2023 Nov 24; Vol. 23 (4), pp. 11. Date of Electronic Publication: 2023 Nov 24 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Ubiquity Press Country of Publication: England NLM ID: 101214424 Publication Model: eCollection Cited Medium: Print ISSN: 1568-4156 (Print) NLM ISO Abbreviation: Int J Integr Care Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: <2015- > : London : Ubiquity Press Original Publication: [Utrecht, Netherlands] : Igitur, Utrecht Pub. & Archiving Services, [2000]- |
| مستخلص: | Introduction: The Esther Network (EN) person-centred care (PCC) advocacy training aims to promote person-centred attitudes among health practitioners in Singapore. This study aimed to assess the relationship between the training and practitioners' PCC attributes over a 3-month period, and to explore power sharing by examining the PCC dimensions of "caring about the service user as a whole person" and the "sharing of power, control and information". Methods: A repeated-measure study design utilising the Patient-Practitioner Orientation Scale (PPOS), was administered to 437 training participants at three time points - before training (T1), immediately after (T2) and three months after training (T3). A five-statement questionnaire captured knowledge of person-centred care at T1 and T2. An Overall score, Caring and Sharing sub-scores were derived from the PPOS. Scores were ranked and divided into three groups (high, medium and low). Ordinal Generalised Estimating Equation (GEE) model analysed changes in PPOS scores over time. Results: A single, short-term training appeared to result in measurable improvements in person-centredness of health practitioners, with slight attenuation at T3. There was greater tendency to "care" than to "share power" with service users across all three time points, but the degree of improvement was larger for sharing after training. The change in overall person-centred scores varied by sex and profession (females score higher than males, allied health showed a smaller attenuation at T3). Conclusion: Training as a specific intervention, appeared to have potential to increase health practitioners' person-centredness but the aspect of equalising power was harder to achieve within a hierarchical structure and clinician-centric culture. An ongoing network to build relationships, and a supportive system to facilitate individual and organisational reflexivity can reinforce learning. Competing Interests: ELPL is the lead coordinator of the Esther Network Singapore who facilitated the implementation and adaptation of the innovation in Singapore. The remaining authors declare no other competing interests. (Copyright: © 2023 The Author(s).) |
| References: | Behav Res Methods. 2009 Nov;41(4):1149-60. (PMID: 19897823) Health Expect. 2021 Feb;24(1):33-41. (PMID: 33124759) Qual Manag Health Care. 2016 Jan-Mar;25(1):53-60. (PMID: 26783868) Patient Educ Couns. 2011 Dec;85(3):529-32. (PMID: 21388774) Int J Audiol. 2014 Feb;53 Suppl 1:S60-7. (PMID: 24447236) Patient Educ Couns. 2005 Jul;58(1):4-12. (PMID: 15950831) BMJ Qual Saf. 2019 Jan;28(1):67-73. (PMID: 29866766) Acad Med. 2015 Apr;90(4):437-41. (PMID: 25607943) Cochrane Database Syst Rev. 2012 Dec 12;12:CD003267. (PMID: 23235595) Educ Health (Abingdon). 2015 Jan-Apr;28(1):35-40. (PMID: 26261112) Soc Sci Med. 2007 Aug;65(3):586-98. (PMID: 17462801) Scand J Caring Sci. 2017 Dec;31(4):662-673. (PMID: 27859459) BMC Health Serv Res. 2020 May 8;20(1):391. (PMID: 32384891) Health Aff (Millwood). 2013 Feb;32(2):223-31. (PMID: 23381514) J Gen Intern Med. 2003 Aug;18(8):609-16. (PMID: 12911642) Int J Qual Health Care. 2021 Nov 29;33(Supplement_2):ii26-ii32. (PMID: 34849971) Med Educ. 2002 Jun;36(6):568-74. (PMID: 12047673) J Nurs Manag. 2014 May;22(4):452-64. (PMID: 23782339) J Am Acad Audiol. 2017 Jul/Aug;28(7):636-643. (PMID: 28722646) Croat Med J. 2003 Oct;44(5):558-61. (PMID: 14515413) BMJ Open. 2017 Sep 18;7(9):e016902. (PMID: 28928188) PeerJ. 2018 Sep 10;6:e5519. (PMID: 30221087) Res Nurs Health. 2002 Aug;25(4):246-55. (PMID: 12124719) Med Educ. 2008 Nov;42(11):1092-9. (PMID: 18826401) Int J Psychiatry Med. 1999;29(3):347-56. (PMID: 10642908) Qual Saf Health Care. 2007 Feb;16(1):2-3. (PMID: 17301192) Acad Med. 2001 Oct;76(10 Suppl):S42-4. (PMID: 11597869) Singapore Med J. 2012 Jan;53(1):52-6. (PMID: 22252184) Clin Interv Aging. 2017 Feb 17;12:381-397. (PMID: 28255234) Int J Integr Care. 2016 Oct 28;16(4):6. (PMID: 28316546) Cent Asian J Glob Health. 2014 Jan 24;2(Suppl):82. (PMID: 29805846) Med Teach. 2007 Sep;29(6):e204-8. (PMID: 17922360) Community Ment Health J. 2019 Apr;55(3):548-552. (PMID: 30535891) Eur J Cardiovasc Nurs. 2011 Dec;10(4):248-51. (PMID: 21764386) Nurse Educ Today. 2014 Jan;34(1):35-9. (PMID: 23582876) Int J Audiol. 2014 Feb;53 Suppl 1:S76-82. (PMID: 24447231) Patient Educ Couns. 2008 Sep;72(3):388-93. (PMID: 18619759) J Fam Pract. 2001 Dec;50(12):1057-62. (PMID: 11742607) Health Care Manag (Frederick). 2005 Oct-Dec;24(4):364-8. (PMID: 16284521) Int J Integr Care. 2022 Nov 30;22(4):17. (PMID: 36483485) Patient Educ Couns. 2000 Jan;39(1):49-59. (PMID: 11013547) Patient Educ Couns. 2003 Nov;51(3):197-206. (PMID: 14630376) Health Commun. 2012;27(3):257-63. (PMID: 21879812) J Clin Nurs. 2013 Feb;22(3-4):456-65. (PMID: 23231540) Health Expect. 2007 Sep;10(3):248-58. (PMID: 17678513) Int J Integr Care. 2016 Jun 24;16(2):15. (PMID: 27616970) BMJ Open. 2022 Dec 23;12(12):e059794. (PMID: 36564117) J Health Organ Manag. 2018 Oct 8;32(7):908-932. (PMID: 30465488) J Am Acad Nurse Pract. 2008 Dec;20(12):600-7. (PMID: 19120591) BMJ Open. 2014 Oct 14;4(10):e005915. (PMID: 25763795) Health Expect. 2022 Jun;25(3):902-913. (PMID: 35322510) |
| فهرسة مساهمة: | Keywords: advocacy; coproduction; integrated care; person-centred care; power; practitioners; training |
| تواريخ الأحداث: | Date Created: 20231129 Latest Revision: 20231201 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10668878 |
| DOI: | 10.5334/ijic.7564 |
| PMID: | 38020415 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1568-4156 |
|---|---|
| DOI: | 10.5334/ijic.7564 |