Person-centered Care Practices Research Articles

Person-centred care and the work-related health and job satisfaction of health and social care professionals: protocol for a prospective longitudinal cohort study combined with qualitative studies (the PCC@Work project)

BackgroundThe interplay of ethical stress, heavy workloads, and job dissatisfaction poses challenges to both the recruitment and retention of health and social care professionals. Person-centred care, rooted in ethical principles, involves collaborative care, and is expected to improve care and job satisfaction. However, prior research on the impact of person-centred care practices on professionals’ work-related health and job satisfaction has yielded mixed results, and most studies emanate from residential care. Understanding how person-centred care practices influence health and social care professionals across different care settings thus requires further exploration through rigorous methodology. The overall aim of PCC@Work is to follow, describe, assess, and explore the impact of person-centred care practices in hospital wards, primary care centres and municipal care on health and social care professionals’ work-related health and job satisfaction.MethodsPCC@Work is designed as a prospective, longitudinal cohort study combined with qualitative studies. A web-based questionnaire will be distributed on five occasions within two years to health and social care professionals in the three care settings. In addition, focus groups and interviews will be conducted with a selection of health and social care professionals to explore their experiences of work-related health and job satisfaction in relation to person-centred practices.DiscussionPCC@Work will highlight some of the knowledge gaps on the impact of person-centred care practices regarding work-related health and job satisfaction of health and social care professionals. The uniqueness of the project lies in the multi-method design, combining a prospective longitudinal cohort study with qualitative studies, and the involvement of various professions and settings. This means we will be able to provide a comprehensive and representative understanding of person-centred care practices as a critical component for effective change in the working conditions of health and social care.

Reimagining neuroscientific and andragogical principles for dementia care education.

This article aims to explore the integration of Louis Cozolino's (2013) andragogical strategies with the tenets of person-centered dementia care practices to enhance dementia care education. The article examines the multiple dimensions of learning in adulthood, highlighting the role of neural plasticity and lifelong brain adaptation in shaping learning and experiential strategies. This in-depth evaluation underscores the significance of tailoring andragogical approaches to the needs of adult learners, who, in this context, are care providers for persons with dementia. This is done through proper understanding of the neurobiological realities and the unique learning needs of adults. Such tailored approaches can be aligned with the brain's adaptive nature by recognizing the intricate interplay of cognitive, emotional, and social dimensions. Highlighting the need for including lessons on the person-centered approach in dementia care education, the paper argues that adult learners - who are essentially part of the dementia care workforce - first need to learn, appreciate, and embrace the approach before applying it in their caregiving practices. This article presents an overarching argument that integration of Cozolino's principles of adult learning with tenets of person-centered dementia care could provide a robust framework for dementia care education.

Patient Experience: Innovating the Application of LAFKI Concept in Person-Centred Care at Healthcare Facilities

This study evaluates the implementation of the Indonesian Healthcare Facility Accreditation Agency (LAFKI)'s Person-Centred Care (PCC) principles in healthcare settings. Focusing on patient experiences, the research addresses the effectiveness of PCC practices in enhancing health outcomes and patient satisfaction. The methodology employed involves a quantitative descriptive design, gathering data through questionnaires distributed via Google Forms to participants selected through purposive sampling from hospitals, clinics, and puskesmas. Findings indicate that while a majority of patients felt treated as unique individuals, a significant gap exists in respecting cultural values and beliefs during the decision-making process. The study highlights the need for healthcare providers to improve cultural sensitivity and patient engagement to bridge the ideological and practical implementation of PCC. The research contributes to the empirical literature by identifying barriers to effective PCC implementation and offering evidence-based recommendations for healthcare facilities to enhance their services. This aligns with LAFKI's goal of not just meeting but exceeding standards in providing holistic, person-centred care.

Improving Healthcare Quality and Clinical Outcomes for Persons with Dementia in the Sub-Acute Hospital Through Person-Centered Care Practice.

Person-centered care is considered beneficial for persons with dementia. To evaluate the impact of a person-centered knowledge translation intervention on the quality of healthcare and outcomes for persons with dementia. Over nine months, sub-acute hospital nursing, allied health, and medical staff (n = 90) participated in online and/or face-to-face person-centered education and were supported by senior nursing, allied health, and medical staff champions (n = 8) to implement person-centered healthcare. The quality of healthcare service, ward climate and care delivery were evaluated pre/post study intervention. In the week following hospital admission (Time 1) and week of discharge (Time 3), agitation incidence (co-primary outcome) was assessed in participants with dementia (n = 80). Participant delirium (co-primary outcome), accidents/injuries, psychotropic medicines, length of stay, readmission and discharge destination (secondary outcomes) were compared with a retrospective group (n = 77) matched on demographics, cognition and function in activities of daily living. Improvements occurred post-intervention in service quality by 17.5% (p = 0.369, phi = 0.08), ward climate by 18.1% (p = 0.291, phi = 0.08), and care quality by 50% (p = 0.000, phi = 0.37). Participant agitation did not change from Time 1 to Time 3 (p = 0.223). Relative to the retrospective group, significant reductions occurred in participant delirium (p = 0.000, phi = 0.73), incidents/injuries (p = 0.000, phi = 0.99), psychotropic medicine use (p = 0.030, phi = 0.09), and hospital readmissions within 30 days (p = 0.002, phi = 0.25), but not in discharge to home (p = 0.171). When person-centered healthcare knowledge is translated through staff education and practice support, persons with dementia can experience improved healthcare services and clinical outcomes, while healthcare services can benefit through reductions in unplanned service use.

Lessons learned from screening literature on person-centred care: Exploration of text-mining functions for semi-automatization of study identification.

Short introduction: To develop evidence-based person-centred care practice, informed by synthesised international knowledge, there is a need to comprehensively identify relevant citations from systematic data-base searches. However, systematic searches on ‘thick’ concepts with diffuse conceptual boundaries like person-centred care will generate to many citations possible to screen and assess manually. 
 Background and purpose: The implementation of person-centred care is hindered by the fact that research results are not easily accessible. Searches of databases for original studies generate at least 90,000 unique citations. In addition to this large number of publications, there is also a diversity in terminology and conceptualisations used. When decision-makers, practitioners and researchers are unable to review all existing knowledge, the obvious risk is confusion in implementation.
 As part of an ongoing project, which aims to map available international literature of centredness in healthcare, our specific purpose with this presentation is to share some lessons learned from literature screening supported by text-mining functions. This was performed by a team of researchers specialised in interprofessional person-centred care who in the larger team includes patient partners, students and project assistants. Our experience is of importance not only for researchers, but also for policy-makers, decision-makers and healthcare professionals. 
 Method: The use of text-mining functions to semi-automate the process of citation screening is a way to tackle the great amount of research citations available today. Database searches for literature on person-centred care resulted in the retrieval of 94 236 unique citations. A random sample of 5455 records was screened manually by two reviewers independently against inclusion- and exclusion criteria. Results from that screening was used to build two project tailored text-mining classifier models, one built manually by a language technologist based on word frequencies, and one machine learning classifier constructed in the software EPPI-reviewer using the sci-kit-learn library. The 1000 highest-ranking records were retrieved and manually screened for both models. 
 Result: In the exploration, manual screening of the first random sample of 5455 citations resulted in 3,7% of the sample to be included in the specific mapping study. When screening the 1000 highest ranked citations using the manually built classifier model 23,5% of the sample was included. . The EPPI reviewer classifier model resulted in 83,4% to be included, while applying the same criteria for inclusion. 
 Discussion: For our purposes the classifier model built in EPPI-reviewer showed promise in identifying relevant citations earlier in the process as compared to a manually built classifier. Both models performed better than random manual screening. Making use of classifying model software is merited to facilitate processes of screening and sifting citations in knowledge fields that are hard to conceptually delimit in larger data bases, such as the field of person-centred care research. 

HEALTHCARE WORKERS’ PERSPECTIVES ON AI-ENABLED ROBOTS USE IN LONG-TERM CARE: A SCOPING REVIEW

Abstract Artificial intelligence (AI) enabled robots are increasingly implemented in long-term care homes (LTC). However, the views of LTC staff on these robots remain largely unexplored. Our scoping review delves into the staff’s perceptions, outlining the advantages and challenges of using AI robots in LTC settings. Using the Joanna Briggs Institute’s methodology, we screened 86 articles from 2013 to 2023, with 35 fitting our criteria. Our analysis was informed by McCormack’s Person-centred Care Practice (PCP) Framework and the Consolidated Framework for Implementation Research (CFIR). We identified five key barriers: 1) the complexity of the robot, 2) potential job losses and increased workload, 3) concerns about safety and efficacy, 4) risk of depersonalized care, and 5) a lack of supportive regulations and resources in LTC facilities. To address these challenges, we recommend strategies: a) staff training, b) clarifying robot benefits to staff, c) demonstrating how robots can fulfill resident needs, d) implementing ethical guidelines, and e) aligning robot use with LTC policies while ensuring resource availability. In conclusion, partnership is required among healthcare workers, organizational leaders, robot developers, and researchers; they should not work in silos. More research is needed to explore how to facilitate effective partnerships.

LGBITQ+ INCLUSIVITY IN GERIATRIC CARE IN NORWAY: ATTITUDES AND PRACTICES AMONG HEALTH CARE PERSONNEL

Abstract Person-centered care is the dominating care philosophical framework being used in geriatric care services in Norway today, as a point of departure for good practice. It implies that all care-receivers should be met from an empathic and individual perspective- and an increased focus on basic psychological needs. To be positively confirmed in relation to ones′ identities and to feel included in communities are central parts of this (Kitwood 1997). But is this also the case for older LGBTIQ+-adults? And which competence and knowledge on LGBTIQ+-adults′ life course experiences and aging conditions exist amongst health care staff working in long-term care facilities, home care services and day care activities? This paper is based on results from the interview study “Queer perspectives on geriatric care in Norway”, investigating experiences of person-centered care and inclusive practices from two perspectives; non-heterosexual care receivers and care providers in the Oslo-area. The analyzed material consists of: 1) interviews with 11 LGBQ-people between 61- 78 years old about their experiences with health care services over the life course 2) 3 focus groups and 2 individual interviews with health care staff working in a range of health and care services targeting 65+ adults. A majority of the interviewees had received training on LGBTIQ+-inclusive health care. The paper will mainly present results from the second study. What are leaders′ attitudes and knowledge regarding active work with gender and sexual diversity and equal access to care, and which experiences do they have from implementing LGBTIQ-awareness in policy and care practices?

EVALUATION OF DEMENTIA EDUCATION TRAINING IN GEORGIA NURSING HOMES

Abstract The increased use and misuse of antipsychotics and psychotropics in nursing homes have been well documented. Person-centered dementia care training that addresses skill development and practice change around communication strategies and non-pharmacologic approaches has the potential to impact the misuse of these drugs as chemical restraints. The goal of this study is to implement and evaluate an online team-based dementia education (Dementia Beyond Drugs: Changing the Culture of Care) program aimed at skill development and practice change. The program was delivered online over six weeks to teams of nursing home staff for a total of 12 hours of synchronous interactive learning. Teams were also assigned application exercises between meetings. Topics included “dementia, dementia beyond drugs, interpersonal approaches, and understanding personal expressions.” This study implemented the training with staff teams from 22 nursing homes in Georgia (N=97). Pre-post data analysis reveals a significant improvement in the nursing home environment and relationships as measured by the Kansas Culture Change Instrument, and increased attention to the use of antipsychotic drugs in staff meetings. This study indicates that team-based online learning has the potential to improve person-centered dementia care practices and attention to the use of non-pharmacological approaches to address behavioral expressions of residents living with dementia. Future research is needed to expand person-centered dementia care education programs to more nursing homes and evaluate their short and long-term effectiveness.

ACCEPTABILITY OF A REMINISCENCE THERAPY TABLET APP: IMPACT ON RESIDENTIAL CARE STAFF OF PERSONS LIVING WITH DEMENTIA

Abstract With dementia prevalence rapidly on the rise and no viable pharmacological treatments currently available, the development of accessible, efficacious, and low-cost non-pharmacologic interventions for persons living with dementia (PLWD) has become critical. Reminiscence therapy (RT) and life story can be built into residential care provision to provide person-centered solutions that elicit conversation, engagement, and socialization with staff. RT tools can also help inform care staff about residents’ lives and preferences to provide higher quality and meaningful interactions. This paper details the development and evaluation of LifeBio Memory, a tablet application designed to record the life stories and care preferences of PLWD in residential care communities. Care staff (n = 60) from 10 communities in Ohio, including memory care, assisted living and nursing homes, were trained to implement LifeBio Memory in their organizations. A pre-post design was used with staff, mainly comprised of life enrichment, administration, social work, rehab, and direct care staff. Outcomes presented include but will not be limited to: 1) acceptability, feasibility, and satisfaction with the tablet app, 2) staff knowledge of resident care preferences and interests, 3) utilization of person-centered care practices, 4) quality of communication between the resident and themselves and other staff, 5) their current understanding of that resident’s life history, and 6) level of tension and frustration with the resident. Discussion will focus on the need for sustainable RT interventions that promote person-centered care for PLWD and ways in which technological advancements can be integrated into residential care staff workflow.

Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities

Purpose : This descriptive survey investigated the effects of clinical nurses’ critical reflection competency, professional pride, and person-centered care practices on patient safety management activities.Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey’s HSD, Pearson’s correlation coefficient, and multiple regression using SPSS 29.0.Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, <i>p</i>=.010), education level (t=-2.56, <i>p</i>=.013), total work experience (F=3.87, <i>p</i>=.010), and the number of healthcare accreditation system experiences (F=5.22, <i>p</i>=.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, <i>p</i>＜.001), professional pride (r=.271, <i>p</i>＜.001), and person-centered care practices (r=.399, <i>p</i>＜.001). The results indicated that person-centered care practices affected patient safety management activities (β=.358, <i>p</i>＜.001) with the explanatory power of 22.5%.Conclusion : To improve clinical nurses’ patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.

Enacting person-centred care: a multi-perspective study of practices in clinical encounters for people living with chronic kidney disease

BackgroundThere is growing emphasis on the need for ensuring person-centred care for patients living with chronic kidney disease as this will benefit patients, providers, and healthcare systems alike. Nevertheless, less emphasis is given to how this complex concept is practiced in clinical encounters and how it is experienced by patients. This qualitative multi-perspective study investigates how person-centred care for people living with chronic kidney disease is practiced and experienced by patients in clinical encounters at a nephrological ward at a hospital in the capital region of Denmark.MethodsThe study builds upon qualitative methodologies, including field notes from observations of clinical encounters between clinicians and patients in an out-patient clinic (n = ~ 80) and in-person interviews with patients in peritoneal dialysis (n = 4). Key themes from field notes and interview transcripts were identified through thematic analysis. Analyses were informed by practice theory.ResultsFindings illustrate that person-centred care is practiced in a relational and situational encounter between patients and clinicians as dialogues about choice of treatment modality, which is shaped by the individual’s life circumstances, preferences, and values. The practice of person-centred care appeared to be complex and interlinked with a range of factors, individual to each patient. We identified three themes of relevance for practices and experiences related to person-centred care: (1) Patients’ perceptions of living with chronic kidney disease. Perceptions differed according to medical history, life situation and prior experiences with treatment in the healthcare system. These patient-related factors were perceived to be important for person-centred care to unfold; (2) Relations between patients and healthcare professionals were important for patients’ experiences of trust and appeared fundamental for the practice and experiences of person-centred care; and (3) Decision-making on treatment modality that is the best fit for each patient’s everyday life, appear to be shaped by the patient’s need for knowledge about treatment modalities and level of self-determination in the decision-making.ConclusionsThe context of clinical encounters influences the practices and experiences of person-centred care, where health policies and lack of embodiment are identified as barriers for providing and experiencing person-centred care.

Paperwork, Paradox, and PRN: Psychotropic Medication Deficiencies in Assisted Living.

Individual state approaches to assisted living/residential care (AL/RC) licensing and oversight in the United States result in different practice standards and requirements, including psychotropic medication use. We examined 170 psychotropic medication deficiency citations issued to 152 Oregon AL/RC settings from 2015 to 2019. Applied thematic analysis resulted in the following themes: (1) documentation issues are primarily responsible for noncompliance, (2) unclear parameters place direct care workers in a role paradox, and (3) there is a persistent disconnect about when to seek qualified expertise before requesting psychotropic medications. AL/RC-specific mechanisms for medication prescription and administration are necessary to improve the structure and processes of care. Policymakers might consider how regulations unintentionally incentivize task-oriented versus person-centered care practices.

Flip focus and emphasise patient resources in person-centred care over the telephone-A retrospective descriptive study.

The study aim was to describe the content of person-centred health plans, formulated via telephone conversations between registered nurses and patients with chronic obstructive pulmonary disease and/or chronic heart failure. Patients who had been hospitalised due to worsening chronic obstructive pulmonary disease and/or chronic heart failure were enrolled. After hospital discharge, the patients received a person-centred telephone support where a health plan was co-created with registered nurses who had received training in the theory and practice of person-centred care. A retrospective descriptive review of 95 health plans using content analysis was conducted. The health plan content revealed personal resources such as optimism and motivation in patients with chronic obstructive pulmonary disease and/or chronic heart failure. Although patients reported severe dyspnoea symptoms, the most common goals were to engage in physical activity and to be able to manage social life and leisure activities. Additionally, the health plans illustrated that patients were capable of using their own interventions to reach their goals rather than accessing municipal and health care support. The focus on listening, that person-centred telephone care affords, promotes the patient's own goals, interventions, and resources, which can be used to tailor support and engage the patient as an active partner in their care. The flipped focus from patient to person highlights the person's own resources, which in turn may contribute to a reduced need for hospital care.

‘It’s so simple’ Lessons from the margins: a qualitative study of patient experiences of a mobile health clinic in Hamilton, Ontario, Canada

ObjectiveOur study explored the experiences of clients of HAMSMaRT (Hamilton Social Medicine Response Team), a mobile health service, in the context of their experiences of the overall healthcare system.DesignWe conducted...

The Impact of COVID-19 on the Person-Centered Care Practices in Nursing Homes.

The COVID-19 pandemic has had a significant impact on long-term care residents, family, and staff. Nursing homes are facing persistent challenges such as staff shortage, lack of personal protective equipment (PPE), and staff experiencing mental health issues including burnout. COVID-19 precautions may have made implementing person-centered care (PCC) in nursing homes more difficult. This report provides a descriptive analysis of perceived COVID-19 impact on the PCC practice in nursing homes. Surveys (N = 379) were collected from 11 nursing homes across Georgia. PCC practice barriers include reduced choice for residents, staff anxiety related to COVID-19 precautions, increased prevalence of short-staffing, and expanded duties for direct care workers. Facilitators for PCC were also present and included staff engagement, the provision of mental health resources, supervisor support, and empowerment of staff. Applied practice and research to address these barriers and expand implementation of facilitators is needed.

An evaluation of registered nurses’ experiences of person-centered care and competence after participating in a course in digital competence in care

BackgroundHealth care’s rapid transition from in-person visits to more digital care meetings has challenged nurses to find new, sustainable ways of using digital technology.MethodsThe aim was to describe registered nurses’(RN) experiences with person-centred care (PCC) and competence after participating in a course in Digital Competence in Care (DCC). In this study, a qualitative descriptive design was used, and 16 individual interviews were carried out with RNs. Data were analysed using qualitative content analysis. The COREQ checklist was used in this study.ResultsThe results were presented in four categories: being open to change and new ways of working with patients; struggling to handle requirements; developing new ways of working and focusing on patients despite the distance.ConclusionsThe DCC course helped develop RNs' skills and practice of PCC in digital care meetings. Training in digital care theory increased RNs' competence and facilitated the creation of new knowledge. The RNs' professional role was strengthened by participating in the changing of work routines. Digital care meetings were shown to be distance bridging and complementary to physical care meetings contributing to PCC. The increased availability of health care via digital means has affected the consumption of care and tailored education needs for RNs must be met by nursing education programs. Digital care is accessible, efficient and enables care regardless of geographical conditions, its innovative development needs to be based on science and experience and RNs are key personnel in this process.Trial registrationNot applicable.

COLLECTIVE TRAUMA AND PERSON-CENTERED PRACTICE IN NURSING HOMES

Abstract Nursing home staff have experienced multilayered collective trauma. Grief from experiencing numerous resident deaths, perceived threats to their safety, stress from understaffed working conditions, financial stress, and interpersonal conflict within overwhelmed teams may impact practice. COVID-19 precautions and pandemic working conditions may have provided additional barriers to implementing person-centered care. This study (N=379) descriptively analyzes data gathered from the staff of eleven Georgia nursing homes (summer 2021) to assess the perceived impact of COVID-19 on person-centered care practice. Approximately 40% of respondents agreed that 76-100% of resident members in nursing homes were infected with COVID-19. Over 75% of staff agreed that staff experienced anxiety related to COVID 19 precautions, COVID 19 precautions made it difficult for staff to give choice to residents, and the nursing home is more short-staffed. Conversely, more than 75% of staff reported that they were satisfied with their job, they received the appropriate training and support to be successful, nursing home managers treated direct care workers with respect and they were provided with the necessary PPE. Fewer staff (60-65%) reported that there never seemed to be enough time to get everything done, that COVID 19 precautions impacted their relationships with residents, they were provided with resources for emotional support or they received recognition for working through the pandemic. Future research is needed to understand the limiting and promoting factors for person-centered care as staff experience collective trauma.

DEMENTIA-FRIENDLY IN THE CONTEXT OF HOSPITALIZATION: A CONCEPT ANALYSIS

Abstract Persons living with dementia experience more and longer hospitalizations when compared to those without dementia. In response, initiatives to address the hospital experience for individuals with dementia and their families are becoming more common. The term “dementia-friendly” attached to terms such as “hospital”, “ward”, “initiative”, “program”, etc. is being used to describe this response. Literature has begun to summarize current knowledge of dementia-friendly initiatives and define characteristics of dementia friendly hospitals, however, a formal definition of the concept of “dementia-friendly” is lacking. A concept analysis was completed using the 8-step Walker and Avant method including: selecting the concept and aim, identifying use of the concept in the literature, determining defining attributes, antecedents, consequences, and empirical referents, and developing cases that further distinguish the concept. The goal of this analysis was to clarify the definition of dementia-friendly in the context of hospitalization. Attributes of dementia-friendly in the hospital include dementia-specific staff education, use of person-centered care practices, environmental modification, and nursing-specific factors such as attitude, time to spend with patients and adapting responses based on patient need. Antecedents include recognition of the impact of hospitalization on older people with dementia. Consequences include enhanced staff knowledge and patient outcomes including decreased length of stay and decreased use of antipsychotic medication. Based on the above analysis, a conceptual definition for dementia-friendly in the context of hospitalization is proposed. This definition highlights the identified antecedents and attributes with a focus on the essential role of nursing in delivering dementia-friendly care.

FROM PILOT TO PRODUCT: EVOLUTION OF A REMINISCENCE THERAPY INTERVENTION FOR PERSONS LIVING WITH DEMENTIA

Abstract Reminiscence therapy (RT) and life story work are effective techniques for eliciting engagement in persons living with dementia (PLWD) and helping inform direct care staff about residents’ lives and preferences to facilitate quality person-centered care. However, there are challenges in bringing such programs to scale in a feasible and cost-effective way. Two studies were conducted to test development and evolution of an RT program, LifeBio Memory. A pilot study of the original LifeBio protocol was conducted with 238 residents in 16 Ohio nursing homes. Most residents (88%) indicated at posttest that they enjoyed telling their life stories, and 87% would recommend the program to other residents. However, manually gathering and processing life story data led to challenges with feasibility. Subsequently, novel software was developed to streamline the process using machine learning and artificial intelligence via a tablet application. Acceptability and feasibility were examined in two rounds, 9 months apart, of seven focus groups (n=35) conducted with PLWD, family care partners, and residential care staff. Audiotapes of the groups were transcribed; thematic data analysis was used to generate a list of recommended changes and showed high levels of acceptability and feasibility. Based on these results, it was determined that LifeBio Memory was preferred for obtaining life story information over the previous manual method (e.g., handwriting life story notes). Potential barriers to implementing the new platform in residential care settings were also identified. Implications include the importance of maintaining person-centered care practices when creating technological solutions to address PLWD needs.

Following a standardised pathway: Healthcare professionals' perspectives on person-centred care within ERAS for patients with colorectal cancer.

To describe healthcare professionals' perceptions of person-centred care for patients with colorectal cancer, within the standardised care concept of Enhanced Recovery After Surgery. International guidelines for colorectal surgery describe standardised perioperative care. Combining standardised care with person-centred care could be accomplished using the person-centred nursing framework for establishing and maintaining relationships with patients. Despite strong evidence for the standardised care concepts' medical benefits, studies concerning the practice of person-centred care from a nursing point of view are sparse. A qualitative descriptive design was used. Four focus groups interviews were performed including 22 healthcare professionals with 1-29 years' experience of caring for patients with colorectal cancer. Data were analysed using qualitative conventional content analysis. The COREQ checklist for reporting qualitative research was used. Three themes emerged in the analysis; Framework in the healthcare system, Facing differences in participation and Interacting with the person beyond the illness. Conditions for person-centred care were related to the interactions between patients and healthcare professionals, the structure of care were also considered relevant. There is a discrepancy between what is considered important to do and what is done in clinical practice to create conditions for patient participation. Interacting with patients and creating an interprofessional environment are important conditions, the structure of care is also a fundamental key to promoting person-centred care. There is a need for further improvement in care of patients with colorectal cancer to achieve person-centredness within standardised care. The findings provide valuable insights into what healthcare professionals consider to be important for achieving person-centred care. This knowledge can be useful in clinical practice and education programs. At the outset of the study, three patients were interviewed aimed at improving the conditions for the healthcare professionals' focus groups.