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Rehabilitation Workforce Challenges to Implement Person-Centered Care

Author

Listed:
  • Júlio Belo Fernandes

    (Escola Superior de Saúde Egas Moniz, Caparica, 2829-511 Almada, Portugal
    Grupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC)—Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Almada, Portugal)

  • Diana Vareta

    (Centro Hospitalar de Setúbal, 2900-182 Setúbal, Portugal)

  • Sónia Fernandes

    (Escola Superior de Saúde Egas Moniz, Caparica, 2829-511 Almada, Portugal)

  • Ana Silva Almeida

    (Centro Hospitalar de Setúbal, 2900-182 Setúbal, Portugal)

  • Dina Peças

    (Escola Superior de Saúde Egas Moniz, Caparica, 2829-511 Almada, Portugal)

  • Noélia Ferreira

    (Centro Hospitalar de Setúbal, 2900-182 Setúbal, Portugal)

  • Liliana Roldão

    (Centro Hospitalar de Setúbal, 2900-182 Setúbal, Portugal)

Abstract

There is an increasing emphasis on developing person-centered care in rehabilitation settings. However, this care practice has not been fully implemented due to several factors. This study explores rehabilitation workforce perspectives on the barriers and facilitators to implementing person-centered care (PCC). This was a quantitative descriptive study, which was developed based on interviews with 12 healthcare professionals from a private institution in the region of Lisbon and Tagus Valley in Portugal. The recruitment was made in October 2020. Braun, Clarke, Hayfield, and Terry’s content analysis was applied to the transcripts, and these were transcribed verbatim. The consolidated criteria for reporting qualitative research (COREQ) checklist were applied to this study. Participants described barriers such as an unsupportive organization and leadership, staff constraints, heavy workload, and resistance to change. Unique to this study, a patient’s clinical characteristics were identified as barriers to person-centered care. As facilitators, they described leadership, staff satisfaction, a positive physical environment, training and education, and shared decision-making. It is essential to understand the perceptions of the rehabilitation workforce, as they play an integral role in providing PCC. This study serves as a guide to facilitate person-centered care, as it provides an understanding of key barriers and facilitators for its implementation in rehabilitation settings.

Suggested Citation

  • Júlio Belo Fernandes & Diana Vareta & Sónia Fernandes & Ana Silva Almeida & Dina Peças & Noélia Ferreira & Liliana Roldão, 2022. "Rehabilitation Workforce Challenges to Implement Person-Centered Care," IJERPH, MDPI, vol. 19(6), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3199-:d:766892
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    References listed on IDEAS

    as
    1. Ching‐Yuan Huang & Rhay‐Hung Weng & Tsung‐Chin Wu & Ching‐Tai Hsu & Chiu‐Hsia Hung & Yu‐Chen Tsai, 2020. "The impact of person‐centred care on job productivity, job satisfaction and organisational commitment among employees in long‐term care facilities," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 2967-2978, August.
    2. Hennink, Monique & Kaiser, Bonnie N., 2022. "Sample sizes for saturation in qualitative research: A systematic review of empirical tests," Social Science & Medicine, Elsevier, vol. 292(C).
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    Cited by:

    1. Júlia Saraiva & Gonçalo Rosa & Sónia Fernandes & Júlio Belo Fernandes, 2023. "Current Trends in Balance Rehabilitation for Stroke Survivors: A Scoping Review of Experimental Studies," IJERPH, MDPI, vol. 20(19), pages 1-15, September.
    2. Diana Alves Vareta & Célia Oliveira & Carlos Família & Filipa Ventura, 2023. "Perspectives on the Person-Centered Practice of Healthcare Professionals at an Inpatient Hospital Department: A Descriptive Study," IJERPH, MDPI, vol. 20(9), pages 1-24, April.
    3. Edwin Eshun & Orla Burke & Florence Do & Angus Maciver & Anushka Mathur & Cassie Mayne & Aashik Ahamed Mohamed Jemseed & Levente Novak & Anna Siddique & Eve Smith & David Tapia-Stocker & Alasdair Fitz, 2024. "Exploring the Role of Rehabilitation Medicine within an Inclusion Health Context: Examining a Population at Risk from Homelessness and Brain Injury in Edinburgh," IJERPH, MDPI, vol. 21(6), pages 1-11, June.

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