Publicação
Person-centered workplace culture : insights from an inpatient department for older adults with chronic illnesses
| datacite.subject.fos | Ciências Médicas::Ciências da Saúde | |
| datacite.subject.sdg | 03:Saúde de Qualidade | |
| dc.contributor.author | Vareta, Diana | |
| dc.contributor.author | Oliveira, Célia | |
| dc.contributor.author | Ventura, Filipa | |
| dc.date.accessioned | 2026-05-19T14:26:50Z | |
| dc.date.available | 2026-05-19T14:26:50Z | |
| dc.date.issued | 2025-02 | |
| dc.description.abstract | Introduction: An aging population and the increasing prevalence of chronic conditions challenge healthcare systems in developed countries. In response, there is a growing emphasis on person-centered care, as advocated by the World Health Organization and integrated into national health strategies in countries such as the UK and Sweden. However, transitioning to person-centered care is a complex, long-term process shaped by organizational culture and care environments. These contextual factors play crucial roles in the development and sustainability of person-centered practice, significantly transforming the experiences of both older adults and staff.Objective: To describe how workplace culture within an inpatient hospital department shapes person-centered care practices for older adults with chronic illnesses. Methods: A qualitative, descriptive, exploratory-observational study was performed. Data were collected through participant observation guided by the Workplace Culture Critical Analysis Tool®. In a deductive thematic content analysis, data patterns of meaning were identified. The themes were generated underpinned by the Person-Centered Practice Framework dimensions of prerequisites, the practice environment, and person-centered processes and their respective constructs. Results: Themes related to all person-centered practice dimensions were identified. Task demands during shifts create tension between routine-oriented work and the holistic, individualized approach required for person-centeredness. The absence of systematic multiprofessional team meetings further exacerbates this issue, limiting collaborative decision-making and personalized care planning. The contrasts in some subthemes may be related to discrepancies in the care provided by different professionals. Conclusion: This study highlights the tension between routine-driven care and individualized approaches. Addressing identified challenges, such as formalizing multiprofessional meetings and enhancing reflective practices, is crucial for advancing person-centered care in this setting. | eng |
| dc.identifier.citation | Vareta D, Oliveira C and Ventura F (2025) Person-centered workplace culture: insights from an inpatient department for older adults with chronic illnesses. Front. Med. 12:1532419. doi: 10.3389/fmed.2025.1532419 | |
| dc.identifier.doi | 10.3389/fmed.2025.1532419 | |
| dc.identifier.issn | 2296-858X | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/63198 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | Frontiers Media | |
| dc.relation.hasversion | https://doi.org/10.3389/fmed.2025.1532419 | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | patient-centered care | |
| dc.subject | workplace cultural critical assessment tool | |
| dc.subject | workplace culture | |
| dc.subject | aged | |
| dc.subject | inpatient | |
| dc.subject | non-communicable diseases | |
| dc.title | Person-centered workplace culture : insights from an inpatient department for older adults with chronic illnesses | eng |
| dc.type | contribution to journal | |
| dspace.entity.type | Publication | |
| oaire.citation.startPage | 1532419 | |
| oaire.citation.title | Frontiers in Medicine | |
| oaire.citation.volume | 12 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 |