Poster can be found in location 117.

Introduction: Person-centered care (PCC) is one of the core competences in nursing and part of the nurse's ethical guidelines. However, in the medical- and task-oriented ambulance service PCC has not yet been formally introduced. PCC involves a change in behavior and behavioral change is challenging, and support needed. Therefore, the aim of this study was to explore an attempt to normalize PCC as a new work approach in the ambulance service personnels daily work, using trained facilitators as implementation strategy. Participants: One county in mid-Sweden was involved in a research lead implementation project. An intervention to train and support facilitators to implement more person-centeredness in ambulance care was carried out. Four stations with a total of about 100 eligible ambulance personnel were chosen. Forty-one ambulance personnel agreed to participate. Methods: The Normalization Process Theory (NPT) was used as theoretical framework in the data collection and analysis process. Semi-structured interviews in group, pair and individual were conducted at two occasions, 6-12 months and 18-22 months after the start of the intervention. Data was transcribed verbatim and analyzed deductively. Results: The normalization of PCC in ambulance care can be described using the four NPT constructs (Coherence Building, Cognitive Participation, Collective Action and Reflexive monitoring) and explained in detail using the 16 sub-constructs of the theory. PCC was considered challenging to grasp, and as having the fortitude to see beyond the patient’s medical needs. Facilitators and managers initially engaged the personnel in PCC, however, summer and Covid-19 effected engagement. To enact PCC, ambulance personnel discussed the use of their tablet, treating each other as valuable colleagues, considering the way the stretcher was handled and how the ambulance was driven as actions that PCC requires. The value of PCC was considered difficult to assess and deemed to be something the patient should assess.