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Key findings and implications of a qualitative study of older people’s experiences of person-centred care (PCC) in an integrated care context (PCIC) in Ireland utilising the Person-Centred Practice Framework. Passed

Tuesday May 14, 2024 15:44 - 16:30 Poster Arena

Presenter: Sarah Claire Murphy

Track: People of old age, Posters

Poster can be found in location 73.

While most evaluations of integrated care often focus on systemic or clinical outputs, theoretically informed research emphasising the values, preferences and voice of older persons relating to experiential dimensions PCIC is less prominent. This paper presents the findings of a multiple qualitative case study exploring older persons’ experiences of PCIC in an integrated care programme in Ireland, NICPOP. The conceptual underpinnings of this study stem from a review undertaken of the PCC literature and use McCormack and McCance’s Person-Centred Practice Framework (PCPF) as a sensitising framework to interpret data generated in 23 interviews with individuals and caregivers across three heterogenous NICPOP sites. Key findings evidence the centrality of PCPF care processes, including relational processes: working with patient’s beliefs and values; being sympathetically present; engaging authentically; sharing decision-making and providing holistic care. Findings indicate ways in which positive patient/service provider interactions lead to PCPF person-centred outcomes including a good care experience and wellbeing. Findings attest to the importance of the care context on experiences of care. Specifically, they suggest that a home-based, as compared with clinical hub based, model of care enables relationship building, which provides for a greater insight into the social contexts of the older person, revealing their vulnerabilities, priorities and needs, and facilitates more tailored holistic care. The findings illustrate the importance of holistic care and a healthful culture where decision-making is shared (PCP), often experienced differently by older people with varying biographies and related health and social care needs. Recommendations include more emphasis on the psychosocial contexts of the patient and their caregivers within care planning and delivery; further development and prioritisation of case management approaches and longer-term intensive supports for complex situations; and more interprofessional collaboration to improve transitions across care settings and systems, enhancing felt experiences of continuity and coordination arising from PCIC.  

Language

English

Seminar type

Poster

Conference

GCPCC

Authors

Sarah Murphy, Martha Doyle, Niamh Gallagher

Lecturers

Profile image for Sarah Claire Murphy

Sarah Claire Murphy Presenter

PhD Researcher
Atlantic Technological University

Sarah Murphy is a PhD Researcher at the Atlantic Technological University in Sligo, Ireland. Sarah was awarded a Connaught Ulster Alliance Bursary for her PhD Study on service user experiences of person-centred integrated care in the context of the National Integrated Care Programme for Older Persons (NICPOP). Sarah has worked in research and evaluation in the fields of social policy and public health for over 15 years. She has a particular interest in the social policy of health care and service user experiences of care in an integrated context.