Background: Leadership plays an important role in driving the integration of person-centeredness across all levels of healthcare organizations, an effort increasingly seen as essential to meet global challenges. In Sweden, a leadership program in person-centred ethics was developed to support this. Although educational initiatives are widely promoted, it remains unclear whether leadership education supports the normalization of person-centred practices in everyday work. Aim: This study aims to evaluate the normalization of person-centred practice from the perspective of leaders, up to six months after their participation in a leadership program. Method: This explanatory sequential mixed methods study is guided by Normalization Process Theory (NPT). Leaders in diverse Swedish healthcare settings admitted to the program (n=43) were invited to participate. Data are collected at baseline, follow-up 1 (after program completion) and follow-up 2 (6 months post-graduation, September 2025), assessing normalization with the Swedish NoMAD instrument (S-NoMAD). Inclusion required program completion, resulting in 33 eligible participants. Quantitative data will be analyzed using descriptive and inferential statistics. Semi-structured interviews will be conducted in autumn 2025 to explore perceived normalization of person-centred practices, analyzed using directed content analysis. Findings: Preliminary analyzes of baseline and follow-up 1 data (n=29) shows significant increases in coherence and reflexive monitoring, suggesting improved shared understanding and evaluation of person-centred practices. No significant change was observed in collective action or cognitive participation. Before the conference, follow-up 2 and interview data will be integrated into the results that are presented. Conclusion and Contributions to practice: Leadership education may enhance key aspects of normalization of person-centered practice, particularly how it is understood and assessed. Further data will provide a fuller picture of how such programs influence implementation of person-centered practice over time. These findings can inform the refinement of leadership programs and support healthcare organizations in advancing person-centred practice through targeted educational strategies.
Mari Lundberg is Professor of Physiotherapy at Sophiahemmet University and affiliated with University of Gothenburg, where she is active in the Gothenburg Centre for Person-Centred Care (GPCC). Her research focuses on chronic pain, behavioral medicine, and the implementation of person-centred care in clinical practice and education.
Jenny Wising, Ewa Carlsson Lalloo, Eric Carlström, Charlotte Klinga, Emmelie Barenfeld
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