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  6. Development And Contextual Analysis Of A Person-centered Professional Practice Model In A Home Care Service In French-speaking Switzerland

Development and contextual analysis of a person-centered professional practice model in a home care service in French-speaking Switzerland

Cedric Mabire1, Sandra Panchaud2, Jessica Wey3

  • 1Institute of Higher Education and Research in Healthcare-IUFRS, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

Frontiers in Health Services
|July 2, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Developing a person-centered home care model in Switzerland is feasible. Strong leadership and structured strategies, including training and safety culture, are key for successful implementation in home care services.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Health Services Research

Background:

  • Switzerland's healthcare system faces challenges from an aging population and chronic diseases.
  • There is a need for improved care coordination, especially in home care settings.
  • This highlights the necessity for enhanced home care service delivery models.

Purpose of the Study:

  • To develop a person-centered professional practice model for home care services in French-speaking Switzerland.
  • To conduct a contextual analysis to guide the implementation of this model.
  • To ensure the model is aligned with best practices and stakeholder needs.

Main Methods:

  • A multi-method approach combining concept mapping and contextual analysis.
  • Concept mapping involved 157 healthcare professionals to develop the model's core values.
Keywords:
Switzerlandhome care servicesimplementation scienceperson-centered practice

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  • Intervention Mapping framework guided contextual analysis with stakeholders and frontline staff.
  • Main Results:

    • The model development identified 13 core values, with health promotion rated highest.
    • Key facilitators for implementation included strong leadership support (83% agreement).
    • Identified barriers included linguistic/cultural differences; eight validated implementation strategies were proposed.

    Conclusions:

    • Developing and implementing a person-centered practice model in home care is feasible.
    • Strong leadership commitment and structured implementation strategies are crucial for success.
    • The model aligns with the Person-centred Practice Framework, offering practical implementation guidance.
    professional practice model