Healthcare Professionals' Ratings and Views of Person-Centred Care in the Context of Allogeneic Hematopoietic Stem Cell Transplantation

Anna O'Sullivan; Jeanette Winterling; Annika Malmborg Kisch; Karin Bergkvist; David Edvardsson; Yvonne Wengström; Carina Lundh Hagelin

doi:10.1177/11786329241310735

Healthcare Professionals' Ratings and Views of Person-Centred Care in the Context of Allogeneic Hematopoietic Stem Cell Transplantation

Health Serv Insights. 2025 Jan 2:18:11786329241310735. doi: 10.1177/11786329241310735. eCollection 2025.

Authors

Anna O'Sullivan^{1

2}, Jeanette Winterling^{3

4}, Annika Malmborg Kisch^{5

6}, Karin Bergkvist⁷, David Edvardsson^{8

9}, Yvonne Wengström^{3

10}, Carina Lundh Hagelin^{1

3}

Affiliations

¹ Department of Health Care Sciences, Marie Cederschiöld University, Stockholm, Sweden.
² Department of Nursing, Sophiahemmet University, Stockholm, Sweden.
³ Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
⁴ Karolinska Comprehensive Cancer Centre, Medical unit HHLH, Karolinska University Hospital, Stockholm, Sweden.
⁵ Department of Health Sciences, Lund University, Lund, Sweden.
⁶ Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Lund, Sweden.
⁷ Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
⁸ School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
⁹ Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
¹⁰ Breast Cancer Centre, Karolinska Comprehensive Cancer Centre, Karolinska University Hospital, Stockholm, Sweden.

Abstract

Introduction: Allogeneic stem cell transplantation (allo-HCT) involves a long trajectory with high risk of complications. In person-centred care (PCC), patients' needs, resources and the care relationship are central to the care process. Healthcare professionals' (HCPs) ratings of PCC have not previously been investigated in this context.

Objectives: The aim of this study was to investigate healthcare professionals' ratings and views of person-centred care in allo-HCT care, and associations with individual characteristics and targeted PCC education.

Design: Cross-sectional study, employing quantitative and qualitative methods.

Methods: 85 HCPs at two Swedish allo-HCT centres participated (80% women; mean age: 44 years, range: 23-72 years). A survey was conducted using the PCC Assessment Tool (P-CAT), containing 13 items, a total scale (min 13-max 65) and two subscales (I: min 8-max 40; II: min 5-max 25). Additionally, HCPs' written responses to four study-specific questions about PCC were collected.

Results: The mean for P-CAT total scale was 45.31, (subscale I: 28.41; subscale II: 16.90). Higher ratings of PCC were reported for assessment of patients' needs, discussion about how to provide PCC and patients' care, while time to provide PCC, the care environment and how the organization prevents providing PCC were rated lower. Higher age and targeted PCC education were associated with higher PCC ratings. HCPs described PCC as the patient being seen as a capable individual with their own resources, with PCC increasing patient and family involvement-giving higher satisfaction and tailored care for patients. However, HCPs reported time as a barrier for PCC.

Conclusion: HCPs' ratings of PCC in this context are high regarding discussing and assessing patients' needs, but there is room for improvement regarding organizational and environmental aspects. Targeted PCC education increases the level of PCC. HCPs' views of PCC partly reflect the foundations of PCC-patient's narrative, capability and involvement.

Keywords: Person-centred care; allogeneic stem cell transplantation; health service delivery; health service evaluation; healthcare professionals; healthcare research; patient-centred care.