Lessons learned about cultural change and managerial skills for the generation of socio-health contexts favorable to people-centered care (PCC)
Abstract
the literature and experience reflect the difficulty in generalizing a cultural change in long-term care organizations. This research focuses on managerial attempts to scale up the good practices generated in the “Etxean Ondo” pilot project. Through a qualitative and constructivist approach, based on grounded theory and action research, the objective of this article is to share those organizational keys and managerial competencies identified in the process of organizational change towards service models based on the Person-Centered Care framework (PCC). In addition to a conceptual contribution, this article includes a set of practical recommendations that the research identifies as key managerial enablers in the development of an organizational context favourable to the PCC: i) actions related to informal organization (intersubjective dimension); ii) actions related to Participating Persons (subjective dimension); iii) actions related to the formal organization (objective dimension). The nature of this study is exploratory, but the emerging results are expected to provide elements for reflection to other managers interested in undertaking an organizational transformation.
Received: 29 October 2021
Accepted: 25 January 2022
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