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

## TL;DR

This study developed and analyzed a person-centered care model for home care in French-speaking Switzerland, emphasizing leadership and structured strategies for successful implementation.

## Contribution

A novel person-centered professional practice model for home care, validated through concept mapping and stakeholder analysis in a specific regional context.

## Key findings

- Health promotion was rated the most important core value (4.4/5), while interprofessionalism scored lowest (3.7/5).
- Leadership support was a key facilitator (83% agreement), and linguistic/cultural differences were a major barrier.
- Eight implementation strategies were validated, including continuous training and safety culture promotion.

## Abstract

The Swiss healthcare system faces increasing challenges with an aging population and rising prevalence of chronic conditions, necessitating better-coordinated care delivery, particularly in home care settings.

This study aimed to develop (objective 1) and conduct a contextual analysis for implementation (objective 2) of a person-centered professional practice model for home care services in French-speaking Switzerland.

A multi-method approach was used. For objective 1, concept mapping with 157 healthcare professionals (86% response rate) was conducted to develop the model. For objective 2, a contextual analysis was guided by the Intervention Mapping framework, involving focus groups with stakeholders (n = 14) and field validation with frontline staff (n = 6). Data analysis included both quantitative and qualitative methods.

The concept mapping process identified 13 core values rated on importance (scale 1–5), with health promotion scoring highest (4.4) and interprofessionalism lowest (3.7). Implementation analysis revealed key facilitators including leadership support (83% agreement) and barriers such as linguistic/cultural differences. Eight implementation strategies were identified and validated through a Delphi process, including continuous training (67% strong agreement) and safety culture promotion (83% strong agreement).

The study demonstrates that developing and implementing a person-centered professional practice model is feasible in home care settings when supported by strong leadership commitment and structured implementation strategies. The model's alignment with the Person-centred Practice Framework of McCance and McCormack provides theoretical validation while offering practical guidance for implementation.