Appreciating the ‘person’ in long‐term care

McCormack, Brendan; Roberts, Tonya; Meyer, Julienne; Morgan, Debra; Boscart, Véronique

doi:10.1111/j.1748-3743.2012.00342.x

Cited by 89 publications

(88 citation statements)

References 29 publications

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“…At the same time, a few central themes of the respective notions, sometimes presented separately from one another or expressed differently by different authors, appeared in the material. Among the ideas extracted from the PCC literature, for instance, were the following three: recognizing and meeting the person's complex needs [10,23,25,27,34,41,43,45], valuing the person [25,26,[29][30][31]41], and treating persons as individuals [10,25,28,34,36,41]. We took such underlying themes to express the core meaning, tightly linked to ethical stances, of the respective notions.…”

Section: Methodsmentioning

confidence: 99%

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Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?

2017

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In contrast to standardized guidelines, personalized medicine and person centered care are two notions that have recently developed and are aspiring for more individualized health care for each single patient. While having a similar drive toward individualized care, their sources are markedly different. While personalized medicine stems from a biomedical framework, person centered care originates from a caring perspective, and a wish for a more holistic view of patients. It is unclear to what extent these two concepts can be combined or if they conflict at fundamental or pragmatic levels. This paper reviews existing literature in both medicine and related philosophy to analyze closer the meaning of the two notions, and to explore the extent to which they overlap or oppose each other, in theory or in practice, in particular regarding ethical assumptions and their respective practical implications.

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Section: Methodsmentioning

confidence: 99%

“…On one hand, PCC originates from a caring perspective and aspires for a more holistic view of patients [6,23,29,34]. PCC purports to be nonreductionist in that it highlights care-oriented health care ethical ideals.…”

Section: Genetically Unique Individual Emancipation Empowermentmentioning

confidence: 99%

Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?

2017

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“…Personsentrering er et begrep som er blitt brukt i vid betydning innenfor helse-og omsorgstjenesten som et motsvar til oppgaveorientering, effektivitet og rutiner med fare for avhumanisering av mottakere av tjenester, spesielt innenfor langtidsomsorg (McCormack & McCance, 2006). I utvikling av begrepet 'personsentrert omsorg', er forståelsen av 'personen' sentral -inspirert av Carl Rogers humanistiske perspektiv og Martin Bubers jeg−du-filosofi (McCormack, Roberts, Meyer, Morgan & Boscart, 2012). Den enkelte persons unike verdi, personlige historie, personlighet og integritet er grunnleggende.…”

Section: Bakgrunnunclassified

“…Dersom pårørende blir ekskludert, er det saerlig sårbart for svake beboere med små muligheter til å ivareta egen autonomi. Pårørende kan bidra med sitt kjennskap til beboernes liv og interesser, og dermed hvilke valg som kan vaere til beboernes beste, noe som er en viktig forutsetning for personsentrert omsorg (Kitwood & Bredin, 1992;McCormack et al, 2012). De pårørende kan bidra til at personalet ser beboeren i et sammenhengende livsløpsperspektiv (Rosvik, Kirkevold, Engedal, Brooker & Kirkevold, 2011).…”

Section: Diskusjonunclassified

“…I tenkningen i en «personsentrert omsorg» vektlegges sosial kontakt og identitetsbevarende tiltak som et støttepotensiale for helse og velferd, og dette bidrar til å danne et helhetsbilde av personen (Kitwood & Bredin, 1992;McCormack et al, 2012;Rosvik et al, 2011). Selv-og medbestemmelse er en del av det å vaere en person og opprettholde egen integritet (Kitwood & Bredin, 1992).…”

Section: Diskusjonunclassified

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Pårørende en betinget ressurs? En kvalitativ studie av pårørende til langtidsbeboere i sykehjem sine erfaringer av egen rolle

Nakrem¹,

Hynne²

2017

TFO

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Family members often have roles as advocates and provide care for nursing home residents.Collaboration with families is an important part of a person-centred care and may increase the quality of care. The purpose of this study was to explore the experiences of long-term care residents' next-of-kin and how to encounter and support the relatives as collaborative partners and resources, in light of a person-centred care model. Qualitative method was used. Sixteen relatives were interviewed in three different focus groups. The findings indicate that the relatives had mixed feelings toward the nursing home and the role as next-of-kin. They felt a relief when the needs of their loved ones were taken care of, and had great confidence in the service when everything went well. However, they often felt insecurity when they experienced that quality of service was not good enough. This led to increased time spent in the nursing home and follow-up on care. Relatives experienced that they were either included and involved, or excluded and as outsiders. There is an interdependence between strengthening and involving families, and care that is person-centred and promotes residents' health in nursing homes.

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Nurses' perspectives on shift‐to‐shift handovers in relation to person‐centred nursing home care

2023

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Aim The aim of this study was to gain insight into nurses' perspectives on the shift‐to‐shift handover in relation to providing Person‐centred care (PCC) in nursing homes. Background PCC is perceived as the gold standard for nursing home care. To preserve the continuity of PCC, an adequate handover during the nurses' shift change is essential. There is, however, little empirical evidence for what constitutes best shift‐to‐shift nursing handover practices in nursing homes. Design An exploratory qualitative descriptive study. Methods Nine nurses were selected purposively and through snowball sampling from five Dutch nursing homes. Semi‐structured face‐to‐face and telephone interviews were conducted. Analysis relied on Braun and Clarke's thematic analysis. Results Four main themes were identified related to enabling PCC informed handovers: (1) knowing the resident to be enable to provide PCC was key, (2) the actual handover, (3) additional ways of information transfer and (4) nurses' knowledge of the resident prior to start shift. Conclusion The shift‐to‐shift handover is one way that nurses become informed about residents. Knowing the resident is essential to enable PCC. The fundamental underlying question is to what extent nurses have to know the resident in order to enable PCC. Once that level of detail has been established, in‐depth research is needed to determine the best method for conveying this information to all nurses. Only then can we start to rethink the role of the shift‐to‐shift handover in conveying PCC‐driven information. No Patient or Public Contribution.

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Appreciating the ‘person’ in long‐term care

Cited by 89 publications

References 29 publications

Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?

Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?

Pårørende en betinget ressurs? En kvalitativ studie av pårørende til langtidsbeboere i sykehjem sine erfaringer av egen rolle

Nurses' perspectives on shift‐to‐shift handovers in relation to person‐centred nursing home care

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