Person-centred care and measurement: The more one sees, the better one knows where to look

McCormack, Brendan

doi:10.1177/13558196211071041

Cited by 13 publications

(11 citation statements)

References 7 publications

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“…This may include the development of dynamic assessments which focus not only on whether person-centred rehabilitation was delivered, but also how it happens, what allows it to happen, what skills are needed and so on. 99 It may be that evaluations need to move beyond measures as we conventionally understand them, and move towards integrating more qualitative, creative and participatory approaches to evaluating personcentred rehabilitation. 100 Learn from diverse perspectives of person-centred rehabilitation: An example from Māori culture Learning from diverse worldviews has the potential to enhance and augment our current understanding of person-centred rehabilitation.…”

Section: Build Person-centred Cultures Of Care In Rehabilitationmentioning

confidence: 99%

Reflecting on challenges and opportunities for the practice of person-centred rehabilitation

Kayes

Papadimitriou

2023

Clin Rehabil

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Objectives To (1) reflect on challenges to the practice of person-centred rehabilitation; and (2) propose opportunities for the development of person-centred rehabilitation. Challenges Person-centred practice has received widespread endorsement across healthcare settings and is understood to be an important, positive approach in rehabilitation. However, the rhetoric of this approach does not always translate meaningfully into practice. Emphasis on patient choice, patient involvement in decision making, and increasing patient capacity for self-management have become a proxy for person-centred rehabilitation in lieu of a more fundamental shift in practice and healthcare structures. System (e.g. biomedical orientation), organisational (e.g. key performance indicators) and professional (e.g. identity as expert) factors compete with person-centred rehabilitation. Opportunities Four key recommendations for the development of person-centred rehabilitation are proposed including to: (1) develop a principles-based approach to person-centred rehabilitation; (2) move away from the dichotomy of person-centred (or not) rehabilitation; (3) build person-centred cultures of care in rehabilitation; and (4) learn from diverse perspectives of person-centred rehabilitation. Conclusion Fixed assumptions about what constitutes person-centred rehabilitation may limit our ability to respond to the needs of persons and families. Embedding person-centred ways of working is challenging due to the competing drivers and interests of healthcare systems and organisations. A principles-based approach, enabled by person-centred cultures of care, may achieve the aspirations of person-centred rehabilitation.

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Section: Build Person-centred Cultures Of Care In Rehabilitationmentioning

confidence: 99%

Reflecting on challenges and opportunities for the practice of person-centred rehabilitation

Kayes

Papadimitriou

2023

Clin Rehabil

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“…Alongside its instrumental value, person-centred care is also valued, not as a means to other valued ends like biomedical outcomes, well-being, or satisfaction but for its own sake, irrespective of its outcomes. The practice of person-centred care is endorsed as treating patients with respect, dignity, and compassion, involving them and recognising them as equals, and as affirming and empowering them 9 , 10 , 16 , 32 , 36 – 40 . The non-instrumental value of person-centred care underscores the distinctively ethical complexion of treating someone as a person , which accords them a distinctive status and demands and prohibits certain ways of relating to them—requiring, for example, respect for their autonomy, recognition of their capacity to suffer, calling them by their name, and not treating their body as a mere object.…”

Section: Person-centred Carementioning

confidence: 99%

Vagueness and variety in person-centred care

2022

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Person-centred care is a cornerstone of contemporary health policy, research and practice. However, many researchers and practitioners worry that it lacks a ‘clear definition and method of measurement,’ and that this creates problems for the implementation of person-centred care and limits understanding of its benefits. In this paper we urge caution about this concern and resist calls for a clear, settled definition and measurement approach. We develop a philosophical and conceptual analysis which is grounded in the body of literature concerning the theory and practice of person-centred care. We consider a range of influential definitional frameworks of person-centred care, highlighting their differences and showing that they do not correspond to a clearly circumscribed and consistent underlying concept. We argue that a degree of indeterminacy and vagueness should not be seen as a problem with the concept of person-centred care; these are features of a rich and contested concept which exists prior to and outside of practical and technical operational definitions and applications. We defend the value of operating with multiple accounts of person-centred care, arguing that what counts as being person-centred can vary across different care contexts, in relation to different patient groups, and as a reflection of different, defensible ethical perspectives. Although the idea of a single, agreed definition is attractive and may seem to be a practical or even necessary step towards meaningful and coordinated action, we argue that this is only the case in a qualified sense. Comprehensive attempts to narrow down the concept in this way should be resisted, as they risk undermining what it is that makes person-centredness a valuable concept in healthcare.

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“…The concept of person‐centredness has become established in approaches to the delivery of healthcare today. Providing person‐centred care involves respecting the values, experiences, needs and preferences of the person as a patient in the planning, coordinating and provision of care (McCormack, 2022). Healthcare professionals can also be patients and may have unique experiences to non‐healthcare professional.…”

Section: Introductionmentioning

confidence: 99%

The experiences and challenges of nurses who become patients in a hospital setting: A scoping review of the literature

Hunt,

Buckley

2023

Journal of Advanced Nursing

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AimThis scoping review aimed to identify and describe evidence regarding the experiences of nurses when they become patients or when nurses care for other health professional‐patients in a hospital setting.DesignA scoping review of internationally published peer‐reviewed literature.Data SourcesA systematic search of peer‐reviewed evidence was conducted in electronic databases: CINAHL, Medline, Scopus, ProQuest and PsycINFO.MethodsCritical appraisal, data extraction and summary were performed independently by two reviewers according to the scoping review framework developed by Arksey and O'Malley. Twenty‐three publications from 1999 to 2021 were included in this scoping review.ResultsThis scoping review highlighted seven key themes as follows: (1) the challenges for nurse‐patients and caregivers; (2) role ambiguity when a nurse becomes a patient; (3) the need for personalized care to consider the nurse's professional experience; (4) the requirement to not make assumptions about the registered nurse's knowledge; (5) loss of control and vulnerabilities of being a patient; (6) the impact of the valuable small things that carers did and (7) the impact of being a nurse‐patient on their future practice.ConclusionWhile some aspects of nurse‐patients’ experiences are common to non‐healthcare professional‐patients, this review highlights there are unique challenges when nurses become patients themselves. Future research should focus on exploring nurses' experience of caring for other healthcare professional‐patients and strive to better understand how to meet nurses' unique needs when they become patients themselves.ImpactThis review advances knowledge on an under‐explored topic, highlighting the unique and challenging experience when nurses become patients in a hospital setting. Nurses should be aware of the unique needs of nurse‐patients to provide person‐centred quality care.Patient or Public ContributionThere was no direct patient or public contribution to this scoping review, although one of the authors did have experience as a nurse‐patient in the last 3 years.

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Person-centred care and measurement: The more one sees, the better one knows where to look

Cited by 13 publications

References 7 publications

Reflecting on challenges and opportunities for the practice of person-centred rehabilitation

Reflecting on challenges and opportunities for the practice of person-centred rehabilitation

Vagueness and variety in person-centred care

The experiences and challenges of nurses who become patients in a hospital setting: A scoping review of the literature

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