Reflections of the collaborative care planning as a person‐centred practice

Abstract

The ageing population is increasing worldwide with an increase in chronic disorders.At the same time, person-centred care has become a policy within both health and social care. To facilitate coordination and collaboration and integrate the older adult's perspective in the decision-making process the collaborative care planning process with the development of a written care plan can be used. In this study, the result of an interpreted analysis of four empirical studies of the collaborative care planning as a person-centred practice will be discussed and reflected on. A framework based on the French philosopher Paul Ricoeur's little ethics was used in the synthesis of the studies. The findings revealed two common threads: personhood and power asymmetry. Both challenges in achieving a person-centred collaborative care planning. Ricoeur's dialogical thinking and description of a person served as an underpinning in discussing and reflecting upon the findings of the interpreted synthesis. Collaborative care planning is a complex process. However, Ricoeur's philosophy contributed to a greater understanding of the collaborative care planning as a person-centred practice and accentuated that ethics, human values, and the older adults and care partners perspectives need to be given the same importance and considerations as the medical and social sciences perspectives for the collaborative care planning process to truly become person-centred.

Nurses' experiences of person‐centred care planning using video‐conferencing

“…Knowledge of assessment and collaboration to achieve coordinated care was also requested. Research shows that nursing staff trained at the advanced level excel in comparison with undergraduates, thanks to their deeper knowledge about independently assessing and planning care measures to avoid “unnecessary” hospitalizations (Glassman, 2016; Jobe, 2020).…”

“…The results of this study show that the written documentation provided more suggestions for interventions than the description of the person's current status. Jobe (2020) found in his study that there is confusion about what and how to document in the different parts of the care plan. The information is of low quality and information is also often missing.…”

“…In addition to the documentation being incomplete, the information transfer does not work either, which makes it difficult to have effective care‐planning meetings via video and ensure good care at home. In addition, care staff risk being perceived as unprofessional by patients and relatives when they lack knowledge about the patient's health condition and needs at the care‐planning meeting, according to Jobe (2020).…”

Person‐centred conversations in nursing and health: A theoretical analysis based on perspectives on communication

“…Thus, person‐centredness must be related to the circumstances and conditions of our time and can be seen as a centrally ethical positioning for the shaping of healthcare practice and promotion of health. Grounding person‐centredness in ethics and philosophy of the person (Ekman, 2022; Jobe, 2022; Kristensson Uggla, 2022) makes the normative foundation accessible to critique.…”

Disclosing the person in renal care coordination: why unpredictability, uncertainty, and irreversibility are inherent in person-centred care

“…For two other applications of Ricoeur's "little ethics" on personcentred care seeEkman (2022) andJobe (2022).4 The model consists of three consecutive "routines": "initiating the partnership," in which the caregiver invites the patient to tell his or her "patient narrative"; "working the partnership," in which a process of "shared decision making" commences, based on a joint deliberation between the two partners; and "safeguarding the partnership," in which the communication between and the actions taken by the two partners are documented(Ekman et al 2011, 250).5 The title of the project was The Role of Existential Philosophy in Health Care: The Cases of Germany, Denmark, and Sweden and it was funded by the Baltic Sea Foundation.6 The fourth coordinator had then left her work as a renal care coordinator, and was thus unavailable for an interview.…”