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- Title
Developing Person-Centred Care: Addressing Contextual Challenges Through Practice Development.
- Authors
McCormack, Brendan; Dewing, Jan; McCance, Tanya
- Abstract
Developing person-centred care is not a one-time event; rather it requires a sustained commitment from organisations to the ongoing facilitation of developments, a commitment both in clinical teams and across organizations. Contextual factors pose the greatest challenge to person-centredness and the development of cultures that can sustain person-centred care. We will begin with a general comment on 'context' and its meaning before exploring three particular factors that influence the practice context, namely, workplace culture, learning culture, and the physical environment. Next we explore a particular approach to developing person-centred care through emancipatory practice development. We highlight the importance of facilitation through emancipatory practice development programmes and describe how person-centred care can be developed through the presentation of a case study that illustrates the principles and processes of emancipatory practice development as well as the outcomes achieved. We conclude with an application to clinical practice. A key consideration for all organisations in the development of person-centred care is to move from what we suggest are 'person-centred moments' (individual, ad hoc experiences of person-centredness) to 'person-centred care' as an underpinning culture of teams and organisations.
- Subjects
IRELAND; ANALYSIS of variance; COMPUTER software; CONCEPTUAL structures; CORPORATE culture; HEALTH facilities; CASE studies; NURSES; NURSES' attitudes; SCIENTIFIC observation; PROFESSIONAL employee training; RESEARCH funding; SCHOOL environment; WORK environment; QUALITATIVE research; DATA analysis; OCCUPATIONAL roles; TEACHING methods; NARRATIVES; NURSES' associations; HUMAN services programs; PATIENT-centered care; EVALUATION of human services programs
- Publication
Online Journal of Issues in Nursing, 2011, Vol 16, Issue 2, p1
- ISSN
1091-3734
- Publication type
Article
- DOI
10.3912/OJIN.Vol16No02Man03