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Person-Centred Practice in Nursing and Health Care Theory and Practice

  • Verlag: Wiley-Blackwell
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Person-Centred Practice in Nursing and Health Care

Person-centred Practice in Nursing and Health Care is a comprehensive and practical resource for all nurses and healthcare practitioners who want to develop person-centred ways of working. This second edition which builds on the original text Person Centred Nursing, has been significantly revised and expanded to provide a timely and topical exploration of an important subject which underpins all nursing and healthcare, edited by internationally renowned experts in the field. Person-centred Practice in Nursing and Health Care looks at the importance of person-centred practice (PCP) from a variety of practice, strategic, and policy angles, exploring how the principles of PCP underpin a variety of perspectives, including within leadership and in the curriculum. The book explores not only a range of methodologies, but also covers a variety of different healthcare settings and contexts, including working within mental health services, acute care, nursing homes, the community, and working with children and people with disabilities. Key features: Significantly updated and expanded since the previous edition, taking into account the considerable changes in recent health care advancements, including the 'Francis' report Builds on previous perspectives of person-centredness in nursing and applies them in a broader nursing and health care context Includes a stronger exploration on the role of the service-user Shows the use of life-story and narrative approaches as a way of putting the individual's identity at the heart of the care relationship Includes learning features such as links to current practice developments and reflective questions
Professor Brendan McCormack is Head of the Division of Nursing at the School of Health Sciences, Queen Margaret University, Scotland. He is Editor-in-Chief of The International Journal of Older People Nursing and a member of the editorial board of: The Journal of Applied Gerontology; International Practice Development Journal; Online Journal of Issues in Nursing; Worldviews on Evidence-Based Nursing; Educational Action Research: an international journal ; and, the Journal of Compassionate Care . Tanya McCance is Mona Grey Professor for Nursing Research and Development at the Institute of Nursing Research/School of Nursing, University of Ulster & Co-Director - Nursing R&D, Belfast Health & Social Care Trust, Northern Ireland.


    Format: ePUB
    Kopierschutz: AdobeDRM
    Seitenzahl: 288
    Sprache: Englisch
    ISBN: 9781118990582
    Verlag: Wiley-Blackwell
    Größe: 6603 kBytes
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Person-Centred Practice in Nursing and Health Care

Chapter 1

Brendan McCormack1 & Tanya McCance2

1 Queen Margaret University, Edinburgh, UK

2 Ulster University, Northern Ireland, UK

Since publishing Person-Centred Nursing: Theory and Practice (McCormack & McCance 2010) the field of person-centredness in health care has grown significantly. In that short 5-year period, we have seen a burgeoning of interest in the topic, the development of a range of initiatives to promote person-centredness, and an increased volume of research exploring, understanding and evaluating person-centred practices. Person-centred care has a long association with nursing, with a focus on treating people as individuals; respecting their rights as a person; building mutual trust and understanding; and developing therapeutic relationships. However, this has now become a more inclusive health-care philosophy and strategic focus. It is for this reason that we have adopted a more broad-based health-care perspective in this book.

The promotion of 'person-centredness' is consistent with health-care policy direction internationally. There have been a number of challenges to the focus on person-centredness in nursing and health care and a view that other approaches such as relationship-centred care, compassionate care and even dignified care are more appropriate frameworks for expressing an inclusive family and community approach to what can generally be understood as holistic care practices. However, none of these have stood the test of time as 'alternatives' but instead are increasingly seen as components of person-centred nursing and health care, or as constructs that explain different dimensions of person-centredness. This goes some way to affirming the importance of person-centred approaches, not just as care practices in particular professional groups, but as a philosophical underpinning of health-care systems that places people at the centre.

This endorsement of people at the centre of care systems is particularly exemplified by the World Health Organization, which has set out a comprehensive framework of people-centred health services. They describe people-centred health services as

... an approach to care that consciously adopts the perspectives of individuals, families and communities, and sees them as participants as well as beneficiaries of trusted health systems that respond to their needs and preferences in humane and holistic ways. People-centred care requires that people have the education and support they need to make decisions and participate in their own care. It is organized around the health needs and expectations of people rather than diseases.

World Health Organization (2015; p. 10)

This all-encompassing description of people-centredness calls for the delivery of health services that are organised, managed and delivered in a way that ensures people as individuals, communities and populations are at the heart of planning and policy making. It challenges health-care practitioners to think of the person first and then the disease. It requires governments to ensure that people have access to health-care services that reflect their needs, promote health, manage disease, support self-management of long-term conditions and in which people are educated about health in order to maximise well-being. The 'person' is at the heart of the WHO policy framework, and whilst it is a demanding 'ask' of nations all over the world to consider individual needs, many of which are at different stages of development of their health-care systems, the intention is that of a global movement in person-centredness.

The WHO has a global goal of humanising health care by ensuring that health care is rooted in universal principles of human rights and dignity, non-discrimination, participation and empowerment, access and equity, and a partnership of equals:

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