Research output: Contribution to journal › Article › peer-review
Person-centredness in the community care of older people : A literature-based concept synthesis. / Wilberforce, Mark; Challis, David; Davies, Linda; Kelly, Michael P; Roberts, Chris; Clarkson, Paul.
In: International Journal of Social Welfare, Vol. 26, No. 1, 18.12.2016, p. 86-98.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Person-centredness in the community care of older people
T2 - A literature-based concept synthesis
AU - Wilberforce, Mark
AU - Challis, David
AU - Davies, Linda
AU - Kelly, Michael P
AU - Roberts, Chris
AU - Clarkson, Paul
PY - 2016/12/18
Y1 - 2016/12/18
N2 - ‘Person-centredness’ is a ubiquitous term, employed in modern care services to signify policies and practices that attend to the uniqueness of each individual user. Despite being highly regarded in older adult community care services, there is much ambiguity over its precise meaning. Existing reviews of person-centredness and its attributes have tended to focus on the medico-nursing literature, neglecting other interpretations, such as those relevant to community social care. A new literature-based concept synthesis reported here identified 12 common attributes within the broad themes of ‘understanding the person’, ‘engagement in decision-making’ and ‘promoting the care relationship’. The review also contrasts how these attributes are applied across different interpretations of person-centredness. The article argues that not all attributes necessarily pull in the same direction, and that older adults may require them to be delivered in different ways than they are to younger people. Thus, a ‘one-size-fits-all’ approach should be discouraged in community care. Key Practitioner Message: • ‘Person-centredness’ is open to multiple interpretations, causing difficulties for services trying to gauge performance and quality; • Three themes are central to person-centred services: ‘understanding the person’, ‘engagement in decision-making’ and ‘promoting the care relationship’; • A ‘one-size-fits-all’ approach to applying person-centredness is to be discouraged.
AB - ‘Person-centredness’ is a ubiquitous term, employed in modern care services to signify policies and practices that attend to the uniqueness of each individual user. Despite being highly regarded in older adult community care services, there is much ambiguity over its precise meaning. Existing reviews of person-centredness and its attributes have tended to focus on the medico-nursing literature, neglecting other interpretations, such as those relevant to community social care. A new literature-based concept synthesis reported here identified 12 common attributes within the broad themes of ‘understanding the person’, ‘engagement in decision-making’ and ‘promoting the care relationship’. The review also contrasts how these attributes are applied across different interpretations of person-centredness. The article argues that not all attributes necessarily pull in the same direction, and that older adults may require them to be delivered in different ways than they are to younger people. Thus, a ‘one-size-fits-all’ approach should be discouraged in community care. Key Practitioner Message: • ‘Person-centredness’ is open to multiple interpretations, causing difficulties for services trying to gauge performance and quality; • Three themes are central to person-centred services: ‘understanding the person’, ‘engagement in decision-making’ and ‘promoting the care relationship’; • A ‘one-size-fits-all’ approach to applying person-centredness is to be discouraged.
KW - community care
KW - concept synthesis
KW - older people
KW - patient-centred medicine
KW - person-centred care
UR - http://www.scopus.com/inward/record.url?scp=84978488739&partnerID=8YFLogxK
U2 - 10.1111/ijsw.12221
DO - 10.1111/ijsw.12221
M3 - Article
AN - SCOPUS:84978488739
VL - 26
SP - 86
EP - 98
JO - International Journal of Social Welfare
JF - International Journal of Social Welfare
SN - 1468-2397
IS - 1
ER -