Person-centredness: Conceptual and historical perspectives

Leplège, Alain; Gzil, Fabrice; Cammelli, Michele; Lefève, Céline; Pachoud, Bernard; Ville, Isabelle

doi:10.1080/09638280701618661

Cited by 355 publications

(384 citation statements)

References 21 publications

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“…Addressing the patient as ''knowledgeable'' or as an expert is mentioned by some scholars in the context of PCC (Corring & Cook, 1999;Eliacin et al, 2015;Leplege et al, 2007;Lusk & Fater, 2013;McCormack et al, 2010;Mead & Bower, 2000;Pelletier & Stichler, 2014;Sidani & Fox, 2014), but is more extensively and explicitly evident in the area of patient participation in healthcare and health research (Caron-Flinterman et al, 2005; Entwistle et al, 1998; Epstein et al, 2010). Acknowledging these other discourses on patients' experiential knowledge within the PCC discourse could strengthen the epistemic position of patients in medical practice and challenge the dominant biomedical approach.…”

Section: Discussionmentioning

confidence: 99%

Comparing patients’ perspectives of “good care” in Dutch outpatient psychiatric services with academic perspectives of patient-centred care

Maassen

Schrevel

Dedding

et al. 2016

Journal of Mental Health

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Background: Over the past six decades, the concept of patient-centred care (PCC) has been discussed in health research, policy and practice. However, research on PCC from a patients' perspective is sparse and particularly absent in outpatient psychiatric services. Aim: to gain insight into what patients with bipolar disorder and ADHD consider ''good care'' and what this implies for the conceptualisation of PCC. Method: A literature review on the different conceptualisations of PCC was complemented with qualitative explorative research on the experiences and needs of adults with ADHD and with bipolar disorder with mental healthcare in the Netherlands using focus group discussions and interviews.

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Section: Discussionmentioning

confidence: 99%

Comparing patients’ perspectives of “good care” in Dutch outpatient psychiatric services with academic perspectives of patient-centred care

Maassen

Schrevel

Dedding

et al. 2016

Journal of Mental Health

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“…Care responsiveness toward older adults’ needs, values, dignity, and personhood has been strived for multiple professional disciplines through the promotion of person‐centeredness, a notion about what good care should be. This approach has its roots in a number of academic disciplines, practices, and socio‐political movements (Leplege et al., 2007). Considerable contemporary contributions to person‐centeredness emerge from disciplines such as dementia care research (Edvardsson, Fetherstonhaugh, & Nay, 2010; Edvardsson, Winblad, & Sandman, 2008; Kitwood, 1997), nursing research (McCance, McCormack, & Dewing, 2011; McCormack & McCance, 2006), and occupational therapy research (Hammell, 2015).…”

Section: Introductionmentioning

confidence: 99%

Influencing everyday activities in a nursing home setting: A call for ethical and responsive engagement

et al. 2017

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This study focuses on influence that older adults, living in nursing homes, have over everyday activities. Everyday activities are key to sustain a sense of stability, predictability, and enjoyment in the local world of people's everyday and therefore a critical dimension of the person‐centeredness framework applied within gerontology. This narrative ethnographic study aimed to shed light on how influence can be situated contextually, and how it can emerge through activities as well as how it is negotiated in everyday by frail older adults living in a nursing home. Residents, staff members, and significant others from one nursing home in an urban area of Sweden participated in this study. Data were gathered through fieldwork, including participant observation and formal and informal conversations during a period of 6 months. Data were analyzed through a narrative interpretative approach. The findings are presented in narrative form as exemplars. The exemplars—Craquelures as justification, Seeking a place for other life worlds and An almost perfect trip—reveal a gap between the client‐centeredness framework and lived experiences regarding older adults’ influence in everyday activities. The role of everyday activities in the context of frailty is discussed in terms of ethical and responsive engagement, and implications for health‐care practices are considered.

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“…Hammell suggested that client-centred practice, as defined by clients, is primarily about the relationship between the client and the rehabilitation provider, rather than the specific intervention that is delivered [3]. Key features of this relationship reported in the literature include respecting client values, preferences and needs, and a supportive and caring relationship between client and professional that prioritises empowerment and power-sharing [5,6]. In addition, LePlege and colleagues stated that the client's "competence and expertise must be acknowledged" [5, p. 1558] within this relationship.…”

Section: Introductionmentioning

confidence: 99%

“…However, to date it has defied clear operationalisation, even though the concept appears important and makes intuitive sense [4]. One reason for this may be that there is neither a universal definition for, or model of, client-centred practice [5]. Hammell suggested that client-centred practice, as defined by clients, is primarily about the relationship between the client and the rehabilitation provider, rather than the specific intervention that is delivered [3].…”

Section: Introductionmentioning

confidence: 99%

Implementing a client-centred approach in rehabilitation: an autoethnography

Bright

Boland

Rutherford

et al. 2011

Disability and Rehabilitation

100

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Purpose: Client-centred practice is widely considered a key element of rehabilitation.However, there is limited discussion of how it should be implemented. This study explored how client-centred practice was operationalised during a clinical trial of innovative goalsetting techniques.Method: This study drew on principles of co-autoethnography. The personal experiences of three clinical researchers were explored to identify insights into client-centred practice, and seek understanding of this within the broader socio-cultural context. Data were collected through group discussions and written reflections. Thematic analysis and coding were used to identify the dominant themes from the data. Results:The primary way that client-centred practice was operationalised was through listening in order to get to know, to uncover and to understand what was meaningful. Four strategies were identified: utilising mindful listening, allowing time, supporting clients to prioritise what is meaningful and viewing the therapists' role differently.Conclusion: Whilst technical competence in rehabilitation is important, our study suggested a starting point of 'being with' rather than 'doing to' may be beneficial for engaging people in their rehabilitation. We have highlighted a number of practical strategies that can be used to facilitate more client-centred practice. These approaches are consistent with what clients report they want and need from rehabilitation services.

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Person-centredness: Conceptual and historical perspectives

Cited by 355 publications

References 21 publications

Comparing patients’ perspectives of “good care” in Dutch outpatient psychiatric services with academic perspectives of patient-centred care

Comparing patients’ perspectives of “good care” in Dutch outpatient psychiatric services with academic perspectives of patient-centred care

Influencing everyday activities in a nursing home setting: A call for ethical and responsive engagement

Implementing a client-centred approach in rehabilitation: an autoethnography

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