Self-Directed Learning: Implications for Museums

Banz, Richard

doi:10.1179/jme.2008.33.1.43

Cited by 2 publications

(1 citation statement)

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“…Discourses of empowerment create new expectations of and for the patient. The PCC goal of overturning paternalistic medical discourses to promote active, self-managing patients creates new pressures on the individual as responsible for finding their own learning trajectories, and configures a combination of forces within and beyond the individual in ways that parallel modern trends in education, for example, stressing that the “learner accept ever-increasing responsibilities for decisions associated with the learning process” (Banz, 2008, p. 46). Indeed, some argue that the relative failure of modern health care to address the needs of older adults with chronic illnesses has arisen from the promotion of an individualistic view of the world in which independence and individualism are championed (Nolan et al , 2004).…”

Section: Potential Contributions From the Field Of Discourse Studiesmentioning

confidence: 99%

How could discourse theories of identity formation critically engage patient-centered care in older adults?

Horton

Horton²

2018

QAOA

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Purpose The purpose of this paper is to explore how discourse theories can contribute to the concept of identity formation within a patient- or person-centered care (PCC) orientation, to enable more critical engagement with PCC in older people. Design/methodology/approach This is a conceptual paper. Findings This paper concludes that the discourse literature has important insights for understanding identity formation in older people as operationalized in the context of PCC in three particular ways: accounting for multiplicity in patients’ identity; exploring “the devolution of responsibility” to address shifts in performing identities in clinical encounters; and attending to a “crisis of positioning” to engage empowerment discourse within a PCC philosophy. Originality/value Whilst a notion of patient identity is at the heart of PCC, the concept remains inconsistent and underdeveloped. This is particularly problematic for the quality of care in older adults, as PCC has become increasingly synonymous with care of older people. Discourse theories of identity formation can be used to critically engage with identity within the context of PCC, so as to develop more nuanced understandings of “the person” or “the patient,” with the potential to improve research into care for aging and older adults.

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Section: Potential Contributions From the Field Of Discourse Studiesmentioning

confidence: 99%