What does person‐centred care mean, if you weren't considered a person anyway: An engagement with person‐centred care and Black, queer, feminist, and posthuman approaches

Abstract

Despite the prominence of person-centred care (PCC) in nursing, there is no general agreement on the assumptions and the meaning of PCC. We sympathize with the work of others who rethink PCC towards relational, embedded, and temporal selfhood rather than individual personhood. Our perspective addresses criticism of humanist assumptions in PCC using critical posthumanism as a diffraction from dominant values We highlight the problematic realities that might be produced in healthcare, leading to some people being more likely to be disenfranchised from healthcare than others. We point to the colonial, homo-and transphobic, racist, ableist, and ageist consequences of humanist traditions that have influenced the development of PCC. We describe the deep rooted conditions that structurally uphold inequality and undermine nursing practice that PCC reproduces. We advocate for the self-determination of patients and emphasize that we support the fundamental mechanisms of PCC enabling patients' choice; however, without critical introspection, these are limited to a portion of humans. Last, we present limitations of our perspective based on our white*-cisheteropatriarchy** positionality. We point to the fact that any reimagining of models such as PCC should be carefully done by listening, following, and ceding power to people with diversity dimensions*** and the lived experience or expertise that exists from diverse perspectives. We point towards Black, queer feminism, and critical disabilities studies to contextualize our point of critique with humanism and PCC to amplify equity for all people and communities. Theory and philosophy are useful to understand restrictive factors in healthcare delivery and to inform systematic strategies to improve the quality of care so as not to perpetuate the oppression of

Farewell to humanism? Considerations for nursing philosophy and research in posthuman times

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“…People might be scared of the idea of posthumanism because they only know about the positive side of humanism and do not realize that humanism holds many problematic assumptions. However, if one was never admitted into the category of 'human', can posthumanism PETROVSKAYA | 3 of 10 still be of use?Smith et al (2022) ask this question and respond with an affirmation.…”

Mattering: Per/forming nursing philosophy in the Chthulucene

“…Our panel concluded with the third presentation called ‘From Transhumanism to a Critical Posthumanism: An Ontological Dehierarchization of Living and Being’, which made an artful case for resistance, radical democracy, and dehierarchization in nursing for the benefit of nurses and the folks for whom they care. Content from the three interrelated presentations can be further explored in published papers that grounded the interrelated panel presentations (Martin & Laurin, 2023; Smith, Willis, Hopkins‐Walsh, 2022; Smith, Willis, Hopkins‐Walsh, Dillard‐Wright et al, 2022).…”

Person‐centred conversations in nursing and health: A theoretical analysis based on perspectives on communication

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