What makes us human? Exploring the significance of ricoeur's ethical configuration of personhood between naturalism and phenomenology in health care

Uggla, Bengt Kristensson

doi:10.1111/nup.12385

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…The philosopher Bengt Kristensson Uggla (2014, 2022) chooses to highlight the significance of this issue in healthcare by starting with the patient's three disadvantages. Firstly, in connection with professional health care, the patient finds themselves at an institutional disadvantage .…”

Section: Framing: Being Personmentioning

confidence: 99%

“…Thus, person‐centredness must be related to the circumstances and conditions of our time and can be seen as a centrally ethical positioning for the shaping of healthcare practice and promotion of health. Grounding person‐centredness in ethics and philosophy of the person (Ekman, 2022; Jobe, 2022; Kristensson Uggla, 2022) makes the normative foundation accessible to critique.…”

Section: Introductionmentioning

confidence: 99%

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

Öhlén

Friberg

2023

Nursing Philosophy

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In this paper we use the concept of the person to examine person-centred dialogue and show how person-centred dialogue is different from and significantly more than transfer of information, which is the dominant notion in health care. A further motivation for the study is that although person-centredness as an idea has a strong heritage in nursing and the broader healthcare discourse, person-centred conversation is usually discussed as a distinct and unitary approach to communication, primarily related to the philosophy of dialogue-the philosophy of Martin Buber. In this paper we start with the concept of person to critically reflect on theoretical perspectives on communication to understand person-centred conversations in the context of nursing and health. We position the concept of the person through the use of Paul Ricoeur's philosophy and follow by distinguishing four theoretical perspectives on communication before reflecting on the relevance of each of these for person-centred communication. These perspectives are: a linear view of communication as transfer of information, communication as a relation in the sense of philosophy of dialogue, practice-based communication on constructionist grounds, and communication as a practice to create social community. In relation to the concept of the person, we do not find transfer of information relevant as a theoretical underpinning for person-centred conversations. From the other three perspectives that are relevant we distinguish five types of person-centred conversations pertinent to nursing and health: problem identifying conversations, instructive conversations, guiding and supportive conversations, caring and existential conversations, and therapeutic conversations. Through this analysis it is argued that person-centred communication and conversations are substantially different to transfer of information. We also discuss the significance of communication adjusted to specific situations, including emphasis on how we speak in relation to the aim or topic of a conversation.

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Section: Framing: Being Personmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Öhlén

Friberg

2023

Nursing Philosophy

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“…Unfortunately, PCC is often described by articulating what it is not and is then contrasted with a biomedical model focusing on organs and bodily functions. Kristensson Uggla 9 discussed the two dominant knowledge cultures in healthcare: focusing on the patient as (a) an object (objective knowledge ‘from the outside’) and (b) a subject (subjective knowledge ‘from the inside’). Notably, PCC not only belongs to the subject side, despite its emphasis on the person, the narrative, and the patient as an expert but is also an intersection of the two.…”

Section: Pcc Only Work In Certain Healthcare Settingsmentioning

confidence: 99%

“… 13 Professional responsibilities include, for example, ensuring that the prioritization principles that apply to healthcare are not replaced by the patient's wishes. Kristensson Uggla 9 ,p.1 described it as a common notion that ‘a former all‐mighty doctor must now be replaced by an all‐mighty patient’. However, this is not the case since shared power and shared responsibility are the starting points for PCC.…”

Section: Pcc Is the Same As The Patient Deciding On All Aspects Of Th...mentioning

confidence: 99%

We are not even allowed to call them patients anymore: Conceptions about person‐centred care

Määttä,

Björkman

2023

Health Expectations

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Although the implementation of person‐centred care (PCC) has gained momentum in healthcare systems, it is not always obvious why it is an important objective in clinical settings and educational institutions that train future healthcare professionals. Various conceptions about PCC have flourished, such as that it only works in certain healthcare contexts, it is the same as the patient making all their own healthcare decisions, it is too demanding for most patients, the word ‘patient’ may no longer be used, the care provided is already person‐centred, and that there is simply not enough time and resources to achieve it. This viewpoint paper aims to problematize these conceptions and may be used for didactical and reflective exercises that support the transition towards more person‐centred healthcare.Patient or Public ContributionThe Person Council for patients and carers at the University of Gothenburg provided focus group input on and validated the occurrence of the conceptions discussed in the present paper. The person council consists of a group of persons with many years of personal experiences of health care, either as patients and/or relatives/carers. One member of the person council who is also a designer and artist created the illustration for the article.

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“…PCC embraces the ethical position that each patient is unique and needs to be approached and treated accordingly [ 16 , 17 ]. Each person’s uniqueness is based on their lived experiences, formed by the contexts they have lived and live in and the relationships they have formed and encountered throughout their lives [ 17 – 19 ]. PCC has been perceived as a highly complex innovation by HCPs and stakeholders [ 1 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Tracking, naming, specifying, and comparing implementation strategies for person-centred care in a real-world setting: a case study with seven embedded units

Fridberg

Wallin

Tistad

2022

BMC Health Serv Res

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Background The implementation of person-centred care (PCC) is advocated worldwide. Stakeholders in charge of implementing PCC as a broad-scale change across the health care sector face two intertwined and complex challenges. First, making sense of PCC as an intervention with complex innovation characteristics and second, staging implementation of PCC by choosing appropriate implementation strategies. We aimed to explore one of these challenges by tracking, naming, specifying, and comparing which strategies and how strategies were enacted to support the implementation of more PCC in a real-world setting represented by one health care region in Sweden. Methods A case study with seven embedded units at two organisational levels within a health care region was conducted from 2016 to 2019. Data were collected from three sources: activity logs, interviews, and written documents. Strategies were identified from all sources and triangulated deductively by name, definition, and cluster in line with the taxonomy Expert Recommendations for Implementing Change (ERIC) and specified according to recommendations by Proctor and colleagues as actor, action, action target, temporality, dose, outcome, and justification. Results Four hundred thirteen activities were reported in logs, representing 43 discrete strategies identified in ERIC (n = 38), elsewhere (n = 1), or as emerging strategies (n = 4). The highest reported frequencies of discrete strategies were identified as belonging to two clusters: Train and educate stakeholders (40%) and Develop stakeholder interrelationships (38%). We identified a limited number of strategies belonging to the cluster Use evaluative and iterative strategies (4.6%) and an even smaller number of strategies targeting information to patients about the change initiative (0.8%). Most of the total dose of 11,076 person-hours in the 7 units was spent on strategies targeting health care professionals who provide PCC (81.5%) while the dose of strategies targeting support functions was 18.5%. Conclusions Our findings show both challenges and merits when strategies for implementation of PCC are conducted in a real-world setting. The results can be used to support and guide both scientists and practitioners in future implementation initiatives.

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What makes us human? Exploring the significance of ricoeur's ethical configuration of personhood between naturalism and phenomenology in health care

Cited by 7 publications

References 12 publications

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

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

We are not even allowed to call them patients anymore: Conceptions about person‐centred care

Tracking, naming, specifying, and comparing implementation strategies for person-centred care in a real-world setting: a case study with seven embedded units

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