Appreciating the ‘person’ in long-term care

Brendan McCormack, Tonya Roberts, Julienne Meyer, Debra Morgan, Veronique Boscart

    Research output: Contribution to journalArticle

    36 Citations (Scopus)

    Abstract

    Background. Internationally, approaches to the long-term care of older people are changing. New models are being developed that aim to de-institutionalise care settings, maximise opportunities for older people to participate in decision-making and move from a predominant medical model of care to one that is community orientated.Aims. The aim of this study is to highlight similarities and differences between the different models that exist and explore the implications of these for the role of the registered nurse in long-term care.Methods. We chose three models for review as these represent a range of views of person centredness, each having distinct roots and focus. The models chosen were as follows: (i) culture change, (ii) person-centred practice and (iii) relationship-centred care.Results. The review highlights two key issues – (i) the distinctiveness of different models and frameworks and (ii) different interpretations of ‘person’. Firstly, we identify a disconnection between espoused differences between models and frameworks and the reality of these differences. The evidence also identifies how some models and frameworks adopt a more inclusive conceptualisation of person and personhood and do not define personhood in relation to role (resident, nurse and family member).Conclusions. There is merit in the development of models and frameworks that try to make explicit the different dimensions of person centredness in long-term care. However, the focus on the development of these, without sufficient attention being paid to evidence of best practices grounded in the concept of personhood, person-centred care is in danger of losing its original humanistic emphasis. Further, models and frameworks need to take account of the personhood of all persons.Implications for practice. Registered nurses need to have an understanding of the concept of personhood to make sense of the various person-centred practice frameworks that exist. Without this understanding, there is a danger that the essence of personhood may be lost in the zeal to implement particular models and frameworks.
    LanguageEnglish
    Pages284-294
    JournalInternational Journal of Older People
    Volume7
    Issue number4
    DOIs
    Publication statusPublished - Dec 2012

    Fingerprint

    Long-Term Care
    Personhood
    Nurses
    Nurse's Role
    Practice Guidelines
    Decision Making

    Keywords

    • long-term care
    • person-centred practice
    • personhood
    • relationships

    Cite this

    McCormack, B., Roberts, T., Meyer, J., Morgan, D., & Boscart, V. (2012). Appreciating the ‘person’ in long-term care. International Journal of Older People, 7(4), 284-294. https://doi.org/10.1111/j.1748-3743.2012.00342.x
    McCormack, Brendan ; Roberts, Tonya ; Meyer, Julienne ; Morgan, Debra ; Boscart, Veronique. / Appreciating the ‘person’ in long-term care. In: International Journal of Older People. 2012 ; Vol. 7, No. 4. pp. 284-294.
    @article{cac4aaf93ece48b9bcb952274b21ecdd,
    title = "Appreciating the ‘person’ in long-term care",
    abstract = "Background. Internationally, approaches to the long-term care of older people are changing. New models are being developed that aim to de-institutionalise care settings, maximise opportunities for older people to participate in decision-making and move from a predominant medical model of care to one that is community orientated.Aims. The aim of this study is to highlight similarities and differences between the different models that exist and explore the implications of these for the role of the registered nurse in long-term care.Methods. We chose three models for review as these represent a range of views of person centredness, each having distinct roots and focus. The models chosen were as follows: (i) culture change, (ii) person-centred practice and (iii) relationship-centred care.Results. The review highlights two key issues – (i) the distinctiveness of different models and frameworks and (ii) different interpretations of ‘person’. Firstly, we identify a disconnection between espoused differences between models and frameworks and the reality of these differences. The evidence also identifies how some models and frameworks adopt a more inclusive conceptualisation of person and personhood and do not define personhood in relation to role (resident, nurse and family member).Conclusions. There is merit in the development of models and frameworks that try to make explicit the different dimensions of person centredness in long-term care. However, the focus on the development of these, without sufficient attention being paid to evidence of best practices grounded in the concept of personhood, person-centred care is in danger of losing its original humanistic emphasis. Further, models and frameworks need to take account of the personhood of all persons.Implications for practice. Registered nurses need to have an understanding of the concept of personhood to make sense of the various person-centred practice frameworks that exist. Without this understanding, there is a danger that the essence of personhood may be lost in the zeal to implement particular models and frameworks.",
    keywords = "long-term care, person-centred practice, personhood, relationships",
    author = "Brendan McCormack and Tonya Roberts and Julienne Meyer and Debra Morgan and Veronique Boscart",
    year = "2012",
    month = "12",
    doi = "10.1111/j.1748-3743.2012.00342.x",
    language = "English",
    volume = "7",
    pages = "284--294",
    journal = "International Journal of Older People Nursing",
    issn = "1748-3735",
    number = "4",

    }

    McCormack, B, Roberts, T, Meyer, J, Morgan, D & Boscart, V 2012, 'Appreciating the ‘person’ in long-term care', International Journal of Older People, vol. 7, no. 4, pp. 284-294. https://doi.org/10.1111/j.1748-3743.2012.00342.x

    Appreciating the ‘person’ in long-term care. / McCormack, Brendan; Roberts, Tonya; Meyer, Julienne; Morgan, Debra; Boscart, Veronique.

    In: International Journal of Older People, Vol. 7, No. 4, 12.2012, p. 284-294.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Appreciating the ‘person’ in long-term care

    AU - McCormack, Brendan

    AU - Roberts, Tonya

    AU - Meyer, Julienne

    AU - Morgan, Debra

    AU - Boscart, Veronique

    PY - 2012/12

    Y1 - 2012/12

    N2 - Background. Internationally, approaches to the long-term care of older people are changing. New models are being developed that aim to de-institutionalise care settings, maximise opportunities for older people to participate in decision-making and move from a predominant medical model of care to one that is community orientated.Aims. The aim of this study is to highlight similarities and differences between the different models that exist and explore the implications of these for the role of the registered nurse in long-term care.Methods. We chose three models for review as these represent a range of views of person centredness, each having distinct roots and focus. The models chosen were as follows: (i) culture change, (ii) person-centred practice and (iii) relationship-centred care.Results. The review highlights two key issues – (i) the distinctiveness of different models and frameworks and (ii) different interpretations of ‘person’. Firstly, we identify a disconnection between espoused differences between models and frameworks and the reality of these differences. The evidence also identifies how some models and frameworks adopt a more inclusive conceptualisation of person and personhood and do not define personhood in relation to role (resident, nurse and family member).Conclusions. There is merit in the development of models and frameworks that try to make explicit the different dimensions of person centredness in long-term care. However, the focus on the development of these, without sufficient attention being paid to evidence of best practices grounded in the concept of personhood, person-centred care is in danger of losing its original humanistic emphasis. Further, models and frameworks need to take account of the personhood of all persons.Implications for practice. Registered nurses need to have an understanding of the concept of personhood to make sense of the various person-centred practice frameworks that exist. Without this understanding, there is a danger that the essence of personhood may be lost in the zeal to implement particular models and frameworks.

    AB - Background. Internationally, approaches to the long-term care of older people are changing. New models are being developed that aim to de-institutionalise care settings, maximise opportunities for older people to participate in decision-making and move from a predominant medical model of care to one that is community orientated.Aims. The aim of this study is to highlight similarities and differences between the different models that exist and explore the implications of these for the role of the registered nurse in long-term care.Methods. We chose three models for review as these represent a range of views of person centredness, each having distinct roots and focus. The models chosen were as follows: (i) culture change, (ii) person-centred practice and (iii) relationship-centred care.Results. The review highlights two key issues – (i) the distinctiveness of different models and frameworks and (ii) different interpretations of ‘person’. Firstly, we identify a disconnection between espoused differences between models and frameworks and the reality of these differences. The evidence also identifies how some models and frameworks adopt a more inclusive conceptualisation of person and personhood and do not define personhood in relation to role (resident, nurse and family member).Conclusions. There is merit in the development of models and frameworks that try to make explicit the different dimensions of person centredness in long-term care. However, the focus on the development of these, without sufficient attention being paid to evidence of best practices grounded in the concept of personhood, person-centred care is in danger of losing its original humanistic emphasis. Further, models and frameworks need to take account of the personhood of all persons.Implications for practice. Registered nurses need to have an understanding of the concept of personhood to make sense of the various person-centred practice frameworks that exist. Without this understanding, there is a danger that the essence of personhood may be lost in the zeal to implement particular models and frameworks.

    KW - long-term care

    KW - person-centred practice

    KW - personhood

    KW - relationships

    U2 - 10.1111/j.1748-3743.2012.00342.x

    DO - 10.1111/j.1748-3743.2012.00342.x

    M3 - Article

    VL - 7

    SP - 284

    EP - 294

    JO - International Journal of Older People Nursing

    T2 - International Journal of Older People Nursing

    JF - International Journal of Older People Nursing

    SN - 1748-3735

    IS - 4

    ER -