The micro-politics of caring: Tinkering with person-centered rehabilitation

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dc.citation.issue11
dc.citation.volume42
dc.contributor.authorGibson BE
dc.contributor.authorTerry G
dc.contributor.authorSetchell J
dc.contributor.authorBright FAS
dc.contributor.authorCummins C
dc.contributor.authorKayes NM
dc.date.accessioned2024-06-03T23:34:35Z
dc.date.available2024-06-03T23:34:35Z
dc.date.issued2019-04-12
dc.description.abstractPurpose: In this paper, we critically investigate the implementation of person-centered care with the purpose of advancing philosophical debates regarding the overarching aims and delivery of rehabilitation. While general agreement exists regarding person centered care’s core principles, how practitioners reconcile the implementation of these principles with competing practice demands remains an open question. Materials and methods: For the paper, we drew on post-qualitative methods to engage in a process of “diffractive” analysis wherein we analyzed the micro-doings of person-centered care in everyday rehabilitation work. Working from our team members’ diverse experiences, traditions, and epistemological commitments, we engaged with data from nine “care events” generated in previous research to interrogate the multiple forces that co-produce care practices. Results: We map our analyses under three categories: scripts mediate practice, securing compliance through “benevolent manipulations”, and care(ful) tinkering. In the latter, we explore the notion of tinkering as a useful concept for approaching person centered care. Uncertainty, humility, and doubt in one’s expertise are inherent to tinkering, which involves a continual questioning of what to do, what is best, and what is person centered care within each moment of care. The paper concludes with a discussion of the implications for rehabilitation and person-centered care.
dc.description.confidentialfalse
dc.edition.edition2020
dc.format.pagination1529-1538
dc.identifier.citationGibson BE, Terry G, Setchell J, Bright FAS, Cummins C, Kayes NM. (2019). The micro-politics of caring: Tinkering with person-centered rehabilitation. Disability and Rehabilitation. 42. 11. (pp. 1529-1538).
dc.identifier.doi10.1080/09638288.2019.1587793
dc.identifier.eissn1464-5165
dc.identifier.elements-typejournal-article
dc.identifier.issn0963-8288
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/69713
dc.languageEnglish
dc.publisherTaylor and Francis Group
dc.publisher.urihttps://www.tandfonline.com/doi/full/10.1080/09638288.2019.1587793
dc.relation.isPartOfDisability and Rehabilitation
dc.rights(c) The author/sen
dc.rights.licenseCC BY-NC-NDen
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectProfessional–patient relations
dc.subjectethics
dc.subjectpostmodernism
dc.subjectcritical thinking
dc.subjectqualitative research
dc.titleThe micro-politics of caring: Tinkering with person-centered rehabilitation
dc.typeJournal article
pubs.elements-id484732
pubs.organisational-groupOther
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