Person centered care in neurorehabilitation: A secondary analysis
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Date
2019-01-29
Open Access Location
Journal Title
Journal ISSN
Volume Title
Publisher
Taylor and Francis Group
Rights
(c) The author/s
CC BY-NC-ND
CC BY-NC-ND
Abstract
Person centered care has been described as being in its ascendency, despite some of the complexities of embedding it within healthcare systems. The emphasis of research now seems to be moving toward the promotion of cultures of care that support the efforts of practitioners. Informed by some of the principles of positive deviancy, where some of the solutions for change can be found within existing cultures and practices, this paper aimed to identify examples of person-centered care in existing practice. Reporting on a thematic analysis of qualitative datasets from three preexisting projects, we constructed four themes from these data: (1) That patient experience and needs should always be understood in terms of their difficult new reality; (2) the need for a relational orientation in care; (3) the importance of treating trust as a currency; and, (4) efficacy in rehabilitation is co-constructed, and enabled by the efforts of clinicians. Identifying positive examples of care, enacted irrespective of the framework of care they are found within, may provide opportunities to critically reflect on practice. The context for care and the extent to which that context constrains or makes possible person-centered care in practice will also be discussed.
MPLICATIONS FOR REHABILITATION
Cultures of care are central to enhancing person-centered practice.
Care begins with recognition of patient’s difficult new reality.
Building trust helps enable capacity for improvement
Description
Keywords
Person-centredness, qualitative, rehabilitation, thematic analysis, practice
Citation
Terry G, Kayes N. (2019). Person centered care in neurorehabilitation: A secondary analysis. Disability and Rehabilitation. 42. 16. (pp. 2334-2343).