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A conceptual framework for person-centred practice with older people
1University of Ulster, Jordanstown and Royal Hospitals Trust, Belfast, Northern Ireland. brendan.mccormack@royalhospitals.n-i-nhs.uk
International Journal of Nursing Practice
|June 13, 2003
Summary
This study introduces a person-centred practice framework for older adults, emphasizing nurses understanding patients and their relationships. Key factors include patient and nurse values, and the care environment for effective implementation.
Area of Science:
- Gerontology
- Nursing Practice
- Healthcare Ethics
Background:
- Person-centred care is crucial for older adults.
- Existing frameworks may lack practical operationalization.
- Hermeneutic philosophy offers a unique lens for understanding the person.
Purpose of the Study:
- To develop a conceptual framework for person-centred practice with older people.
- To identify key components and enablers for person-centred care.
- To guide nurses in providing individualized care.
Main Methods:
- Hermeneutic philosophy guided the research.
- Conversation analysis and reflective conversation were used for data collection and analysis.
- A conceptual framework was developed based on research findings.
Main Results:
- Nurses must understand the individual patient, the nurse-patient relationship, and implicit expectations.
- Person-centredness is based on authentic consciousness and five imperfect duties.
- Patient values, nurse values, and care context enable person-centred practice.
Conclusions:
- The developed framework provides a structured approach to person-centred practice.
- Implementation requires attention to values and the care environment.
- This model supports enhanced care for older adults.
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