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08:01
Virtual Hand with Ambiguous Movement between the Self and Other Origin: Sense of Ownership and 'Other-Produced' Agency
Published on: October 28, 2020
The Need to Reconstruct "Person-Centeredness" Based on Inherent Tensions.
Sheryl Zimmerman1, Walter Moczygemba1, Philip D Sloane2
1Cecil G. Sheps Center for Health Services Research and School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Summary
Person-centered care (PCC) faces challenges in practice, especially for older adults. Understanding and addressing six core tensions is crucial for a more realistic approach to PCC.
Area of Science:
- Healthcare delivery
- Geriatric care
- Dementia care
Background:
- Person-centered care (PCC) is a widely recognized approach in health and supportive services.
- Despite its prevalence, the implementation of PCC is complex and not uniformly understood.
- Challenges are particularly noted in the care of older adults, including those with dementia and in long-term care settings.
Purpose of the Study:
- To explore the concept of person-centered care (PCC) in depth.
- To identify and understand the inherent challenges in applying PCC.
- To examine PCC within the context of older adults, dementia care, and long-term care.
Main Methods:
- Qualitative analysis based on insights from 116 participants.
- Discussions and meetings involving diverse professional perspectives and expertise.
- Identification of deeply rooted tensions within the PCC framework.
Main Results:
- Six fundamental tensions impacting PCC were identified: community vs. individual, efficiency vs. individualization, superficial vs. deep knowing, policy compliance vs. flexible decision-making, safety vs. freedom, and expense vs. investment.
- These tensions highlight the inherent complexities and limitations in achieving "full" PCC.
- Ongoing negotiation and adaptation are necessary for practical application.
Conclusions:
- Achieving "full" person-centered care (PCC) is an unattainable ideal due to pervasive tensions.
- The concept of PCC requires reconstruction towards a more nuanced and realistic model.
- Practice, policy, and research must adopt a revised understanding of PCC to better navigate its complexities.
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