Review: ii Fundamentals of Person-Centred Healthcare Practice
With 30+ pages left I need to remind myself of the book's focus - the Person-Centered Practice Framework [PCPF].
The 'practice' in the title is key too and I am envious of the attention afforded to the PCPF. The book very much seeks to inform student learning and in section 4 on learning and development. The book is very effective in operationalising person-centred care and person-centredness.
I'm constantly fascinated by the way processes arise everywhere. This is inevitable. Time, space, events, the flows of data, information, knowledge and the systems we use are necessarily process-oriented. Who are you at 2pm compared with 8pm - shift patterns permitting?
Purposes are discussed and the 34 chapters cohere very well in style and vocabulary. Perhaps I expect too much. A vocabulary that bridges the process-laden world of the sciences and political machinations with the humanistic - experiential - world of lived experience? I need to accept that 'whole systems' rely on processes that are not just physical, but social, psychological and political. I can't though help but read "Committed to healthfulness as process and outcome" in task-oriented and politicised (outcome) terms (p.15).
In table 2.2 (p.16) on associated concepts a list that includes patient- client- woman- child- family- relationship- centredness, I see this as humanistic and hence as a matter more of purposes and practice than process. A letter explaining 'person-centredness' to an alien visitor the Oscleans, is a welcome creative distraction and reminder for me of SETI@HOME which has stopped distributing work. Here, I read 'service-users' as an unconscious bias towards the dark-side to bring the Force in to the mix.
On twitter (and here) I've tried to highlight that the BIO-PSYCHO-SOCIAL model is incomplete.
IT IS NO LONGER SUFFICIENT.
Yes: Person-centredness is about an individual's being.
To BE person-centred your stance must include the POLITICAL* (p.19, p.35).
I'm still deliberating on what sort of tool is Hodges' model?
It is far more than a Johari Window (p.36):
https://hodges-model.blogspot.com/search?q=johari
'Situation' litters the text - oh for a situated model: "Look for alternative ways of explaining a situation (i.e. reframing a discussion)" (p.37).
As you can see, this books gets you thinking and reflecting ...
The book's editors and publishers are courageous and true to the format by including weblinks. I will try some of these and report back.
|
| patient- client- beliefs wishes identity hope |
time place space |
| woman- child- family- relationship- |
policy power £$ |
More to follow with many thanks to the publisher for the review copy.
*Update 6 August: See 'Political Quotient'
Fundamentals of Person-Centred Healthcare Practice, McCormack, B., McCance, T., Bulley, C., Brown, D., McMillan, A, Martin,S. (Eds.). ISBN: 978-1-119-53308-5 February 2021 Wiley-Blackwell.
orcid.org/0000-0002-0192-8965