Fundamentals of Person-Centred Healthcare Practice

1 Cover

2 Title Page

3 Copyright Page

4 Dedication Page

5 List of contributors

6 Foreword

7 Acknowledgement

8 Editor Biographies

9 Introduction Reference

10 SECTION 1: The Person in Person‐Centred Practice 1 The person in person‐centred practice Introduction Who am I? What does it mean to be a person? Personhood Persons, personhood and person‐centred practice Conclusion Summary References Further reading 2 What is person‐centredness? Introduction The values of person‐centredness Person‐centredness and related concepts Person‐centred practice Person‐centred culture Conclusions Summary References Further reading 3 The Person‐centred Practice Framework Introduction What is person‐centred practice? Introducing the Person‐centred Practice Framework Prerequisites The practice environment Person‐centred processes Person‐centred outcomes Applying the framework in practice Conclusions Summary References Further reading 4 Knowing self Introduction Understanding and defining self: different perspectives Different aspects of self The journey through ‘knowing self’: tools and approaches The importance of self‐knowledge for developing healthful cultures Using reflection to know self Creating the conditions to know self and others Conclusion Summary References 5 Flourishing as humans Introduction What is human flourishing? Conditions for human flourishing A resting place Summary References Further reading 6 Professionalism and practising professionally Introduction Practising professionally Standards for professional practice Maintaining professional standards Legal and ethical responsibilities Person‐centredness, professionalism and organisational structures Creating person‐centred cultures Conclusion Summary References 7 The future nurse, midwifery and allied health professional Introduction Professionalism and person‐centredness Step 1 – Build the initial team Step 2 – Identify what we can do Step 3 – Co‐create the vision Step 4 – Co‐design the solution Step 5 – Co‐delivery Step 6 – Co‐evaluate Challenges to professionalism Curricula content Conclusion Summary Acknowledgements References Further reading

11 SECTION 2: Being Person‐centred 8 Communicating and relating effectively Introduction Framing communication – definitions and basic concepts Fundamental ideas in person‐centred communication Strategies for putting person‐centred communication into action Conclusion Summary References Further reading 9 Systems to support person‐centred decision making Introduction What is decision making? Service user perspectives Person‐centred decision making The value of shared decision making Multidisciplinary team Organisational decision making Summary References Further reading 10 Connecting with others Introduction Relationship with self: emotional intelligence Relationship with colleagues Relationships with the person and their family Conclusion Summary References Further reading 11 The physical environment Introduction Ward layout and room type Acoustic environment (noise reduction) Lighting (natural daylight and artificial light) Views, exposure and access to nature How can a better environment be provided to service users? Conclusion Summary References Further reading 12 Working with persons' beliefs and values Introduction Beliefs, values and person‐centredness Personal beliefs and values Professional values Respecting all beliefs and values Contemporary considerations and challenges Beliefs and values in person‐centred practice Conclusion Summary References Further reading 13 Engaging meaningfully and effectively Introduction Engaging authentically Levels of engagement Human agency and reflexivity Challenging the status quo and non‐person‐centred practices Conclusion Summary References Further reading 14 Sharing in decisions Introduction Shared decision making with service users Shared decision making in action Opportunities and challenges with shared decision making Shared decision making and cognitive impairment Conclusion Summary References Further reading 15 Being sympathetically present Introduction Understanding sympathetic presence Being present in the moment Conclusion Summary References Further reading 16 Providing holistic care Introduction The concept of holism People, healthcare and holism Factors influencing holistic provision of care Providing holistic care Upholding the holistic gaze Conclusion Summary References Further reading

12 SECTION 3: Person‐Centredness in Health and Social Care Systems 17 Sociopolitical context in person‐centred practice Introduction Strategic leadership Health and social care policy Strategic frameworks Workforce developments Conclusion Summary References Further reading 18 Being person‐centred in the acute hospital setting Introduction An overview of person‐centredness in the acute hospital setting Person‐centred moments versus consistent person‐centred practice The impact of the practice environment on person‐centredness in acute settings How can we move beyond person‐centred moments in acute hospital settings? Conclusion Summary References Further reading 19 Person‐centred rehabilitation Introduction What is rehabilitation? Who can participate in person‐centred rehabilitation? Person‐centred processes Conclusion Summary References Further reading 20 Being person‐centred in community and ambulatory services Introduction The rich learning environments in community contexts Knowing what matters to you being in the community Stepping stones to enable you to be your best self in practice Community contexts as flourishing workplaces Conclusion Summary References Further reading 21 Experiencing person‐centredness in long‐term care Introduction Residential and long‐term care: supporting quality of life Choosing the right long‐term care setting and holding that difficult conversation The transition from ‘home’ to ‘home’ Nursing and caring expertise in residential care settings Dignity and the importance of effective communication and interpersonal skills Conclusion Summary References Further reading 22 Being person‐centred in mental health services Introduction How rights‐based approaches can inform person‐centred care of people experiencing mental distress Implementing the Person‐centred Practice Framework in the context of mental distress and trauma informed practice The necessity of developing a shared understanding Story telling as a means of therapeutic engagement Conclusion Summary References 23 Person‐centred support for people with learning disabilities Introduction Definition of a person with a learning disability Person‐centred principles that have underpinned services for people with learning disabilities The ongoing need for a person‐centred framework that is evidenced in practice Delivering person‐centred health and social care services for people with learning disabilities Conclusion Summary References Further reading 24 Being person‐centred in maternity services Introduction Contemporary maternity care Being professionally competent as a midwife Power sharing in person‐centred maternity care Enabling person‐centred maternity care through shared decision making Conclusion Summary References Further reading 25 Being person‐centred in children's services Introduction Person‐Centred Processes Working with the person's beliefs and values Engaging authentically Sharing decision making Being sympathetically present Working holistically Conclusion Summary References Further Reading 26 Being person‐centred when working with people living with long‐term conditions Introduction The context and challenges of living with a long‐term condition Healthcare system design Supporting people with long‐term conditions Assessment in the context of providing holistic care Critical perspectives Conclusion Summary References Further reading 27 Palliative and end of life care services Introduction Key strategic drivers reflecting the person‐centred macro context of palliative care Prerequisites: being a person‐centred practitioner in palliative care The context of palliative care and person‐centred practice Person‐centred processes in palliative care Challenges to person‐centred outcomes in palliative care Summary References Further reading and resources