A considered reflection and re-presenting the Person-centred Practice Framework

Chapter 20
A considered reflection and re-presenting the Person-centred Practice Framework

Tanya McCance1 & Brendan McCormack2

1Ulster University, Northern Ireland, UK

2Queen Margaret University, Edinburgh, UK


In this book we have attempted to tell the story of the Person-centred Practice Framework – its underpinning principles, how it evolved over time, its relevance to key policy strategic directions, its centrality to practice development as an approach to developing person-centred cultures, and finally, how it has been used to shape developments that impact on practice. Reflecting on the chapters presented, we would like to conclude by synthesising what the book offers in advancing knowledge and understanding of person-centred practice in contemporary health and social care services.

Validation of the Framework

The contributions so willingly offered in this book by colleagues across the globe, first and foremost, confirm the applicability of the Person-centred Practice Framework in a range of different contexts. In Section 2 we hear of the Person-centred Practice Framework being used to guide and influence research, inform curriculum developments, and influence at strategic and policy levels through leadership that holds true to the underpinning principles of person-centredness. Section 3 positions the Framework as central to developing person-centred cultures through practice development, illustrating its significant contribution in this field. Finally Section 4 illustrates use of the Framework in practice, validating the underpinning rationale for its original development – to provide a means of operationalising person-centredness in practice in order to effect improvements in care. There are accounts that describe and critique the use of the Framework within mental health (Marit Borg and Bengt Karlsson, Chapter 16), community nursing (Caroline Dickson, Chapter 18), care at end of life (Antonia Lannie and Lorna Peelo-Kilroe, Chapter 19), and paediatrics (Val Wilson and Annette Solman, Chapter 14). Furthermore, the Person-centred Practice Framework as presented and discussed within this new edition of the book highlights its relevance within a wider multidisciplinary and multiprofessional health-care context. Several contributions within the book are beginning to provide evidence of its value within multiprofessional teams. This heralds an exciting new period in the life of the Framework where we anticipate its use more broadly outside of the professional boundaries of nursing. The fact that the Person-centred Practice Framework has remained relatively stable over time is heartening, but the widespread use of the Framework as evidenced in this book provides crucial feedback and critique that informs an ongoing critical dialogue about the validity of the Framework moving into the future.

Developing the workforce

The Person-centred Practice Framework articulates a set of desirable attributes for professional practice and presents the relationship between these attributes and the ability of health-care staff to manage the care environment in order to engage in effective person-centred processes. In Chapter 7, Deirdre O’Donnell and colleagues provide an excellent and innovative example of how we can embed person-centredness into the early learning experience for students. Ongoing development of competence and professional expertise, however, is a lifelong journey, but we are still challenged to develop and implement supportive models within health care that can develop the workforce taking account of the organisational context and the wider political agenda. In Section 3 we are provided with examples of approaches underpinned by practice development that focus on the development of the health-care workforce and on creating conditions that enable human flourishing – the desired outcome of person-centredness. Angie Titchen and Karen Hammond in Chapter 11 discuss their experience of using a critical companionship model as a means of achieving human flourishing at a practitioner level, while in Chapter 10 Jan Dewing and Brendan McCormack describe the characteristics of a flourishing organisation. Emergence of differing workforce models is discussed in the context of skill mix in Chapter 3

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May 30, 2017 | Posted by in NURSING | Comments Off on A considered reflection and re-presenting the Person-centred Practice Framework

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