{"title":"Two sides of the same coin: person-centred systems versus person-centred nursing practice. Theory, barriers and opportunities.","authors":"Amy-Louise Byrne","doi":"10.1177/17449871241255012","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Person-centred care is a well-known concept in nursing practice. It is understood that person-centred care represents a way of providing care, which considers the person's social, emotional and physical health. Person-centred care is tailored care, which meets individual's needs, while also including them in decision-making.</p><p><strong>Aims: </strong>Despite this, the practice of person-centred care can be stifled by system constraints which impact largely on the nursing profession. This paper aims to explore such challenges, highlighting the disconnect between theory and practice.</p><p><strong>Methods: </strong>Adapted from the work of Fairclough, this discourse analysis critically reviews a cross section of texts related to person-centred care and offers a critique for discussion.</p><p><strong>Results: </strong>This paper has found a divergence between person-centred <i>care</i> (system) and person-centred <i>practice</i> (nursing care), highlighting the tension between the theories and practice.</p><p><strong>Conclusion and contribution to nursing: </strong>This paper highlights not only the challenges but also the opportunities in embedding person-centred care into system design, and considers further changes required to enable nurses to practice care which supports the whole needs of the person. It suggests that leveraging nursing expertise and experience may provide an avenue for system change.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871241255012"},"PeriodicalIF":1.6000,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003329/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Research in Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17449871241255012","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Person-centred care is a well-known concept in nursing practice. It is understood that person-centred care represents a way of providing care, which considers the person's social, emotional and physical health. Person-centred care is tailored care, which meets individual's needs, while also including them in decision-making.
Aims: Despite this, the practice of person-centred care can be stifled by system constraints which impact largely on the nursing profession. This paper aims to explore such challenges, highlighting the disconnect between theory and practice.
Methods: Adapted from the work of Fairclough, this discourse analysis critically reviews a cross section of texts related to person-centred care and offers a critique for discussion.
Results: This paper has found a divergence between person-centred care (system) and person-centred practice (nursing care), highlighting the tension between the theories and practice.
Conclusion and contribution to nursing: This paper highlights not only the challenges but also the opportunities in embedding person-centred care into system design, and considers further changes required to enable nurses to practice care which supports the whole needs of the person. It suggests that leveraging nursing expertise and experience may provide an avenue for system change.
期刊介绍：
The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research
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