Person-centred outcomes and cultural change
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The concept of 'person centredness' has become established in approaches to the delivery of healthcare and particularly within nursing. In the United Kingdom, person centredness is embedded in many policy initiatives (e.g. The National Service Framework for Older People [DoH 2001]). In a comprehensive review of the literature, McCormack (2004) identified 110 papers that related to aspects of personcentred practice, the majority of which originated from the United Kingdom. Whilst it appears that developments in person-centred nursing theory and practice are predominantly taking place in a UK context, comparisons can be drawn with other international nursing perspectives, such as the 'Quality Health Outcomes Model' (Mitchell et al., 1998; Radwin & Fawcett, 2002), the 'Synergy Model' (Curley, 1998) and a model of 'family-centred care' (Wilson, 2005a, 2005b). Recent research into person centredness has attempted to clarify the meaning of the term (e.g. McCormack, 2004), explore the implications of the term in practice (Dewing, 2004) and determine the cultural and contextual challenges to implementing a person-centred approach (Binnie & Titchen, 1999). Evidence from Binnie and Titchen's research suggested that adopting this approach to nursing provides more holistic care. In addition, it may increase patient satisfaction with the level of care, reduce anxiety levels among nurses in the long term, and promote team working among staff. Binnie and Titchen (1999), however, did not test these assertions and were therefore unable to provide evidence of the suggested relationships.