List of contributors xvii

Foreword xxi

Acknowledgement xxiii

Editor Biographies xxv

Introduction xxvii

Section 1 The Person in Person-Centred Practice 1

Chapter 1 The person in person-centred practice 3
Brendan McCormack, Tanya McCance, and Jan Dewing

Introduction 4

Who am I? 4

What does it mean to be a person? 6

Personhood 7

Persons, personhood and person-centred practice 10

Conclusion 10

Summary 11

References 11

Further reading 11

Chapter 2 What is person-centredness? 13
Brendan McCormack, Tanya McCance, and Suzanne Martin

Introduction 14

The values of person-centredness 15

Person-centredness and related concepts 16

Person-centred practice 17

Person-centred culture 19

Conclusions 20

Summary 20

References 21

Further reading 22

Chapter 3 The Person-centred Practice Framework 23
Tanya McCance and Brendan McCormack

Introduction 24

What is person-centred practice? 24

Introducing the Person-centred Practice Framework 25

Prerequisites 26

The practice environment 27

Person-centred processes 29

Person-centred outcomes 29

Applying the framework in practice 30

Conclusions 30

Summary 30

References 31

Further reading 32

Chapter 4 Knowing self 33
Donna Brown and Savina Tropea

Introduction 34

Understanding and defining self: different perspectives 34

Different aspects of self 35

The journey through 'knowing self': tools and approaches 36

The importance of self-knowledge for developing healthful cultures 37

Using reflection to know self 38

Creating the conditions to know self and others 38

Conclusion 39

Summary 39

References 40

Chapter 5 Flourishing as humans 41
Brendan McCormack, Tanya McCance, and Jan Dewing

Introduction 42

What is human flourishing? 43

Conditions for human flourishing 45

A resting place 49

Summary 49

References 50

Further reading 50

Chapter 6 Professionalism and practising professionally 51
Caroline Gibson, Kath MacDonald, and Deirdre O'Donnell

Introduction 52

Practising professionally 52

Standards for professional practice 53

Maintaining professional standards 54

Legal and ethical responsibilities 55

Person-centredness, professionalism and organisational structures 56

Creating person-centred cultures 57

Conclusion 58

Summary 58

References 60

Chapter 7 The future nurse, midwifery and allied health professional 61
Suzanne Martin, Charlotte McArdle, and Ed Jesudason

Introduction 62

Professionalism and person-centredness 63

Step 1 - Build the initial team 65

Step 2 - Identify what we can do 65

Step 3 - Co-create the vision 65

Step 4 - Co-design the solution 65

Step 5 - Co-delivery 66

Step 6 - Co-evaluate 66

Challenges to professionalism 66

Curricula content 67

Conclusion 69

Summary 69

Acknowledgements 70

References 70

Further reading 70

Section 2 Being Person-centred 71

Chapter 8 Communicating and relating effectively 73
Duncan Pentland, Helen Riddell, and Lindsey Regan

Introduction 74

Framing communication - definitions and basic concepts 75

Fundamental ideas in person-centred communication 76

Strategies for putting person-centred communication into action 79

Conclusion 80

Summary 81

References 81

Further reading 81

Chapter 9 Systems to support person-centred decision making 83
Amanda Stears and Dawn Jansch

Introduction 84

What is decision making? 84

Service user perspectives 86

Person-centred decision making 87

The value of shared decision making 88

Multidisciplinary team 88

Organisational decision making 90

Summary 91

References 92

Further reading 92

Chapter 10 Connecting with others 93
Brighide Lynch, Derek Barron, and Lesley McKinlay

Introduction 94

Relationship with self: emotional intelligence 95

Relationship with colleagues 97

Relationships with the person and their family 98

Conclusion 100

Summary 100

References 100

Further reading 101

Chapter 11 The physical environment 103
Suzanne Martin, Assumpta Ryan, and Fiona Maclean

Introduction 104

Ward layout and room type 105

Acoustic environment (noise reduction) 105

Lighting (natural daylight and artificial light) 106

Views, exposure and access to nature 106

How can a better environment be provided to service users? 109

Conclusion 110

Summary 110

References 110

Further reading 111

Chapter 12 Working with persons' beliefs and values 113
Suzanne Martin, Lisa Luhanga, and Catherine Wells

Introduction 114

Beliefs, values and person-centredness 114

Personal beliefs and values 115

Professional values 115

Respecting all beliefs and values 116

Contemporary considerations and challenges 117

Beliefs and values in person-centred practice 118

Conclusion 119

Summary 119

References 119

Further reading 120

Chapter 13 Engaging meaningfully and effectively 121
Ailsa Espie, Georgios Tsigkas, and Donna Brown

Introduction 122

Engaging authentically 122

Levels of engagement 123

Human agency and reflexivity 124

Challenging the status quo and non-person-centred practices 125

Conclusion 126

Summary 127

References 127

Further reading 127

Chapter 14 Sharing in decisions 129
Jean Daly Lynn, Assumpta Ryan, and Fiona Kelly

Introduction 130

Shared decision making with service users 130

Shared decision making in action 131

Opportunities and challenges with shared decision making 133

Shared decision making and cognitive impairment 135

Conclusion 136

Summary 137

References 137

Further reading 138

Chapter 15 Being sympathetically present 139
Tanya McCance, Brendan McCormack, Karl Tizzard-Kleister, and Lynn Wallace

Introduction 140

Understanding sympathetic presence 141

Being present in the moment 143

Conclusion 145

Summary 145

References 146

Further reading 146

Chapter 16 Providing holistic care 147
Neal F. Cook and Michelle L. Elliot

Introduction 148

The concept of holism 149

People, healthcare and holism 150

Factors influencing holistic provision of care 151

Providing holistic care 152

Upholding the holistic gaze 153

Conclusion 155

Summary 155

References 156

Further reading 156

Section 3 Person-Centredness in Health and Social Care Systems 157

Chapter 17 Sociopolitical context in person-centred practice 159
Deborah Baldie, Tanya McCance, and Brendan McCormack

Introduction 160

Strategic leadership 160

Health and social care policy 161

Strategic frameworks 162

Workforce developments 163

Conclusion 166

Summary 167

References 167

Further reading 168

Chapter 18 Being person-centred in the acute hospital setting 169
Christine Boomer, Bill Lawson, and Robert Brown

Introduction 170

An overview of person-centredness in the acute hospital setting 170

Person-centred moments versus consistent person-centred practice 171

The impact of the practice environment on person-centredness in acute settings 172

How can we move beyond person-centred moments in acute hospital settings? 174

Conclusion 175

Summary 176

References 176

Further reading 177

Chapter 19 Person-centred rehabilitation 179
Jackie Gracey and Ailsa McMillan

Introduction 180

What is rehabilitation? 181

Who can participate in person-centred rehabilitation? 183

Person-centred processes 184

Conclusion 187

Summary 187

References 188

Further reading 188

Chapter 20 Being person-centred in community and ambulatory services 189
Caroline Dickson and Lorna Peelo-Kilroe

Introduction 190

The rich learning environments in community contexts 191

Knowing what matters to you being in the community 191

Stepping stones to enable you to be your best self in practice 193

Community contexts as flourishing workplaces 194

Conclusion 196

Summary 196

References 197

Further reading 197

Chapter 21 Experiencing person-centredness in long-term care 199
Kevin Moore and Fiona Kelly

Introduction 200

Residential and long-term care: supporting quality of life 201

Choosing the right long-term care setting and holding that difficult conversation 202

The transition from 'home' to 'home' 203

Nursing and caring expertise in residential care settings 204

Dignity and the importance of effective communication and interpersonal skills 205

Conclusion 206

Summary 206

References 207

Further reading 208

Chapter 22 Being person-centred in mental health services 209
David Banks, Josianne Scerri, and Jessica Davidson

Introduction 210

How rights-based approaches can inform person-centred care of people experiencing mental distress 210

Implementing the Person-centred Practice Framework in the context of mental distress and trauma informed practice 213

The necessity of developing a shared understanding 216

Story telling as...