title: Developing person-centred care: addressing contextual challenges through practice development.
abstract: Developing person-centred care is not a one-time event; rather it requires a sustained commitment from organisations to the ongoing facilitation of developments, a commitment both in clinical teams and across organizations. Contextual factors pose the greatest challenge to person-centredness and the development of cultures that can sustain person-centred care. We will begin with a general comment on 'context' and its meaning before exploring three particular factors that influence the practice context, namely, workplace culture, learning culture, and the physical environment. Next we explore a particular approach to developing person-centred care through emancipatory practice development. We highlight the importance of facilitation through emancipatory practice development programmes and describe how person-centred care can be developed through the presentation of a case study that illustrates the principles and processes of emancipatory practice development as well as the outcomes achieved. We conclude with an application to clinical practice. A key consideration for all organisations in the development of person-centred care is to move from what we suggest are 'person-centred moments' (individual, ad hoc experiences of person-centredness) to 'person-centred care' as an underpinning culture of teams and organisations.
authors.affiliation: Institute of Nursing Research and Person-Centred Practice Research Centre, University of Ulster (Northern Ireland). Bg.mccormack@ulster.ac.uk
authors.forename: Brendan
authors.initials: B
authors.lastname: McCormack
authors.forename: Jan
authors.initials: J
authors.lastname: Dewing
authors.forename: Tanya
authors.initials: T
authors.lastname: McCance
mesh_terms: D055318:Evidence-Based Nursing / Q000379:methods / Q000458:organization & administration; D006801:Humans; D016294:Models, Nursing; D019982:Organizational Case Studies; D015279:Organizational Culture; D018802:Patient-Centered Care / Q000379:methods* / Q000458:organization & administration*; D013192:Staff Development / Q000379:methods / Q000458:organization & administration