title: From person-centered to relational care: expanding the focus in residential care facilities.
abstract: Long-term residential care facilities for older adults currently espouse a philosophy of person-centered care (PCC). However, these facilities operate according to a medical model with highly structured administration and regulation. As a result, there is tension between the priorities of the resident and the organization. A qualitative study conducted with 4 social workers and 1 physician employed in residential care facilities demonstrates not only the structural barriers to PCC, but also the importance of meaningful relationships to residents' socio-emotional well-being. The final section explores how organizational barriers might be mitigated through the complementary use of relational care.
authors.affiliation: School of Social Work, University of British Columbia, Vancouver, Canada. jrockwel@interchange.ubc.ca
authors.forename: Jasmyne
authors.initials: J
authors.lastname: Rockwell
mesh_terms: D001955:British Columbia; D003695:Delivery of Health Care / Q000458:organization & administration; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D007406:Interview, Psychological; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D024382:Professional Role; D036301:Qualitative Research; D012947:Social Work