Abstract
Research relating to person-centred practice continues to expand and currently there is a dearth of statistical evidence that tests the validity of an accepted model for person-centred practice. The Person-centred Practice Framework is a midrange theory that is used globally, across a range of diverse settings. The aim of this study was to statistically examine the relationships within the Person-centred Practice Framework. A cross sectional survey design using a standardized tool was used to assess a purposive sample (n = 1283, 31.8%) of multi-disciplinary health professionals across Ireland. Survey construct scores were included in a structural model to examine the theoretical model of person-centred practice. The results were drawn from a multi-disciplinary sample, and represented a broad range of clinical settings. The model explains 60.5% of the total variance. Factor loadings on the second order latent construct, along with fit statistics, confirm the acceptability of the measurement model. Statistically significant factor loadings were also acceptable. A positive, statistically significant relationship was observed between components of the Person-centred Practice Framework confirming it’s theoretical propositions. The study provides statistical evidence to support the Person-centred Practice Framework, with a multidisciplinary sample. The findings help confirm the effectiveness of the Person-Centred Practice Index for-Staff as an instrument that is theoretically aligned to an internationally recognised model for person-centred practice.
Highlights
Published: 13 December 2021The value placed on person-centredness as the preferred approach in health and social care is uncontested, as evidenced in policy and strategy development globally [1,2,3]
This paper presents the outcomes from a programme of work that has focused on the development of a conceptual framework for implementing person-centred practice, the Person-centred Practice Framework (PCPF) [3,10,11], and development of a tool aligned to the framework that can offer a valid and reliable standardised measure, the Person-centred Practice Inventory for Staff (PCPI-S) [12]
The data generated from the PCPI-S has provided a unique opportunity to use data to further test theoretical relationships within the PCPF
Summary
Published: 13 December 2021The value placed on person-centredness as the preferred approach in health and social care is uncontested, as evidenced in policy and strategy development globally [1,2,3]. Whilst person-centredness has increasingly been positioned as a central focus in nursing and health care, theoretical developments have largely focused on related concepts and theories, especially relationship-centred care [15], compassionate care [16] and dignified care [17] None of these particular theories adopt a truly holistic perspective that embraces person-centredness as a unifying theory of how all persons (healthcare workers and patients/families/communities) experience health care. These perspectives have not stood the test of time as ‘alternatives’ but instead are increasingly seen as components of person-centred nursing and healthcare, or as constructs that explain different dimensions of person-centredness This goes some way to affirming the importance of person-centred approaches, not just as care practices in particular professional groups, but as a philosophical underpinning of health-care systems that places people at the centre. The Person-centred Practice Framework [11], whilst embracing these theoretical perspectives adopts a whole-systems approach to the practice of person-centred healthcare and operates at the levels of individual people, communities and populations
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