What does person-centred care mean, if you weren't considered a person anyway: An engagement with person-centred care and Black, queer, feminist, and posthuman approaches.
critical nursing theory
critical posthumanism
nursing philosophy
person-centred care
Journal
Nursing philosophy : an international journal for healthcare professionals
ISSN: 1466-769X
Titre abrégé: Nurs Philos
Pays: England
ID NLM: 100897394
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
revised:
05
05
2022
received:
01
10
2021
accepted:
13
05
2022
pubmed:
25
6
2022
medline:
2
7
2022
entrez:
24
6
2022
Statut:
ppublish
Résumé
Despite the prominence of person-centred care (PCC) in nursing, there is no general agreement on the assumptions and the meaning of PCC. We sympathize with the work of others who rethink PCC towards relational, embedded, and temporal selfhood rather than individual personhood. Our perspective addresses criticism of humanist assumptions in PCC using critical posthumanism as a diffraction from dominant values We highlight the problematic realities that might be produced in healthcare, leading to some people being more likely to be disenfranchised from healthcare than others. We point to the colonial, homo- and transphobic, racist, ableist, and ageist consequences of humanist traditions that have influenced the development of PCC. We describe the deep rooted conditions that structurally uphold inequality and undermine nursing practice that PCC reproduces. We advocate for the self-determination of patients and emphasize that we support the fundamental mechanisms of PCC enabling patients' choice; however, without critical introspection, these are limited to a portion of humans. Last, we present limitations of our perspective based on our white*-cisheteropatriarchy** positionality. We point to the fact that any reimagining of models such as PCC should be carefully done by listening, following, and ceding power to people with diversity dimensions*** and the lived experience or expertise that exists from diverse perspectives. We point towards Black, queer feminism, and critical disabilities studies to contextualize our point of critique with humanism and PCC to amplify equity for all people and communities. Theory and philosophy are useful to understand restrictive factors in healthcare delivery and to inform systematic strategies to improve the quality of care so as not to perpetuate the oppression of groups of people with diversity dimensions.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12401Informations de copyright
© 2022 The Authors. Nursing Philosophy published by John Wiley & Sons Ltd.
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