Washburn Allyson M, Grossman Melanie
a Department of Psychology , National University , San Diego , California , USA.
J Gerontol Soc Work. 2017 Jul;60(5):408-423. doi: 10.1080/01634372.2017.1348419. Epub 2017 Jul 6.
Person-centered care (PCC) has emerged over the last several decades as the benchmark for providing quality care for diverse populations, including older adults with multiple chronic conditions that affect daily life. This article critiques current conceptualizations of PCC, including the social work competencies recently developed by the Council on Social Work Education, finding that they do not fully incorporate certain key elements that would make them authentically person-centered. In addition to integrating traditional social work values and practice, social work's PCC should be grounded in the principles of classical Rogerian person-centered counseling and an expanded conceptualization of personhood that incorporates Kitwood's concepts for working with persons with dementia. Critically important in such a model of care is the relationship between the caring professional and the care recipient. This article recommends new social work competencies that incorporate both the relationship-building attitudes and skills needed to provide PCC that is authentically person-centered.
在过去几十年里，以患者为中心的护理（PCC）已成为为不同人群提供优质护理的基准，这些人群包括患有多种影响日常生活慢性病的老年人。本文对PCC的当前概念进行了批判，包括社会工作教育委员会最近制定的社会工作能力，发现它们没有充分纳入某些关键要素，而这些要素会使它们真正以患者为中心。除了整合传统的社会工作价值观和实践外，社会工作的PCC还应以经典的罗杰斯以患者为中心的咨询原则以及对人格的扩展概念为基础，该概念纳入了基特伍德针对痴呆症患者的工作理念。在这种护理模式中，护理专业人员与护理接受者之间的关系至关重要。本文推荐了新的社会工作能力，这些能力既包含建立关系的态度，也包含提供真正以患者为中心的PCC所需的技能。
