Читать книгу Fundamentals of Person-Centred Healthcare Practice - Группа авторов - Страница 57

The practice environment reflects the complexity of the context in which healthcare is experienced (Figure 3.3). There is an evidence base in the field of knowledge translation and knowledge utilisation focusing on exploring the meaning of context; identifying the key elements of context and their enabling or hindering qualities (for evidence/knowledge use); and developing approaches to measuring the impact of context on clinical and team effectiveness, including impact on patient outcomes (Rycroft‐Malone 2004; Rycroft‐Malone et al. 2013). The position taken within the Person‐centred Practice Framework is that context is synonymous with the practice environment, and contained within it are multifaceted characteristics and qualities of the environment (people, processes and structures) that impact on the effectiveness of person‐centred practice.

To this end, seven characteristics of the care environment are described within the framework: appropriate skill mix; systems that facilitate shared decision making; the sharing of power; effective staff relationships; organisational systems that are supportive; potential for innovation and risk taking; and the physical environment. Furthermore, we would contend that the constructs that make up the practice environment have a significant impact on the operationalisation of person‐centred practice and have the greatest potential to limit or enhance the facilitation of person‐centred processes (McCormack et al. 2011).

Figure 3.2 Defining prerequisites.

Figure 3.3 Defining the characteristics of the practice environment.