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Pursuing concordance: moving away from paternalism.
- Source :
-
British Journal of Nursing . 2014, Vol. 23 Issue 12, p677-684. 8p. 2 Diagrams. - Publication Year :
- 2014
-
Abstract
- In the second of two articles exploring the value and application of concordance across nursing practice the discussion is aimed at clinical settings and patient groups where concordance may have been viewed as impractical. The author harnesses Cribb and Entwhistle’s broader conception of shared decision making and the notion of decision-making capacity as a continuum to argue that concordance can be pursued effectively in challenging settings such as childcare practice, mental health and the care of older people. As in the first paper (McKinnon, 2013) the discussion is not limited to medicines management but remains engaged with all aspects of nursing practice. Legal and ethical frameworks, social participation theory and research across healthcare practice are sourced to argue for concordant approaches in the care of patients who may at times have compromised decision-making capacity. Ideas of direct and indirect concordance are explored. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ELDER care
*DECISION making
*MATHEMATICAL models
*MEDICAL personnel
*PATIENT-professional relations
*MEDICAL protocols
*MENTAL illness
*NURSE-patient relationships
*NURSING practice
*PATERNALISM
*PATIENTS
*LEGAL status of patients
*PEDIATRICS
*PATIENT participation
*THEORY
*PSYCHIATRIC treatment
*PATIENTS' families
Subjects
Details
- Language :
- English
- ISSN :
- 09660461
- Volume :
- 23
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- British Journal of Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 97016683
- Full Text :
- https://doi.org/10.12968/bjon.2014.23.12.677