Browsing by Person "Attard, Christie"

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Adopting the concept of ‘Ba' and the ‘SECI' model in developing person-centered practices in child and adolescent mental health services
(Frontiers, 2022-01-05) Attard, Christie; Elliot, Michelle L.; Grech, Paulann; McCormack, Brendan
The concept of knowledge is divided into explicit and tacit knowledge; explicit knowledge refers to the knowledge that can be articulated, written and stored, while tacit knowledge refers to personal experiences, values, beliefs and emotions of an individual. By Nonaka's theory, explicit and tacit knowledge do not lie separately but interact together by interactions and relationships between human beings. Thus, the SECI model is based on the assumption that knowledge is created through the social interaction of tacit and explicit knowledge; known as knowledge conversion. The SECI model is based upon four modes of knowledge conversion; socialization, externalization, combination and internalization. 'Ba' is considered to be a shared platform for knowledge creation. 'Ba' is a shared space, be it physical, mental or a combination of both that serves as a foundation of knowledge creation. Ba involves sharing of tacit knowledge i.e. emotions, feelings, experiences and mental images. It also involves the formation of a collective relationship which is open to the sharing of practices, values, processes and culture. This concept focuses mainly on the individual as a person who holds the knowledge rather than just on the knowledge itself. It aims to create a common space to bring people together where they can dialogue to share and create knowledge. As in the relationships formed in person-centered practices, relationships formed in Ba are based on not just the sharing of objective knowledge but also on sharing values, beliefs, and emotions. It also reflects the formation of a person-centered environment as a basis for person-centered research where healthful relationships with the participants are formed. Furthermore, Ba will aid in creating a sense of connectiveness and dialogue, thus focusing on the idea that the development of new practices is done with others rather than to others. In this article we will discuss how these Eastern concepts can be adapted and used to develop person-centered practices within child and adolescent mental health services, specifically related to rehabilitation and recovery. The concepts of personhood will be discussed, followed by a reflection on current practices adopted when working with children and adolescents.
Exploring the Potential for Developing Person-Centred Practices in a Child and Adolescent Mental Health Inpatient Unit: A Qualitative Research Protocol
(SAGE Publications, 2025-03-04) Attard, Christie; Elliot, Michelle L.; Grech, Paulann
Due to a drastic increase in child and adolescent mental health difficulties worldwide, there is a constant need to evaluate current practices and further develop person-centred practices. The importance of person-centred practices is highlighted in research worldwide. This study will look into the potential development of person-centred practices within a child and adolecent mental health in-patient unit, the Young People’s Unit. Initially the current care practices, and person-centred moments were explored, which then lead to the development of pathways to create person-centred practices. This study followed a philosophical inquiry based on the SECI model and the concept of Ba developed by Ikujiro Nonaka. Data was collected from 15 young persons admitted to the Young People’s Unit. 15 main caregivers and the healthcare professionals which were part of the multi-discplinary team within the unit. 3 Different methods were used, the Draw, Write & Tell with the young persons, semi-structured interviews with the main caregivers, and observations by the researcher using the WCCAT-R tool and the world cafe method with the multidisciplinary team. The use of different methods ensured that the methods used were age appropriate. The externalistion and combination stage of the SECI model were done collaboratively with two young persons, two main care givers and 2 healthcare professionals who were initially participants in the data collection of the research. The involvement of different stakeholder in the data analysis resulted in the investigation of different aspects of the data which otherwise may have been missed. This study also looks into how Ba was created throughout the research process, and shows how this is congruent with the principles which are adopted in person-centred research.