Conceptualising a framework for Person-centred care through exploring perceptions of person-centred care in international nursing and physiotherapy online communities: An Interpretative Phenomenological Analysis

Abstract

Question: What are the perceptions of person centred care (PCC) within nursing and physiotherapy online social media communities? Design: A secondary qualitative analysis of pre-existing data, using an Interpretative Phenomenological Approach. Participants: An international population of 38 nurses and 23 physios who came together over twitter. Results: 4 themes were produced for this study covering; The Relationship between NMAHPs (Nurses, Midwifes and Allied Health Professionals) and Patient, The Perceptions of who Holds the Power Between Patient vs Practioner, Treating the Condition Not the Person and The impact of Organisational Demands on Healthcare Delivery. The study found that physiotherapists and nurses share a lot of the same perceptions around person centred practice. The study highlighted some differences of physiotherapists perceptions to those of nurses, namely informed decision making and education to empower. It was also found that physiotherapists are still working from a biomechanical approach at times. Nurses said patient privacy was important which was not expressed by physiotherapists. A Framework incorporating the views of physiotherapists alongside the established perceptions of PCC from nursing communities and literature has been developed. Conclusion: The results found that there are differences in perceptions of person centred care between physiotherapists and nurses. This needs to become accounted for in future when developing a PCC framework for Physiotherapists. The study has also proposed the basis for a framework which future research can build upon, paving the way for a person centred care framework that can benefit multiple professions.