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Multiprofessional Views on Older Patients’ Participation in Care Planning Meetings in a Hospital Context
Date Issued
10 April 2013
Date Available
23T07:16:15Z April 2019
Abstract
Care planning meetings (CPMs; sometimes referred to as family meetings) for older patients involve group decision-making between the multidisciplinary team, the older person and their family. However, service user participation is challenged by the inequity of knowledge and power between participants, together with organisational and resource pressures for timely discharge. The effective use and perhaps, potential misuse of communication strategies within CPMs is of ethical concern to all participants. Habermas' essential critique of participatory communication provides insight as to how older people's involvement can be either enabled or blocked by healthcare professionals (HCPs) depending on their use of communication strategies. Seven discipline specific mini-focus groups provided an opportunity for HCPs to reflect on the participation of patients over 65 and their families in CPMs. Findings explore HCPs' understanding of older patients involvement based on key dimensions of communicative participation, namely, mutuality, inclusiveness, patient centredness and clear outcomes. Whilst the benefits of collaborative decision-making were confirmed, legitimate concerns as to the quality of participatory practices, limited attention to group work processes and the exclusion of older patients with cognitive impairment were identified.
Type of Material
Journal Article
Publisher
Taylor & Francis
Journal
Practice
Volume
25
Issue
2
Start Page
121
End Page
138
Copyright (Published Version)
2013 British Association of Social Workers
Language
English
Status of Item
Peer reviewed
ISSN
0950-3153
This item is made available under a Creative Commons License
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Multiprofessional views on Older Patients Participation in Care Planning Meetings in a Hospital Context_Pre-Publication Version March 2013.pdf
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286.54 KB
Format
Owning collection
Scopus© citations
20
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