Pursuing concordance: moving away from paternalism

Mckinnon, John (2014) Pursuing concordance: moving away from paternalism. British Journal of Nursing, 23 (12). pp. 677-684. ISSN 0966-0461

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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. © 2014 MA Healthcare Ltd.

Keywords:adult, aged, article, child, concordance, decision making, human, mental health, model, nurse patient relationship, nursing staff, older people, Participation, paternalism, patient participation, personal autonomy, shared decision making, Children, Shared decision making, Adult, Humans, Models, Nursing, Nurse-Patient Relations, NotOAChecked
Subjects:B Subjects allied to Medicine > B700 Nursing
Divisions:College of Social Science > School of Health & Social Care
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ID Code:21330
Deposited On:04 Jan 2017 12:32

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