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Person-centred care in practice

02 May 2015
13 min read
Volume 23 · Issue 5

Abstract

This article explores supervision of midwives through a person-centred care (PCC) lens. Using PCC models and concepts, I consider if the current framework of supervision supports midwives in a way that reflects principles of PCC. This article is a personal reflection submitted in 2014 as part of the first year of a 3-year MSc in Advanced Clinical Skills currently being undertaken at Edinburgh University.

While undertaking a Person-Centred Care in Practice (PCCiP) masters module, I began to reflect on relationships within maternity care. I wondered if midwifery remained as the ultimate relational, women or person-centred model. Due to the way midwifery has been shaped through obstetric authoritative knowledge, streamlining and centralising, I questioned just how person-centred relationships can be within midwifery and specifically the supervisor–supervisee relationship. I have chosen to use Kolb's (1984) model for this reflection (Figure 1).

Kolb (1984) suggests that more than just an experience is needed to achieve learning: reflection, forming general opinions, and actively experimenting with concepts and processes are also required. Learning may begin at any of the four points in Kolb's cycle where it encourages the reflector to take on roles of activist, reflector, theorist and pragmatist. The aim of this paper is to critically explore supervision of midwifery through a ‘person-centred care in practice’ lens using the senses framework and concepts such as co-production and emotional labour (Table 1).

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