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CPCC: comprehensive and person-centred care; GPs: good practices; ICP: individualized care plan.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Feng Shui</span> is a thousand-year-old oriental technique that seeks to create harmony, balance and well-being for the individual through his/her environment. At a glance, a house with <span class="elsevierStyleItalic">Feng Shui</span> is no different from another house without it. It is a feeling that has nothing to do with luxury or decoration, but with how we feel in a certain place. A comprehensive and person-centred care (CPCC) pursues the achievement of improvements in all aspects related to the subject's quality of life and well-being, with full respect for their dignity, rights, needs, preferences and values, and counting on him/her in the development and evaluation of the care process.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> In some way, the principles of CPCC go hand in hand with the principles of <span class="elsevierStyleItalic">Feng Shui</span> in search of the patient's emotional and physical balance through the environment that surrounds him/her. In keeping with the conceptual and operational progression of our centre regarding CPCC, which revolves around our 2017–2018 strategic plan and within the framework of the <span class="elsevierStyleItalic">Pla de Salut de Catalunya 2016–2020</span>, we propose the implementation of a good practices (GPs) model for CPCC. This is an internal multidisciplinary professional project (IMDPP) to develop a self-diagnosis document of the situation of GPs in the CPCC of the centre: retrospective analysis, intervention, prospecting the possibilities to meet our goal of transforming CPCC culture into a widespread interprofessional concept, promoting teamwork and proactivity. Firstly, a strategic definition survey was carried out, which showed that 93% of the professionals agreed with the mission of the organization, 76% with its vision and that the most important values were: competence, professionalism, quality, equity, resolution and transparency. Secondly, 4 improvement teams were created consisting of 27 professionals to analyze 27 CPCC GPs (How do we rate the set of key GPs in our centre?), which are grouped into 5 improvement areas (exercise of rights, cooperation in self-determination of life projects, psycho-affective well-being, professional intervention and organizational systems, and physical environment and integration in the community).<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">2,3</span></a> First, it should be noted that the implementation of IMDPP is perceived with great involvement and satisfaction among professionals, adding more value to routine clinical practice. The results obtained (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) show that our centre is in a favourable and satisfactory situation in relation to most of the 27 GPs analyzed according to the CPCC self-diagnosis: 48% (13 GPs) are consolidated, 37% (10 GPs) are partially developed and the remaining 15% (4 GPs) are not implemented. Our objective is to use the <span class="elsevierStyleItalic">feedback</span> generated by the consolidated GPs to review and generalize the partially developed areas and make profound changes in the way of interacting and working with people in relation to areas not yet implemented, with organizational proposals where new ideas for growth and development <span class="elsevierStyleItalic">(feedforward)</span> could be projected. We argued that traditional care plans, often formulated from a biomedical approach – nothing to do with CPCC – are insufficient to advance in the effective application of person-centred care. First, they lead to a limited and partial assessment of patients, identifying the diseases and limitations, but ignoring their singularities, abilities, priorities and desires, which is essential when discussing care and daily life. Second, they are normally conditioned unidirectionally, from an exclusive assessment/technical prescription and with little cooperation from users and/or families throughout the care process. Therefore, we consider that the key process of CPCC – provision of health services that are respectful towards the non-care needs, preferences and values of people – will contribute to the overall evaluation of all the operating processes of our organization, so as to work in the cross-functional improvement actions, ensuring that this policy will be maintained throughout the entire healthcare process.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Qanneta R, Pi J, Claret G. El <span class="elsevierStyleItalic">Feng Shui</span> de la atención integral y centrada en la persona como un proceso clave transversal. Med Clin (Barc). 2018;151:e37–e38.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2642 "Ancho" => 2917 "Tamanyo" => 714124 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Self-diagnosis of GPs in CPCC. CPCC: comprehensive and person-centred care; GPs: good practices; ICP: individualized care plan.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La atención integral centrada en la persona. Principios y criterios que fundamentan un modelo de intervención en discapacidad, envejecimiento y dependencia. Serie: Informes Portal Mayores, no. 106" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. Rodríguez Rodríguez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2010" "editorial" => "IMSERSO/CSIC" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "Available from: <a class="elsevierStyleInterRef" target="_blank" id="intr0010" href="https://www.asturias.es/Asturias/descargas/PDF_TEMAS/Asuntos%20Sociales/Calidad/1.2_Residencias%20Mayores-Parte%20II.pdf">https://www.asturias.es/Asturias/descargas/PDF_TEMAS/Asuntos%20Sociales/Calidad/1.2_Residencias%20Mayores-Parte%20II.pdf</a> [accessed 4.10.17]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "BBPP en residencias de personas mayores en situación de dependencia. Principado de Asturias: Consejería de Bienestar Social y Vivienda" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. Bermejo García" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2009" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "Available from: <a class="elsevierStyleInterRef" target="_blank" id="intr0015" href="https://www.asturias.es/Asturias/descargas/PDF_TEMAS/Asuntos%20Sociales/Calidad/1.1_Residencias%20Mayores-Parte%20I.pdf">https://www.asturias.es/Asturias/descargas/PDF_TEMAS/Asuntos%20Sociales/Calidad/1.1_Residencias%20Mayores-Parte%20I.pdf</a> [accessed 4.10.17]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bases y reflexiones en torno a las BBPP en residencias de personas mayores en situación de dependencia. Principado de Asturias: Consejería de Bienestar Social y Vivienda" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. Bermejo García" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2009" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015100000007/v1_201810260641/S2387020618303231/v1_201810260641/en/main.assets" "Apartado" => array:4 [ "identificador" => "43309" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015100000007/v1_201810260641/S2387020618303231/v1_201810260641/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618303231?idApp=UINPBA00004N" ]
Journal Information
Vol. 151. Issue 7.
Pages e37-e38 (October 2018)
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Vol. 151. Issue 7.
Pages e37-e38 (October 2018)
Letter to the Editor
The Feng Shui of an integral and person-centered attention as a key transversal process
El Feng Shui de la atención integral y centrada en la persona como un proceso clave transversal
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Rami Qanneta
, Jordi Pi, Gemma Claret
Corresponding author
Hospital Sociosanitario Francolí, GiPSS, Tarragona, Spain
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