Lifeworld Framework and Advance Integrated Care
The aim of exercise eight is to critically discuss and link the key components of integrated care with the lifeworld framework of care, critically review its core components and synthesise the lifeworld framework with advanced integrated care. At the end of this exercise, you will be able to: understand the concept of well-being; understand the dimensions and humanisation elements of the Lifeworld-led model; develop different kinds of knowledge for integrated care practice and consider the potential application of the lifeworld approach to one’s own context of practice.
And you need to submit a 500 word essay exploring how you could develop patient care using the principles explored in this unit.
I have downloaded pre-reading and learning materials supplied by the uni for this exercise plus an integrated care pre-reading from an earlier assignment as it contains some good info on integrated care plus some good references to use
Other things to look at in relation to assignment would be:-
NHS England ‘New models for care programme’ 2015 and
NHS England ‘Integrated care pathways’ 2015
I work as respiratory nurse so not sure if that area of nursing or just nursing in general would be best for linking it to practice.
Lifeworld Framework and Advance Integrated Care
Integrated care can be described as a healthcare service that seeks to strengthen people-centred healthcare systems, which includes promoting comprehensive delivery of quality services across the lifespan of individuals (Dawda, 2019). Integrated care is designed according to the different multidimensional needs of the population in general and individuals in specific and is consistently delivered by various multidisciplinary teams of providers who are able to work across different levels of care and different settings (Smith & Ross, 2007). Integrated care should therefore be effectively managed in a way that ensures the optimal outcomes for both individuals and populations and promotes efficiency in the utilization of resources based on the best available evidence and different forms of feedback loops so as to enhance the continuous improvement of performance and healthcare in different groups. Integrated care helps in tackling different upstream causes of ill-health and the promotion of well-being through multispectral and intersectoral actions (Zonneveld et al., 2018).
On the other hand, the lifeworld framework of care is based on the philosophical approach that defines five elements of the lifeworld, which include spatiality, temporality, intersubjectivity, and embodiment (Boye et al., 2021). The lifework framework, therefore, tries to explain the holistic nature of human beings in the holistic context in which human beings exist. Lifeworld can have a significant impact on the well-being of human beings and can be significantly manipulated by outside influences such as political policy. One of the most important elements of the lifeworld philosophy is the temporality perspective. In general, temporality refers to time and the way it’s experienced by human beings, such as the rhythm of the season (Galvin et al., 2020). As human beings try to adapt to the pressure of time, it can have a negative impact on their well-being and health and result in unimaginable pressure. Another important element of the Life-World framework is spatiality. Spatiality is the ability of human beings to experience the environmental context and live in such environments. The way in which human beings interact with their environment and the quality of the environment in which human beings live can have a negative or positive impact on their wellbeing (Dahlberg et al., 2018). Intersubjectivity is also an important element of the lifeworld framework. Human beings are able to make sense of their interpersonal world and other people who share in the interpersonal world through intersubjectivity (Todres & Galvin, 2010). Intersubjectivity helps human beings to frame the identity linking and relationship with space and time. Intersubjectivity and therefore affect the interrelationship between individuals and their families, which can have a significant impact on their wellbeing and health. Embodiment is also an important element of the lifeworld framework (Hemingway et al., 2015). Embodiment relates to the experiences that human beings have within their body. In consideration of health, human beings are therefore perceived as holistic entities in terms of their sociological biological and physical environment. Finally, the mood is an important element of the lifeworld framework. The mood will have a significant impact on the life experiences of a human being and will help shape the dimensions of the human mind (Hemingway, 2011).
The lifeworld framework of care relates significantly to integrated care in that both models of care consider the multidimensional needs of the individual and population and call for the utilization of a multidisciplinary team to address such needs. To provide sufficient integrated care, healthcare practitioners can utilize the lifeworld framework of care to understand human beings in a holistic context and to address the various elements of human experience in care practices.
Boye, L. K., Mogensen, C. B., Andersen, P. T., Waldorff, F. B., & Mikkelsen, T. H. (2021). ‘One feels somewhere that one is insignificant in that system’ – older multimorbid patients’ between lifeworld and system in healthcare. BMC Geriatrics, 21(1). https://doi.org/10.1186/s12877-021-02348-x
Dahlberg, K., Todres, L., & Galvin, K. (2018). Lifeworld-led healthcare is more than patient-led care: an existential view of wellbeing. Medicine, Health Care and Philosophy, 12(3), 265–271. https://doi.org/10.1007/s11019-008-9174-7
Dawda, P. (2019). Integrated healthcare: the past, present and future. Integrated Healthcare Journal, 1(1), e000001. https://doi.org/10.1136/ihj-2019-000001
Galvin, K. T., Pound, C., Cowdell, F., Ellis-Hill, C., Sloan, C., Brooks, S., & Ersser, S. J. (2020). A lifeworld theory-led action research process for humanizing services: improving “what matters” to older people to enhance humanly sensitive care. International Journal of Qualitative Studies on Health and Well-Being, 15(1), 1817275. https://doi.org/10.1080/17482631.2020.1817275
Hemingway, A. (2011). Lifeworld-led care: Is it relevant for wellbeing and the fifth wave of public health action? International Journal of Qualitative Studies on Health and Well-Being, 6(4), 10364. https://doi.org/10.3402/qhw.v6i4.10364
Hemingway, A., Norton, L., & Aarts, C. (2015). Principles of Lifeworld Led Public Health Practice in the UK and Sweden: Reducing Health Inequalities. Nursing Research and Practice, 2017, 1–4. https://doi.org/10.1155/2015/124591