Participatory design facilitates Person Centred Nursing in service improvement with older people: a secondary directed content analysis.
J Clin Nurs
; 26(9-10): 1217-1225, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-27191790
ABSTRACT
AIMS AND OBJECTIVES:
To explore, using the example of a project working with older people in an outpatient setting in a large UK NHS Teaching hospital, how the constructs of Person Centred Nursing are reflected in interviews from participants in a Co-design led service improvement project.BACKGROUND:
Person Centred Care and Person Centred Nursing are recognised terms in healthcare. Co-design (sometimes called participatory design) is an approach that seeks to involve all stakeholders in a creative process to deliver the best result, be this a product, technology or in this case a service. Co-design practice shares some of the underpinning philosophy of Person Centred Nursing and potentially has methods to aid in Person Centred Nursing implementation. RESEARCHDESIGN:
The research design was a qualitative secondary Directed analysis.METHODS:
Seven interview transcripts from nurses and older people who had participated in a Co-design led improvement project in a large teaching hospital were transcribed and analysed. Two researchers analysed the transcripts for codes derived from McCormack & McCance's Person Centred Nursing Framework.RESULTS:
The four most expressed codes were as follows from the pre-requisites knowing self; from care processes, engagement, working with patient's beliefs and values and shared Decision-making; and from Expected outcomes, involvement in care. This study describes the Co-design theory and practice that the participants responded to in the interviews and look at how the co-design activity facilitated elements of the Person Centred Nursing framework.CONCLUSIONS:
This study adds to the rich literature about using emancipatory and transformational approaches to Person Centred Nursing development, and is the first study exploring explicitly the potential contribution of Co-design to this area. IMPLICATIONS FOR PRACTICE Methods from Co-design allow older people to contribute as equals in a practice development project, co-design methods can facilitate nursing staff to engage meaningfully with older participants and develop a shared understanding and goals. The co-produced outputs of Co-design projects embody and value the expressed beliefs and values of staff and older people.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Assistência Centrada no Paciente
/
Papel do Profissional de Enfermagem
/
Enfermagem Geriátrica
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article