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Participatory design facilitates Person Centred Nursing in service improvement with older people: a secondary directed content analysis.

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. RESEARCH DESIGN: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.

journal_name

J Clin Nurs

journal_title

Journal of clinical nursing

authors

Wolstenholme D,Ross H,Cobb M,Bowen S

doi

10.1111/jocn.13385

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

1217-1225

issue

9-10

eissn

0962-1067

issn

1365-2702

journal_volume

pub_type

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Participatory design facilitates Person Centred Nursing in service improvement with older people: a secondary directed content analysis.