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

WOLSTENHOLME, Daniel, ROSS, Helen, COBB, Mark and BOWEN, Simon (2017). Participatory design facilitates Person Centred Nursing in service improvement with older people: a secondary directed content analysis. Journal of clinical nursing, 26 (9-10), 1217-1225.

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Official URL: http://onlinelibrary.wiley.com/doi/10.1111/jocn.13...
Link to published version:: 10.1111/jocn.13385

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.

Item Type: Article
Research Institute, Centre or Group: Centre for Health and Social Care Research
Identification Number: 10.1111/jocn.13385
Depositing User: Carmel House
Date Deposited: 24 Apr 2017 13:13
Last Modified: 24 Apr 2017 13:22
URI: http://shura.shu.ac.uk/id/eprint/15593

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