LOGIN TO YOUR ACCOUNT

Username
Password
Remember Me
Or use your Academic/Social account:

CREATE AN ACCOUNT

Or use your Academic/Social account:

Congratulations!

You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.

Important!

Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message

CREATE AN ACCOUNT

Name:
Username:
Password:
Verify Password:
E-mail:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Baron, Susan E M (2014)
Languages: English
Types: Doctoral thesis
Subjects: nw
Despite widespread endeavours over many years, patient-centred care continues to evade some areas of healthcare. This can be clearly evidenced by regular reporting of sub-standard care and the findings of national patient experience surveys which repeatedly highlight a number of common contributory factors. Amongst these include a predominant culture of secrecy and blame rather than openness and support; failure to listen and respond to staff or patient issues; workloads and time constraints; fragmented teamwork; an overriding focus on targets rather than people; in addition to varying perceptions and interpretations of, and expectations and priorities for patient-centred care (PCC). These occur between patients, staff, educationalists, policy-makers, healthcare managers and the public. These factors, which are further reinforced by this study’s review of empirical studies of patient-centred care, strongly indicate that new approaches to improvement, that involve service providers as well as service users, are called for. Addressing this call was an interest of this study. Action research was selected because this promotes a collaborative and democratic approach to research-based organisational, social and cultural change and improvement. In this study, which was also underpinned by the philosophy of patient-centred care, action research was combined with the Patient Journey. This is a patient-centred improvement, and, or, practice development process developed and tested by Campbell et al (2004) at the City Hospitals Sunderland NHS Trust. By combining the action research and Patient Journey (PJ) processes, this enabled the generic potential and effectiveness of the approach to be concurrently investigated and established as will be explained. Through the collaborative efforts of a participating 25 member Vascular Patient Journey project team, data was gathered during the process through team discussions, mapping and interviews with 17 service users. 75 issues were identified using inductive thematic analysis; 34 of which emerged from the data of service users, 35 from service provider data, and a further six jointly emerged from both datasets. These provided powerful catalysts for change and points of learning which the team, empowered by their involvement in the process, used as the evidence-base from which to action change, as discussions in this thesis will demonstrate. They will also illustrate why more should be done to involve multidisciplinary teams as well as service users in improvement.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • DiCicco-Bloom, B., and Crabtree, B.F., 2006. The qualitative research interview. Medical Education [online], 40, 314-321.
    • Dixon-Woods, M., Agarwal, S., Jones, D., Young, B. and Sutton, A., 2005. Synthesising qualitative and quantitative evidence: a review of possible methods. Journal of Health Services Research & Policy [online]10 (1), 45-53.
    • Donadio, G., 2005. Improving healthcare delivery with the transformational whole person care model. Holistic Nursing Practice [online], 19 (2), 74-77.
    • Dossey, B., 2000. Florence Nightingale: Mystic, visionary, healer. Philadelphia: Lippincott, Williams and Wilkins.
    • Dossey, B. Keegan, L. and Guzzetta, C., 2004. Holistic nursing: A handbook for practice.
    • 4th ed. Sudbury, MA: Jones.
    • Douglas, C.H. and Douglas, M.R., 2005. Patient-centred improvements in health-care built environments: perspectives and design indicators. Health Expectations, 8, 264-276.
    • Dr Foster, 2010. Patient Experience [online]. London: Dr Foster. Available from: http://www.tinyurl.com/intelligent-board [Accessed 4 October 2011] Duffy J.A. and Irvine, E.A., 2004. Clinical governance in action, Clinical governance: a system. Quality in Primary Care [online], 12 (2),141-145.
    • Easterby-Smith, M., Thorpe, R. and Lowe, A., 1991. Management research: An introduction. London: Sage.
    • Eckroth-Bucher, M., 2001. Philosophical basis and practice of self-awareness in psychiatric nursing. Journal of Psychosocial Nursing and Mental Health Services, 39 (2), 32-39.
    • Eckroth-Bucher, M., 2010. Self-awareness. A review and analysis of a basic nursing concept. Advances in Nursing Science [online], 33 (4), 297-309.
    • Ellis, S., 1999. The patient-centred care model: holistic/multiprofessional/reflective. British Journal of Nursing [online], 8 (5), 296-301.
    • Elwyn, G.J., 1998. Professional and practice development plans for primary care teams.
    • Life after the post-graduate education allowance. British Medical Journal [online], 316 (7170), 1619-1620.
    • Engel, G.L., 1980. The clinical application of the biopsychosocial model. American Journal of Psychiatry, 137 (5), 535-544.
    • Eriksson, K., 2002. Caring science in a new key. Nursing Science Quarterly [online], 15 (1), 61-65.
    • Fredriksson, L. and Eriksson, K., 2003. The ethics of the caring conversation. Nursing Ethics [online], 10 (2). 139-148.
    • Freeth, R., 2006. Focusing on relationship - is there room for another paradigm in psychiatric intensive care? Journal of Psychiatric Intensive Care, 2 (2), 55-58.
    • Freeman, J., 2005. Towards a definition of holism. British Journal of General Practice, 5 (5), 154-155 French, R., Rayner, C., Rees, G. and Rumbles, S., 2008. Organisational behaviour; authorised adaptation of the ninth edition by John R. Schermerhorn, James, G. Hunt.
    • French, R., Rayner, C., Rees, G., Rumbles, S., Schermerhorn, J.R., Hunt, J.G. and Osborn, R.N., 2011. Organisational behaviour. 2nd ed. New York, NY.: John Wiley and Sons.
    • French, W.L. and Bell, C.H., 1999. Organisation development. 6th ed. Upper Saddle River, New Jersey, NY.: Prentice-Hall.
    • Freshwater, D., 2002. Therapeutic nursing, improving patient care through self-awareness and reflection. London: Sage.
    • Freshwater, D., 2005. Action research for changing and improving practice. In: Holloway, I. ed. Qualitative research in healthcare. Maidenhead: Open University Press, McGrawHill Education. 210-234.
    • Freshwater, D. and Rolfe, G., 2001. Critical reflexivity: A politically and ethically engaged research method for nursing. Nursing Times Research [online], 6 (1), 526-537.
    • Gallagher, A., 2004. Dignity and respect for dignity- Two key health professional values: implications for nursing practice. Nursing Ethics, 11 (6) 587-599.
    • Gallagher, A., 2010. Whistleblowing: what influences nurses' decisions on whether to report poor practice? Nursing Times [online], 106 (4), 22-25.
    • Gallagher, A. and Seedhouse, D., 2002. Dignity in care: the views of patients and relatives. Nursing Times [online], 98 (43) 38-40 Galvin, K. T. and Todres, L., 2009. Embodying nursing openheartedness: An existential perspective. Journal of Holistic Nursing. 27(2), 141-149.
    • Gaskell, G., 2000. Individual and group interviewing. In: Bauer, M. and G. Gaskell, eds.
    • Johnston, B., Östlund, U. and Brown, H., 2010. Dignity in end-of-life care. European Oncology Nursing Society Newsletter [online], (Autumn), 10-12.
    • Jootun, D., McGhee, G. and Marland, G.R., 2009. Reflexivity: promoting rigour in qualitative research. Nursing Standard [online], 23 (23), 42-46.
    • Kemmis, S., 1985. Action research and the politics of reflection. In: Boud, D., Keogh, R.
    • Kemmis, S. and McTaggart, R., 1982. The action research planner. Victoria, NSW.: Deakin University Press.
    • Kemmis, S. and McTaggart, R., 1988. The action research planner. 3rd ed. Victoria, NSW.: Deakin University Press.
    • Kemmis, S. and McTaggart, R., 2000. Participatory action research. In: Denzin, N. and Lincoln, Y., eds. Handbook of Qualitative Research. Thousand Oaks, CA: Sage. 567-605.
    • Knox, S. and Burkard, A.W., 2009. Qualitative research interviews. Psychotherapy Research [online], 19 (4-5), 566-575.
    • Langley, G.J., Nolan, K.M., Nolan, T.W., Norman, C.L. and Provost, L.P., 1996. The improvement guide: a practical approach to enhancing organisational performance. San Francisco: Jossey Bass.
    • Larson, P.J., 1987. Comparison of cancer patients' and professional nurses' perceptions of important caring behaviours. Heart and Lung, 16 (2), 187-192.
    • Leonard, M., Graham, S. and Bonacum, D., 2004. The human factor: the critical importance of effective teamwork and communication in providing safe care. Quality and Safety in Health Care [online], 13 (supplement 1), i85-i90.
    • Lewin, K., 1946. Action research and minority problems. Journal of Social Issues [online], 2 (4), 34-36.
    • Lewin, K., 1947a. Frontiers in group dynamics: I. Concept, method and reality in social science; Social Equilibria and Social Change. Human Relations, 1, 5-41.
    • Lewin, K., 1947b. Frontiers in group dynamics: II. Channels of group life; social planning and action research. Human Relations, 1, 143-153.
    • Lewin, G., ed, 1948. Resolving social conflicts: Selected papers on group dynamics by Kurt Lewin. New York: Harper and Row.
    • Lewin, S.A., Skea, Z.C.., Entwistle, V.A., Zwarenstein, M. and Dick, J., 2001.
    • Interventions for providers to promote a patient-centred approach in clinical consultations [online]. Cochrane Database of Systematic Reviews, Issue 4. Art. No.: CD003267.
    • Marshall, C. and Rossman, G.B., 1995. Designing qualitative research. 2nd ed.
    • Martin, J. and Fellenz, M., 2010. Organisational behaviour and management. 4th ed.
    • Maslow, A.H., 1943. A theory of human motivation. Psychological Review [online], 50 (4), 370-396.
    • Maslow, A.H., 1950, edited by Stephens, D.C., 2000. The Maslow business reader. New York, NY.: John Wiley and Sons.
    • Maslow, A.H., 1954. Motivation and personality. New York, NY.: Harper and Rowe.
    • Mason, M., 2010. Sample size and saturation in PhD studies using qualitative interviews.
    • Forum: Qualitative Social Research, 11 (3), Article 8.
    • Mathes, S., 2011. Implementing a caring model. Creative Nursing [online], 17 (1), 36-42.
    • Mays, N. and Pope, C., 1995. Rigour and qualitative research. British Medical Journal [online], 311 (6997), 109-112.
    • Mays, N., Pope, C. and Popay, J., 2005. Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. Journal of Health Services Research and Policy [online], 10, (supplement 1), 6-20.
    • McCance, T.V., McKenna, H.P. and Boore, J.R.P., 1997. Caring: dealing with a difficult concept. International Journal of Nursing Studies [online], 34 (4), 241-248.
    • McCance, T., Slater, P. and McCormack, B., 2009. Using the caring dimensions inventory as an indicator of person-centred nursing. Journal of Clinical Nursing [online], 18 (3), 409- 17.
    • Mcclement, S. E., Chochinov, H. M., Hack, T. F., Kristjanson, L. J., and Harlos, M., 2004.
    • Dignity-conserving care: Application of research findings to practice. International Journal of Palliative Nursing [online], 10 (4), 173-179.
    • McCormack, B., Manley, K., Kitson, A., Titchen, A. and Harvey, G., 1999. Towards practice development - a vision in reality or reality without vision. Journal of Nursing Management [online], 7 (5), 255-264.
    • McCormack, B., 2003. A conceptual framework for person-centred practice with older people. International Journal of Nursing Practice [online], 9 (3), 202-209.
    • McCormack, B., 2003. Researching nursing practice: Does person-centeredness matter? Nursing Philosophy [online], 4 (3), 179-88.
    • McCormack, B., 2004. Person-centredness in gerontological nursing: an overview of the literature. International Journal of Older People in Nursing in association with Journal of Clinical Nursing [online], 13 (3a), 31-38.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article