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dc.contributor.authorBuckley, Catherine
dc.contributor.authorMcCormack, Brendan
dc.contributor.authorRyan, Assumpta
dc.date.accessioned2018-06-29T21:36:58Z
dc.date.available2018-06-29T21:36:58Z
dc.date.issued2018-01-11
dc.identifierER5065
dc.identifier.citationBuckley, C., McCormack, B. & Ryan, A. (2018) Working in a Storied Way - Narrative based approaches to person-centred care and practice development in older adult residential care settings, Journal of Clinical Nursing, 27(5-6), pp. e858-e872.
dc.identifier.issn0962-1067
dc.identifier.urihttps://doi.org/10.1111/jocn.14201
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/5065
dc.description** From Crossref via Jisc Publications Router.
dc.description.abstractAims and Objectives To evaluate the effects of the implementation of a methodological framework for a narrative based approach to practice development and person-centred care in residential aged care settings. Background Care in long-term residential settings for older people is moving away from the biomedical approach and adopting a more person-centred one. Narrative can help shape the way care is planned and organised. The provision of person-centred care that is holistic and that takes account of resident's beliefs and values can be enhanced by incorporating narrative approaches to care within a practice development framework. Design The chosen methodology was participatory action research. Methods Between 2010 and 2014, a methodological framework of narrative practice was implemented in two residential care settings, comprising 37 residents and 38 staff, using an action research approach. Three action cycles: (i) narrative practice and culture identification, (ii) developing narrative practice and (iii) working in a storied way emerged during the implementation. Results Key outcomes emerged in relation to the findings. These were based on narrative being, knowing and doing and centred around the key outcomes of: (i) how people responded to change (narrative being), (ii) the development of shared understandings (narrative knowing) and (iii) intentional action (narrative doing). Conclusion The implementation of a framework of narrative practice demonstrated that how people respond to change, the development of shared understandings and intentional action were interrelated and interlinked. It illustrated the importance of ensuring that practice context is taken account of in the implementation of action research and the importance of ensuring that narrative being, knowing and doing are clear and understandable for change to occur. Relevance to Clinical Practice Implementation of a narrative approach to care can develop new ways of working that value biography and promote the development of a co-constructed plan of care.
dc.format.extente858-e872
dc.publisherWiley-Blackwell
dc.relation.ispartofJournal of Clinical Nursing
dc.subjectGeneral Nursing
dc.subjectGeneral Medicine
dc.titleWorking in a Storied Way - Narrative based approaches to person-centred care and practice development in older adult residential care settings
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_nur
dc.description.volume27
dc.identifier.doihttps://doi.org/10.1111/jocn.14201
dc.description.ispublishedpub
dc.description.eprintid5065
rioxxterms.typearticle
refterms.dateAccepted2017-11-23
refterms.dateEmbargoEnd2018-11-30
refterms.dateFCD2017-12-06
qmu.authorMcCormack, Brendan
dc.description.statuspub
dc.description.number05-Jun


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