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dc.contributor.authorDickson, Caroline
dc.contributor.authorSmith, Tracy
dc.contributor.authorFord, Hilary
dc.contributor.authorLudwig, Steffi
dc.contributor.authorMoyes, Rhona
dc.contributor.authorLee, Laura
dc.contributor.authorAdam, Elaine
dc.contributor.authorPaton, Tracy
dc.contributor.authorLydon, Brigid
dc.contributor.authorSpiller, Juliet
dc.contributor.authorMcCormack, Brendan
dc.date.accessioned2018-07-27T15:25:30Z
dc.date.available2018-07-27T15:25:30Z
dc.date.issued2018-05-16
dc.identifierER5429
dc.identifier.citationMcCormack, Brendan and Dickson, Caroline and Smith, Tracy and Ford, Hilary and Ludwig, Steffi and Moyes, Rhona and Lee, Laura and Adam, Elaine and Paton, Tracy and Lydon, Brigid and Spiller, Juliet (2018) ‘It’s a nice place, a nice place to be’. The story of a practice development programme to further develop person-centred cultures in palliative and end-of-life care. International Practice Development Journal, 8 (1 [2]). ISSN 2046-9292
dc.identifier.issn2046-9292
dc.identifier.urihttps://doi.org/10.19043/ipdj81.002
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/5429
dc.descriptionArticle number 2
dc.description.abstractBackground Palliative and end of life care services need to be person-centred. However, it cannot be assumed that such services are ‘naturally’ person-centred as in reality they face the same pressures and challenges as any other service. This is the case in the practice development research reported in this paper. Whilst the service had good patient and family feedback/satisfaction, the context of care provision for staff did not reflect these same levels of satisfaction. This contrast poses challenges for organisations in the context of staff well-being and the sustainability of person-centred care. The work undertaken in this project aimed to address this issue. Aim To implement a programme of practice development to further the development of a culture of person-centred practice in the Marie Curie Care (MCC) Edinburgh Hospice. Methods The programme was theoretically informed by The Person Centred Practice Framework of McCormack and McCance (2017) and operationalised through the methodology of Transformational Practice Development. Thirteen multidisciplinary team members formed a project group and participated in 10 x 4 hour workshops of learning and development, spread over a 12-month period. Practice development activities were planned in-between the workshops to be undertaken by the group members. Evaluation data were collected prior to the practice development work commencing, as a continuous process throughout the 12-months and at the end of the project period. Data collected included patient and staff stories, practice observations, creative expressions and routinely collected data. These data were analysed through a participatory approach with the group members and theorised through the lens of human flourishing. Findings The findings are located within a framework for exploring the conditions for human flourishing. They illustrate the tension between person-centred care and person-centred cultures. Key findings demonstrate the need for all persons to be ‘known’ in order for effective person-centred relationships to exist, the significance of shared values, the importance of addressing ‘small’ practice changes as well as the need to ensure the hearing of different voices. Findings fromn routine collected data further demonstrate the relationship between the development of a person-centred culture with patient and staff outcomes. Conclusions and Implications for Practice This project is one of the first to explicitly use a framework for human flourishing to analyse the relationship between person-centred culture and care provision. The programme demonstrates the importance of person-centred cultures for sustainable person-centred care. Implications for practice include: 1. Practice settings need to be clear about the difference between patient and person-centredness. 2. The engagement of a multidisciplinary team in interdiscioplinary systematic transformational practice development has the potential to transform the culture and context of care and produce sustaiunable outcomes. 3. Human flourishing is an appropriate focus to adopt in exploring how practice settings embrace the principles of person-vcentredness for all persons.
dc.publisherFoundation of Nursing Studies (FoNS)
dc.relation.ispartofInternational Practice Development Journal
dc.subjectPerson-centredness
dc.subjectPerson-centred Culture
dc.subjectHuman Flourishing
dc.subjectEnd-of-life Care
dc.subjectHospice
dc.subjectFacilitation
dc.title‘It’s a nice place, a nice place to be’. The story of a practice development programme to further develop person-centred cultures in palliative and end-of-life care
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_nur
dc.description.volume8
dc.identifier.doihttp://10.19043/ipdj81.002
dc.description.ispublishedpub
dc.description.eprintid5429
rioxxterms.typearticle
refterms.dateAccepted2018-04-09
refterms.dateFCA2018-07-16
refterms.dateFCD2018-07-16
qmu.centreCentre for Person-centred Practise Research
dc.description.statuspub
dc.description.number1 [2]


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