Emerging themes in using narrative in geriatric care: Implications for patient-centered practice and interprofessional teamwork

Clark, Phillip G.

doi:10.1016/j.jaging.2015.02.013

Cited by 15 publications

(6 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The intervention group in this study reported improvement in both functional performance and satisfaction in their own selected activities based on COPM ( (Clark, 2015) when caring for patients with COPD and CHF. Perhaps it would have been more appropriate to follow-up their answers to the COPM questionnaire with discussions in the group sessions.…”

Section: Discussionmentioning

confidence: 71%

“…The person‐centred processes focuses on working with patients’ beliefs and values, engagement and shared decision‐making, and having an environment with an appropriate skill mix and a supporting organization (McCormack & McCance, ). The participants had to express their own difficulties of self‐care, which indicates that person‐centred care (McCormack & McCance, ) with active listening to the patient's narrative of problems with self‐care is central (Clark, ) when caring for patients with COPD and CHF. Perhaps it would have been more appropriate to follow‐up their answers to the COPM questionnaire with discussions in the group sessions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A complex intervention of self‐management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities; A longitudinal follow‐up

Zakrisson

Arne

Hasselgren

et al. 2018

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim To test a self‐management intervention in primary health care (PHC) for patients with chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF) on self‐efficacy, symptoms, functioning, and health. Background Patients with COPD or CHF experience often the same symptoms such as shortness of breath, cough, lack of energy, dry mouth, numbness or tingling in hands and feet, pain and sleeping problems. Design A multicentre randomized control trial. Method The trial was conducted with one intervention group (N = 73) and one control group (N = 77). The trial was performed from September 2013–September 2015 at nine PHC centres in three county councils in Sweden. At baseline patients with COPD and CHF experienced any symptom. Follow‐ups were performed after 3 months and 1 year. The intervention was structured on Bandura's theory of self‐efficacy in six meetings and individual action plans based on personal problems were performed and discussed. Results At baseline, there were no differences between the groups except for SF‐36 social function. After 3 months, the intervention group improved performance and satisfaction with regard to own selected activities, otherwise no differences were found. Conclusion When designing a program, the patient's own difficulties must be taken into consideration if person‐centred care is to be established. It is feasible to include both patients with COPD and CHF in the same group in PHC. Healthcare professionals need supervision in pedagogics during intervention in self‐management.

show abstract

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

A complex intervention of self‐management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities; A longitudinal follow‐up

Zakrisson

Arne

Hasselgren

et al. 2018

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Berglund hevder at som leder må man forankre verdigrunnlaget som skal ligge til grunn for praksis, vaere i kontinuerlig dialog med personalet og gi tid til refleksjon rundt arbeidsmetodikk (Berglund, 2014). En forståelse av den enkeltes rolle i det tverrfaglige teamet gjennom opplaering og refleksjon i grupper står her sentralt (Clark, 2015).…”

Section: Diskusjonunclassified

Helhetlige pasientforløp: brukernes erfaringer med pasientdeltakelse og personsentrert omsorg i kommunal korttidsrehabilitering i overgangen mellom sykehus og hjem

Kvæl¹

2021

TFO

View full text Add to dashboard Cite

Bakgrunn: Kommunal korttidsrehabilitering (KKR) i helsehus er et tilbud til eldre pasienter som har behov for en overgangstjeneste mellom sykehuset og hjemmet etter sykehusinnleggelse. Til tross for at pasientdeltakelse er et politisk mål, belyser forskning at mange eldre pasienter føler seg som kasteballer i systemet. Målet med denne studien var å øke forståelsen av fasilitatorer og barrierer for pasientdeltakelse for å realisere personsentrert omsorg i KKR med tanke på å skape helhetlige pasientforløp mellom sykehus og hjem.Metode: Det ble gjennomført semistrukturerte intervjuer med geriatriske pasienter (n=15), deres pårørende (n=12) og tverrfaglige team i KKR (n=18) for å laere av og om deres erfaringer og preferanser. Tematisk analyse ble benyttet til å analysere data i lys av et personsentrert rammeverk.Resultater: Det ble identifisert tre hovedtemaer: «Personen i systemet», «Personen i avdelingen» og «Personen i interaksjonen», hvilket viser at for å bidra til å skape sammenheng må pasientdeltakelse implementeres på både system-, organisasjons-og individnivå. Konklusjon: KKR må forankres i en personsentrert kultur som bygger på tillit der hvor brukere er deltakere på sine premisser, helsepersonell har sunne arbeidsbetingelser, og lederskapet er støttende.

show abstract

“…Although the turn towards narratives in healthcare is not new, its relevance for geriatric care has been highlighted during the last decade (Buckley et al, 2018;Clark, 2015). Fundamental for human meaning-making, narration may offer important insights into the meaning people make around their experiences, illnesses and life situations (Polkinghorne, 1988;Ricoeur, 1984Ricoeur, , 1991.…”

Section: Introductionmentioning

confidence: 99%

Engaging in narrative relations in everyday work on a geriatric ward: A qualitative study with healthcare professionals

Scholander

Boström

Josephsson

et al. 2022

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To explore healthcare professionals' experiences and reflections about narration in their everyday work. Background The need for integrated and people‐centred healthcare for older adults has highlighted the relevance of narration in healthcare practice. Although theoretical foundations vary, different frameworks building on narration have been proposed for translating person‐centredness philosophies into practice. However, to understand how theoretical knowledge on narration can be adopted into clinical work, we need to learn how healthcare staff understand narration from their experiential knowledge and practice. Design The research process followed guidelines from Constructivist Grounded Theory as described by Charmaz. The study adheres to the COREQ guidelines. Methods Data collection entailed interprofessional focus groups discussions with healthcare staff (n = 31). Vignettes depicting realistic scenarios were used to encourage participants to reflect on clinical practice. Data were analysed via a constant comparative method. Results One core theme arose from the analysis. The core theme showed how narration was a relational process that people engaged in to pursue and uphold several foundational qualities in healthcare practice presented in the following subthemes: preventing simplistic understandings of people and situations; supporting trustful relations; supporting continuity and coherence; and learning from coworkers. However, a minor theme raised awareness of narrative relations as a double‐edged sword. Conclusions By acknowledging the mutual and multifacetted nature of narration in everyday practice, this study shows how healthcare professionals' engagement in narrative relations may contribute to upholding several foundational qualities which resonate with philosophies of person‐centredness in everyday healthcare practice. Relevance to clinical practice Recognition of both the advantages and possible risks embedded in narrative relations in healthcare practice emphasises the obligation to collectively reflect on the repercussions of narrative relations in any local context. Patient or public contribution Healthcare professionals contributed by sharing their experiential knowledge and reflections on narration in practice.

show abstract

Emerging themes in using narrative in geriatric care: Implications for patient-centered practice and interprofessional teamwork

Cited by 15 publications

References 41 publications

A complex intervention of self‐management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities; A longitudinal follow‐up

A complex intervention of self‐management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities; A longitudinal follow‐up

Helhetlige pasientforløp: brukernes erfaringer med pasientdeltakelse og personsentrert omsorg i kommunal korttidsrehabilitering i overgangen mellom sykehus og hjem

Engaging in narrative relations in everyday work on a geriatric ward: A qualitative study with healthcare professionals

Contact Info

Product

Resources

About