PMID: 11328438May 1, 2001Paper

How do we facilitate carers' involvement in decision making?

Journal of Advanced Nursing
E Walker, B J Dewar

Abstract

Government health care policy urges service providers to involve service users in the decision-making process. Research studies have recommended changes to current health care practice to facilitate this involvement. However, carers' organizations continue to highlight a gap between policy and practice in relation to involvement. The aim of the study reported on in this paper was to investigate involvement in a specific health care context with a view to identifying both opportunities for change and practical, realistic ways of bringing about that change. This was a qualitative case study using a case study design. The field site selected was a respite and assessment (23 bedded) ward within the Psychiatric Unit of a hospital specializing in the care of older people. Informal carers (n=20) and members of the multidisciplinary team (n=29) were interviewed about their views and experiences. The interviews were audiorecorded and transcribed. Family meetings, multidisciplinary team meetings and ward routines were the focus of non-participant observation. Field notes from these observations, together with the interview data were analysed using constant comparative method. The reported experiences of carers in this study highlighted f...Continue Reading

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Citations

Jan 31, 2015·Collegian : Journal of the Royal College of Nursing, Australia·Robin Digby, Melissa J Bloomer
Jul 18, 2002·Health & Social Care in the Community·Susan Pickard, Caroline Glendinning
Mar 21, 2012·BMC Medical Informatics and Decision Making·Christine StirlingAndrew Robinson
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