Using narrative inquiry with older people to inform practice and service developments

MingYi Hsu, Brendan McCormack

    Research output: Contribution to journalArticle

    15 Citations (Scopus)

    Abstract

    Background. Narrative inquiry provides an option for exploring personal experiences and for providing insight into treatment decisions that can help guide how healthcare services are developed and provided.Aim. The aim of the study was to examine the usefulness of narratives of older peoples’ hospitalisation experiences as a focus for informing practice and service developments.Methods. Participants were aged 65 and upwards and had been patients in a rehabilitation unit. They were cognitively and physically able to communicate and give consent to take part in the study. Narrative interviewing methods were used for data collection. A problem–solution pattern framework enabled the reconfiguring of narratives in the context of the older persons’ past, the here and now and the context of their usual level of well-being or ill-being. Seminars with multidisciplinary professionals were used to analyse the narratives in the context of how they informed the need for practice and service developments.Results. Twenty-eight narrative interviews were undertaken. Through reading and discussing the reconfigured narratives, the multidisciplinary team evaluated whether care procedures were appropriate and identified ways of improving care delivery. Challenges to the integration of narrative approaches were identified. Narrative interviewing was implemented in practice by some of the nurses who participated in the study.Conclusions. Narrative inquiry enhances the assessment of care needs and interactions between healthcare professionals and patients. The framework used for translating stories into plans for practice and service developments needs to be used in further studies and with a broader range of healthcare and social care professionals to determine its usefulness.Relevance to clinical Practice. Narrative inquiry is a valuable methodology for understanding older peoples’ experiences of health care. Stories developed from older peoples’ hospitalisation experiences are a useful basis for identifying aspects of practice that could be developed.
    LanguageEnglish
    Pages841-849
    JournalJournal of Clinical Nursing
    Volume21
    Issue number5-6
    DOIs
    Publication statusPublished - Mar 2011

    Fingerprint

    Delivery of Health Care
    Hospitalization
    Needs Assessment
    Translating
    Reading
    Rehabilitation
    Nurses
    Interviews
    Therapeutics

    Cite this

    Hsu, MingYi ; McCormack, Brendan. / Using narrative inquiry with older people to inform practice and service developments. In: Journal of Clinical Nursing. 2011 ; Vol. 21, No. 5-6. pp. 841-849.
    @article{69153863d1f34e0d86aa285449484d4b,
    title = "Using narrative inquiry with older people to inform practice and service developments",
    abstract = "Background. Narrative inquiry provides an option for exploring personal experiences and for providing insight into treatment decisions that can help guide how healthcare services are developed and provided.Aim. The aim of the study was to examine the usefulness of narratives of older peoples’ hospitalisation experiences as a focus for informing practice and service developments.Methods. Participants were aged 65 and upwards and had been patients in a rehabilitation unit. They were cognitively and physically able to communicate and give consent to take part in the study. Narrative interviewing methods were used for data collection. A problem–solution pattern framework enabled the reconfiguring of narratives in the context of the older persons’ past, the here and now and the context of their usual level of well-being or ill-being. Seminars with multidisciplinary professionals were used to analyse the narratives in the context of how they informed the need for practice and service developments.Results. Twenty-eight narrative interviews were undertaken. Through reading and discussing the reconfigured narratives, the multidisciplinary team evaluated whether care procedures were appropriate and identified ways of improving care delivery. Challenges to the integration of narrative approaches were identified. Narrative interviewing was implemented in practice by some of the nurses who participated in the study.Conclusions. Narrative inquiry enhances the assessment of care needs and interactions between healthcare professionals and patients. The framework used for translating stories into plans for practice and service developments needs to be used in further studies and with a broader range of healthcare and social care professionals to determine its usefulness.Relevance to clinical Practice. Narrative inquiry is a valuable methodology for understanding older peoples’ experiences of health care. Stories developed from older peoples’ hospitalisation experiences are a useful basis for identifying aspects of practice that could be developed.",
    author = "MingYi Hsu and Brendan McCormack",
    year = "2011",
    month = "3",
    doi = "10.1111/j.1365-2702.2011.03851.x",
    language = "English",
    volume = "21",
    pages = "841--849",
    journal = "Journal of Clinical Nursing",
    issn = "0962-1067",
    number = "5-6",

    }

    Using narrative inquiry with older people to inform practice and service developments. / Hsu, MingYi; McCormack, Brendan.

    In: Journal of Clinical Nursing, Vol. 21, No. 5-6, 03.2011, p. 841-849.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Using narrative inquiry with older people to inform practice and service developments

    AU - Hsu, MingYi

    AU - McCormack, Brendan

    PY - 2011/3

    Y1 - 2011/3

    N2 - Background. Narrative inquiry provides an option for exploring personal experiences and for providing insight into treatment decisions that can help guide how healthcare services are developed and provided.Aim. The aim of the study was to examine the usefulness of narratives of older peoples’ hospitalisation experiences as a focus for informing practice and service developments.Methods. Participants were aged 65 and upwards and had been patients in a rehabilitation unit. They were cognitively and physically able to communicate and give consent to take part in the study. Narrative interviewing methods were used for data collection. A problem–solution pattern framework enabled the reconfiguring of narratives in the context of the older persons’ past, the here and now and the context of their usual level of well-being or ill-being. Seminars with multidisciplinary professionals were used to analyse the narratives in the context of how they informed the need for practice and service developments.Results. Twenty-eight narrative interviews were undertaken. Through reading and discussing the reconfigured narratives, the multidisciplinary team evaluated whether care procedures were appropriate and identified ways of improving care delivery. Challenges to the integration of narrative approaches were identified. Narrative interviewing was implemented in practice by some of the nurses who participated in the study.Conclusions. Narrative inquiry enhances the assessment of care needs and interactions between healthcare professionals and patients. The framework used for translating stories into plans for practice and service developments needs to be used in further studies and with a broader range of healthcare and social care professionals to determine its usefulness.Relevance to clinical Practice. Narrative inquiry is a valuable methodology for understanding older peoples’ experiences of health care. Stories developed from older peoples’ hospitalisation experiences are a useful basis for identifying aspects of practice that could be developed.

    AB - Background. Narrative inquiry provides an option for exploring personal experiences and for providing insight into treatment decisions that can help guide how healthcare services are developed and provided.Aim. The aim of the study was to examine the usefulness of narratives of older peoples’ hospitalisation experiences as a focus for informing practice and service developments.Methods. Participants were aged 65 and upwards and had been patients in a rehabilitation unit. They were cognitively and physically able to communicate and give consent to take part in the study. Narrative interviewing methods were used for data collection. A problem–solution pattern framework enabled the reconfiguring of narratives in the context of the older persons’ past, the here and now and the context of their usual level of well-being or ill-being. Seminars with multidisciplinary professionals were used to analyse the narratives in the context of how they informed the need for practice and service developments.Results. Twenty-eight narrative interviews were undertaken. Through reading and discussing the reconfigured narratives, the multidisciplinary team evaluated whether care procedures were appropriate and identified ways of improving care delivery. Challenges to the integration of narrative approaches were identified. Narrative interviewing was implemented in practice by some of the nurses who participated in the study.Conclusions. Narrative inquiry enhances the assessment of care needs and interactions between healthcare professionals and patients. The framework used for translating stories into plans for practice and service developments needs to be used in further studies and with a broader range of healthcare and social care professionals to determine its usefulness.Relevance to clinical Practice. Narrative inquiry is a valuable methodology for understanding older peoples’ experiences of health care. Stories developed from older peoples’ hospitalisation experiences are a useful basis for identifying aspects of practice that could be developed.

    U2 - 10.1111/j.1365-2702.2011.03851.x

    DO - 10.1111/j.1365-2702.2011.03851.x

    M3 - Article

    VL - 21

    SP - 841

    EP - 849

    JO - Journal of Clinical Nursing

    T2 - Journal of Clinical Nursing

    JF - Journal of Clinical Nursing

    SN - 0962-1067

    IS - 5-6

    ER -