Use this URL to cite or link to this record in EThOS: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.779250
Title: Exploring and developing positive experiences of values-based practice in an acute mental health ward using appreciative action research
Author: McCaig, Marie
ISNI:       0000 0004 7964 9469
Awarding Body: University of the West of Scotland
Current Institution: University of the West of Scotland
Date of Award: 2019
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Abstract:
Values-based practice is an approach to supporting decision-making and person centred care in healthcare settings. While considered a complementary partner to evidence-based practice, there is a tendency for the literature to focus on the skills of values-based practice rather than experiences of values-based practice. This appreciative action research explored positive experiences of values-based practice in an acute mental health ward, providing a situated account of values-based practice from the perspectives of patients, staff, carers, and students. Framed by social constructionism and appreciative inquiry, this qualitative research used photo elicitation, interviews (n=20), focus groups (n=6) and reflection groups (n=6) to explore the experiences of patients (n=18), staff (n=14), carers (n=4), and students (n=2) during an 11-month period. Data were shared with participants throughout the research to facilitate analysis, reflection and democratic knowledge construction. Data analysis was guided by Borkan’s (1999) immersion crystallisation which facilitated incorporation of emotion and intuition into the analysis process. Findings of this research emphasise dialogue, connecting with others and connecting with ourselves as features of positive experiences of values-based practice. The theme of connecting with others acknowledged the role of dialogue in bringing together different lifeworlds and enabling the subjective reality of each person to become available. The theme of connecting with ourselves recognised the value of self-awareness, reflection, dialogue, and writing. Participants described values-based practice as occurring in a range of relationships, including patient-patient interactions. Focus groups encouraged democratization of knowledge, facilitating values awareness and creating space for debate. This research offers an understanding of the range of positive experiences of values-based practice occurring simultaneously within an acute mental health ward setting – a move away from problem-focused literature on acute care. Findings add methodological insights into the use of appreciative action research and photo elicitation in an acute mental health ward.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.779250  DOI: Not available
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