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Centre for Policy on Ageing | |
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An extra care community's perceived priorities for whole system relationships
— a Q-methodological study | | Author(s) | Paul Grimshaw, Linda McGowan, Elaine McNichol |
| Journal title | Health and Social Care in the Community, vol 25, no 3, May 2017 |
| Publisher | Wiley, May 2017 |
| Pages | pp 1169-1180 |
| Source | wileyonlinelibrary.com/journal/hsc |
| Keywords | Community care ; Extra care ; Sheltered housing ; Neighbourhoods, communities etc ; Participation ; Research ; Methodology. |
| Annotation | Health and social care settings worldwide need to sustainably improve the quality of relationships across communities or 'whole systems'. This study informed the development of a relational framework based on stakeholder perspectives. It was grounded in an action research project with practitioners, and drew on a previous literature review to present the underpinning elements of quality relationships as statements, organised under the headings of integrity, respect, fairness, compassion and trust. Using Q methodology, 27 participants, comprising a range of stakeholders (staff, residents, family and service providers), rank-ordered 48 statements based on perceptions of the importance of differing aspects of relationships. By-person factor analysis was used to create five factors or viewpoints by comparing and contrasting using the composite rankings alongside interview data collected for each participant. The first view 'Altogether now' prioritised compassionate engagement. Second, 'Respect is a two-way street' emphasised the need for reciprocal respect and recognition of history. The factor labelled 'Free spirits' posited the dominant view of freedom. The fourth view 'Families _ strengths and challenges' focused on the necessary and complex involvement of families and finally, 'Helping hands' emphasised the role of relationships in increasing previously low expectations of social integration for previously isolated residents. The different views that existed on the composition of quality relationships could be used to help extra care communities to understand and utilise relationships as a powerful and effective resource. (JL). |
| Accession Number | CPA-170609229 A |
| Classmark | PA: QA:58D: KLA: RH: TMB: 3A: 3D |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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