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An extra care community's perceived priorities for 'whole system' relationships: a Q-methodological study

Grimshaw, Paul, McNichol, E and McGowan, L 2017. An extra care community's perceived priorities for 'whole system' relationships: a Q-methodological study. Health & Social Care in the Community 25 (3) , pp. 1169-1180. 10.1111/hsc.12417

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Health and social care settings world-wide need to sustainably improve the quality of relationships across communities or ‘whole systems’. This research informs the development of a relational framework based on stakeholder perspectives. It is grounded in an action research project with practitioners, and draws 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’ prioritises compassionate engagement. Secondly, ‘Respect is a two way street’ emphasises the need for reciprocal respect and recognition of history. The factor labelled ‘Free spirits’ posits the dominant view of freedom. The fourth view ‘Families… strengths and challenges’ focusses on the necessary and complex involvement of families and finally, ‘Helping hands’ emphasises the role of relationships in increasing previously low expectations of social integration for previously isolated residents. The different views that exist on the composition of quality relationships can be used to help extra-care communities to understand and utilise relationships as a powerful and effective resource.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Subjects: H Social Sciences > H Social Sciences (General)
Uncontrolled Keywords: Relationships, Q-Methodology, Action Research, Extra Care Housing, Health and Social Care , Ageing
Publisher: Wiley
ISSN: 0966-0410
Date of Acceptance: 1 December 2016
Last Modified: 07 Nov 2023 03:27

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