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Generating insights into what matters to emergency nurses and family members when caring for older people with dementia: How to use generativity as a principle of Appreciative Inquiry.

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dc.contributor.author Watkins, Sarah Anne
dc.contributor.author Dewar, Belinda
dc.contributor.author Graham, Margaret M.
dc.contributor.author Murphy, Fiona A.
dc.contributor.author Kennedy, Catriona
dc.contributor.author O'Reilly, Pauline
dc.date.accessioned 2021-04-29T14:24:09Z
dc.date.available 2021-04-29T14:24:09Z
dc.date.issued 2020
dc.identifier.citation Watkins, S., Dewar, B., Graham, M., Murphy, F., Kennedy, C. & OÂ Reilly, P (2020) 'Generating insights into what matters to emergency nurses and family members when caring for older people with dementia: How to use generativity as a principle of Appreciative Inquiry' International Practice Development Journal, . en_US
dc.identifier.uri http://hdl.handle.net/10344/10044
dc.description peer-reviewed en_US
dc.description.abstract Background: Participatory research approaches aim to hear the voices of those who give and receive services in order to co-create insights into future improvements in care experiences. Appreciative inquiry is one such participatory approach. Its purpose is generativity, which is defined as helping people to see old things in new ways. Generativity shows much potential but there is little research describing the ‘how to’ of doing this in practice. This article describes the how to of generativity in the dream phase of an appreciative inquiry study. Aim: The aim was to share and co-analyse, with emergency nurses, family member experiences of being in an emergency department with an older person with dementia. Methods: Three critical methods were used to generate data – storytelling, appreciative framing and dialogue, and collaborative sensemaking. The principles of appreciative inquiry provided a framework for data analysis. Findings: In using appreciative inquiry methodology, emergency nurses were able to envision a preferred future based on what people value and what matters in approaches to care. Generativity enabled them to visualise what it would take to bring this new way of nursing to reality. Conclusion: Creative methods, when maximised, can be powerful tools in reframing narratives and helping practitioners to transcend the rut that perpetuates the status quo and obscures hope of future improvement. Generation of new insights and perspectives is critical to identifying and developing strategies for practice enhancement. Implications for practice: • Generativity is an underexplored concept yet it has the potential to help practitioners to see things with new eyes • Patient and/or family member stories play an important part in practice development, to determine what matters and is valued in enhancing experiences of care • Finding ways to integrate the relational aspects of care provides a mechanism for nurses to articulate their skills and contribution in highly technical and task-orientated clinical environments en_US
dc.language.iso eng en_US
dc.relation.ispartofseries International Practice Development Journal;10 (2) article 4
dc.subject appreciative inquiry en_US
dc.subject generativity en_US
dc.subject dementia care en_US
dc.subject emergency nurses en_US
dc.subject storytelling en_US
dc.title Generating insights into what matters to emergency nurses and family members when caring for older people with dementia: How to use generativity as a principle of Appreciative Inquiry. en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2021-04-29T14:09:35Z
dc.description.version PUBLISHED
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2979975
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle International Practice Development Journal
dc.description.status peer reviewed


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