The term 'person-centred care' is used widely within mental health and healthcare fields and is particularly prominent ~thin the dementia care sphere. Specifically, it is posited as the preferred approach to care with individuals with dementia but in terms of evaluating the effectiveness of this approach, numerous methodological challenges appear prevalent. A narrative literature review, reported in section one of this thesis, posits that the methodological challenges of person-centred care evaluation research include problems with delineation, the outcomes used and the diversity of person-centred care approaches. The review suggests possible solutions to these methodological challenges and highlights overcoming the present challenges would enable the person-centred care philosophy to be increasingly well-supported, through high-quality research evidence. In exploring the factors involved in the care of people with dementia, the research paper, reported in section two of the current thesis, explored the subjective experience of personhood for those with dementia within dementia care settings. The research employed qualitative methodology, specifically interpretative phenomenological analysis, and the findings highlighted the impact of the hospital ward environment, other members of the groups within this environment, as well as individuals' past roles upon the support of personhood . ./ These findings were discussed in relation to other relevant literature and highlighted the salience of considering the group dynamics and the specifics of dementia care environments, when successfully supporting personhood in dementia. Limitations of the current study and future research in this area were also considered. Reflections upon the different stages of research process were discussed in a critical review, reported in section three of this thesis.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:551666 |
| Date | January 2011 |
| Creators | Nowell, Zoe |
| Publisher | Lancaster University |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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