71 Developing A Portfolio for Advanced Practitioners Working with Older People

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
L MacDiarmid

Abstract Introduction Advanced Nurse Practitioners (ANP’s) have a professional responsibility to ensure that they maintain professional competence (Whiteing, N. in Hinchcliffe and Rogers Eds pp192–219, 2008). The aim of the portfolio is to assist ANP’s in developing evidence demonstrating continued advanced level practice. At the time of the study, there was a dearth of evidence relating to competencies for qualified ANP’s, working with older people. The aim was to move away from the traditional confines of “nurse does this, doctor does this”, and to embrace the concept of developing skills to meet the clinical demands of service provision for our older people. Methods Participatory action research methodology was adopted—using the Review, Plan and act cycle (Edwards and Talbot, p63 1999; Holloway & Wheeler p155–156, 1996). Review A literature search and review of competencies relating to advanced practice and older people was undertaken. Plan A portfolio of knowledge and skills was collated utilising the information from the review. A matrix was created incorporating four Pillars of Advanced Practice (SGHD 2008), the Nursing and Midwifery Code (NMC, 2015) and modified competencies for Joint Royal Colleges of Physicians Training Board Geriatric curriculum (JRCPTB), (2010, amended 2013 and 2015). The portfolio was sent out to existing team members, and local Consultant Geriatricians based in the Acute Trust and local University for comment and amendments were made. Act The portfolio was used by staff as a trial and evaluated. Written feedback was obtained through questionnaires. Results The portfolio was well evaluated by staff using it, including recommendations for improvement. Portfolio has been shared at national groups and via social media and has been well received. Conclusions An Advanced Practice Portfolio of capabilities is being used, based on action research cycles, enhancing the level of care received by older people.

Author(s):  
Jennifer Beal-Alvarez

This chapter presents an overview of action research, specifically, participatory action research (PAR), and its components. These components include, among others, recruitment and establishment of co-researchers, specifically deaf co-researchers and their lived experiences; confidentiality responsibilities in the PAR process; identification of relevant issues within target communities; and power-sharing among team members. The author reviews the action research literature related to deaf participants and co-researchers and focuses on the subcategory of action research within deaf education. Finally, the author presents empirical data through case studies that demonstrate how preservice and in-service teachers utilize action research interventions to guide their data-based instruction.


2009 ◽  
Vol 46 (4) ◽  
pp. 431-441 ◽  
Author(s):  
Michie Nomura ◽  
Kiyoko Makimoto ◽  
Motoko Kato ◽  
Tamami Shiba ◽  
Chieko Matsuura ◽  
...  

2003 ◽  
Vol 14 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Jan Ritchie ◽  
Diana Bernard ◽  
Franziska Trede ◽  
Brenda Hill ◽  
Barbara Squires

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018722 ◽  
Author(s):  
Rohan A Elliott ◽  
Cik Yin Lee ◽  
Christine Beanland ◽  
Dianne P Goeman ◽  
Neil Petrie ◽  
...  

ObjectiveTo develop a collaborative, person-centred model of clinical pharmacy support for community nurses and their medication management clients.DesignCo-creation and participatory action research, based on reflection, data collection, interaction and feedback from participants and other stakeholders.SettingA large, non-profit home nursing service in Melbourne, Australia.ParticipantsOlder people referred to the home nursing service for medication management, their carers, community nurses, general practitioners (GPs) and pharmacists, a multidisciplinary stakeholder reference group (including consumer representation) and the project team.Data collection and analysisFeedback and reflections from minutes, notes and transcripts from: project team meetings, clinical pharmacists’ reflective diaries and interviews, meetings with community nurses, reference group meetings and interviews and focus groups with 27 older people, 18 carers, 53 nurses, 15 GPs and seven community pharmacists.ResultsThe model was based on best practice medication management standards and designed to address key medication management issues raised by stakeholders. Pharmacist roles included direct client care and indirect care. Direct care included home visits, medication reconciliation, medication review, medication regimen simplification, preparation of medication lists for clients and nurses, liaison and information sharing with prescribers and pharmacies and patient/carer education. Indirect care included providing medicines information and education for nurses and assisting with review and implementation of organisational medication policies and procedures. The model allowed nurses to refer directly to the pharmacist, enabling timely resolution of medication issues. Direct care was provided to 84 older people over a 15-month implementation period. Ongoing feedback and consultation, in line with participatory action research principles, informed the development and refinement of the model and identification of enablers and challenges.ConclusionsA collaborative, person-centred clinical pharmacy model that addressed the needs of clients, carers, nurses and other stakeholders was successfully developed. The model is likely to have applicability to home nursing services nationally and internationally.


2018 ◽  
Vol 20 (1) ◽  
pp. 11
Author(s):  
Ioana Schiau ◽  
Loredana Ivan ◽  
Monica Bîră

Participatory Action Research (PAR) has as a main goal the collaborative construction and production of meanings between the researchers and the participants. PAR has been largely used in the area of technology creation and appropriation involving end-users in different stages of technology designing process. However, research studies concerning older people and their use of technology employ PAR to a lesser extent. In the current paper we provide arguments for the value of different participative action approaches when studying technology appropriation by older people, and present an example of a participatory action design that we have implemented in three Romanian cities, with people 60+, to reveal the way older adults depict their experience in using Facebook. We used a five-step collaborative research design – (1) initial evaluation; (2) training session; (3) immediate evaluation; (4) group co-creation; (5) final evaluation – to reflect on the participants’ experience through groups techniques and participant observation notes. Results reveal the fact that one trainer per each participant, adapting the interaction to the participant’s individual needs, intergenerational trainer-trainee communication and patience, as well as proper timing of the organized sessions are key factors to foster participant engagement with social media. In addition, the proposed participatory action design proved to have some potential to empower older people in long time engagement with social media.


Author(s):  
Cheryl Forchuk ◽  
Amanda Meier

Participatory-action research encourages the involvement of all key stakeholders in the research process and is especially well suited to mental health research. Previous literature outlines the importance of engaging stakeholders in the development of research questions and methodologies, but little has been written about ensuring the involvement of all stakeholders (especially non-academic members) in dissemination opportunities such as publication development. The Article Idea Chart was developed as a specific methodology for engaging all stakeholders in data analysis and publication development. It has been successfully utilised in a number of studies and is an effective tool for ensuring the dissemination process of participatory-action research results is both inclusive and transparent to all team members, regardless of stakeholder group.Keywords: participatory-action research, mental health, dissemination, community capacity building, publications, authorship


2016 ◽  
Vol 16 (2) ◽  
pp. 190-206 ◽  
Author(s):  
Eva Ericson-Lidman ◽  
Gunilla Strandberg

Stress of conscience seriously influence the quality of care and the wellbeing of the care providers in care for older people. It is therefore of great importance to take measures to address, and relieve but preferably prevent stress related to troubled conscience. In our participatory action research studies, we have used troubled conscience as a driving force to relieve care providers’ burden and to increase quality of care. The aim with this paper is to present our experiences of using a further developed participatory action research process in practice to deal with care providers' troubled conscience in residential care for older people. The contribution to participatory action research practice in our studies is a support to the participatory action research process through using a modified model of problem processing, an approach which we found fruitful. In the paper, we describe our experiences and discuss them in relation to relevant literature and theory. Our experiences are that in participatory action research it is crucial to build a trusting relationship and striving to create a fruitful dialogue between the researchers and the participants. In our studies, we found that participatory action research is an easy approach to adapt as a problem-solving process in clinical practice and in nursing research.


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