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dc.contributor.advisorShepherd, Ashley-
dc.contributor.advisorCheyne, Helen L-
dc.contributor.authorAstbury, Ruth Anne-
dc.description.abstractTwo key policy documents are having an impact on health visiting practice in Scotland: Getting It Right for Every Child (GIRFEC) (2013), which seeks to promote all children’s wellbeing, and The Healthcare Quality Strategy for NHS Scotland (2010) which promotes person-centred care. ‘Shared decision making’ is integral to ‘person-centred care’; however no research studies to date have linked shared decision making with health visitor practice. This thesis reports on a descriptive, qualitative research study, which was conducted in two health board areas in Scotland, in order to explore the processes that support effective shared decision making in health visiting practice within the context of implementing GIRFEC. The design was in three phases and used Elwyn’s Framework, of ‘Choice, Options and Decision Talk’ as a structure (2012). Phase 1 consisted of audio recordings of 2 x health visitor: parent encounters when decisions were being made; Phase 2 consisted of semi-structured interviews with 9 x health visitors and 9 x parents who had made decisions within the last 6 months; Phase 3 involved 3 x focus groups reviewing the findings to date and reflecting on current issues when implementing GIRFEC. The framework method was used for analysis and two additional themes were identified: ‘Issues’ and ‘Relationships’. The health visitors demonstrated that they built up trusting relationships with parents; however there was lack of understanding and application of decision making theory which supports analysis, and an outcome focused approach to person-centred planning. This thesis identifies areas for health visitor practice development.en_GB
dc.publisherUniversity of Stirlingen_GB
dc.subjectshared decision makingen_GB
dc.subjecthealth visitoren_GB
dc.subjectpublic health nurseen_GB
dc.subjectpractice developmenten_GB
dc.subject.lcshPublic health nurses Scotlanden_GB
dc.subject.lcshVisiting nurses Scotlanden_GB
dc.subject.lcshNursing Practice Scotlanden_GB
dc.subject.lcshNusring services Administration Scotlanden_GB
dc.subject.lcshParenting Parent and childen_GB
dc.subject.lcshGetting it right (program)en_GB
dc.titleWhat processes will support effective shared decision making when health visitors and parent are planning to improve the wellbeing of babies and children within the context of the Getting It Right For Every Child (GIRFEC) Policy Framework?en_GB
dc.typeThesis or Dissertationen_GB
dc.type.qualificationnameDoctor of Nursingen_GB
dc.rights.embargoreasonI request an embargo on public access to this Thesis and its Appendices - as I am currently in the process of submitting a section of it to a publisher for publication - a requirement of the Doctor of Nursing Programmeen_GB
dc.contributor.funderGeneral Nursing Council (Education) Fund 1983 provided a small amount of funding for expenses incurred when gathering data.en_GB
Appears in Collections:Faculty of Health Sciences and Sport eTheses

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Thesis for Doctor of Nursing Ruth A Astbury.pdfMain Thesis4.47 MBAdobe PDFView/Open
Appendix 18 Paper for Publication.pdfAppendix 18549.61 kBAdobe PDFView/Open

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