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Co-constructed inquiry: a new approach to generating, disseminating and discovering knowledge in qualitative research
- Authors:
- KEADY John, WILLIAMS Sion
- Journal article citation:
- Quality in Ageing, 8(2), June 2007, pp.27-36.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
The authors provide an overview of co-constructed inquiry (CCI), a qualitative research approach that has been under development by the authors since 2003. CCI has been produced in partnership with people with long-term conditions, their families and three clinical practitioners in North Wales, specialising in stroke care, Alzheimer's disease and Parkinson's disease. CI introduces the language of theatre into the theory building and reporting process and consists of three stages: Building the set; Performing the production; and Bringing down the curtain. People with long-term conditions represent subjective experience through the production of a life story script, a personal theory and, eventually, a collective theory. The personal theory is usually presented as a diagram or a series of diagrams. CCI sheds new light on participative methods of inquiry and in the development of co-constructed grounded theory.
Relational practice as the key to ensuring quality care for frail older people: discharge planning as a case example
- Authors:
- WILLIAMS Sion, NOLAN Mike, KEADY John
- Journal article citation:
- Quality in Ageing, 10(3), September 2009, pp.45-55.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Discharging frail older people from acute hospital settings has been an issue of concern for over 40 years and recent studies suggest that enduring problems remain. This paper explores the experiences of discharge from three different units: an acute surgical ward, an acute medical ward and a specialist ward for older people. Based on extensive data from interviews with older people, their family carers and ward-based staff, a grounded theory of the discharge experience is presented. This suggests that the quality of discharge hinges largely on whether the focus of efforts is on ‘pace’ (the desire to discharge older people as rapidly as possible) or ‘complexity’ (where due account is taken of the complex interaction of medical and wider social issues). When pace is the focus, ‘pushing’ and ‘fixing’ are the main processes driving discharge. However, when attention is given to complexity, far more subtle processes of ‘informing’ and ‘brokering’ are in evidence. These latter processes are conceived of as forms of ‘relational practice’ and it is argued that such practices lie at the heart of high quality care for older people.