An exploration of person-centred practice within the perioperative environment

Updated: 5 months ago
Location: Coleraine, NORTHERN IRELAND
Deadline: 07 Feb 2020

Summary

Perioperative nursing has evolved from an assistant role to a discipline in its own right (McGarvey at al 2000). However, contemporary debate has focused on whether the perioperative role is nursing or technical and who the best person to perform that role should be. McGarvey (1998) reported that while perioperative nurses believed their role to be patient-centred, two thirds of them demonstrated medico-technical or administratively focused behaviours, being heavily influenced by triggers other than patients’ needs. Recent perioperative research has focused either on individual concepts (Susleck et al 2007; Rudolfsson at al 2007) or on rating scales (Rauta et al 2012). The challenge with perioperative care (and research thereof) is drawing on both components: patient care and the wider contextual dimensions that seem influence care delivery. These two stances can be succinctly captured within a person-centred Practice Framework (McCormack and McCance 2017). Currently it is an underdeveloped area of research and while some global research is starting to emerge ( Bingham et al 2018: Shin and Kang 2019) studies within the UK are sparse. Person-centred approaches to care delivery have been increasingly promoted in international strategy and policy planning.

Healthcare Supervisors should note that all projects must have at least two Ulster University supervisors and that priority in the main competition will be given to projects which include one new supervisor on the team. In addition, individuals may only submit two Project Proposals for the main scholarship competition. Professions have had a stark reminder of the rights of patients to receive high quality, compassionate care (Francis Report 2013). In seeking a positive way forward, it has been previously argued that person-centred cultures have the capacity to make a critical difference to the care experience of both patients and staff (Pope, 2012). McCormack et al. (2011) suggest, however, that contextual factors such as organisational culture, pose the greatest challenge to person-centredness. Nowhere is this more relevant than in the perioperative environment where patients remain vulnerable and where contextual influences on patient-centred care have previously been identified as being problematic (McGarvey 1998).

Theoretical Framework

This study will be underpinned by the Person-Centred Practice Framework developed by McCormack and McCance (2017). This framework is now well established and has guided and structured studies that have focused on the development, implementation and evaluation of practice in a variety of contexts and care settings (Brown and McCormack 2011; McCance et al 2013; McConnell et al 2015).

The framework comprises four constructs: prerequisites focusing on attributes of staff; the care environment relating to the context in which care is delivered; care processes, and outcomes resulting from effective person-centred care. Research has shown that all constructs have the ability to influence on another across different settings.

Skills required of applicant:

1. Experience of using qualitative methods including interviews and focus groups.
2. Experience of managing qualitative and quantitative data.
3. Excellent computer literacy.
4. Excellent oral and written communication skills.
5. Registered Nurse on the live NMC register, desirable but not essential.


Funding

    The University offers the following awards to support PhD study and applications are invited from UK, EU and overseas for the following levels of support:


    Vice Chancellors Research Studentship (VCRS)

    Full award (full-time PhD fees + DfE level of maintenance grant + RTSG for 3 years).

    This scholarship will cover full-time PhD tuition fees and provide the recipient with £15,000 maintenance grant per annum for three years (subject to satisfactory academic performance). This scholarship also comes with £900 per annum for three years as a research training support grant (RTSG) allocation to help support the PhD researcher.


    Vice-Chancellor’s Research Bursary (VCRB)

    Part award (full-time PhD fees + 50% DfE level of maintenance grant + RTSG for 3 years).

    This scholarship will cover full-time PhD tuition fees and provide the recipient with £7,500 maintenance grant per annum for three years (subject to satisfactory academic performance). This scholarship also comes with £900 per annum for three years as a research training support grant (RTSG) allocation to help support the PhD researcher.


    Vice-Chancellor’s Research Fees Bursary (VCRFB)

    Fees only award (PhD fees + RTSG for 3 years).

    This scholarship will cover full-time PhD tuition fees for three years (subject to satisfactory academic performance). This scholarship also comes with £900 per annum for three years as a research training support grant (RTSG) allocation to help support the PhD researcher.


    Department for the Economy (DFE)

    The scholarship will cover tuition fees at the Home rate and a maintenance allowance of £ 15,009 per annum for three years. EU applicants will only be eligible for the fee’s component of the studentship (no maintenance award is provided). For Non-EU nationals the candidate must be "settled" in the UK. This scholarship also comes with £900 per annum for three years as a research training support grant (RTSG) allocation to help support the PhD researcher.

    Due consideration should be given to financing your studies; for further information on cost of living etc. please refer to: www.ulster.ac.uk/doctoralcollege/postgraduate-research/fees-and-funding/financing-your-studies


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