Enhancing Care for Older People - Health Service Executive
Enhancing Care for Older People - Health Service Executive
Enhancing Care for Older People - Health Service Executive
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Observation Area 3: PRIVACY & DIGNITY<br />
Observer Prompts Observation Notes Questions Arising<br />
• Is patient privacy respected during specific<br />
procedures?<br />
• How is the valuing of diversity<br />
demonstrated (including attitudes and<br />
behaviour towards minority groups, e.g.<br />
black and minority ethnic communities)?<br />
• Are individuals needs and choices<br />
ascertained and continuously reviewed?<br />
• How is the acceptability of personal contact<br />
(touch) identified with individual patients<br />
/clients?<br />
• How are the patient’s /client’s personal<br />
boundaries identified and respected and<br />
communicated to others?<br />
• How is clinical risk handled in relation to<br />
complete privacy?<br />
• Note how privacy is effectively maintained<br />
e.g. curtains, screens, walls, rooms, use of<br />
blankets, appropriate clothing, appropriate<br />
positioning of patient etc<br />
• Note how privacy is achieved at times<br />
when the presence of others is required<br />
• Note how modesty is achieved <strong>for</strong> those in<br />
transit to differing care environments<br />
• How are patients/clients views and needs<br />
ascertained and recorded?<br />
• Is in<strong>for</strong>mation adapted to meet the needs of<br />
individual patients?<br />
Workplace<br />
Culture<br />
Critical<br />
Analysis<br />
Tool<br />
ORIGINAL AUTHORS OF THE WCCAT<br />
o Brendan McCormack, Professor of Nursing Research University of Ulster and<br />
Director of Nursing Research and Practice development, Royal Hospitals Trust,<br />
Belfast.<br />
o Elizabeth Henderson, Lead Cancer Nurse, Northern Ireland Cancer Network.<br />
o Dr Val Wilson, Director of Nursing Research & Practice Development, the Children's<br />
Hospital at Westmead, NSW, Australia.<br />
o Jayne Wright, Research Associate, University of Ulster<br />
April 2007<br />
The WCCAT has been developed to help people involved in the<br />
development of practice to undertake observational studies of work<br />
place settings in order to in<strong>for</strong>m changes in practice. The tool is<br />
suitable <strong>for</strong> use by anyone who has some experience of practice<br />
development including the observation of practice. The tool has<br />
been developed from an analysis of our experience of leading and<br />
facilitating practice development programmes over many years.<br />
Observation is one of the key tools used in emancipatory<br />
practice development – a <strong>for</strong>m of practice development that is<br />
concerned with changing the culture and context of practice in order<br />
to develop sustainable person-centred and evidence-based<br />
workplaces. Seeing practice, raising consciousness about taken <strong>for</strong><br />
granted practices and reflecting on taken <strong>for</strong> granted assumptions<br />
are key components of comprehensive observation. This tool is<br />
designed to help you develop a systematic approach to undertaking<br />
these activities.<br />
We encourage you to use this tool and would welcome<br />
your feedback on its relevance and usability in your practice<br />
development work.<br />
Contact<br />
Brendan McCormack: bg.mccormack@ulster.ac.uk<br />
Liz Henderson liz.henderson@bch.n-i.nhs.uk<br />
<strong>for</strong> further in<strong>for</strong>mation.<br />
Cultural Observation Tool version 5 – March 2007 1 85<br />
85<br />
Cultural Observation Tool – version 4 14