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Sharing stories: narrative and dialogue in responsive nursing evaluation
1University of Maastricht.
Evaluation & the Health Professions
|January 29, 2005
Summary
Responsive evaluation engages stakeholders to improve nursing practice. This approach uses narrative and dialogue to enhance understanding and respect in palliative care quality assessment.
Area of Science:
- Nursing
- Evaluation Studies
- Qualitative Research
Background:
- Responsive evaluation offers a new framework for nursing evaluation.
- It redefines evaluation as stakeholder engagement focused on practice value, meaning, learning, and improvement.
Purpose of the Study:
- To illustrate the utility of responsive evaluation, specifically integrating narrative and dialogue.
- To explore methodological issues in applying this approach.
Main Methods:
- Utilized a case example of responsive evaluation for palliative care quality in the Netherlands.
- Employed conversational interviews to collect narratives (stories).
Main Results:
- Stories revealed the meaning and ambiguity inherent in everyday practice situations.
- Facilitating dialogue about diverse stories enhanced mutual understanding among stakeholders.
Conclusions:
- Responsive evaluation, particularly when incorporating narrative and dialogue, promotes respect, inclusiveness, and social equity.
- This approach is valuable for improving the quality of care, such as palliative care for cancer patients.