Theoretical review of public
engagement in nursing
George Kernohan
Professor of Health Research
15 minutes:
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Why
Ladders and quadrants
What involvement looks like
Where to from here?
Why?
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Accountability to the ultimate funders (you)
To manage increasing expectations
Reducing inequalities – reach the hard to reach
User involvement = better outcomes
National and local policy drivers, Standards for
Better Health
 Legal requirement
Ladders and
quadrants provide
theory
 Arnstein’s ladder of citizen
participation
 Hodges Health Career Model
Arnstein, Sherry R. "A Ladder of Citizen Participation," Journal of the American Institute of Planners, Vol. 35, No. 4, July 1969, pp. 216-224.
Jones, P. (2003) Hodges' Health Career Care Domains Model < http://www.p-jones.demon.co.uk/faq-h2cm.html>
Hodges Health Career Model
Individual
Holistic care in partnership
Advocacy
Inform and comply with treatment
Internet support
Self-care
Person-centred care
Humanistic
Mechanistic
Curricula planning/delivery
Engage in politics, culture of care
Guidelines improve systems
Voluntary sector
Patient/client council
Groups
Where to from here?
Public involvement is
crucial in nursing &
nursing research.
A theoretical
framework allows us to
climbing the ladder of
participation, towards
healthy engagement
Thank you!
wg.kernohan@ulster.ac.uk
http://www.library.nhs.uk/ppi/