Analysis of the empirical studies and personal narratives was interpreted in terms of an operationalised research programme. This involved interpreting the subjective data in a way that directed attention to potential mechanisms of influence, processes at work, and key outcomes. This investigation started with already a complex story that was not in itself particularly new, but nevertheless provided important insights. As such, the findings are not intended to be comprehensive, but merely to show one kind of methodology that can be used in the investigation of the development of person-centred services in the NHS. The analysis looked at an organisational context where services, clinical practice, and supra-organisational governance combine to influence policy and practice. In this case study, the qualitative data analysis was organised into six main areas, drawn from each of these three, as follows: i) the operating context, ii) organisational and clinical practice, iii) quality, person-centredness, and the NHS constitution, iv) person- centred planning, planning, and governance, v) person-centred practice/services at NHS level, and vi) policy, governance, and market. These areas were mapped onto the research programme in Fig. 1, which highlights the relationship among aspects of the research programme, the case study data, the methods used, and the interpretations put forward. The methodology is summarised in Fig. 2.
Methods, case studies, and analysis relating to this study are summarised in Table 1. Note that the above text maintains stimulus-response relations in the case studies as they are expressed in the data, for example, that insight-building is stated explicitly in patient narratives as coming from a previous level of recovery (so that acknowledging that insight was enabled by the treatment was presented as a discharge report). This meant that the case study data was interpreted in terms of a linear process of relating the behavioural variables (levels of insight, following this and that) to the contents of the phenomenological accounts of insight provided by patients and nurses. d2c66b5586