Action research in the healthcare field: a scoping review

Cordeiro, Luciana; Soares, Cássia Baldini

doi:10.11124/jbisrir-2016-003200

Cited by 56 publications

(55 citation statements)

References 118 publications

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“…This study drew on Action Research 21 as a methodology, with iterative implementation, evaluation and pathway modification stages. Local commissioners and prison healthcare stakeholders provided direct input into the pathway assessment and redesign process 22 . Here, we report on the first two phases of the pathway.…”

Section: Methodsmentioning

confidence: 99%

Detection, stratification and treatment of hepatitis C–positive prisoners in the United Kingdom prison estate: Development of a pathway of care to facilitate the elimination of hepatitis C in a London prison

Connoley

Francis-Graham

Storer³

et al. 2020

Journal of Viral Hepatitis

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The United Kingdom is committed to eliminating hepatitis C virus (HCV) infection by 2025. The prison estate provides an opportunity to identify and treat HCV‐positive individuals in a high‐prevalence environment. We designed and implemented a pathway of care within a London prison to diagnose, stratify and link HCV‐positive prisoners into care. This study was a two‐phase case study of a HCV care pathway. New arrivals to the prison were offered blood‐borne virus screening with dried blood spot testing at their secondary health check. Those with active infection completed disease stratification tests and were reviewed at a weekly hospital‐based multidisciplinary team meeting to determine management. In Phase‐2, the pathway was redesigned to improve testing and the referral of HCV‐positive prisoners into treatment. Over the 30‐month evaluation period, 12,946 people were received in the prison. During Phase‐1, 19.6% of new arrivals completed blood‐borne virus testing, with 7.3% identified as HCV‐positive. Just 8.3% of HCV‐positive individuals were treated or referred for treatment in Phase‐1. During Phase‐2, 30% of new receptions completed BBV testing and 3.9% were identified as HCV‐positive. Linkage into care was improved, with 38.9% treated or referred during the second phase. Poor access to testing and referral to treatment limit the effectiveness of care provision for prisoners with HCV. Elimination of HCV in prisons requires local service configuration to ensure high uptake of testing, with all HCV‐positive cases then offered treatment during custody or referral on to treatment after release.

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Section: Methodsmentioning

confidence: 99%

Detection, stratification and treatment of hepatitis C–positive prisoners in the United Kingdom prison estate: Development of a pathway of care to facilitate the elimination of hepatitis C in a London prison

Connoley

Francis-Graham

Storer³

et al. 2020

Journal of Viral Hepatitis

View full text Add to dashboard Cite

show abstract

“…Using a participatory action research approach designed for healthcare contexts [26], we engaged stakeholders using a combination of electronic questionnaires and in-person interviews to inventory current PRO implementations across UW Medicine, characterize common use cases for PROs, and develop recommendations for a system-wide implementation strategy. Action research is advantageous for studying healthcare settings where clinical stakeholders have deep contextual knowledge about their environments and where researchers benefit from actively participating in the topic being studied [27][28][29]. Through cycles of planning (identifying issues, research questions, and inquiry methods), acting (gathering data), observing (health system project activities and meetings), and reflecting (analyzing data and communicating) [30], the research team informed UW Medicine clinical practice transformation and PRO stakeholder communities as they strategized about future system-wide PRO implementations.…”

Section: Methodsmentioning

confidence: 99%

Capturing the patient voice: implementing patient-reported outcomes across the health system

et al. 2019

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Purpose Supporting the capture and use of patient-reported outcomes (PROs) at the point-of-care enriches information about important clinical and quality of life outcomes. Yet the ability to scale PROs across healthcare systems has been limited by knowledge gaps around how to manage the diversity of PRO uses and leverage health information technology. In this study, we report learnings and practice insights from UW Medicine's practice transformation efforts to incorporate patient voice into multiple areas of care. Methods Using a participatory, action research approach, we engaged with UW Medicine clinical and administrative stakeholders experienced with PRO implementation to inventory PRO implementations across the health system, characterize common clinical uses for PROs, and develop recommendations for system-wide governance and implementation of PROs. Results We identified a wide breadth of PRO implementations (n = 14) in practice and found that nearly half (47%) of employed PRO measures captured shared clinical domains (e.g., depression). We developed three vignettes (use cases) that illustrate how users interact with PROs, characterize common ways PRO implementations support clinical care across the health system (1) Preventive care, (2) Chronic/Specialty care, and (3) Surgical/Interventional care), and elucidate opportunities to enhance efficient PRO implementations through system-level standards and governance. Conclusions Practice transformation efforts increasingly require integration of the patient voice into clinical care, often through the use of PROs. Learnings from our work highlight the importance of proactively considering how PROs will be used across the layers of healthcare organizations to optimize the design and governance of PROs.

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“…The worldwide focus of healthcare research on the development of sustainable changes (Cordeiro & Soares, 2018;Meyer, 2000;Montgomery et al, 2015) aligns with the intentions of action research. Action research designs are intended to initiate and support empowerment, promote the skills to act, increase knowledge, change participants' attitudes and ultimately change practice (Bradbury, 2015;Greenwood & Levin, 2007;Svensson & Nielsen, 2006).…”

Section: Me Thodology and Me Thodmentioning

confidence: 97%

Action research as a catalyst for change: Empowered nurses facilitating patient participation in rehabilitation

et al. 2020

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Based on action research as a practitioner‐involving approach, this article communicates the findings of a two‐year study on implementing patient participation as an empowering learning process for both patients and rehabilitation nurses. At a rehabilitation facility for patients who have sustained spinal cord injuries, eight nurses were engaged throughout the process aiming at improving patient participation. The current practice was explored to understand possibilities and obstacles to patient participation. Observations, interviews and logbooks, creative workshops and reflective meetings led to the development and testing of four new rehabilitation initiatives aimed at enhancing patient participation. This study suggests that skills of critical reflection from action research toolbox shed light on both the notion of patient participation and caring in nursing rehabilitation. By actively involving nurses in research, the knowledge development stems from practice and the solutions therefore became practice‐oriented. In addition, the personal and professional development experienced by the involved nurses points to a secondary gain in the form of an analytical and reflective approach to complex issues in relation to patient participation, rehabilitation in general and the individual nurses' sense of professional pride.

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Action research in the healthcare field: a scoping review

Abstract: There are several ways of conducting action research in healthcare that consider the researcher's aims and theoretical assumptions. Further qualitative systematic review questions may arise from the results and conclusions of this scoping review.

Cited by 56 publications

References 118 publications

Detection, stratification and treatment of hepatitis C–positive prisoners in the United Kingdom prison estate: Development of a pathway of care to facilitate the elimination of hepatitis C in a London prison

Detection, stratification and treatment of hepatitis C–positive prisoners in the United Kingdom prison estate: Development of a pathway of care to facilitate the elimination of hepatitis C in a London prison

Capturing the patient voice: implementing patient-reported outcomes across the health system

Action research as a catalyst for change: Empowered nurses facilitating patient participation in rehabilitation

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