Multidimensional collaboration: reflections on action research in a clinical context

Gregory, Sheila T.; Poland, Fiona; Spalding, Nicola; Sargen, Kevin; McCulloch, Jane; Vicary, Penny

doi:10.1080/09650792.2011.600627

Cited by 5 publications

(3 citation statements)

References 17 publications

(15 reference statements)

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“…Full details on the action research process and change implementation were previously reported. 22 (See figure 2 summary of research findings and actions). Further analysis of initial codes across the whole dataset are presented to show links between how preoperative education was seen to work or could be improved to enhance recovery.…”

Section: Resultsmentioning

confidence: 99%

“…Dunn et al 21 advocate using qualitative research to better understand patients’ experiences of colorectal cancer and to facilitate care that matches patients’ education needs. Collaborative action research 22 that involves the democratic participation of clinicians, patients and carers was seen as a particularly useful approach for identifying problems and potential solutions in situated rather than generic terms. Using the combined knowledge and experience of both ‘providers’ and ‘receivers’ of patient education the findings could help identify important and specific ways to understand the role of patient education in enhancing recovery.…”

Section: Introductionmentioning

confidence: 99%

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Developing patient education to enhance recovery after colorectal surgery through action research: a qualitative study

et al. 2017

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ObjectivesTo understand the role of preoperative education for patients undergoing colorectal surgery by involving patients, carers and staff in: (1) identifying its perceived value and deficits for enhanced recovery; (2) modifying current education practices to address educational deficits; and (3) evaluating these changes for preparing patients to enhance their recovery.DesignQualitative study of three cycles of action research using mixed methods within a 24-month naturalistic enquiry to identify, implement and evaluate changes through observations, questionnaires, semistructured longitudinal interviews, focus groups and documentation review.SettingA UK 1200-bed National Health Service (NHS) hospital providing colorectal surgery in a small city in a rural county.ParticipantsNinety-sevenpatients having colorectal surgery, 19 carers and 22 clinical staff.ResultsThemes identified were: (1) knowledge and engagement; (2) situated understanding and confidence building; and (3) partnership and proactive involvement in enhancing recovery. All patients articulated needs to prepare mentally and physically to plan for colorectal surgery and rehabilitation. Patients and carers wanted to counter uncertainty about medical procedures: likely bodily changes, recovery timescales and future. They therefore sought as much personalised, relevant information as possible about their disease, planned surgery and recovery. Staff implemented preoperative education to more specifically inform and respond multimodally to individual needs.ConclusionsPatients wanted to be proactively involved in managing their recovery to re-engage with their everyday lives. Preoperative education supported this through developing patients’ situated understanding of hospital and bodily processes related to colorectal surgery. Situated understanding was achieved through educational product to give knowledge and processes promoting engagement. Multimodal, comprehensive and timely preoperative education on the whole patient pathway facilitates active engagement. Situated understanding increased patients’ confidence to work in partnership with healthcare professionals and proactively self-manage recovery.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Developing patient education to enhance recovery after colorectal surgery through action research: a qualitative study

et al. 2017

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“…Two excerpts provide examples: Using the suggestions for change that had been made by patients, carers and healthcare professionals, eight changes to practice were identified and it was agreed who would be responsible for their implementation. The changes are now being re-evaluated providing the opportunity for healthcare professionals within the colorectal unit, and a new group of patients and carers, to comment on the effects and effectiveness of the changes made thus far [ 61 ]. After the manual and new forms had been used for some time, the nurses thought that there were still inefficiencies in the system.…”

Section: Resultsmentioning

confidence: 99%

A systematic mixed studies review on Organizational Participatory Research: towards operational guidance

Bush

Pluye

Loignon

et al. 2018

BMC Health Serv Res

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BackgroundOrganizational Participatory Research (OPR) seeks organizational learning and/or practice improvement. Previous systematic literature reviews described some OPR processes and outcomes, but the link between these processes and outcomes is unknown. We sought to identify and sequence the key processes of OPR taking place with and within healthcare organizations and the main outcomes to which they contribute, and to define ideal-types of OPR.MethodsThis article reports a participatory systematic mixed studies review with qualitative synthesis A specialized health librarian searched MEDLINE, CINAHL, Embase Classic + Embase, PsycINFO, the Cochrane Library, Social Work Abstracts and Business Source Complete, together with grey literature data bases were searched from inception to November 29, 2012. This search was updated using forward citation tracking up to June 2014. Reporting quality was appraised and unclear articles were excluded. Included studies clearly reported OPR where the main research related decisions were co-constructed among the academic and healthcare organization partners. Included studies were distilled into summaries of their OPR processes and outcomes, which were subsequently analysed using deductive and inductive thematic analysis. All summaries were analysed; that is, data analysis continued beyond saturation.ResultsEighty-three studies were included from the 8873 records retrieved. Eight key OPR processes were identified. Four follow the phases of research: 1) form a work group and hold meetings, 2) collectively determine research objectives, 3) collectively analyse data, and 4) collectively interpret results and decide how to use them. Four are present throughout OPR: 1) communication, 2) relationships; 3) commitment; 4) collective reflection. These processes contribute to extra benefits at the individual and organizational levels. Four ideal-types of OPR were defined. Basic OPR consists of OPR processes leading to achieving the study objectives. This ideal-type and may be combined with any of the following three ideal-types: OPR resulting in random additional benefits for the individuals or organization involved, OPR spreading to other sectors of the organization and beyond, or OPR leading to subsequent initiatives. These results are illustrated with a novel conceptual model.ConclusionThe model provides operational guidance to help OPR stakeholders collaboratively address organizational issues and achieve desired outcomes and more.Review registrationAs per PROSPERO inclusion criteria, this review is not registered.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3775-5) contains supplementary material, which is available to authorized users.

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Learning networks – enabling change through community action research

Bleach

2016

Educational Action Research

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Multidimensional collaboration: reflections on action research in a clinical context

Cited by 5 publications

References 17 publications

Developing patient education to enhance recovery after colorectal surgery through action research: a qualitative study

Developing patient education to enhance recovery after colorectal surgery through action research: a qualitative study

A systematic mixed studies review on Organizational Participatory Research: towards operational guidance

Learning networks – enabling change through community action research

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