Psychological climates in action learning sets: a manager's perspective

Yeadon-Lee, Annie

doi:10.1080/14767333.2015.1074884

Cited by 3 publications

(1 citation statement)

References 28 publications

(11 reference statements)

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“…In addition to fostering ingenuity and resourcefulness of all stakeholders involved, PAR strengthens health systems by promoting safe spaces of interaction [ 47 ]. The inviolability of such spaces is eminent, especially when undertaking implementation research projects that seek to answer the ‘how and why’ questions of strengthening health systems.…”

Section: Discussionmentioning

confidence: 99%

Elements for harnessing participatory action research to strengthen health managers’ capacity: a critical interpretative synthesis

Tetui

Zulu

Hurtig

et al. 2018

Health Res Policy Sys

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BackgroundHealth managers play a key role in ensuring that health services are responsive to the needs of the population. Participatory action research (PAR) is one of the approaches that have been used to strengthen managers’ capacity. However, collated knowledge on elements for harnessing PAR to strengthen managers’ capacity is missing. This paper bridges this gap by reviewing existing literature on the subject matter.MethodsA critical interpretive synthesis method was used to interrogate eight selected articles. These articles reported the use of PAR to strengthen health managers’ capacity. The critical interpretive synthesis method’s approach to analysis guided the synthesis. Here, the authors interpretively made connections and linkages between different elements identified in the literature. Finally, the Atun et al. (Heal Pol Plann, 25:104–111, 2010) framework on integration was used to model the elements synthesised in the literature into five main domains.ResultsFive elements with intricate bi-directional interactions were identified in the literature reviewed. These included a shared purpose, skilled facilitation and psychological safety, activity integration into organisational procedures, organisational support, and external supportive monitoring. A shared purpose of the managers’ capacity strengthening initiative created commitment and motivation to learn. This purpose was built upon a set of facilitation skills that included promoting participation, self-efficacy and reflection, thereby creating a safe psychological space within which the managers interacted and learnt from each other and their actions. Additionally, an integrated intervention strengthened local capacity and harnessed organisational support for learning. Finally, supportive monitoring from external partners, such as researchers, ensured quality, building of local capacity and professional safety networks essential for continued learning.ConclusionsThe five elements identified in this synthesis provide a basis upon which the use of PAR can be harnessed, not only to strengthen health managers’ capacity, but also to foster other health systems strengthening initiatives involving implementation research. In addition, the findings demonstrated the intricate and complex relations between the elements, which further affirms the need for a systems thinking approach to tackling health systems challenges.

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Section: Discussionmentioning

confidence: 99%