| 1. |
- Ahlberg, Beth Maina, 1949-, et al.
(författare)
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"A child, a tree" : Challenges in building collaborative relations in a community research project in a Kenyan context
- 2016
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Ingår i: Action Research. - : Sage Publications. - 1476-7503 .- 1741-2617. ; 14:3, s. 257-275
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Tidskriftsartikel (refereegranskat)abstract
- This paper highlights the potential for basing participatory action research on priorities identified by communities. The case builds on a research project by the Social Science Medicine Africa Network (Soma-net) focusing on AIDS prevention among school youth in Kajiado in Kenya during 2003-2006. It became clear from that study just how complex it is to promote open communication on issues of sexuality considered critical for sexual health promotion. Towards the end of that study a spin-off in the form of a concept a child, a tree or tree planting evolved and the research thereafter continued as a partnership between the school community and the researchers. The focus then was on understanding how health promotion could be integrated into other aspects of community life. The concept and tree planting when implemented created a sense of ownership among the pupils largely because they were placed at the centre of the development activities. The story illuminates the nature of change developing in the course of the project, but also the challenges and complexity of creating and maintaining collaborative relations in the face of cultural and gender power dynamics and interventions imposed from outside the community.
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| 2. |
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| 3. |
- Eklund Karlsson, Leena, 1956-, et al.
(författare)
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Work-integrated learning and health literacy as catalysts for Roma empowerment and social inclusion: A participatory action research
- 2019
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Ingår i: Action Research. - : SAGE Publications. - 1476-7503 .- 1741-2617. ; 17:4, s. 549-572
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Tidskriftsartikel (refereegranskat)abstract
- Roma people all over the world have often been subject to prejudice, stigma, discrimination and oppression. Many Roma have little or no education, which in combination with other factors often leads to unemployment and marginalization. Based on a case study in Sweden, this paper proposes an approach that can be used in participatory projects aiming at improving the living situation of marginalized people. In such an approach, the Roma themselves would be the leaders in all activities concerning the group. The first aim of this paper is to describe how health literacy and work-integrated learning functioned as empowering tools for a Roma-led inclusion process within a participatory action research framework. The second aim is to discuss and reflect on the use of participatory action research in community work with Roma based on the experiences of the participatory action research participants. The findings indicate that work-integrated learning may be a worthwhile approach for increasing the individual empowerment and self-led social inclusion of vulnerable people. However, the obstacles of structural discriminatory nature hindered the project to reach its full potential in its intended emancipatory goals.
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| 4. |
- Ericson-Lidman, Eva, et al.
(författare)
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Using a developed participatory action research process in practice to help care providers deal with troubled conscience in residential care of older people
- 2018
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Ingår i: Action Research. - London : Sage Publications. - 1476-7503 .- 1741-2617. ; 16:2, s. 190-206
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Tidskriftsartikel (refereegranskat)abstract
- Stress of conscience seriously influence the quality of care and the wellbeing of the care providers in care for older people. It is therefore of great importance to take measures to address, and relieve but preferably prevent stress related to troubled conscience. In our participatory action research studies, we have used troubled conscience as a driving force to relieve care providers’ burden and to increase quality of care. The aim with this paper is to present our experiences of using a further developed participatory action research process in practice to deal with care providers’ troubled conscience in residential care for older people. The contribution to participatory action research practice in our studies is a support to the participatory action research process through using a modified model of problem processing, an approach which we found fruitful. In the paper, we describe our experiences and discuss them in relation to relevant literature and theory. Our experiences are that in participatory action research it is crucial to build a trusting relationship and striving to create a fruitful dialogue between the researchers and the participants. In our studies, we found that participatory action research is an easy approach to adapt as a problem-solving process in clinical practice and in nursing research.
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| 5. |
- Gustavsson, Susanne, 1966, et al.
(författare)
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Patient involvement 2.0 : Experience-based co-design supported by action research
- 2019
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Ingår i: Action Research. - : Sage Publications. - 1476-7503 .- 1741-2617. ; 17:4, s. 469-491
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Tidskriftsartikel (refereegranskat)abstract
- Strong professionals who influence the development of healthcare services have dominated healthcare organizations for many years. However, this dominance has been challenged recently through patient involvement. One method of achieving patient involvement is experience-based co-design (EBCD), in which patients and healthcare professionals work together to improve care. Patient involvement has considerable potential, but also presents certain challenges. This article addresses these challenges using experiences from patients and healthcare professionals who participated in two action research (AR) projects that aimed to improve patient experienced quality using EBCD. The paper shows that patient involvement in quality improvements challenge the traditional roles of professionals and patients. The role as codesigner embraces new perspectives for healthcare professionals that force them to step out of their comfort zone. Accordingly, healthcare professionals are able to view patients as equal partners in improvement work. Reflecting dialogues offered eye-opening stories for patients and healthcare professionals that enabled them to construct a common picture of care. This study contributes to earlier research that argues that an AR approach can strengthen important values for EBCD projects. The findings show that the combination of EBCD and AR is a promising approach to address the challenges of patient involvement in healthcare improvement.
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| 6. |
- Hansson, Johan, et al.
(författare)
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Action research for multi-level facilitation of improvement in health and social care : development of a change facilitation approach for a local R&D unit
- 2017
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Ingår i: Action Research. - London : Sage Publications. - 1476-7503 .- 1741-2617. ; 15:4, s. 339-356
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Tidskriftsartikel (refereegranskat)abstract
- This paper reports an action research program designed to develop new approaches for a locally based Swedish R&D unit’s task to facilitate improvement in partner organizations, and to provide guidance on how to manage challenges in action research programs focusing on development in health and social care. Data were gathered from interviews with R&D members’, managers representing the two embedded pilot cases, as well as from the lead action researchers. Key findings were the need to continually monitor and revise the action research plan and that each step should be given specific weights based on the conditions at hand. As the action program evolved the participants were given autonomy to take action in the partner organizations and the role of the action researchers became advisory and consultative. These findings accentuate the emergent nature of action research and the need for flexible and dynamic intervention planning, especially when multiple level actors and several organizations are involved. Based on these findings we discuss some implications for the action researcher’s role and how similar programs can be designed to manage change in complex health and social care systems reaching various stakeholders at many levels.
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| 7. |
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| 8. |
- James, Inger, 1953-, et al.
(författare)
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Working together for a meaningful daily life for older persons : A participatory and appreciative action and reflection project—The lessons we learned
- 2015
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Ingår i: Action Research. - : Sage Publications. - 1476-7503 .- 1741-2617. ; 13:4, s. 336-353
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Tidskriftsartikel (refereegranskat)abstract
- This interdisciplinary action research project has its background in the Swedish government’s introduction of national guidelines to address deficiencies in elderly care, wherein it gave each municipality the responsibility to formulate its own guidelines. The main purpose is how we successfully involved stakeholders to create and agree on core values and local guarantees of dignity with regard to elderly care. This paper focuses on the choices we made that led to the politicians adopting the guidelines, and we discuss the lessons learned. This project is based on a participatory and appreciative action and reflection approach. We worked with stakeholders, including managers, politicians, older persons, relatives, nurse assistants, nurses, occupational therapists, and organizations for retired persons (n ∼ 386) in elderly care in three phases from 2010 to 2013. Firstly, we cocreated practical knowledge via interviews, focus group discussions, and participated in nurse assistants’ work. Secondly, we trained managers who formulated preliminary core values and guarantees of dignity. Thirdly, we returned to the stakeholders for a critical review. We learned it is possible to manage a project and involve stakeholders in an action research project by having access to scheduled meetings, providing training to managers, and using appreciative intelligence and technical aids.
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| 9. |
- Jernsand, Eva Maria, 1967
(författare)
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Engagement as transformation: Learnings from a tourism development project in Dunga by Lake Victoria, Kenya
- 2017
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Ingår i: Action Research. - : SAGE Publications. - 1476-7503 .- 1741-2617. ; 15:1, s. 81-99
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Tidskriftsartikel (refereegranskat)abstract
- Participatory tourism development projects are considered effective and democratic since they engage people in interactive learning processes that change individuals and societies. In order to be transformative, a relational and social process must be achieved, which challenges prior knowledge and beliefs. The purpose of this article is to explore engagement as a transformative feature of research and development practice. Three aspects of engagement are proposed through which higher learning loops and transformation can be enhanced: embodied and situated learning, relationship-building, and acknowledging and sharing power. These three aspects of engagement are explored through the case of developing an ecotourism site by Lake Victoria in Kenya.
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| 10. |
- Kjellström, Sofia, 1970-, et al.
(författare)
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Health and healthcare as the context for participatory action research
- 2019
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Ingår i: Action Research. - : Sage Publications. - 1476-7503 .- 1741-2617. ; 17:4, s. 419-428
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Participatory action research (PAR) is a social, practical and collaborative process in which the building of relationships with participants is crucial. It has two distinct features, one is community based and driven to generate knowledge or understanding about what will bring about change; the other is its quality improvement cycle, whereby the actions, reactions, interventions and change are monitored, reviewed and adjusted according to the response. In practical terms, PAR methodology is carried out as a series of planning, acting, observing and evaluating cycles; in other words, reflection and reflexivity are inherent in the process. The challenges of engaging with PAR are to ensure that participants are encouraged to collaborate fully with the process and drive the process, power imbalances are discussed and the recognition that change and action may not always be possible. There are also challenges when studies are written up in a reflexive manner because being reflexive is not as straightforward as it seems. It involves deep introspection, as the researchers become aware of how their own agenda, experiences and motivation can contribute to interactions with participants and potentially influence the knowledge and actions created.This specially themed issue draws nine papers together to enrich our understanding of PAR and action-oriented research for transformations (Bradbury et al., 2019b). The aspiration in this presentation is to consider future directions in the domain of healthcare. In relation to the Action Research Journal’s vision, researchers should aim to develop Sustainable Development Goals when engaging in credible quality improvement projects that are monitored and adaptable in the relevant setting (Bradbury et al., 2019a). Our emphasis is therefore to concentrate more on reflexivity, transformation and the implications when developing future studies.
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