| 11. |
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| 12. |
- 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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| 13. |
- 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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| 14. |
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| 15. |
- Huzzard, Tony, et al.
(författare)
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Constructing interorganizational collaboration The action researcher as boundary subject
- 2010
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Ingår i: Action Research. - : SAGE Publications. - 1476-7503 .- 1741-2617. ; 8:3, s. 293-314
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Tidskriftsartikel (refereegranskat)abstract
- This article aims to explore critically the role of an action research team in the social construction of interorganizational collaboration aimed at transgressing organizational and professional boundaries. We argue that the new relationships, actor conceptions and in some cases forms of work organization arising from the change process have been socially constructed through the discursive interventions of the researchers. This has largely occurred through informal interaction with and between the actors engaged in the development process. The action researcher, rather than being a neutral discursive gatekeeper in collaborative development projects, is an active constructor of the discourse shaping the collaboration. A case is presented showing how the researcher role is thus better seen as being an active boundary subject mediating across various professional and organizational perspectives rather than a passive boundary object. Accordingly, by focusing on the discursive role of active researchers as boundary subjects, we can reflect more critically on the roles we adopt in our intervention endeavours and their inevitably political nature.
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| 16. |
- 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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| 17. |
- 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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| 18. |
- Johansson, Anders W, et al.
(författare)
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Emancipation or Workability? : Critical versus pragmatic scientific orientation in action research
- 2008
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Ingår i: Action Research. - : Sage Publication. - 1476-7503 .- 1741-2617. ; 6:1, s. 95-115
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Tidskriftsartikel (refereegranskat)abstract
- In this article a distinction between a pragmatic and a critical orientation of action research is made. These orientations can be considered, implicitly or explicitly, to be the main alternatives in AR today. What are the assumptions behind, and practical implications for, AR projects with different orientations? A number of themes are introduced where a tension between the two are identified and illustrated in the form of a dialogue and friendly quarrel between proponents from each side. It is argued that the two orientations suit different research contexts and cannot easily be combined. The pragmatic orientation is well suited for contexts where concerted and immediate action is needed, whereas the critical is preferable where transformative action needs to be preceded by critical thinking and reflection. In the former, power to act is a desired outcome, and in the latter, unequal and invisible power relations need to be unveiled before they can be transformed. The responsibility of the researcher, as well as the form of knowledge developed, differs between the two orientations.
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| 19. |
- 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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| 20. |
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