Telling stories from everyday practice, an opportunity to see a bigger picture: a participatory action research project about developing discharge planning

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Petersson, Pia,1961-Kristianstad University,Örebro universitet,Hälsoakademin (author)

Telling stories from everyday practice, an opportunity to see a bigger picture : a participatory action research project about developing discharge planning

Article/chapterEnglish2009

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Oxford :Blackwell Science,2009
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LIBRIS-ID:oai:DiVA.org:oru-8451
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-8451URI
https://doi.org/10.1111/j.1365-2524.2009.00854.xDOI
oai:researchportal.hkr.se/admin:publications/905b81cf-4d18-47dd-915c-36da42179d3aURI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

In spite of laws, rules and routines, findings from Swedish as well as international research show that discharge planning is not a simple matter. There is considerable knowledge about discharge planning but the quality of the actual process in practice remains poor. With this in mind, a research and developmental (R & D) health and social care network decided to use Participation Action Research (PAR) to explore the discharge planning situation in order to generate new ideas for development. This paper reports on the research process and the findings about our enhanced understanding about the discharge planning situation. Story Dialogue Method was used as a method. The method is based on stories from everyday practice. The stories are used as ‘triggers’ to ask probing questions in a dialogical and structured form. Local theory is developed to help the participants to find solutions for action in the practice. Our findings were that the discharge planning situation could be seen as a system including three interconnected areas: patient participation, practitioners’ competence and organisational support. To reach good quality in discharge planning all this three issues need to be developed, but not only as routines and forms. Rather, when developing a discharge planning situation a system where relational aspects such as confidence and continuity are essential and thus needs to be considered. To achieve a change the core problem needs to be clarified. When the issue is complex the solution needs to consider the bigger picture and not just the parts. Telling stories from everyday practice and to systematically reflect and analyse those in inter-professional groups can create opportunities for enhanced understanding as well as be a vehicle for future change of practice.

Subject headings and genre

SAMHÄLLSVETENSKAP Annan samhällsvetenskap Tvärvetenskapliga studier inom samhällsvetenskap hsv//swe
SOCIAL SCIENCES Other Social Sciences Social Sciences Interdisciplinary hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
discharge planning
participatory action research
reflection
story dialogue method
INTERDISCIPLINARY RESEARCH AREAS
TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN
Caring sciences
Vårdvetenskap
vårdvetenskap

Added entries (persons, corporate bodies, meetings, titles ...)

Springett, JaneKristianstad University,Liverpool John Moores University(Swepub:hkr)9016cf7e-fd73-4e31-9345-89e623142591 (author)
Blomqvist, KerstinKristianstad University(Swepub:hkr)4ede9e26-d2f2-4475-84fe-554a2afe3a17 (author)
Örebro universitetHälsoakademin (creator_code:org_t)

Related titles

In:Health and Social Care in CommunityOxford : Blackwell Science17:6, s. 548-5561365-25240966-0410

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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-8451
https://doi.org/10.1111/j.1365-2524.2009.00854.x
oai:researchportal.hkr.se/admin:publications/905b81cf-4d18-47dd-915c-36da42179d3a

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Other Social Sci ...; and Social Sciences ...

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