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Developing practice and staff: Enabling improvement in care delivery through participatory action research

Fletcher, Margaret E.; Beringer, Antonia

Authors

Margaret E. Fletcher



Abstract

We describe the process and outcomes of a programme to enable improvement in care coordination in a children's hospital. Staff identified care coordination issues they wanted to improve and were facilitated to achieve change using a participatory action research (PAR) approach. The seven participating wards were each offered the same opportunity and yet the degree to which they were able to engage in the process, and the level to which they achieved outcomes, varied considerably. The most successful wards were those with proactive leadership and stable management and where a trusting relationship was established between the staff and the programme facilitator. The least successful were those experiencing ward closure, mergers or changes in management structure. We consider how the different levels of achievement can be understood and what implications this has for using participatory action research to promote service improvement and to facilitate staff development. © The Author(s) 2011.

Citation

Fletcher, M. E., & Beringer, A. (2011). Developing practice and staff: Enabling improvement in care delivery through participatory action research. Journal of Child Health Care, 15(1), 59-70. https://doi.org/10.1177/1367493510395639

Journal Article Type Article
Publication Date Dec 1, 2011
Deposit Date May 25, 2011
Journal Journal of Child Health Care
Print ISSN 1367-4935
Electronic ISSN 1741-2889
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 15
Issue 1
Pages 59-70
DOI https://doi.org/10.1177/1367493510395639
Keywords care coordination, children’s nursing, participatory action research, service improvement, staff development, ways of knowing
Public URL https://uwe-repository.worktribe.com/output/964607
Publisher URL http://dx.doi.org/10.1177/1367493510395639