Hall Julie E
Head of Performance and Administration Forensic Services Directorate, Nottinghamshire Healthcare NHS Trust, Rampton Hospital, Retford, UK.
J Nurs Manag. 2006 Apr;14(3):195-200. doi: 10.1111/j.1365-2934.2006.00584.x.
This paper outlines how a specific action research approach can be used to secure practice development in services which have found sustained change difficult. For the purpose of this paper discussion focuses upon using professionalizing action research (a form of action research) to secure transformation in acute inpatient mental health services. This speciality has experienced long-term difficultly in meaningful practice change. Not limited to this context parallels can be made with other health and social care services requiring significant modernization.
The aim is to critically discuss the use of professionalizing action research as an approach to sustainable change.
clarifies whether this method is a suitable vehicle for change, which is ideally suited to services which have a poor record of practice development.
A review of action research and practice development literature forms the basis of this paper. The literature is sourced through bulletin boards, electronic databases and the British Library Classification Scheme. Keywords searched are action research, team learning, managing change and practice development. Following definition; the components of professionalizing action research are analysed using the themes of educative base, problem focus, improvement and involvement.
The educative base of professionalizing action research is collaborative reflective practice which is used to initiate meaningful change, rooted in everyday practice. The benefit of this is that change actions are based in real-time situations. The problem focus component of professionalizing action research is used to emphasize the views of service users and carers. This is positive in terms of the patient and public involvement agenda although this theme does emphasize limitations of the approach. The final components are involvement and improvement, these are debated as pluralistic notions and the implications of this are acknowledged.
Reviewing the literature and theoretical application indicates the value of professionalizing action research as a process for modernization. The strength of the approach lies in the opportunity for team learning and change which is grounded in the context of services and pursued through collaboration.
本文概述了如何运用一种特定的行动研究方法，来确保在那些难以实现持续变革的服务领域推动实践发展。本文讨论的重点是运用专业化行动研究（行动研究的一种形式），以实现急性住院精神卫生服务的转型。这一专业领域在有意义的实践变革方面长期面临困难。不仅限于此背景，其他需要重大现代化的卫生和社会护理服务也可与之相类比。
旨在批判性地讨论将专业化行动研究作为实现可持续变革的一种方法。
阐明这种方法是否是适合变革的载体，该方法理想情况下适用于实践发展记录不佳的服务。
对行动研究和实践发展文献的综述构成了本文的基础。文献来源包括公告栏、电子数据库和英国图书馆分类法。搜索的关键词为行动研究、团队学习、管理变革和实践发展。在给出定义后，运用教育基础、问题聚焦、改进和参与等主题对专业化行动研究的组成部分进行分析。
专业化行动研究的教育基础是协作反思实践，用于启动源于日常实践的有意义变革。这样做的好处是变革行动基于实时情况。专业化行动研究的问题聚焦部分用于强调服务使用者和护理者的观点。就患者和公众参与议程而言，这是积极的，尽管该主题确实强调了该方法的局限性。最后两个组成部分是参与和改进，对其作为多元概念进行了辩论，并承认了其影响。
对文献和理论应用的回顾表明，专业化行动研究作为一种现代化进程具有价值。该方法的优势在于团队学习和变革的机会，这种机会基于服务背景并通过协作来实现。
