Hardy Sally, Titchen Angie, Manley Kim
The Royal Children's Hospital, Melbourne, Australia and the Royal College of Nursing, London, UK.
Nurs Inq. 2007 Mar;14(1):80-8. doi: 10.1111/j.1440-1800.2007.00331.x.
This paper is a review of the experiences gained whilst working with the 'expertise in practice project'. The project was concerned with understanding the complex phenomenon of practitioners investigating and evaluating their own practice. The research intention was focused on making a difference to how those nurses practised, through introducing systematic practice-based inquiry processes that could enable nurses to think more critically about their work and how their practice affects others. Particular attention is paid to the process of engaging people who use healthcare services, as research participants in the evaluation of nursing practice expertise. We outline how the project incorporated practitioners' concerns about asking people who use health care services opinions on nursing practice expertise and how a process of discovery emerged that enabled transformation of practice and consideration of the patient-participants' role as a sophisticated evaluator of health-care. As a result, we present a case for transformational qualitative research. Such research is values-driven and uses inclusive, collaborative and facilitative processes. It contributes to human flourishing, not only through its 'ends' (i.e. research products) but also, intentionally, through its 'means' (e.g. research processes and stakeholder involvement). Thus, transformational research is complex and requires that researchers engage in reflexivity (deep self-reflection) to examine and critique their personal values.
本文回顾了在开展“实践中的专业技能项目”过程中所获得的经验。该项目旨在理解从业者对自身实践进行调查和评估这一复杂现象。研究意图聚焦于通过引入基于实践的系统探究过程，使护士在实践方式上有所改变，从而让护士能够更批判性地思考自己的工作以及自身实践如何影响他人。特别关注让使用医疗服务的人作为研究参与者参与护理实践专业技能评估的过程。我们概述了该项目如何纳入从业者对于征求使用医疗服务的人对护理实践专业技能看法的担忧，以及一个发现过程是如何出现的，这个过程促成了实践的转变，并促使人们思考患者参与者作为医疗保健复杂评估者的角色。因此，我们提出了开展变革性定性研究的理由。此类研究以价值观为导向，采用包容、协作和促进性的过程。它不仅通过其“结果”（即研究成果），而且有意地通过其“方式”（例如研究过程和利益相关者参与）为人类的繁荣发展做出贡献。因此，变革性研究很复杂，要求研究人员进行反思（深入的自我反思）以审视和批判自己的个人价值观。
