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从促进老年护理院 LGBT 包容的行动研究项目中得到的方法学反思:共同生产的转变。

Turning the Co-Production Corner: Methodological Reflections from an Action Research Project to Promote LGBT Inclusion in Care Homes for Older People.

机构信息

School for Policy Studies, University of Bristol, 8 Priory Road, Clifton, BS8 1TZ, UK.

School of Health and Social Work, University of Hertfordshire, Hatfield, Hertfordshire, AL10 9AB, UK.

出版信息

Int J Environ Res Public Health. 2018 Apr 7;15(4):695. doi: 10.3390/ijerph15040695.

Abstract

UNLABELLED

Background Older lesbian, gay, bisexual and trans (LGBT) residents are often invisible in long-term care settings. This article presents findings from a community-based action research project, which attempted to address this invisibility through co-produced research with LGBT community members. Particular Question: What conditions enable co-produced research to emerge in long-term residential care settings for older people? Aims of Project: To analyse outcomes and challenges of action-oriented, co-produced research in the given context. In particular, we explore how co-production as a collaborative approach to action-orientated research can emerge during the research/fieldwork process; and reflect critically on the ethics and effectiveness of this approach in advancing inclusion in context.

METHODS

The project was implemented across six residential care homes in England. Reflections are based on qualitative evaluation data gathered pre- and post-project, which includes 37 interviews with care home staff, managers and community advisors (two of whom are co-authors) Results and Conclusions: We discuss how the co-production turn emerged during research and evaluate how the politics of this approach helped advance inclusion-itself crucial to well-being. We argue for the value of co-produced research in instigating organizational change in older people's care environments and of non-didactic storytelling in LGBT awareness-raising amongst staff.

摘要

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背景 年长的女同性恋、男同性恋、双性恋和跨性别者(LGBT)居民在长期护理环境中常常被忽视。本文介绍了一项基于社区的行动研究项目的研究结果,该项目试图通过与 LGBT 社区成员共同开展研究来解决这种忽视问题。具体问题:哪些条件使共同生产研究能够在老年人长期居住的护理环境中出现?项目目的:分析在特定背景下以行动为导向、共同生产的研究的结果和挑战。特别是,我们探讨了作为一种面向行动的协作研究方法的共同生产如何在研究/实地工作过程中出现;并批判性地反思这种方法在推进包容性方面的伦理和有效性。

方法

该项目在英格兰的六家养老院实施。反思基于项目前和项目后收集的定性评估数据,其中包括对养老院工作人员、管理人员和社区顾问(其中两人是共同作者)的 37 次访谈。结果与结论:我们讨论了共同生产的转变是如何在研究中出现的,并评估了这种方法的政治如何有助于推进包容性——这本身对幸福感至关重要。我们认为,共同生产研究在引发老年人护理环境中的组织变革以及在提高工作人员对 LGBT 的认识方面的非说教式讲故事具有价值。

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