The implementing process of evidence based intervention to prevent childhood obesity. Participatory Action Research (PAR) used in the “Healthy future” study.

Appetite ◽  
2014 ◽  
Vol 76 ◽  
pp. 203
Author(s):  
GUDBJØRG ØEN ◽  
KJELL MORTEN STORMARK
Keyword(s):  
Childhood Obesity ◽  
Action Research ◽  
Participatory Action Research ◽  
Future Study ◽  
Evidence Based ◽  
Participatory Action

scholarly journals Implementation of Evidence-based Guidance for Dementia Palliative Care using Participatory Action Research: Examining Implementation through the Consolidated Framework for Implementation Research (CFIR)

2021 ◽  
Author(s):  
Alice Coffey ◽  
Irene Hartigan ◽  
Suzanne Timmons ◽  
Catherine Buckley ◽  
Elaine Lehane ◽  
...  
Keyword(s):  
Palliative Care ◽  
Action Research ◽  
Participatory Action Research ◽  
Situational Analysis ◽  
Evidence Based ◽  
Guidance Document ◽  
Participatory Action ◽  
Term Care ◽  
Learning Groups ◽  
Inner Setting

Abstract Background The importance of providing evidence-based palliative care for people with dementia is increasingly acknowledged. In Ireland, evidence-based guidance has been developed in order to address key features of dementia palliative care, including the management of pain, medications and hydration and nutrition. The aim of this study was to identify and explore the factors affecting the implementation of evidence-based guidance on dementia palliative care. Methods The Consolidated Framework for Implementation (CFIR) guided a mixed-method pre-post study. One guidance document pertaining to the management of pain, medication or hydration and nutrition was implemented in three long-term care facilities. Participatory Action Research in the form of work-based learning groups was used to implement the guidance, drawing on a situational analysis (pre-implementation). Staff questionnaires and audits were conducted pre and post-implementation while champion interviews were also conducted post-implementation. Results Features of the guidance (innovation), the inner setting, and the process of implementation were most frequently identified as impacting implementation. Components of the outer setting and individual characteristics featured less commonly. The guidance was perceived as advantageous or complimentary to previous care provided. Within the inner setting, leadership and support from other colleagues facilitated implementation. However, limited availability of other healthcare professionals to assist with carrying out guidance actions presented a barrier in some facilities. The external facilitators of the work-based learning groups (WBLGs) were perceived as experienced and encouraged active participation and reflection on practices. Despite the challenge of releasing staff to attend the WBLGs, a trend toward reduced staff de-motivation among those who did attend was noted post-implementation. Conclusions A situational analysis informed by the CFIR framework in conjunction with a participatory action research approach helped to advance implementation of the guidance. The progress of implementation depended on the extent to which evidence-based care was previously being implemented at each site. Post-implementation analysis using CFIR, identified challenges to address in future projects such as staff cover on the ward and timing of training to facilitate attendance for staff with different working hours. Facilitators included multidisciplinary engagement with the intervention and champions at each site to support the implementation process.

Effectiveness of the implementation of an evidence-based nursing model using participatory action research in oncohematology: research protocol

2010 ◽  
Vol 66 (8) ◽  
pp. 1845-1851 ◽  
Author(s):  
Eva Abad-Corpa ◽  
Cristobal Meseguer-Liza ◽  
José Tomás Martínez-Corbalán ◽  
Lourdes Zárate-Riscal ◽  
Amor Caravaca-Hernández ◽  
...  
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Evidence Based ◽  
Research Protocol ◽  
Participatory Action ◽  
Evidence Based Nursing

scholarly journals Implementation of evidence-based guidance for dementia palliative care using participatory action research: examining implementation through the Consolidated Framework for Implementation Research (CFIR)

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Alice Coffey ◽  
Irene Hartigan ◽  
Suzanne Timmons ◽  
Catherine Buckley ◽  
Elaine Lehane ◽  
...  
Keyword(s):  
Palliative Care ◽  
Action Research ◽  
Participatory Action Research ◽  
Situational Analysis ◽  
Evidence Based ◽  
Guidance Document ◽  
Participatory Action ◽  
Term Care ◽  
Learning Groups ◽  
Inner Setting

Abstract Background The importance of providing evidence-based palliative care for people with dementia is increasingly acknowledged as important for patient outcomes. In Ireland, evidence-based guidance has been developed in order to address key features of dementia palliative care, including the management of pain, medications and hydration and nutrition. The aim of this study was to identify and explore the factors affecting the implementation of evidence-based guidance on dementia palliative care. Methods The Consolidated Framework for Implementation (CFIR) guided a mixed-method pre-post study. One guidance document pertaining to the management of pain, medication or hydration and nutrition was implemented in three long-term care facilities. Participatory action research in the form of work-based learning groups was used to implement the guidance, drawing on a situational analysis (pre-implementation). Staff questionnaires and audits were conducted pre- and post-implementation while champion interviews were also conducted post-implementation. Results Features of the guidance, the inner setting components such as readiness to change, and the process of implementation were most frequently identified as impacting implementation. Components of the outer setting, such as external policy incentives and individual characteristics, featured less commonly. Data from qualitative interviews revealed that the guidance was perceived as advantageous or complimentary to previous care provided. Within the inner setting, leadership and support from other colleagues facilitated implementation. However, limited availability of other healthcare professionals to assist with carrying out guidance actions presented a barrier in some facilities. The external facilitators of the work-based learning groups (WBLGs) were perceived as experienced and encouraged active participation and reflection on practices. Despite the challenge of releasing staff to attend the WBLGs, quantitative data demonstrated reduced staff de-motivation amongst those who did attend was noted post-implementation (pre-Mdn = 19.50 versus post-Mdn = 22.00, U = 497.00, p = 0.07). Conclusions A situational analysis informed by the CFIR framework in conjunction with a participatory action research approach helped to advance the implementation of the guidance. The progress of implementation depended on the extent to which evidence-based care was previously being implemented at each site. Post-implementation analysis using CFIR identified challenges to address in future projects such as staff cover and timing of training to facilitate attendance for staff with different working hours. Facilitators included multidisciplinary engagement with the intervention and champions at each site to support the implementation process.

scholarly journals Improving Evidence-Based Practice education in healthcare courses: A Participatory Action Research multiple-case study

2019 ◽  
Author(s):  
Kylie Murphy ◽  
Tracey Parnell ◽  
Rodney Pope ◽  
Clarissa Hughes ◽  
Marguerite Bramble ◽  
...  
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Workplace Learning ◽  
Evidence Based Practice ◽  
Education Quality ◽  
Evidence Based ◽  
Participatory Action ◽  
Multiple Case ◽  
Asking Questions

This paper synthesises the results of three participatory action research (PAR) studies undertaken to improve the integration of evidence-based practice (EBP) education in three undergraduate health courses at one Australian university: Bachelor of Nursing, Bachelor of Occupational Therapy, and Bachelor of Physiotherapy. The PAR process with interested academics uncovered a range of EBP education strengths and weaknesses in the three courses. Common themes were evident, which are likely to be applicable in other similar courses. Identified weaknesses included a lack of explicit teaching about the meaning, principles, steps, and importance of EBP, partly stemming from a lack of shared understanding. A relative lack of emphasis on certain EBP steps was also noted, particularly the first step of ‘asking’ questions. A lack of communication with workplace learning (WPL) supervisors about how to facilitate EBP was also noted, raising concerns about variable EBP-education quality across WPL settings.  Opportunities for improvement were identified by academics in each course, across multiple subjects and year levels. In our experience, PAR has been a highly constructive approach to EBP curriculum improvement. We encourage consideration of a PAR approach for addressing similarly complex curriculum challenges.

scholarly journals Reflections on the potential (and limits) of action research as ethos, methodology and practice: A case study of a women’s empowerment programme in the Middle East

2018 ◽  
Vol 17 (2) ◽  
pp. 162-185 ◽  
Author(s):  
Suzanne Hammad ◽  
Alice Alunni ◽  
Tamara Alkhas
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Theory And Practice ◽  
Coalition Building ◽  
Research Approach ◽  
Evidence Based ◽  
Participatory Action ◽  
Action Research Approach ◽  
Starting Point

This paper argues that an evidence-based approach to advocacy led by and targeting women could amplify women’s positioning in the political and economic realms. Participatory Action Research is examined as a process for mobilisation, coalition-building and evidence-based advocacy and action, through a case study of a multi-country British Council supported programme that incorporated an action research approach. 1 Drawing from the experiences and perceptions of its participants, it offers reflective insights into the theory and practice of action research and its empowerment potential. The findings confirm a widespread support for the use of Participatory Action Research as a starting point for stronger advocacy work, showing its positive transformative effects on individuals, groups and coalition. Participatory Action Research contributes to evidence-based advocacy that is more relevant and inclusive, and arguably empowering for women advocates.

Vocational rehabilitation: Facilitating evidence based practice through participatory action research

2013 ◽  
Vol 22 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Donald Maciver ◽  
Susan Prior ◽  
Kirsty Forsyth ◽  
Mike Walsh ◽  
Allison Meiklejohn ◽  
...  
Keyword(s):  
Action Research ◽  
Vocational Rehabilitation ◽  
Participatory Action Research ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Participatory Action

scholarly journals Implementation of Evidence-based Guidance for Dementia Palliative Care using Participatory Action Research: Examining Implementation Through the Consolidated Framework for Implementation Research (CFIR)

2021 ◽  
Author(s):  
Alice Coffey ◽  
Irene Hartigan ◽  
Suzanne Timmons ◽  
Catherine Buckley ◽  
Elaine Lehane ◽  
...  
Keyword(s):  
Palliative Care ◽  
Action Research ◽  
Participatory Action Research ◽  
Situational Analysis ◽  
Evidence Based ◽  
Guidance Document ◽  
Participatory Action ◽  
Term Care ◽  
Learning Groups ◽  
Inner Setting

Abstract Background: The importance of providing evidence-based palliative care for people with dementia is increasingly acknowledged. In Ireland, evidence-based guidance has been developed in order to address key features of dementia palliative care, including the management of pain, medications and hydration and nutrition. The aim of this study was to identify and explore the factors affecting the implementation of evidence-based guidance on dementia palliative care.Methods: The Consolidated Framework for Implementation (CFIR) guided a mixed-method pre-post study. One guidance document pertaining to the management of pain, medication or hydration and nutrition was implemented in three long-term care facilities. Participatory Action Research in the form of work-based learning groups was used to implement the guidance, drawing on a situational analysis (pre-implementation). Staff questionnaires and audits were conducted pre and post-implementation while champion interviews were also conducted post-implementation. Results: Features of the guidance (innovation), the inner setting, and the process of implementation were most frequently identified as impacting implementation. Components of the outer setting and individual characteristics featured less commonly. The guidance was perceived as advantageous or complimentary to previous care provided. Within the inner setting, leadership and support from other colleagues facilitated implementation. However, limited availability of other healthcare professionals to assist with carrying out guidance actions presented a barrier in some facilities. The external facilitators of the work-based learning groups (WBLGs) were perceived as experienced and encouraged active participation and reflection on practices. Despite the challenge of releasing staff to attend the WBLGs, a trend toward reduced staff de-motivation among those who did attend was noted post-implementation. Conclusions: A situational analysis informed by the CFIR framework in conjunction with a participatory action research approach helped to advance implementation of the guidance. The progress of implementation depended on the extent to which evidence-based care was previously being implemented at each site. Post-implementation analysis using CFIR, identified challenges to address in future projects such as staff cover on the ward and timing of training to facilitate attendance for staff with different working hours. Facilitators included multidisciplinary engagement with the intervention and champions at each site to support the implementation process.

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