Experiences and Effects of Structurally Involving Residents in the Nursing Home by Means of Participatory Action Research: A Mixed Method Study

2017 ◽  
Vol 18 (6) ◽  
pp. 495-502 ◽  
Author(s):  
Lien Van Malderen ◽  
Patricia De Vriendt ◽  
Tony Mets ◽  
Dominique Verté ◽  
Ellen Gorus
Keyword(s):  
Nursing Home ◽  
Action Research ◽  
Participatory Action Research ◽  
Mixed Method ◽  
Mixed Method Study ◽  
Participatory Action

scholarly journals Participatory action research for global antibiotic stewardship network in CPLP: mixed-method study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M R Maia ◽  
L V Lapão
Keyword(s):  
Information System ◽  
Decision Support ◽  
Action Research ◽  
Participatory Action Research ◽  
Mixed Method ◽  
Antibiotic Stewardship ◽  
Educational Program ◽  
Mixed Method Study ◽  
Participatory Action ◽  
Support Information

Abstract Background Antibiotic stewardship services (ABS) contribute to antibiotic resistance (AR) global monitoring. Aiming at co-implement an ABS network within the Portuguese-speaking setting (CPLP), by enabling the evidence translation and second opinion between the countries, we surveyed Cape Verdean (CV) health professionals (HP) perceptions about AR prevention and control, assessing ABS opportunities. Methods A Design Science with Participatory Action Research establishes a contextualized ABS process. This mixed-method study addressed the first 2 stages, the problem and objectives. Quantitative study considered the HP’s answers (56 HP; 2 hospitals) to a questionnaire, about their perception on AR and ABS. Qualitative study set-up 10 open-ended structured interviews, clinical shift observation in 2 pilot-services (1 hospital), and meetings with key-elements for ABS, including leadership. Results Key-stakeholders for ABS multidisciplinary teamwork were identified. Preliminary results are: 1. HP reveal some knowledge but lack of awareness on AR and ABS (eg. 34% don’t recognize the AR local threat); 2. The absence of guidelines and lack of access to key-information affect prescribing confidence (eg. only 46% HP consider microbiology results in deciding antibiotherapy); 3. Priorities for a pilot service are the lack of qualified HP, the need to optimize material resources management and stock procurement, and the need for better access to patient’s clinical and prescription information; 4. Digital resources and telemedicine system can be facilitators. Top-down communication and support are essential for the ABS process sustainability. Conclusions A Global ABS network can be important in promoting prevention and effective control of AR, reducing differences between the CPLP countries. In CV, an educational program to support the co-design of ABS service and a decision-support information system are identified priorities. Digital health, like telemedicine, can be ABS facilitators. Key messages The implementation of a Global Antibiotic Stewardship network, aiming at reducing Portuguese-speaking Countries differences, could be leveraged by a Participatory Action Research process. An educational program, a decision-support information system and the telemedicine are key for the Global Antibiotic Stewardship network implementation success.

scholarly journals Riset Implementasi (Implementation Research) Sebagai Metodologi Riset Untuk Mengawal Kebijakan

2019 ◽  
Vol 22 (2) ◽  
pp. 137-145
Author(s):  
Siswanto Siswanto
Keyword(s):  
Action Research ◽  
Problem Solving ◽  
Participatory Action Research ◽  
Implementation Research ◽  
Mixed Method ◽  
Critical Realism ◽  
Implementation Process ◽  
Participatory Action ◽  
The Real ◽  
Program Intervention

The appropriate approach for operational research is by using problem solving cycle model, comprising (i) measuring the magnitude of the problem, (ii) identifying the causes of the problem, (iii) developing the solution, (iv) implementing program/ intervention, and (v) evaluating the program. Within a scientific perspective, in every phase of problem solving cycle, it needs research, including the fourth phase i.e. implementing program/ intervention. Research that provide scientific evidence for better implementation is labeled as Implementation Research. As a methodological approach, Implementation Research belongs to critical realism paradigm that is possible to use mixed method (combination of qualitative and quantitative), or stand alone of qualitative method, or quantitative method. The role of Implementation Research is very crucial for better implementation or for better scale-up of the program by understanding the implementation process as well as the impact of the program under concern. Participatory action research, as one of the Implementation Research approach, can be used as an appropriate methodology for better implementation in the real context of the new policy (new program) by tailoring the implementation process (management process) with the real world situation in terms of policy actors, organizational situation, human resources variable, community variable, as well as, resources variable. Abstrak Pendekatan yang tepat untuk riset operasioanl adalah melalui siklus pemecahan masalah terdiri dari (i) mengukur besaran masalah, (ii) mencari penyebab masalah, (iii) mengembangkan solusi, (iv) implementasi intervensi/ program, dan (v) evaluasi program. Dalam perspektif ilmiah, maka dalam setiap tahapan siklus pemecahan masalah memerlukan penelitian, termasuk tahap keempat yakni tahapan implementasi program. Penelitian yang menyediakan bukti ilmiah untuk implementasi program disebut dengan Riset Implementasi (Implementation Research).  Sebagai pendekatan metodologi, Riset Implementasi termasuk dalam paradigma realisme kritis (critical realism), yang memungkinkan untuk menggunakan metoda campuran (mixed method) (kombinasi kuantitatif dan kualitatif), atau secara senidri hanya menggunakan kuantitatif, atau kualitatif saja. Peran Riset Implementasi menjadi sangat penting untuk mendapatkan cara-cara implementasi yang lebih baik, atau dalam rangka memperluas jangkauan progam, guna mempelajari proses implementasi dan melihat dampak program sebagaimana diinginkan. Riset tindak partisipatif (Participatory action research), dapat dipergunakan sebagai metodologi yang tepat untuk mendapatkan cara-cara implementasi yang lebih baik dalam konteks penerapan kebijakan/ progam baru, dengan menyesuaikan proses implementasi (proses manajemen) disesuaikan dengan situasi dunia nyata di lapangan, berkaitan dengan aktor kebijakan, situasi organisasi, variasi sumber daya manusia, variasi masyarakat, maupun variasi sumber daya lainnya.

Developing Theory From Complexity: Reflections on a Collaborative Mixed Method Participatory Action Research Study

2008 ◽  
Vol 18 (5) ◽  
pp. 701-717 ◽  
Author(s):  
Anne Westhues ◽  
Joanna Ochocka ◽  
Nora Jacobson ◽  
Laura Simich ◽  
Sarah Maiter ◽  
...  
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Mixed Method ◽  
Research Study ◽  
Participatory Action ◽  
Action Research Study

Active ageing in the nursing home: Could participatory action research provide the answer?

2016 ◽  
Vol 15 (3) ◽  
pp. 239-257 ◽  
Author(s):  
Lien Van Malderen ◽  
Patricia De Vriendt ◽  
Tony Mets ◽  
Ellen Gorus
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Action Research ◽  
Participatory Action Research ◽  
Organizational Level ◽  
Active Ageing ◽  
Structural Method ◽  
Adaptation Period ◽  
Participatory Action

Within the Active Ageing context (WHO), enhancing older peoples’ quality of life by focusing on their participation is essential. Although Active Ageing is relevant in nursing homes, the nursing home residents’ autonomy and participation on organizational level are often restricted. New ways to structurally enhance their participation must be found. This article discusses possible contributions of participatory action research as structural method in a new Active Ageing-envisioned nursing home, enabling residents’ participation and focuses on the practicalities of its implementation process. During an implementation project in the nursing home, participatory action research was introduced in the nursing home as weekly activity where residents assembled to observe the nursing home operation, identify problems and make suggestions for improvement. Based on the researchers’ experiences, implementing participatory action research needs a preparation and adaptation period for the nursing home staff, the participatory action research moderators and the residents to cope with the experienced challenges. Nevertheless, participatory action research appeared feasible and can bring added value to residents’ living conditions. This article contributes to the development of the participatory action research theory and the Active Ageing implementation in nursing home, since it shows the possibilities, challenges and assets of participatory action research towards a more frail population in the nursing home environment. Participatory action research might in turn lead to the realization of Active Ageing nursing home who endeavours to optimize residents’ quality of life.

scholarly journals Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project

Geriatrics ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 29
Author(s):  
Christine Hestevik ◽  
Ella Heyerdahl ◽  
Bjørg Lysne Garaas ◽  
Gerd Sellevold ◽  
Marianne Molin
Keyword(s):  
Nursing Home ◽  
Action Research ◽  
Participatory Action Research ◽  
Action Observation ◽  
Nutritional Risk ◽  
Care Plan ◽  
Care Practice ◽  
Participatory Action ◽  
Nutritional Care ◽  
Nutritional Treatment

Background: Nursing home patients at nutritional risk are often not identified, nor given entitled nutritional treatment. One approach proven suitable to facilitate change in clinical practise is participatory action research (PAR). This is a process which involves research participants in reflection, planning, action, observation, assessing and re-planning, targeted to bring about change. The aim of the present study was to evaluate whether a PAR project resulted in improved documentation of nutritional care in a nursing home ward. Method and sample: A quantitative evaluation. Documentation of the nutritional information was collected from medical records of residents in a nursing home ward at baseline and five months into the project period. Results: Increased documentation of individual nutritional treatment measures was found from baseline to the follow-up. The number of residents with a nutritional care plan (NCP) also increased significantly. On the other hand, the study identified a significant decrease in the proportion of residents with documented weight and nutritional status. Conclusion: The evaluation found several improvements in the documentation of nutritional care practice in the nursing home ward as a result of the PAR project, indicating that a PAR approach is suitable to bring about change in practice.

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