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

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.

2021 ◽  
Vol 21 (1) ◽  
pp. 9-22
Author(s):  
Clare Suet Ching Chan ◽  
Zaharul Lailiddin Saidon

This article provides a critical reflection on the participatory approach methodology and the collaborative creation approach used in an advocacy project to sustain the musical heritage of the indigenous Semai community in Malaysia. These approaches were examined through the medium of an advocacy project that aimed to stimulate the interest of Semai youth in traditional music through relevance, engagement, and connection with their current musical interest and skills. The intention of the project was to also co-create new traditional music with the Semai youth through live musical interaction, improvisation and jam sessions with the research team. This article explored the research team’s use of the “Participatory Action Research” (PAR) method, which involved planning, action, observation, reflection, and revision during the initial stages of our advocacy project. Our findings suggest a narrative style in discussing advocacy processes because they occur in a lateral than the linear or cyclical format used in current action research models. Findings also reveal that any attempts to advocate change in the community would firstly require an established relationship of trust, respect, and belief in the research team. The research team would have to have had prior involvement, commitment, and dedication to the community before members of the team could influence change among the community. A self-review of the research team’s effort to co-create new traditional music with Semai youth led to the conclusion that co-creation between musicians of different musical training would require a “new” compositional method that negotiates Western musical composition techniques with the oral tradition of creating music.


2021 ◽  
Vol 14 (11) ◽  
Author(s):  
Sharifeh Monemian ◽  
Mohammad Reza Sharbafchi ◽  
Fariba Taleghani

Background: Determining the needs and challenges of women, who care for patients with cancer and providing appropriate strategies to empower them in the design and implementation of appropriate change programs pave the way for the promotion of these women's health and empowerment. Objectives: This study aims at identifying the needs and challenges of women and developing a program to empower women, who care for patients with cancer. Methods: The present study is based on a participatory action research approach and uses the Kemmis and McTaggart model. The participatory action research of this study will be in 4 phases of planning, action, observation, and reflection. In the planning phase, the needs and challenges of female caregivers are examined from the perspective of women and the health team and, then, women's empowerment strategies in providing home-based supportive and palliative care for patients with cancer are determined, using the results of the qualitative phase and review of the literature by using the decision matrix. In the action phase, the selected strategies are implemented with the help of process owners. In the observation phase, combining different methods, data will be collected to measure the results of change. Finally, in the reflection phase, the results of the implementation of the strategies are evaluated and this cycle continues until the intended results are achieved. Discussion: Empowerment of the women, who care for patients with cancer requires awareness, motivation, and active participation of women and the health team. As many cultural and social factors affect the health and participation of these women, participatory research can involve them in promoting their health.


2016 ◽  
Vol 15 (3) ◽  
pp. 239-257 ◽  
Author(s):  
Lien Van Malderen ◽  
Patricia De Vriendt ◽  
Tony Mets ◽  
Ellen Gorus

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.


2020 ◽  
Vol 16 (2) ◽  
pp. 155-164
Author(s):  
Agus Yudiawan ◽  
Ahmadi Ahmadi

[Bahasa]: Pengabdian masyarakat ini bertujuan untuk meningkatkan kualitas dai muda di wilayah minoritas muslim Papua Barat. Metode dampingan menggunakan Participatory Action Research (PAR). Peserta dampingan sebanyak 20 orang mahasiswa IAIN Sorong. Pendampingan ini menggunakan empat tahapan yaitu, tahap perencanaan, tindakan, observasi, dan refleksi. Hasil pendampingan menunjukkan bahwa kompetensi dai muda peserta pendampingan mengalami peningkatan cukup signifikan (18%). Pada kondisi awal, memiliki kompetensi kurang baik (58,1%) dan berhasil ditingkatkan menjadi baik (76,0%). Kesimpulannya, pendampingan dan pelatihan dapat menjadi pilihan akademis dalam penyiapan dai muda sebelum berkontribusi di masyarakat, khsusunya pada wilayah minoritas muslim di Papua Barat. Kata Kunci: pelatihan dan pendampingan, Dai, minoritas muslim [English]:  This community service aims to improve young preachers' quality in the Muslim minority area of ​​West Papua. The mentoring method used Participatory Action Research (PAR) and involved 20 students of IAIN Sorong. It followed four stages, namely, the planning, action, observation, and reflection stages. The mentoring results showed that the young participants' competence in mentoring had increased quite significantly (18%). They initially had low competence (58.1%) and were successfully upgraded to good (76.0%). In conclusion, mentoring and training can be an academic choice in preparing young preachers before contributing to society, especially in Muslim minority areas in West Papua. Keywords: training and mentoring, Dai, muslim minority  


2011 ◽  
Vol 25 (8) ◽  
pp. 782-787 ◽  
Author(s):  
Katherine Froggatt ◽  
Jo Hockley

Background: Action research is beginning to be utilized within palliative care research to address questions concerned with practice and organizational change. An understanding of appropriate evaluation practices is required in order to ensure that high-quality action research is conducted. Aim: The aim of this paper is to present an account of participatory action research and illustrate the way in which evaluation approaches are integrated within this methodology. Design: Participatory action research will be described identifying its origins, principles and its relationship with evaluation frameworks. The key features of the evaluation process in regard to participatory research are outlined. Setting: Two studies are presented which illustrate the integration of evaluation within a participatory action research framework. The first approach uses a before–after summative evaluation approach in a study undertaken to develop palliative care practice within a UK nursing home context. The evaluation focused upon the impact of the intervention. The second study utilized similar methods and addressed the process of the action research using the Äldreväst Sjuhärad (ÄVS) model to evaluate participation in a peer education programme for advance care planning amongst older adults. Results: These examples of evaluation within action research illustrate how diverse methods can be used. The use of a specific participatory evaluation model ensures the process reflects the underlying participatory principle of action research. Conclusions: Evaluation processes are integral to action research approaches. The specific evaluative methods adopted will reflect the nature and focus of the evaluation being undertaken.


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