Taking Action for action : a study of the interplay between contextual and facilitator characteristics in developing an effective workplace culture in a Dutch hospital setting, through action research

Abstract Implementing change and transforming nursing practice is not a linear but a complex process. The evidence within practice development (PD) and participatory action research (PAR) suggests that not enough is known about the interplay between the researcher’s characteristics and the contextual factors, in the facilitation of PAR. This study aims to understand this interplay in the development of evidence-based and person-centred practice through PAR, in collaboration with nurses and management at a centre for oncology in a Dutch hospital. The study is guided by a praxis methodology in which different philosophical perspectives are used to connect theory with the practice of PAR. Emancipatory praxis guides the transformation of practice through PAR and hermeneutic praxis guides the understanding of the reality of facilitating PAR within a specific context. The research approach integrates a mix of creative, cognitive and reflective methods. A variety of data about initiating action research in a clinical setting were collected and put into the form of a story in order to engage in a reflexive analysis, inspired by Van Manen’s principles of human science. Findings emphasise the importance of the orientation phase within PAR and suggest that it is essential for facilitators, in particular those new to the methodology, to create a system of support to help them to understand the characteristics of the context. This is necessary in order to create balance in their facilitation that is acceptable both to oneself and the context and which can then achieve synchronous working with practitioners. This study adds greater clarity to the existing body of knowledge about how facilitators of PAR can be helped to engage with the complexity of cultures in different contexts. It demonstrates that there are essential conditions necessary for facilitating PAR, these are captured within a ‘compass’-model. Principles for action for researchers of PAR are explained that are assumed to contribute to the development of researchers’ expertise engaged in the facilitation of PAR.EThOS - Electronic Theses Online ServiceGBUnited Kingdo