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http://dx.doi.org/10.11111/jkana.2013.19.1.95

A Journey to Action Research in a Clinical Nursing Context  

Jang, Keum Seong (College of Nursing, Chonnam National University·Chonnam Research Institute of Nursing Science)
Kim, Heeyoung (Central Operating Unit, Chonnam National University Hospital)
Kim, Eun A (Department of Nursing, Nambu University)
Kim, Yun Min (Department of Nursing, Gwangju Health College)
Moon, Jeong Eun (Division of Infection Control, Chonnam National University Hwasun Hospital)
Park, Hyunyoung (Department of Nursing, Graduate School, Chonnam National University)
Song, Mi-Ok (Department of Nursing, Graduate School, Chonnam National University, Central Operating Unit, Chonnam National University Hospital)
Baek, Myeong (Central Operating Unit, Chonnam National University Hospital)
Publication Information
Journal of Korean Academy of Nursing Administration / v.19, no.1, 2013 , pp. 95-107 More about this Journal
Abstract
Purpose: The purpose of this study was to examine the effectiveness of Action Research (AR) approach in nursing. Methods: Participants were 64 perioperative nurses recruited from C hospital in Gwangju, Korea. The nurses were engaged in the project through 2 cycles of planning, acting, observing, and reflecting. A mixed-methods design was used to examine changes in participants and their knowledge management practice. Quantitative data were analyzed using SPSS 20.0 program and qualitative reflection data underwent content analysis. Results: During the project, participants developed standardized pre-operative checklists and opened an Internet Cafe to better manage their perioperative nursing information. At the end of the project, there was a significant increase in nurses' knowledge management (p=.015) and the rate of surgical material prescription errors decreased from 8.0% to 2.9%. Core AR project team members' teamwork skills and organizational commitment increased significantly (p=.040, p=.301, respectively). The main themes that emerged from the qualitative data were learning how to solve problems in practice, facilitating team activities through motivation, barriers of large participation, and rewarded efforts and inflated expectations. Conclusion: The AR project contributed to empowering participants to solve local problems. AR is a useful methodology to promote changes in practices and research participants.
Keywords
Action research; Nurses; Operating rooms; Quality improvement;
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1 Kim, Y. M. (2012). Evaluation of design and operation of action learning based nursing professionalism course for nursing students. Unpublished doctoral dissertation, Chonnam National University, Gwangju, Korea.
2 Koshy, E., Koshy, V., & Waterman, H. (2011). Action research in healthcare. London: Sage.
3 La Pine, M. P. (2008). The domain of nursing: Developing practice through action research in the intensive care unit. Unpublished master's thesis, Victoria University of Wellington.
4 Lee, M. H. (1998). Relationship between organizational culture types and organizational effectiveness in hospitals. Unpublished doctoral dissertation, Chungnam National University, Daejeon, Korea
5 Lee, Y. S., Kim, Y. M., Kim, Y. C., Lee, H. K., & Cho, D. J. (2004). Action research as a bridge between research and teaching: The transformation of the M. A. thesis research method in graduate school of education. Journal of Yeolin Education, 12(1), 363-402.
6 MacGuire, J. M. (1990). Putting nursing research findings into practice: Research utilization as an aspect of the management of change. Journal of Advanced Nursing, 15, 614-620. http://dx.doi.org/10.1111/j.1365-2648.1990.tb01861.x   DOI
7 Marshall, L. C. (2003). The relationship between efficacy, teamwork, effort and patient satisfaction. Unpublished doctorial dissertation, University of Southern California.
8 McCaugherty, D. (1991). The theory-practice gap in nursing education: Its cases and possible solutions. Findings from an action research study. Journal of Advanced Nursing, 16, 1055-1061. http://dx.doi.org/10.1111/j.1365-2648.1991.tb03366.x   DOI
9 McKeller, L., Pincombe, J. I., & Henderson, A. N. (2010). Action research: A process to facilitate collaboration and change in clinical midwifery practice. Evidence Based Midwifery, 8, 85-90.
10 Mendenhall, T. J., Berge, J. M., Harper P., GreenCrow B., LittleWalker N., WhiteEagle S., & BrownOwl S. (2010). The Family Education Diabetes Series (FEDS): Community-based participatory research with midwestern American Indian community. Nursing Inquiry, 17, 359-372. http://dx.doi.org/ 10.1111/j.1440-1800.2010.00508.x   DOI   ScienceOn
11 Mills, G. E. (2005). Action research: A guide for the teacher researcher. (S. W. Kang, et al., Trans). Seoul: Uriedu. (Original work published in 2003)
12 Morton-Cooper, A. (2000). Action research in health care. London: Blackwell Science.
13 Mowday, R. T., Steers, R. M., & Porter, L. W. (1979). The management of organization commitment. Journal of Vocational Behavior, 14, 224-247.   DOI
14 Munn-Giddings, C., McVicar, A., & Smith, L. (2008). Systematic review or the uptake and design of action research in published nursing research. Journal of Research in Nursing, 13, 465-477. http://dx.doi.org/10.1177/1744987108090297   DOI
15 O'Neil, H., Chung, G., & Brown, R., (1997). Use of networked simulations as a context to measure team competencies. In H. F. O'Neil, Jr. (Ed.), Workforce readiness: competencies and assessments (pp. 411-452). Mahwah, NJ: Lawrence Erlbaum Associates.
16 Shelton, D. (2008). Establishing the public's trust through community-based participatory research: A case example to improve health care for a rural Hispanic community. Annual Review of Nursing Research, 26, 237-259.
17 Sung, Y. K. (2006). A theoretical investigation on the development and some critical issues in curriculum action research. The Journal of Curriculum Studies, 24(2), 87-109.
18 Tashakkori, A., & Teddlie, C. (2003). Handbook of mixed methods. CA: Sage Publication.
19 Taylor, B. J. (2010). Reflective practice for healthcare professionals a practical guide (3rd ed.). Berkshire: Open University Press.
20 Williamson, G. R., Bellman, L., & Webster, J. (2012). Action research in nursing and healthcare. London: Sage.
21 Zuber-Skerritt, O., & Fletcher, M. (2007). The quality of an action research thesis in the social sciences. Quality Assurance in Education. 15, 413-436. http://dx.doi.org/10.1108/09684880710829983   DOI   ScienceOn
22 Holter, I. M., & Schwartz-Barcott, D. (1993). Action research what is it? How has it been used and how can it be used in nursing? Journal of Advanced Nursing, 18, 298-304. http://dx.doi.org/10.1046/j.1365-2648.1993.18020298.x   DOI
23 Blum, C. A. (2009). Development of a clinical preceptor model. Nurse Educator, 34, 29-33. http://dx.doi.org/10.1097/01.NNE.0000343394.73329.1d   DOI   ScienceOn
24 Greenwood, J. (1984). Nursing research: a position paper. Journal of Advanced Nursing, 9, 77-82. http://dx.doi.org/10.1111/j.1365-2648.1984.tb00346.x   DOI
25 Herr, K., & Anderson, G. L. (2005). The action research dissertation: A guide for students and faculty. London: Sage.
26 Hunt, M. (1987). The process of translating research findings into nursing practice. Journal of Advanced Nursing, 12, 101-110. http://dx.doi.org/10.1111/j.1365-2648.1987.tb01308.x   DOI
27 Jeong, S. H. (2003). Relationship between knowledge management process and organizational effectiveness in clinical nurses. Journal of Korean Academy of Nursing Administration, 9, 415-427.   과학기술학회마을
28 Jeong, S. H., Lee, K. S., Lee, M. H., & Kim, I. S. (2003). A study on the development of the learning organization measurement. Journal of Korean Academy of Nursing Administration, 9, 75-88.   과학기술학회마을
29 Kim, B. Y. (2011). An action research for parent empowerment. of married immigrant women. Unpublished doctoral dissertation, Chonnam National University, Gwangju, Korea.
30 Kim, M. O. (2009). Utilities and application of action research in Korean social welfare research. Korean Journal of Social Welfare, 61, 179-204.   과학기술학회마을   DOI