Using action research to develop a model of patient‐centred day care

The objective of this study was to develop a model of care that was patient centred, safe and effective for day surgery patients undergoing complex surgical procedures. The research team used Habermas' (1987) theory of communicative action to guide a process that enabled honest communication and equality within the group necessary to obtain sustained technical and emancipatory change. An action research method was used to make changes based on the best available evidence. Three criteria were used as a basis for change – the effectiveness of care, patient safety and patient-centeredness. Prior to the study, no patient had had complex day surgery at this hospital. During the study, 55 patients underwent complex day surgery in an effective, safe and patient-centred way. Improved communication and increased confidence enabled the research team to achieve significant technical outcomes. The group matured into autonomous, accountable and engaged clinicians that demonstrated emancipation. Copyright © 2009 John Wiley & Sons, Ltd.