促进者对解放实践发展的民主化潜力的思考。

IF 2.6 3区 医学 Q1 NURSING
Jacqueline Peet, Karen A Theobald, Clint Douglas
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引用次数: 0

摘要

解放性实践发展(ePD)是一种以实践者为主导的研究方法,能够促进工作场所的变革。ePD 以批判范式为基础,通过促进和工作场所学习的方式,与人们一起在当地环境中解决对他们具有重要意义的实践问题。其目的是建立安全的、以人为本的学习文化,从而改变个人和工作场所。在这篇文章中,我们对一项为期一年的急症护理病房电子专业发展研究进行了批判性反思。我们探讨了系统内实践变革所面临的挑战,通过一线合作和领导力建设集体力量,以维持新的学习文化。我们的工作通过与基础理论紧密合作,推进了实践发展对话。我们的评论分析了电子专业发展如何在一个复杂的系统中实施和维持变革。我们认为,电子专业发展通过交流行动挑战反民主的做法,从而加强安全文化。通过开放交流空间,ePD 使员工能够集体商议并达成共识。员工意识的提高有助于他们抵制不利于病人护理安全的工作方式。通过在一线团队内部创建的合作式民主以及中间层的推动作用,促进了实践变革的可持续性。我们的结论是,电子病历发展工具的民主化潜力在一线产生了员工代理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A facilitator's reflection on the democratizing potential of emancipatory practice development.

Emancipatory practice development (ePD) is a practitioner-led research methodology which enables workplace transformation. Underpinned by the critical paradigm, ePD works through facilitation and workplace learning, with people in their local context on practice issues that are significant to them. Its purpose is to embed safe, person-centred learning cultures which transform individuals and workplaces. In this article, we critically reflect on a year-long ePD study in an acute care hospital ward. We explore the challenges of practice change within systems, building collective strength with frontline collaborations and leadership to sustain new learning cultures. Our work advances practice development dialogue through working closely with the underpinning theories. Our critique analyses how ePD can enact and sustain change within a complex system. We argue that ePD works to strengthen safety cultures by challenging antidemocratic practices through communicative action. By opening communicative spaces, ePD enables staff to collectively deliberate and reach consensus. Their raised awareness supports staff to resist ways of working which conspire against safe patient care. Sustainability of practice change is fostered by the co-operative democracies created within the frontline team and meso level enablement. We conclude that the democratising potential of ePDt generates staff agency at the frontline.

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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
39
审稿时长
>12 weeks
期刊介绍: Nursing Philosophy provides a forum for discussion of philosophical issues in nursing. These focus on questions relating to the nature of nursing and to the phenomena of key relevance to it. For example, any understanding of what nursing is presupposes some conception of just what nurses are trying to do when they nurse. But what are the ends of nursing? Are they to promote health, prevent disease, promote well-being, enhance autonomy, relieve suffering, or some combination of these? How are these ends are to be met? What kind of knowledge is needed in order to nurse? Practical, theoretical, aesthetic, moral, political, ''intuitive'' or some other? Papers that explore other aspects of philosophical enquiry and analysis of relevance to nursing (and any other healthcare or social care activity) are also welcome and might include, but not be limited to, critical discussions of the work of nurse theorists who have advanced philosophical claims (e.g., Benner, Benner and Wrubel, Carper, Schrok, Watson, Parse and so on) as well as critical engagement with philosophers (e.g., Heidegger, Husserl, Kuhn, Polanyi, Taylor, MacIntyre and so on) whose work informs health care in general and nursing in particular.
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