Insider action research in palliative care – the challenges of implementing digital health in a hospice organisation in the UK

This paper describes the first-person experience of being a medical consultant and novice action researcher in a UK hospice setting. A new digital IT system resulted in unexpected changes to productivity. An action research methodology using cycles of co-operative inquiry with hospice staff was chosen to investigate. The new technology caused fears among hospice nurses that the authenticity of the hospice ethos would be lost. The hospice staff were concerned about the loss of their role and identity. Action cycles were used to positively transform the hospice nursing structure and admission process