Clinicians' experiences of participating in an action research study
Pui Ling (Iris) Li
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Leanne Bashford
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Greg Schwager
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Rhonda Spain
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Helen Ryan
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Melissa Oakman
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Joanne Firth
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Mathew Lockyer
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Debbie Harper
John Hunter Hospital, Hunter New England Area Health Service, New Lambton NSW
Isabel Higgins
Older Person Nursing, School of Nursing and Midwifery, University of Newcastle; Center for Practice Opportunity and Development, John Hunter Hospital, Hunter New England Health, Newcastle NSW
PP: 147 - 156
Abstract
The objective of this paper is to share our experiences of participating in an action research project designed to improve the care of older people at risk of delirium.
The setting for the study and the subject of this paper was a busy medical ward in a 550 bed regional tertiary referral hospital located in New South Wales, Australia. The participants for the project and the authors of this paper include clinical nursing and allied health staff based on the ward at the time of the study.
In the discussion that follows we outline details of the study, participatory action research (PAR), what we were asked to do to participate, our reasons for agreeing to participate, our expectations of the project, the group process, the PAR cycles: look, think and act, and the benefits and challenges of participating in the project. In conclusion we highlight the gains of participating in PAR and we make recommendations for the future.
Keywords
action research; delirium; nursing; older people
References
American Psychiatric Association (1999) Practice guideline for the treatment of patients with delirium. American Journal of Psychiatry 156(Suppl.), 1-20.
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (4th edn). Washington DC: American Psychiatric Association.
Australian Society for Geriatric Medicine (2005) Position statement no. 13. Delirium in older people. Retrieved 6 September 2006 from http://www.asgm.org.au/documents/PositionStatementNo13_001.pdf
British Geriatric Society and Royal College of Physicians (2006) Concise guidance to good practice: A series of evidence-based guidelines for clinical management. Number 6. The prevention, diagnosis and management of delirium in older people. National Guidelines. London: Royal College of Physicians.
Casarett DJ and Inouye SK (2001) Diagnosis and management of delirium near the end of life. Annals of Internal Medicine 135(1), 32-40.
Clendinnen I (2000) Tiger's eye. Melbourne: Text.
Clinical Epidemiology and Health Service Evaluation Unit Melbourne Health and Group, D C G E W (2006 October). Clinical practice guidelines for the management of delirium in older people. Retrieved 1 September 2008 from http://www.health.vic.gov.au/acute-agedcare/deliriumcpg.pdf
Cook I (2004) Guideline watch: Practice guideline for the treatment of patients with delirium. Retrieved 1 September 2006 from http://www.psych.org/psych_pract/treatg/pg/DelirumWatch_081104.pdf
Cook IA (2004) Guideline watch: Practice guideline for the treatment of patients with delirium. Retrieved 1 September 2006 from http://www.psych.org/psych_pract/treatg/pg/DelirumWatch_081104.pdf
Day J, Higgins I and Koch T (2009) The process of practice redesign in delirium care for hospitalised older people: A participatory action research study. International Journal of Nursing Studies 46, 12-21.
Inouye S (2006) Delirium in older persons. New England Journal of Medicine 354(11), 1157-1165.
Inouye S, Bogardus STJ, Baker D, Leo-Summers L and Cooney LJ (2000) The Hospital Elder Life Program: A model of care to prevent cognitive and functional decline in older hospitalised patients. Journal of the American Geriatrics Society 48(12), 1697-1706.
Inouye SK, Bogardus ST, Jr, Charpentier PA, Leo-Summers L, Acampora D, Holford TR, et al (1999) A multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine 340(9), 669-676.
Koch T and Kralik D (2006) Participatory action research in health care. Oxford: Blackwell.
Li P, Giles M, Dumont F, Day J and Higgins I (2009) The uptake and utility of a protocol for delirium prevention: An evaluation study. HNE Handover for Nurses and Midwives 2, 7-11.
Milisen K, Steeman E and Foreman MD (2004) Early detection and prevention of delirium in older patients with cancer. European Journal of Cancer Care 13(5), 494-500.
Schuurmans M, Duursma S and Shortridge-Baggett L (2001) Early recognition of delirium: Review of the literature. Journal of Clinical Nursing 10(6), 721-729.
Stringer E (2007) Action research (3rd edn). Thousand Oaks CA: Sage.

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