Exploring the situational complexities associated practice change in health

Dilworth, Sophie, Higgins, Isabel, Parker, Vicki, Kelly, Brian and Turner, Jane (2013) Exploring the situational complexities associated practice change in health. Qualitative Research Journal, 13 2: 178-186. doi:10.1108/QRJ-03-2013-0020

Author Dilworth, Sophie
Higgins, Isabel
Parker, Vicki
Kelly, Brian
Turner, Jane
Title Exploring the situational complexities associated practice change in health
Journal name Qualitative Research Journal   Check publisher's open access policy
ISSN 1443-9883
Publication date 2013-01-01
Sub-type Article (original research)
DOI 10.1108/QRJ-03-2013-0020
Open Access Status
Volume 13
Issue 2
Start page 178
End page 186
Total pages 9
Place of publication Bingley, W Yorks, United Kingdom
Publisher Emerald Group Publishing
Language eng
Formatted abstract
Purpose – The purpose of this paper is to critically examine multidisciplinary, group clinical supervision sessions and to extend current understandings of the barriers/enablers to the implementation of an innovative psychosocial intervention for distressed adults with cancer.

Design/methodology/approach – Discourse analysis was used to analyse audio recordings from clinical supervision sessions delivered as part of a psychosocial intervention within the context of a randomised control trial (RCT).

– Examination of subject positions, representation and tensions reveals that Health Professionals can resists the pressures of systemic barriers to provide much-needed psychosocial support for distressed adults with cancer. Critical examination of multidisciplinary clinical supervision sessions describes how Health Professionals are able to construct new meanings and reposition themselves as being able to provide supportive care within the context of their everyday practices.

Research limitations/implications – This paper reports only a small part of a larger analysis that aims to explore how discourse maps the current state of psychosocial care for adults with cancer and illustrates the fragility and potential for change in this area.

Originality/value – Extension on the previous literature is seen within the data through the presence of positive resistance against systemic barriers. Previous exploration of clinical supervision has not collected data generated within the sessions. It is also novel in the use of discourse analysis being used in association with a randomised controlled trial to understand the situational complexities associated with bringing about practice change.
Keyword Health care
Communication skills
Psychosocial care
Practice innovation
Clinical supervision
Discourse analysis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Authors prepress title: "Exploring the situational complexities associated practice change in healthcare".

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
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Created: Sun, 15 Sep 2013, 01:04:06 EST by Dr Jane Turner on behalf of Psychiatry - Royal Brisbane and Women's Hospital