How participatory action research supported improvements to the postnatal discharge summary system used for remote dwelling Aboriginal mothers and infants in the Top End of Australia

Josif, Cath, Barclay, Lesley, Bar-Zeev, Sarah, Kildea, Sue and Brittin, Maureen (2012) How participatory action research supported improvements to the postnatal discharge summary system used for remote dwelling Aboriginal mothers and infants in the Top End of Australia. Action Research, 10 4: 387-405. doi:10.1177/1476750312467832


Author Josif, Cath
Barclay, Lesley
Bar-Zeev, Sarah
Kildea, Sue
Brittin, Maureen
Title How participatory action research supported improvements to the postnatal discharge summary system used for remote dwelling Aboriginal mothers and infants in the Top End of Australia
Journal name Action Research   Check publisher's open access policy
ISSN 1476-7503
1741-2617
Publication date 2012-12-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1177/1476750312467832
Volume 10
Issue 4
Start page 387
End page 405
Total pages 19
Place of publication Horsham, W Sussex, United Kingdom
Publisher Action Medical Research
Language eng
Abstract This article describes and analyses the participatory action research (PAR) process used by researchers working with policy leaders and clinicians to facilitate health service improvement around postnatal discharge planning processes for remote-dwelling Aboriginal women and their newborn infants. The research presented here was a sub-study of a larger health system improvement investigation. Stringer's (2007) working principles of PAR - participation, relationships, inclusion and communication - were used by researchers as a framework to describe a process of engagement for the research. Application of these principles prompted changes to the discharge planning process within the health system. The improvements included: redesign of discharge paperwork; nomination of a designated health professional at the remote community to receive summaries; training for hospital staff in the computer application that generated the discharge summaries; and the development of a length of stay and discharge policy. Hospital service providers have formed a working group that meets to discuss issues around the discharge process and work continues to review and strengthen the discharge process. Hospital management reported that the changes resulted in improvements, with more likelihood that correct information is being received by the appropriate health professional in a timely manner.
Keyword Aboriginal
Health system improvement
Indigenous
Participatory action research
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status Unknown
Additional Notes Link to Journal Article: http://arj.sagepub.com/content/10/4/387.abstract

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Wed, 27 Aug 2014, 21:10:48 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work