A facilitator's reflection on the democratizing potential of emancipatory practice development.

Autor: Peet J; School of Nursing, Queensland University of Technology (QUT), Kelvin Grove, Queensland, Australia.; School of Health, University of Sunshine Coast (UniSC), Sippy Downs, Queensland, Australia., Theobald KA; School of Nursing, Queensland University of Technology (QUT), Kelvin Grove, Queensland, Australia., Douglas C; School of Nursing, Queensland University of Technology (QUT), Kelvin Grove, Queensland, Australia.; Centre for Healthcare Transformation, QUT, Kelvin Grove, Queensland, Australia.; Metro North Hospital and Health Service, Queensland, Australia.
Jazyk: angličtina
Zdroj: Nursing philosophy : an international journal for healthcare professionals [Nurs Philos] 2024 Jul; Vol. 25 (3), pp. e12488.
DOI: 10.1111/nup.12488
Abstrakt: 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.
(© 2024 The Author(s). Nursing Philosophy published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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