Participatory action research in the field of neonatal intensive care: developing an intervention to meet the fathers’ needs. A case study
Autor: | Jesper Fenger-Grøn, Poul-Erik Kofoed, Jette Ammentorp, Betty Noergaard, Helle Johannessen |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
patient involvement
Service (systems architecture) Quality management 030504 nursing business.industry lcsh:Public aspects of medicine Participatory action research lcsh:RA1-1270 Focus group Article quality improvement 03 medical and health sciences 0302 clinical medicine Nursing 030225 pediatrics Intervention (counseling) Intensive care Participatory design Health care father Medicine participatory design 0305 other medical science business |
Zdroj: | Journal of Public Health Research, Vol 5, Iss 3 (2016) Journal of Public Health Research Nørgaard, B, Johannessen, H, Fenger-Grøn, J, Kofoed, P-E & Ammentorp, J 2016, ' Participatory Action Research in the Field of Neonatal Intensive Care : Developing an Intervention to Meet the Fathers' Needs. A Case Study ', Journal of Public Health Research, vol. 5, no. 3, 744, pp. 122-129 . https://doi.org/10.4081/jphr.2016.744 |
ISSN: | 2279-9036 2279-9028 |
DOI: | 10.4081/jphr.2016.744 |
Popis: | Background In neonatal intensive care units (NICUs) health care professionals typically give most of their attention to the infants and the mothers while many fathers feel uncertain and have an unmet need for support and guidance. This paper describes and discusses participatory action research (PAR) as a method to improve NICUs’ service for fathers. Our goal is to develop a father-friendly NICU where both the needs of fathers and mothers are met using an approach based on PAR that involves fathers, mothers, interdisciplinary healthcare professionals, and managers. Design and methods This PAR process was carried out from August 2011 to July 2013 and included participant observations, semi-structured interviews, multi sequential interviews, workshops, focus groups, group discussion, and a seminar. The theoretical framework of validity described by Herr and Anderson’s three criteria; process-, democratic-, and catalytic validity were used to discuss this PAR. Results Twelve fathers, 11 mothers, 48 health professionals and managers participated in the PAR process. The collaboration ensured the engagement for viable and constructive local changes to be used in designing the concept of the father friendly NICU. Conclusions This paper contributed new knowledge of how PAR can be used to ensure that participants engaged in the field are involved in the entire process; consequently, this will ensure that the changes are feasible and sustainable. Significance for public health This case study contributed insight into the role and importance of participatory action research (PAR) in clinical practice. By engaging the stakeholders in the process, the culture of the neonatal intensive care unit became open to reflection and action. It was very important to understand the purpose and context of the activities and to use them accordingly to the participants. By using the right activities in the right context, we gained an opportunity to promote participants’ creativity. This required the researchers to be flexible and to be aware of PAR as a time-consuming approach. |
Databáze: | OpenAIRE |
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