172 research outputs found

    Multidimensional collaboration; reflections on action research in a clinical context

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    This paper reflects on the challenges and benefits of multidimensional collaboration in an action research study to evaluate and improve preoperative education for patients awaiting colorectal surgery. Three cycles of planning, acting,observing and reflecting were designed to evaluate practice and implement change in this interactive setting, calling for specific and distinct collaborations. Data collection includes: observing educational interactions; administering patient evaluation questionnaires; interviewing healthcare staff, patients and carers; patient and carer focus groups; and examining written and audiovisual educational materials. The study revolves around and depends on multi-dimensional collaborations. Reflecting on these collaborations highlights the diversity of perspectives held by all those engaged in the study and enhances the action research lessons. Successfully maintaining the collaborations recognises the need for negotiation, inclusivity, comprehension, brokerage,and problem-solving. Managing the potential tensions is crucial to the successful implementation of changes introduced to practice and thus has important implications for patients’ well-being. This paper describes the experiences from an action research project involving new and specific collaborations, focusing on a particular healthcare setting. It exemplifies the challenges of the collaborative action research process and examines how both researchers and practitioners might reflect on the translation of theory into educational practices within a hospital colorectal department. Despite its context-specific features, the reflections on the types of challenges faced and lessons learned provide implications for action researchers in diverse healthcare settings across the world

    Evaluation of a Beverage Educational Intervention for Latino Parents of Infants and Children Ages Nine Months to Five Years

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    Background: The Latino population has the highest rate of childhood obesity in the United States. Sugar-sweetened beverage (SSB) consumption has a positive correlation with increased rates of childhood obesity. Current research shows a deficit in culturally sensitive methods to reduce SSB consumption in the pediatric Latino population. Purpose: The purpose of this project is to empower parents of Latino infants and young children with the knowledge to reduce or eliminate the consumption of SSBs in their child’s diet. Methods: The project was a one group pre-test post-test quasi-experimental study design occurring in one pediatric outpatient clinic. The Information-Motivation-Behavioral Skills (IMB) model was the framework for an evidence-based beverage educational intervention used to promote change in parental behaviors toward their Latino child’s SSB consumption. The instrument used for data collection was the Beverage Questionnaire for Preschoolers (BEVQ-PS) and the variable measured was the change in SSB intake. Data collection occurred prior to the intervention and one month post-intervention. Results: Fifteen pre-intervention and one post-intervention surveys were completed. Comparison of the pre-intervention and post-intervention surveys of the single subject that completed both showed an increase in water and 100% fruit juice intake frequency, but not amount. According to the pre-intervention surveys, the two most consumed beverages were whole milk, water, 100% fruit juice and flavored milk. Conclusions: Due to the low number of submitted post-intervention surveys, inferences about the effectiveness of the IMB model as a framework for a beverage educational intervention to change parental behaviors toward their Latino child’s SSB consumption cannot be made. Future studies should consider using other methods of post-intervention survey follow-up

    A Critical Discourse Analysis of Higher Education Leaders as Portrayed in The Chronicle of Higher Education

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    Leadership represents an abstraction of human thought. While functionalist theories propose leader-centric models, contemporary leadership theories embrace a postmodern paradigm acknowledging ontological and epistemological assumptions of qualitative study. This ideology suggests a multi-dimensional model of leadership that reflects the complexity and fluidity of leadership in practice. Emergent theories explore the social construction of leadership, rather than an individual leader’s traits or behaviors. Our collective understanding of leadership is manifest in the (re)creation of leadership as exemplified in social discourse such as newspaper reporting. The purpose of the study is to reveal socially accepted archetypes assigned to higher education leaders, as well as discursive constructs that perpetuate gender bias. I examined the use of archetypes, or familiar narrative characters, in portrayals of postsecondary leaders in The Chronicle of Higher Education, and whether these portrayals are gendered. Using critical discourse analysis, I explored the application of the hero archetype to higher education leaders, as well as twelve additional archetypes within five archetype clusters (Campbell, 1949, 2004; Faber & Mayer, 2009). Further, I critically examined if the archetype portrayals identified in the Chronicle were gendered as defined by Role Congruity Theory (Eagly & Karau, 2002). Findings indicate that the Chronicle uses the hero archetype to describe higher education leaders; however, the motif adapts to the postsecondary setting by emphasizing the hero’s journey as academic, altruism within a shared governance system, and intellectual work rather than physical work. Additional archetype themes, predominantly the outlaw, ruler, caregiver, and sage, integrate with the hero narrative in the Chronicle reporting to exemplify the complexity surrounding the social construction of leadership. Though portrayals indicate the role of a higher education leader deviates from the traditional hero narrative in favor of multi-dimensional themes, the association of masculinity with leadership continues. Masculine hegemonies of military leadership, physical force and athletics, references to death or destruction, and overt references to gender cast male leaders positively and women leaders negatively. Analysis of this archetypal data reveals that the social role of leadership is complex and evolving, while gender roles persist and continue to influence the social construction of leadership within higher education
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