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Action research for multi-level facilitation of improvement in health and social care: development of a change facilitation approach for a local R&D unit
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Department of Learning Informatics Management and Ethics (LIME) and Medical Management Centre (MMC), Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-3713-5457
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Department of Learning Informatics Management and Ethics (LIME) and Medical Management Centre (MMC), Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0003-2281-4622
2016 (English)In: Action Research, ISSN 1476-7503, E-ISSN 1741-2617Article in journal (Refereed) Epub ahead of print
Abstract [en]

This paper reports an action research program designed to develop new approaches for a locally based Swedish R&D unit’s task to facilitate improvement in partner organizations, and to provide guidance on how to manage challenges in action research programs focusing on development in health and social care. Data were gathered from interviews with R&D members’, managers representing the two embedded pilot cases, as well as from the lead action researchers. Key findings were the need to continually monitor and revise the action research plan and that each step should be given specific weights based on the conditions at hand. As the action program evolved the participants were given autonomy to take action in the partner organizations and the role of the action researchers became advisory and consultative. These findings accentuate the emergent nature of action research and the need for flexible and dynamic intervention planning, especially when multiple level actors and several organizations are involved. Based on these findings we discuss some implications for the action researcher’s role and how similar programs can be designed to manage change in complex health and social care systems reaching various stakeholders at many levels.

Place, publisher, year, edition, pages
Sage Publications, 2016.
Keyword [en]
Action research, service improvement, change facilitation, health and social care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-127193DOI: 10.1177/1476750316650928OAI: oai:DiVA.org:umu-127193DiVA: diva2:1044171
Available from: 2016-11-02 Created: 2016-11-02 Last updated: 2017-04-03

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CiteExportLink to record
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Citation style
  • apa
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  • Other style
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Language
  • de-DE
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Output format
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