IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v75y2012i11p1946-1953.html
   My bibliography  Save this article

The politics of action research: “If you don't like the way things are going, get off the bus”

Author

Listed:
  • Nugus, Peter
  • Greenfield, David
  • Travaglia, Joanne
  • Braithwaite, Jeffrey

Abstract

Participatory action research is lauded for its emancipatory potential and practice relevance. Little research has focused on the ethical and political dimensions of power relations between management gatekeepers and staff in large organizations in the negotiation of action research. To illuminate the dynamics of this engagement, this paper is informed by Aristotle's practical ethics of phronesis, arguing that ethics emerge through human interaction. The paper reports on a multi-method study and intervention in inter-professional learning and collaboration, conducted between 2008 and 2010, across an Australian health system. It draws on results from researchers' progress notes, 139 semi-structured interviews and focus groups (492 participants), more than 200 h of organizational document analysis, and more than 200 h of ethnographic observation. From conventional thematic analysis, we note that the project had considerable support from senior managers who were gatekeepers for the research. Such support stemmed from managerialist tendencies, with senior managers explicitly aligning inter-professionalism with prospective health reforms and improvements to quality of care and patient safety. Senior managers were also enthusiastic about standardized processes. Many frontline staff were less supportive, and some were suspicious of or hostile towards management-led processes to improve and evaluate care. Some senior managers' self perceived alignment with and support for the research process changed to resistance once this finding was presented. This paradox in the interplay of research findings and research process evinces the inherent tension between organizational politics and conducting action research that reflexive researchers need to negotiate in knowledge translation, exchange or mobilization exercises.

Suggested Citation

  • Nugus, Peter & Greenfield, David & Travaglia, Joanne & Braithwaite, Jeffrey, 2012. "The politics of action research: “If you don't like the way things are going, get off the bus”," Social Science & Medicine, Elsevier, vol. 75(11), pages 1946-1953.
  • Handle: RePEc:eee:socmed:v:75:y:2012:i:11:p:1946-1953
    DOI: 10.1016/j.socscimed.2012.06.024
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612005321
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2012.06.024?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Nugus, Peter & Braithwaite, Jeffrey, 2010. "The dynamic interaction of quality and efficiency in the emergency department: Squaring the circle?," Social Science & Medicine, Elsevier, vol. 70(4), pages 511-517, February.
    2. repec:ilo:ilowps:211035 is not listed on IDEAS
    3. Khanlou, N. & Peter, E., 2005. "Participatory action research: considerations for ethical review," Social Science & Medicine, Elsevier, vol. 60(10), pages 2333-2340, May.
    4. Susan Walsh & Colette Fegan, 2007. "Action learning: facilitating real change for part-time occupational therapy students," Action Learning: Research and Practice, Taylor & Francis Journals, vol. 4(2), pages 137-152.
    5. Mike Dent, 2006. "Patient choice and medicine in health care," Public Management Review, Taylor & Francis Journals, vol. 8(3), pages 449-462, September.
    6. Nugus, Peter & Greenfield, David & Travaglia, Joanne & Westbrook, Johanna & Braithwaite, Jeffrey, 2010. "How and where clinicians exercise power: Interprofessional relations in health care," Social Science & Medicine, Elsevier, vol. 71(5), pages 898-909, September.
    7. Patten, San & Mitton, Craig & Donaldson, Cam, 2006. "Using participatory action research to build a priority setting process in a Canadian Regional Health Authority," Social Science & Medicine, Elsevier, vol. 63(5), pages 1121-1134, September.
    8. Cornwall, Andrea & Jewkes, Rachel, 1995. "What is participatory research?," Social Science & Medicine, Elsevier, vol. 41(12), pages 1667-1676, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ruth Northway & Joyce Howarth & Lynne Evans, 2015. "Participatory research, people with intellectual disabilities and ethical approval: making reasonable adjustments to enable participation," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(3-4), pages 573-581, February.
    2. Peacock, Stuart & Mitton, Craig & Bate, Angela & McCoy, Bonnie & Donaldson, Cam, 2009. "Overcoming barriers to priority setting using interdisciplinary methods," Health Policy, Elsevier, vol. 92(2-3), pages 124-132, October.
    3. Asanin, Jennifer & Wilson, Kathi, 2008. ""I spent nine years looking for a doctor": Exploring access to health care among immigrants in Mississauga, Ontario, Canada," Social Science & Medicine, Elsevier, vol. 66(6), pages 1271-1283, March.
    4. Caroline Patsias & Anne Latendresse & Laurence Bherer, 2013. "Participatory Democracy, Decentralization and Local Governance: the Montreal Participatory Budget in the light of ‘Empowered Participatory Governance’," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 37(6), pages 2214-2230, November.
    5. Lauren Arundell & Kate Parker & Jo Salmon & Jenny Veitch & Anna Timperio, 2019. "Informing Behaviour Change: What Sedentary Behaviours Do Families Perform at Home and How Can They Be Targeted?," IJERPH, MDPI, vol. 16(22), pages 1-12, November.
    6. Mike Kesby, 2007. "Spatialising Participatory Approaches: The Contribution of Geography to a Mature Debate," Environment and Planning A, , vol. 39(12), pages 2813-2831, December.
    7. Ines Testoni & Irene Nencioni & Maibrit Arbien & Erika Iacona & Francesca Marrella & Vittoria Gorzegno & Cristina Selmi & Francesca Vianello & Alfonso Nava & Adriano Zamperini & Michael Alexander Wies, 2021. "Mental Health in Prison: Integrating the Perspectives of Prison Staff," IJERPH, MDPI, vol. 18(21), pages 1-14, October.
    8. Zemadim, B. & McCartney, Matthew & Langan, Simon & Sharma, Bharat, 2013. "A participatory approach for hydrometeorological monitoring in the Blue Nile River Basin of Ethiopia," IWMI Reports 201009, International Water Management Institute.
    9. Lisa M. Vaughn & MaryAnn Lohmueller, 2014. "Calling All Stakeholders," Evaluation Review, , vol. 38(4), pages 336-355, August.
    10. Ana Luiza Fontenelle & Erik Nilsson & Ieda Geriberto Hidalgo & Cintia B. Uvo & Drielli Peyerl, 2022. "Temporal Understanding of the Water–Energy Nexus: A Literature Review," Energies, MDPI, vol. 15(8), pages 1-21, April.
    11. Azad, Md Javed & Pritchard, Bill, 2022. "Financial capital as a shaper of households' adaptive capabilities to flood risk in northern Bangladesh," Ecological Economics, Elsevier, vol. 195(C).
    12. Nugus, Peter & Carroll, Katherine & Hewett, David G. & Short, Alison & Forero, Roberto & Braithwaite, Jeffrey, 2010. "Integrated care in the emergency department: A complex adaptive systems perspective," Social Science & Medicine, Elsevier, vol. 71(11), pages 1997-2004, December.
    13. Ebitu, Larmbert & Avery, Helen & Mourad, Khaldoon A. & Enyetu, Joshua, 2021. "Citizen science for sustainable agriculture – A systematic literature review," Land Use Policy, Elsevier, vol. 103(C).
    14. San Sebastián, Miguel & Hurtig, Anna Karin, 2005. "Oil development and health in the Amazon basin of Ecuador: the popular epidemiology process," Social Science & Medicine, Elsevier, vol. 60(4), pages 799-807, February.
    15. So Pyay Thar & Thiagarajah Ramilan & Robert J. Farquharson & Deli Chen, 2021. "Identifying Potential for Decision Support Tools through Farm Systems Typology Analysis Coupled with Participatory Research: A Case for Smallholder Farmers in Myanmar," Agriculture, MDPI, vol. 11(6), pages 1-20, June.
    16. Hilligoss, Brian, 2014. "Selling patients and other metaphors: A discourse analysis of the interpretive frames that shape emergency department admission handoffs," Social Science & Medicine, Elsevier, vol. 102(C), pages 119-128.
    17. Kraemer Diaz, Anne E. & Spears Johnson, Chaya R. & Arcury, Thomas A., 2013. "Variation in the interpretation of scientific integrity in community-based participatory health research," Social Science & Medicine, Elsevier, vol. 97(C), pages 134-142.
    18. Theresia Krieger & Sandra Salm & Antje Dresen & Anna Arning & Kathrin Schwickerath & Andrea Göttel & Stefanie Houwaart & Holger Pfaff & Natalia Cecon, 2022. "Optimizing Patient Information Material for a New Psycho-Oncological Care Program Using a Participatory Health Research Approach in Germany," IJERPH, MDPI, vol. 19(3), pages 1-17, January.
    19. Ahumada-Canale, Antonio & Jeet, Varinder & Bilgrami, Anam & Seil, Elizabeth & Gu, Yuanyuan & Cutler, Henry, 2023. "Barriers and facilitators to implementing priority setting and resource allocation tools in hospital decisions: A systematic review," Social Science & Medicine, Elsevier, vol. 322(C).
    20. Hipgrave, David B. & Alderman, Katarzyna Bolsewicz & Anderson, Ian & Soto, Eliana Jimenez, 2014. "Health sector priority setting at meso-level in lower and middle income countries: Lessons learned, available options and suggested steps," Social Science & Medicine, Elsevier, vol. 102(C), pages 190-200.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:75:y:2012:i:11:p:1946-1953. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.