Inclusion and exclusion in action research on person-centred health care: A framework for cultivating the tensions in dialogue

Publikation: Bidrag til bog/antologi/rapportBidrag til bog/antologiForskningpeer review

Resumé

This chapter presents a social constructionist theoretical framework for engaging in critical, reflexive analysis of the tensions integral to dialogue and illustrates its application in an action research project attached to “Active Patient Support”, a patient-centred health care initiative in which nurses engage in collaborative counselling with citizens with chronic diseases in telephone conversations. The framework draws on Bakhtin in order to theorise dialogue in terms of the tensional negotiation of meanings across multiple voices and on Foucault in order to address how tensions arise in the play of power/knowledge in which certain voices dominate. Two types of tensions are identified and explored: tensions in counselling conversations and tensions in the action research process. First, we show how the nursing team and university researchers, in action research workshops, drew on the framework in joint analysis of a range of tensions arising in counselling conversations in order to develop a model of dialogic communication that could further develop counselling practices. Second, we show how tensions arose in the action research process itself between opening up for multiple nursing voices and managing the process in order to produce a communication model. In conclusion, the chapter discusses limitations of the framework.

OriginalsprogEngelsk
TitelAction Research in a Relational Perspective : Dialogue, reflexivity, power and ethics
RedaktørerLone Hersted, Ottar Ness, Søren Frimann
Antal sider21
ForlagRoutledge
Publikationsdato2019
Kapitel9
ISBN (Trykt)9780367257224
StatusUdgivet - 2019
NavnRoutledge Advances in Research Methods

Emneord

    Citer dette

    Phillips, L. J., & Scheffmann-Petersen, M. (2019). Inclusion and exclusion in action research on person-centred health care: A framework for cultivating the tensions in dialogue I L. Hersted, O. Ness, & S. Frimann (red.), Action Research in a Relational Perspective: Dialogue, reflexivity, power and ethics Routledge. Routledge Advances in Research Methods
    Phillips, Louise Jane ; Scheffmann-Petersen, Michael. / Inclusion and exclusion in action research on person-centred health care : A framework for cultivating the tensions in dialogue Action Research in a Relational Perspective: Dialogue, reflexivity, power and ethics. red. / Lone Hersted ; Ottar Ness ; Søren Frimann. Routledge, 2019. (Routledge Advances in Research Methods).
    @inbook{bdc35c3358d14bf0b3df58f031eb1ef7,
    title = "Inclusion and exclusion in action research on person-centred health care: A framework for cultivating the tensions in dialogue",
    abstract = "This chapter presents a social constructionist theoretical framework for engaging in critical, reflexive analysis of the tensions integral to dialogue. The framework is based on dialogic communication theory and combines Bakhtin’s theory of dialogue and Foucault’s theory of power/knowledge and discourse. The application of the framework is illustrated in an action research project designed to further develop “Active Patient Support” (APS), a person-centred health care initiative in which nurses engage in collaborative telephone counselling with citizens with chronic illnesses. In the chapter, we describe and discuss the use of the framework to cultivate critical reflexivity of the tensions in both counselling conversations and in the action research process.",
    keywords = "dialogue, dialogic communication theory, Collaborative knowledge production, Reflexivity, Action research, voice, tensions",
    author = "Phillips, {Louise Jane} and Michael Scheffmann-Petersen",
    year = "2019",
    language = "English",
    isbn = "9780367257224",
    editor = "Lone Hersted and Ottar Ness and S{\o}ren Frimann",
    booktitle = "Action Research in a Relational Perspective",
    publisher = "Routledge",

    }

    Phillips, LJ & Scheffmann-Petersen, M 2019, Inclusion and exclusion in action research on person-centred health care: A framework for cultivating the tensions in dialogue i L Hersted, O Ness & S Frimann (red), Action Research in a Relational Perspective: Dialogue, reflexivity, power and ethics. Routledge, Routledge Advances in Research Methods.

    Inclusion and exclusion in action research on person-centred health care : A framework for cultivating the tensions in dialogue . / Phillips, Louise Jane; Scheffmann-Petersen, Michael.

    Action Research in a Relational Perspective: Dialogue, reflexivity, power and ethics. red. / Lone Hersted; Ottar Ness; Søren Frimann. Routledge, 2019.

    Publikation: Bidrag til bog/antologi/rapportBidrag til bog/antologiForskningpeer review

    TY - CHAP

    T1 - Inclusion and exclusion in action research on person-centred health care

    T2 - A framework for cultivating the tensions in dialogue

    AU - Phillips, Louise Jane

    AU - Scheffmann-Petersen, Michael

    PY - 2019

    Y1 - 2019

    N2 - This chapter presents a social constructionist theoretical framework for engaging in critical, reflexive analysis of the tensions integral to dialogue. The framework is based on dialogic communication theory and combines Bakhtin’s theory of dialogue and Foucault’s theory of power/knowledge and discourse. The application of the framework is illustrated in an action research project designed to further develop “Active Patient Support” (APS), a person-centred health care initiative in which nurses engage in collaborative telephone counselling with citizens with chronic illnesses. In the chapter, we describe and discuss the use of the framework to cultivate critical reflexivity of the tensions in both counselling conversations and in the action research process.

    AB - This chapter presents a social constructionist theoretical framework for engaging in critical, reflexive analysis of the tensions integral to dialogue. The framework is based on dialogic communication theory and combines Bakhtin’s theory of dialogue and Foucault’s theory of power/knowledge and discourse. The application of the framework is illustrated in an action research project designed to further develop “Active Patient Support” (APS), a person-centred health care initiative in which nurses engage in collaborative telephone counselling with citizens with chronic illnesses. In the chapter, we describe and discuss the use of the framework to cultivate critical reflexivity of the tensions in both counselling conversations and in the action research process.

    KW - dialogue

    KW - dialogic communication theory

    KW - Collaborative knowledge production

    KW - Reflexivity

    KW - Action research

    KW - voice

    KW - tensions

    M3 - Book chapter

    SN - 9780367257224

    BT - Action Research in a Relational Perspective

    A2 - Hersted, Lone

    A2 - Ness, Ottar

    A2 - Frimann, Søren

    PB - Routledge

    ER -

    Phillips LJ, Scheffmann-Petersen M. Inclusion and exclusion in action research on person-centred health care: A framework for cultivating the tensions in dialogue I Hersted L, Ness O, Frimann S, red., Action Research in a Relational Perspective: Dialogue, reflexivity, power and ethics. Routledge. 2019. (Routledge Advances in Research Methods).