J Korean Acad Nurs Adm.  2013 Jan;19(1):95-107.

A Journey to Action Research in a Clinical Nursing Context

• Jang KS
• Kim H
• Kim EA
• Kim YM
• Moon JE
• Park H
• Song MO
• Baek M

Abstract

PURPOSE
The purpose of this study was to examine the effectiveness of Action Research (AR) approach in nursing.
METHODS
Participants were 64 perioperative nurses recruited from C hospital in Gwangju, Korea. The nurses were engaged in the project through 2 cycles of planning, acting, observing, and reflecting. A mixed-methods design was used to examine changes in participants and their knowledge management practice. Quantitative data were analyzed using SPSS 20.0 program and qualitative reflection data underwent content analysis.
RESULTS
During the project, participants developed standardized pre-operative checklists and opened an Internet Cafe to better manage their perioperative nursing information. At the end of the project, there was a significant increase in nurses' knowledge management (p=.015) and the rate of surgical material prescription errors decreased from 8.0% to 2.9%. Core AR project team members' teamwork skills and organizational commitment increased significantly (p=.040, p=.301, respectively). The main themes that emerged from the qualitative data were learning how to solve problems in practice, facilitating team activities through motivation, barriers of large participation, and rewarded efforts and inflated expectations.
CONCLUSION
The AR project contributed to empowering participants to solve local problems. AR is a useful methodology to promote changes in practices and research participants.

Keyword

Action research; Nurses; Operating rooms; Quality improvement

MeSH Terms

Checklist
Health Services Research
Internet
Knowledge Management
Korea
Learning
Motivation
Operating Rooms
Perioperative Nursing
Prescriptions
Quality Improvement
Reward

Figure

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  Figure 1 Conceptual model of an action research thesis (Zuber-Skerritt & Fletcher, 2007).

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  Figure 2 Construction of quantitative and qualitative data.

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  Figure 3 The road map of core AR project.

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