Addressing sustainability: a hospital-based action research study

Geralyn Hynes

in Participatory Research in Palliative Care

Published in print December 2012 | ISBN: 9780199644155
Published online January 2013 | e-ISBN: 9780191749094 | DOI:
Addressing sustainability: a hospital-based action research study

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Palliative care policies highlight the requirement for all healthcare staff to be able to provide basic palliative care in their clinical practice. However, difficulties persist in embedding palliative care in everyday practice. Reasons for this may reflect interventions that address single rather than double loop learning where core assumptions, values, attitudes and frameworks for practice are not addressed. Double loop learning can be addressed through third order change in which the focus is on questioning values and assumptions. Embedding basic palliative care in practice through action research raises questions about how best to open and sustain the inquiry process towards third order change. Sustainability ultimately rests on the capacity of an action research project to promote an attitude of inquiry in which practitioners become sensitized to how they interpret and respond to care needs in everyday practice.

Keywords: sustainability; order of change; co-operative inquiry; COPD; basic level palliative care; attitude of inquiry

Chapter.  6318 words.  Illustrated.

Subjects: Palliative Medicine

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