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Original Article

A Journey to Action Research in a Clinical Nursing Context

Keum Seong Jang1, Heeyoung Kim2, Eun A Kim3, Yun Min Kim4, Jeong Eun Moon5, Hyunyoung Park6, Mi-Ok Song7, Myeong Baek8
Journal of Korean Academy of Nursing Administration 2013;19(1):95-107.
Published online: January 31, 2013

1College of Nursing, Chonnam National University Chonnam Research Institute of Nursing Science, Korea.

2Central Operating Unit, Chonnam National University Hospital, Korea.

3Department of Nursing, Nambu University, Korea.

4Department of Nursing, Gwangju Health College, Korea.

5Division of Infection Control, Chonnam National University Hwasun Hospital, Korea.

6Department of Nursing, Graduate School, Chonnam National University, Korea.

7Department of Nursing, Graduate School, Chonnam National University; Central Operating Unit, Chonnam National University Hospital, Korea.

8Department of Nursing, Songwon University, Korea.

Correspondence: Kim, Heeyoung. Chonnam National University Hospital, 42, Jebong-ro, Donggu, Gwangju 501-747, Korea. Tel: 82-62-220-5930, Fax: 82-62-220-5980, tlcncfe@daum.net
• Received: November 14, 2012   • Revised: January 10, 2013   • Accepted: January 11, 2013

Copyright © 2013 Korean Academy of Nursing Administration

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  • 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.
  • Key Words: Action research; Nurses; Operating rooms; Quality improvement

This article is addition based on the quality improvement activity of the OR in Chonnam National University Hospital, 2011.

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Figure 1
Conceptual model of an action research thesis (Zuber-Skerritt & Fletcher, 2007).
jkana-19-95-g001.jpg
Figure 2
Construction of quantitative and qualitative data.
jkana-19-95-g002.jpg
Figure 3
The road map of core AR project.
jkana-19-95-g003.jpg
Table 1
Number of New Information Postings and Prescription Error Rates (N=64)
jkana-19-95-i001.jpg
Table 2
Effectiveness of Knowledge Management in OR Nurses (N=49)
jkana-19-95-i002.jpg
Table 3
Effectiveness of Teamwork Skills, Organizational Committment in CARP Team Members (N=12)
jkana-19-95-i003.jpg
Table 4
Content Analysis of Reflection in CARP Team Members
jkana-19-95-i004.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Exploring Nursing Research Culture in Clinical Practice: Qualitative Ethnographic Study
      Hyeyoung Hwang, Jennie C De Gagne, Leeho Yoo, Miji Lee, Hye Kyung Jo, Ju-eun Kim
      Asian/Pacific Island Nursing Journal.2024; 8: e50703.     CrossRef
    • Nursing Students’ Experience of Action Learning in Clinical Practice of Nursing Management
      Yong Sook EO, Hae Ok KIM
      JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2021; 33(5): 1114.     CrossRef
    • Establishing a Clinical Ladder System for Nurses in a Small and Medium-sized Hospital
      Heeyoung Kim, Younghee Han, Okkyung Kim
      Journal of Korean Academy of Nursing Administration.2018; 24(5): 466.     CrossRef
    • Action Research in Hospital Settings: A Literature Review of International Nursing Journals
      Jeong Eun Moon, Mi-Ok Song, Hee Young Kim, Hyun Young Park, Eun A Kim, Yun Min Kim, Keum Seong Jang
      Journal of Korean Academy of Nursing Administration.2016; 22(1): 46.     CrossRef

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    A Journey to Action Research in a Clinical Nursing Context
    J Korean Acad Nurs Adm. 2013;19(1):95-107.   Published online January 31, 2013
    DOI: https://doi.org/10.11111/jkana.2013.19.1.95
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    A Journey to Action Research in a Clinical Nursing Context
    J Korean Acad Nurs Adm. 2013;19(1):95-107.   Published online January 31, 2013
    DOI: https://doi.org/10.11111/jkana.2013.19.1.95
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    A Journey to Action Research in a Clinical Nursing Context
    Image Image Image
    Figure 1 Conceptual model of an action research thesis (Zuber-Skerritt & Fletcher, 2007).
    Figure 2 Construction of quantitative and qualitative data.
    Figure 3 The road map of core AR project.

    Figure 1

    Figure 2

    Figure 3

    A Journey to Action Research in a Clinical Nursing Context

    Number of New Information Postings and Prescription Error Rates (N=64)

    Effectiveness of Knowledge Management in OR Nurses (N=49)

    Effectiveness of Teamwork Skills, Organizational Committment in CARP Team Members (N=12)

    Content Analysis of Reflection in CARP Team Members
    Table 1 Number of New Information Postings and Prescription Error Rates (N=64)

    Table 2 Effectiveness of Knowledge Management in OR Nurses (N=49)

    Table 3 Effectiveness of Teamwork Skills, Organizational Committment in CARP Team Members (N=12)

    Table 4 Content Analysis of Reflection in CARP Team Members

    Table 1

    Table 2

    Table 3

    Table 4

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