RPH Critical Care Interdisciplinary Team Expertise Research
Research type
Research Study
Full title
A Critical Participatory Action Research approach to Interprofessional team Praxis development on the Critical Care Unit at Royal Papworth Hospital
IRAS ID
334029
Contact name
Robert Gatherer
Contact email
Sponsor organisation
Royal Papworth Hospital
Duration of Study in the UK
2 years, 0 months, 0 days
Research summary
Delivery of the best care for our complex patients on critical care requires the integration of three forms of knowledge:
i. understanding of principles of medical science (theoretical knowledge),
ii. a refined process for care delivery (technical/experiential knowledge)
iii. the interplay of interdisciplinary expert teams evolving their practice to adapt and encompass new approaches to patient care (practical wisdom – praxis)
Decisions and actions in the context of complex situations in healthcare are composed of application of theory, experience, ethical consideration and interplay of multiple relationships involving cultural, social, and historical contexts. Simplification of the understanding involved to pure theoretical principles or standard operating procedures (the work as envisaged) risks ignoring this rich and complex interplay.
By utilising a critical participatory action research approach through video stimulated Critical reflective sessions we will develop a research approach that places each involved team member on equal footing as fellow researchers of their combined praxis. Together they will reflect on their own clinical practice, generate insights into their approach and evolve together to deliver better patient centred care.
The research facilitators will record clinical practice on the Critical Care unit focusing on situations of complex and potentially time critical multidisciplinary care. Short clips will be identified, those considered by the researchers likely to stimulate critical reflection in the following Stimulated reflection session.
Each facilitated reflection session will comprise 6-10 interdisciplinary team members and will last 45-60min. Selected clips will be utilised to stimulate discussion, individual reflection and team Critical reflection. Reflections and feedback from these sessions will inform and evolve practice on the critical care unit.
These recordings and the follow up session will initially run every two weeks for three months with the intension to develop the research process into a continuous tool for team praxis development.REC name
West Midlands - Black Country Research Ethics Committee
REC reference
24/WM/0074
Date of REC Opinion
8 Apr 2024
REC opinion
Further Information Favourable Opinion