1
|
Vaughn LM. Group Level Assessment Methodology as a Liberating Structure Within Qualitative and Participatory Research. QUALITATIVE HEALTH RESEARCH 2024:10497323241240654. [PMID: 38648084 DOI: 10.1177/10497323241240654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
Group level assessment (GLA) is a qualitative and participatory research-to-action methodology designed to engage a large group of relevant participants throughout the research process. As originally conceived, a single GLA session is led by a trained facilitator who guides the participants through seven structured steps: climate setting, generating, appreciating, reflecting, understanding, selecting, and action. The purpose of this manuscript is to describe the 25-year trajectory and uses, contributions as a liberating structure, and adaptations of GLA.
Collapse
Affiliation(s)
- Lisa M Vaughn
- Pediatrics, Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, OH, USA
- Educational Studies Community-Based Action Research, University of Cincinnati, Cincinnati, OH, USA
| |
Collapse
|
2
|
Gingell T, Adhikari R, Eltahir N, Ntahomvukiye F, Pe E, Murray K, Correa-Velez I, Gallegos D. 'It is human work': qualitatively exploring community roles that facilitate cultural food security for people from refugee backgrounds. Public Health Nutr 2024; 27:e64. [PMID: 38316531 PMCID: PMC10897574 DOI: 10.1017/s1368980024000326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 11/18/2023] [Accepted: 01/15/2024] [Indexed: 02/07/2024]
Abstract
OBJECTIVES Cultural food security is crucial for cultural health and, for people from refugee backgrounds, supports the settlement journey. Cultural communities are vital in facilitating access to cultural foods; however, it is not understood how refugee-background communities sustain cultural food security in the Australian context. This study aimed to explore key roles in refugee-background communities to understand why they were important and how they facilitate cultural food security. DESIGN Interviews were conducted by community researchers, and data analysis was undertaken using best-practice framework for collaborative data analysis. SETTING Greater Brisbane, Australia. PARTICIPANTS Six interviews were conducted between August and December 2022 with people from a refugee-background community, lived in Greater Brisbane and who fulfilled a key food role in the community that facilitated access to cultural foods. RESULTS Fostering improved cultural food security supported settlement by creating connections across geographical locations and cultures and generated a sense of belonging that supported the settlement journey. Communities utilised communication methods that prioritised the knowledge, wisdom and experience of community members. It also provided community members with influence over their foodways. Community leaders had an ethos that reflected collectivist values, where community needs were important for their own health and well-being. CONCLUSIONS Communities are inherently structured and communicate in a way that allows collective agency over foodways. This agency promotes cultural food security and is suggestive of increased food sovereignty. Researchers and public health workers should work with communities and recognise community strengths. Food security interventions should target cultural food security and autonomy.
Collapse
Affiliation(s)
- Tina Gingell
- School of Nutrition and Exercise Sciences, Queensland University of Technology (QUT), Brisbane, Australia
- Centre for Childhood Nutrition Research (CCNR), Level 6, 62 Graham Street, South Brisbane, Qld4101, Australia
| | - Rishita Adhikari
- School of Nutrition and Exercise Sciences, Queensland University of Technology (QUT), Brisbane, Australia
| | - Nehal Eltahir
- Islamic Women’s Association of Australia, Brisbane, Australia
| | - Fulgence Ntahomvukiye
- School of Nutrition and Exercise Sciences, Queensland University of Technology (QUT), Brisbane, Australia
| | - Evelyn Pe
- Ethnic Communities Council of Queensland, Brisbane, Australia
| | - Kate Murray
- School of Psychology & Counselling, Queensland University of Technology (QUT), Brisbane, Australia
| | - Ignacio Correa-Velez
- School of Public Health & Social Work, Queensland University of Technology (QUT), Brisbane, Australia
| | - Danielle Gallegos
- School of Nutrition and Exercise Sciences, Queensland University of Technology (QUT), Brisbane, Australia
- Centre for Childhood Nutrition Research (CCNR), Level 6, 62 Graham Street, South Brisbane, Qld4101, Australia
| |
Collapse
|
3
|
Foley K, Lunnay B, Kevin C, Ward PR. Developing a Women's Thought Collective methodology for health research: The roles and responsibilities of researchers in the reflexive co-production of knowledge. Health Expect 2023; 26:1954-1964. [PMID: 37522791 PMCID: PMC10485336 DOI: 10.1111/hex.13804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 06/09/2023] [Accepted: 06/10/2023] [Indexed: 08/01/2023] Open
Abstract
BACKGROUND Co-produced research holds enormous value within the health sciences. Yet, there can be a heavy focus on what research participants think, do and know; while the researcher's responsibility to explore and re/work their own knowledge or praxis tends to escape from view. This is reflected in the limited use of co-production to explore broad structural distributions of health and risk(s). We argue this missed opportunity has the potential to unfold as what Berlant calls a 'cruel optimism', where something desirable becomes an obstacle to flourishing and/or produces harm. We explore challenges to involving lay populations meaningfully in health research amidst a neoliberal cultural landscape that tends to responsibilise people with problems they cannot solve. METHODS AND FINDINGS Drawing together principles from hermeneutic and feminist philosophy, we develop a novel methodology for co-producing research about determinants of health and health risk (using a case study of alcohol consumption as an example) that centres on what researchers do, know and think during research: Women's Thought Collectives. DISCUSSION Keeping the constructed nature of social systems-because they shape ideas of value, expertise and knowledge-in view during co-produced research illuminates the potential for cruel optimisms within it. Such reflexive awareness carves out starting points for researchers to engage with how social hierarchies might (tacitly) operate during the co-production of knowledge. Our work has broad utility for diverse population groups and provides important considerations around the roles and responsibilities for reflexive co-production of knowledge at all levels of health systems. PATIENT OR PUBLIC CONTRIBUTION The development of these ideas was sparked by working with lay participants during the Women's Thought Collectives for Kristen Foley's doctoral research 2021-2023, but undertaken without their direct involvement-in accordance with the responsibilities of researchers in the reflexive co-production of knowledge. Forthcoming publications will address the outcomes and processes of this work.
Collapse
Affiliation(s)
- Kristen Foley
- Research Centre for Public Health, Equity and Human FlourishingTorrens University AustraliaAdelaideAustralia
| | - Belinda Lunnay
- Research Centre for Public Health, Equity and Human FlourishingTorrens University AustraliaAdelaideAustralia
| | - Catherine Kevin
- College of Humanities and Social ScienceFlinders UniversityAdelaideAustralia
| | - Paul R. Ward
- Research Centre for Public Health, Equity and Human FlourishingTorrens University AustraliaAdelaideAustralia
| |
Collapse
|
4
|
Brown D, River J, Sheppard-Law S, Chang O, Obed J, Townsend L, Iro E, Rumsey M. Evaluation of a Culturally Adapted Online Basic Psychosocial Skills Training Program for International Frontline Workers in Under-Resourced Contexts During the COVID-19 Pandemic. Disaster Med Public Health Prep 2023; 17:e452. [PMID: 37587713 DOI: 10.1017/dmp.2023.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/18/2023]
Abstract
OBJECTIVE Frontline workers report negative mental health impacts of being exposed to the risk of COVID-19, and of supporting people struggling with the effects of the virus. Uptake of psychological first-aid resources is inconsistent, and they may not meet the needs of frontline workers in under-resourced contexts. This study evaluates a culturally adapted basic psychosocial skills (BPS) training program that aimed to meet the needs of frontline workers in under-resourced settings. METHODS A cross-sectional survey administered to frontline workers who completed the program between 2020 and 2022, investigated their perceived confidence, satisfaction, and skill development, as well as their views on relevance to context and accessibility of the program. RESULTS Out of the 1000 people who had undertaken the BPS program, 118 (11.8%) completed the survey. Participants reported high levels of satisfaction and improved confidence in, and knowledge of, psychosocial skills. Participants reported that the BPS program was culturally and contextually relevant, and some requested expansion of the program, including more interactivity, opportunities for anonymous participation, and adaption to other cultural contexts, including translation into languages other than English. CONCLUSION Findings indicate a need for free, online, and culturally adapted psychosocial skills training program that is designed with key stakeholders to ensure relevance to social and cultural contexts.
Collapse
Affiliation(s)
- Di Brown
- World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development, Faculty of Health, University of Technology Sydney (UTS), Sydney, Australia
| | - Jo River
- World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development, Faculty of Health, University of Technology Sydney (UTS), Sydney, Australia
- Faculty of Medicine and Health, University of Sydney, Sydney, Australia
- Northern Sydney Local Health District, Sydney, Australia
| | - Suzanne Sheppard-Law
- School of Nursing and Midwifery, Faculty of Health, UTS, Sydney, Australia
- The Prince of Wales Hospital & Sydney Hospital & Sydney Eye Hospital
| | - Odille Chang
- College of Medicine, Nursing and Health Sciences, Fiji National University, Fiji
| | | | - Lisa Townsend
- School of Nursing and Midwifery, Faculty of Health, UTS, Sydney, Australia
| | | | - Michele Rumsey
- World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development, Faculty of Health, University of Technology Sydney (UTS), Sydney, Australia
| |
Collapse
|
5
|
Meldahl LG, Krijger L, Andvik MM, Cardenas NE, Cuddeford O, Duerto S, Game JR, Ibenfeldt M, Mustafa M, Tong M, Viksveen P. Characteristics of the ideal healthcare services to meet adolescents' mental health needs: A qualitative study of adolescents' perspectives. Health Expect 2022; 25:2924-2936. [PMID: 36074720 DOI: 10.1111/hex.13600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 08/25/2022] [Accepted: 08/26/2022] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Despite increased focus on development of mental health services worldwide, many adolescents still hesitate to reach out to the services when they need them. This might be linked to the lack of adolescent involvement in the development of services. This study aimed to explore adolescents' perspectives on the ideal healthcare services to meet their mental health needs. METHODS A two-stage qualitative study was carried out to explore the perspectives of adolescents on the healthcare services to support their mental health. In the first stage, data from 295 adolescents attending a mental health seminar were analysed using qualitative content analysis. In the second stage, in-depth perspectives of 10 adolescent coresearchers were gathered through self-reflection and group discussions to further explore the categories developed in the first stage. Thematic analysis was used to develop the themes answering the research question. Ten adolescent coresearchers planned the study, collected and analysed data and authored the manuscript, with the support of a senior researcher. RESULTS Five themes describe adolescents' perspectives on the ideal healthcare services to meet their mental health needs: (1) Culturally Sensitive and Responsive; (2) Communication of Information; (3) Easy Access; (4) Variety of Support; and (5) Consistency. Culturally Sensitive and Responsive services influenced all other themes. The themes describe suggestions for mental health service improvement, including how to manage the barriers that adolescents face to receive help from the mental health services. DISCUSSION This study highlights the importance of culturally sensitive and responsive services. It raises the need for an expanded definition of culture going beyond nationality and ethnic background. Adolescents need flexible services that meet their individual mental health needs. This has implications for practitioners, educators, system organizers and researchers, who should also involve adolescents in planning, implementing and assessing the services. There is a need for a self-learning system to continuously adapt to user feedback. CONCLUSION This study provides insight into adolescents' perspectives on the ideal mental health services. It offers suggestions for ways to improve services to better meet the individual mental health needs of adolescents. Additional research is needed to further develop and implement service changes, as well as to assess their acceptability, effectiveness, cost-effectiveness and safety. PATIENT OR PUBLIC CONTRIBUTION This is a study lead by adolescents. Adolescent coresearchers have, with the support of a senior researcher, planned and carried out the study, collected and analysed data and authored the manuscript.
Collapse
Affiliation(s)
- Laia G Meldahl
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
| | - Lou Krijger
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,ESCP Europe (Business Management), Ecole Supérieure de Commerce de Paris, Paris, France
| | - Maren M Andvik
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,School of Medical, Veterinary and Life Sciences (Zoology), University of Glasgow, Glasgow, Scotland
| | - Nicole E Cardenas
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,School of Psychology (Psychology), University of Aberdeen, Aberdeen, Scotland
| | - Oliver Cuddeford
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,Faculty of Art Design and Architecture (Architecture), University of Huddersfield, Huddersfield, UK
| | - Samuel Duerto
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,Faculty of Philosophy, Theology and Religious Studies (Philosophy, Politics and Societies), Radboud University, Nijmegen, The Netherlands
| | - Julia R Game
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,Faculty of Medicine, Pomeranian Medical University, Szczecin, Poland
| | - Maya Ibenfeldt
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,Faculty of Biology, Medicine and Health (Pharmacology), University of Manchester, Manchester, UK
| | - Murad Mustafa
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,Faculty of Health Sciences (Nursing), University of Stavanger, Stavanger, Norway
| | - Mathias Tong
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.,Department of Chemical Engineering and Analytical Science (Chemical Engineering), University of Manchester, Manchester, UK
| | - Petter Viksveen
- Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
| |
Collapse
|
6
|
Rumsey M, Iro E, Brown D, Larui M, Sam H, Brooks F. Development Practices in Senior Nursing and Midwifery Leadership: Pathways to Improvement in South Pacific Health Policy. Policy Polit Nurs Pract 2022; 23:195-206. [PMID: 35535418 DOI: 10.1177/15271544221095768] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
The Pacific Islands countries consist of thousands of isolated islands with a combined population of over 10 million people. It is a heterogeneous and diverse region culturally, linguistically economically and politically. Health challenges are considerable and healthcare systems are often overstretched. Framed in the context of the World Health Organisation's strategic directions and policy priorities, this paper describes an account of collaboration across these countries to develop leadership skills in the nursing and midwifery professions. It outlines lessons for nursing leadership, healthcare policy development and the valuable role of Government Chief Nursing and Midwifery Officers. The South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA) is a cooperative partnership, which was formed to improve the quality of healthcare in the region. It acts as an enabler to promote leadership skills and provide a safe space for learning, developing policy and the sharing of good practice. Through mentorship programs, international meetings and strong relationship-building, the SPCNMOA has strengthened partnerships within the region and improved community health services in even the most remote areas. By strengthening leadership and collaboration, these health professionals are now recognised by key policy makers as knowledgeable experts who have a legitimate role in guiding policy development, changing practice and delivering health policy improvements at local, country and international levels.
Collapse
Affiliation(s)
- Michele Rumsey
- 1994University of Technology Sydney, WHO Collaborating Center
| | - Elizabeth Iro
- 3489World Health Organization, Chief Nursing Officer
| | - Di Brown
- 1994University of Technology Sydney, WHO Collaborating Center.,Faculty of Heath
| | - Michael Larui
- 590666Solomon Islands Ministry of Health and Medical Services, National Director of Nursing
| | - Harriet Sam
- 206807Government of the Republic of Vanuatu, Principal Nursing, Officer Directive of Hospital and Curative Services (MOH)
| | - Fiona Brooks
- 1994Vice-Chancellor and Dean of the Faculty of Health and Environmental Sciences, Auckland University of Technology, New Zealand
| |
Collapse
|