Insider action research and the microsystem of a Danish surgical ward

Blog post by Charlotte Paltved

In this insider action research project at a Danish surgical ward, nurses and physicians were able to formulate an overarching vision of interprofessionalism and this helped inspire changes in clinical practice for the benefit of our patients. Both nurses and physicians viewed the co-creation and co-inquiry as important resources in transforming this surgical ward into a better microsystem. We used microsystems as a theoretical framework to conceive the success of health system redesign as a matter of enabling the clinical team to meet patient needs.

Dr. Svante Lifvergren describes our paper saying, “This paper accounts for a complex AR process that seeks to improve the care for patients in a surgical ward. The paper gives a detailed description of the process, using a mixed methods approach to involve various stakeholders in a participative process that aims at improving care safety for patients at the ward. Thus, the insights from the case should eventually be transferrable to other contexts dealing with similar issues”.

By combining insider action research with clinical microsystems, this study highlights the importance of senior leaders to recognize the nature and power of using the microsystem approach for strategy, excellence, innovation, and research.

What are your thoughtsPaltved? Where do you see using the microsystem approach in your organization or community?

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