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Related Experiment Video

Updated: May 15, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Advancing knowledge on practice change: linking facilitation to the senses framework.

Julie Cooper¹, Julienne Meyer, Cheryl Holman

¹School of Health Sciences, City University London, London, UK. julie.cooper.1@city.ac.uk

Journal of Clinical Nursing

|January 23, 2013

Summary

This summary is machine-generated.

This study explored how to help healthcare staff engage in practice change. A supportive researcher presence and opportunities for staff to discuss challenges were key to overcoming learned helplessness and facilitating change.

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Area of Science:

Nursing Research
Healthcare Management
Organizational Psychology

Background:

Facilitation is crucial for practice change, yet its nature in nursing remains under-researched.
Staff on an older people's rehabilitation ward exhibited learned helplessness and defense mechanisms hindering practice development.
Exploration of facilitating factors was necessary to understand how to overcome these barriers.

Purpose of the Study:

To identify factors that enabled healthcare staff on a rehabilitation ward for older people to engage in practice change activities.
To understand the facilitators of engagement in practice development within a clinical setting.

Main Methods:

An action research approach was employed.
Data were collected through 13 in-depth interviews with staff and managers.
Three years of researcher field notes were analyzed using thematic analysis.

Main Results:

The continuous, neutral presence of the researcher was a key facilitator.
A flexible, ward-based approach addressing staff concerns was effective.
Providing opportunities for staff to explore their work experiences promoted engagement with change.

Conclusions:

The senses framework offers a theoretical approach to facilitation, helping staff overcome learned helplessness and defense mechanisms.
This study identifies a practical facilitation approach for engaging staff in practice change.
The findings have international relevance for practice change facilitation in healthcare settings.