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T G Badger

Publications and source records attributed to T G Badger.

2 recordsLinked to original sources

Action research, change and methodological rigour.

AIM: To critically examine concepts of methodological rigour in action research and consider how these affect its capacity to enable change. KEY ISSUES: Action research is potentially attractive to managers of nursing because it is a problem-focused approach. As action research is identified as a continuum of definitions and philosophies rather than a single approach, caution is expressed that the search for definition may obscure the underlying process of change. Issues of reliability and validity are explored, suggesting that concern for methodological rigour may limit the potential for change and improvement in practice. Ethical issues in action research are considered identifying areas for tension between researchers, managers and practitioners. Some examples of action research in nursing are discussed. CONCLUSION: Action research may be valuable in individual practitioners' development or in fostering collaboration between academe and practice. However the demands for methodological rigour in research limit its effectiveness as a strategy for managing change.

Conflict, Psychological↗

Quality management within a cost-constrained service.

AIM: To examine the meaning of quality and ways in which quality can be improved despite budgetary limitations. KEY ISSUES: Definitions of quality are discussed, comparing the development from industrial concepts of quality to that contained within the Department of Health's A First CLASS SERVICE: The relationship of cost and quality is examined and the effects of changing treatments on healthcare costs explored. Clinical error is identified as a cause of increased cost through failure to maintain quality. A variety of quality tools are discussed in identifying ways in which quality can be improved within a cost-limited service. Thrombolysis is used as an exemplar and the effects on nursing discussed. CONCLUSION: There is research evidence which demonstrates that some areas of quality are amenable to improvement despite budgetary constraints.

Budgets↗