Consumer representative experiences of partnership with health workers in Australia

We examine the experiences of Consumer Representatives participating in consumer engagement activities across a public health service in NSW, Australia. A team of Consumer Representatives and staff members use a participatory, constructivist paradigm and a hermeneutic phenomenological approach to an...

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Autores principales: Coralie Wales, Judith Lababedi, Alison Coles, Philip Lee, Emma Clarke
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Lenguaje:EN
Publicado: The Beryl Institute 2021
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spelling oai:doaj.org-article:e4f165efbbc341f68dfa07218962c1502021-11-15T04:34:02ZConsumer representative experiences of partnership with health workers in Australia2372-0247https://doaj.org/article/e4f165efbbc341f68dfa07218962c1502021-11-01T00:00:00Zhttps://pxjournal.org/journal/vol8/iss3/8https://doaj.org/toc/2372-0247We examine the experiences of Consumer Representatives participating in consumer engagement activities across a public health service in NSW, Australia. A team of Consumer Representatives and staff members use a participatory, constructivist paradigm and a hermeneutic phenomenological approach to analyse ten interviews with Consumer Representatives over three years 2017-2019, and three focus groups in 2020. We explore these experiences and identify the linked contextual factors from their points of view. Consumer Representatives were prepared to invest their time, but they needed respect. “Respect” from a consumer perspective was being meaningfully included, supported and heard, and activities needed to be purposeful and relevant. They operated in a complex environment of people and systems that were sometimes frustrating and hindered partnership. Nevertheless, they were optimistic their involvement made a difference although this may take time. Using hermeneutic phenomenology enabled the results to be seen clearly after a comprehensive and highly iterative process engaging with participants-as-researchers. The results challenge the usual default position of engaging consumers in committees and reveal other opportunities to focus on patient-centred care, as mandated by Australian National Standards for hospital accreditation. Respect is identified as a practice necessary to enhance engagement. Health organisations may improve consumer engagement outcomes as mandated for accreditation by being aware of the experiences of Consumer Representatives giving their time to partner with staff members and health systems. Staff may mitigate Consumer Representative negative experiences by being mindful of the complex people and system environment within health that can impede successful engagement. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>Coralie WalesJudith LababediAlison ColesPhilip LeeEmma ClarkeThe Beryl Institutearticleparticipant-researchersconsumer representativeshealth consumersconsumer experienceconsumer partnershipheideggerphenomenologyhermeneutic circlepower imbalancerespectaustralian national standards for quality and safetypatient-centred carepatient engagementMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2021)
institution DOAJ
collection DOAJ
language EN
topic participant-researchers
consumer representatives
health consumers
consumer experience
consumer partnership
heidegger
phenomenology
hermeneutic circle
power imbalance
respect
australian national standards for quality and safety
patient-centred care
patient engagement
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle participant-researchers
consumer representatives
health consumers
consumer experience
consumer partnership
heidegger
phenomenology
hermeneutic circle
power imbalance
respect
australian national standards for quality and safety
patient-centred care
patient engagement
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Coralie Wales
Judith Lababedi
Alison Coles
Philip Lee
Emma Clarke
Consumer representative experiences of partnership with health workers in Australia
description We examine the experiences of Consumer Representatives participating in consumer engagement activities across a public health service in NSW, Australia. A team of Consumer Representatives and staff members use a participatory, constructivist paradigm and a hermeneutic phenomenological approach to analyse ten interviews with Consumer Representatives over three years 2017-2019, and three focus groups in 2020. We explore these experiences and identify the linked contextual factors from their points of view. Consumer Representatives were prepared to invest their time, but they needed respect. “Respect” from a consumer perspective was being meaningfully included, supported and heard, and activities needed to be purposeful and relevant. They operated in a complex environment of people and systems that were sometimes frustrating and hindered partnership. Nevertheless, they were optimistic their involvement made a difference although this may take time. Using hermeneutic phenomenology enabled the results to be seen clearly after a comprehensive and highly iterative process engaging with participants-as-researchers. The results challenge the usual default position of engaging consumers in committees and reveal other opportunities to focus on patient-centred care, as mandated by Australian National Standards for hospital accreditation. Respect is identified as a practice necessary to enhance engagement. Health organisations may improve consumer engagement outcomes as mandated for accreditation by being aware of the experiences of Consumer Representatives giving their time to partner with staff members and health systems. Staff may mitigate Consumer Representative negative experiences by being mindful of the complex people and system environment within health that can impede successful engagement. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>
format article
author Coralie Wales
Judith Lababedi
Alison Coles
Philip Lee
Emma Clarke
author_facet Coralie Wales
Judith Lababedi
Alison Coles
Philip Lee
Emma Clarke
author_sort Coralie Wales
title Consumer representative experiences of partnership with health workers in Australia
title_short Consumer representative experiences of partnership with health workers in Australia
title_full Consumer representative experiences of partnership with health workers in Australia
title_fullStr Consumer representative experiences of partnership with health workers in Australia
title_full_unstemmed Consumer representative experiences of partnership with health workers in Australia
title_sort consumer representative experiences of partnership with health workers in australia
publisher The Beryl Institute
publishDate 2021
url https://doaj.org/article/e4f165efbbc341f68dfa07218962c150
work_keys_str_mv AT coraliewales consumerrepresentativeexperiencesofpartnershipwithhealthworkersinaustralia
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AT alisoncoles consumerrepresentativeexperiencesofpartnershipwithhealthworkersinaustralia
AT philiplee consumerrepresentativeexperiencesofpartnershipwithhealthworkersinaustralia
AT emmaclarke consumerrepresentativeexperiencesofpartnershipwithhealthworkersinaustralia
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