ACSPRI Conferences, ACSPRI Social Science Methodology Conference 2018

Font Size:  Small  Medium  Large

How to reveal and encourage brilliant feeding care

Khadeejah Elizabeth Moraby, Ann Dadich, Christopher Elliot, Marika Diamantes, Kate Hodge

Building: Holme Building
Room: MacCallum Room
Date: 2018-12-13 11:00 AM – 12:30 PM
Last modified: 2018-12-04

Abstract


Feeding difficulties among children are common, even among normally developing children – yet, ‘feeding care’ is a world that many parents, clinicians, and policymakers know very little about. To better understand feeding care and promote that which is brilliant, this methodological article demonstrates the value of POSH-VRE – a methodology that combines positive organisational scholarship in healthcare (POSH) with video reflexive ethnography (VRE). POSH serves to direct attention and inquiry to that which is energising and invigorating within health services; while VRE involves the collective interpretation and interrogation of video-recordings of practices in situ, by those depicted in, or connected to the recordings. Using POSH-VRE, this article reveals how clinicians – who might otherwise be ‘research subjects’ – assumed the role of co-researcher to collectively: consider and critique what they did and how they did it; and determine some of the ingredients that helped to generate brilliant feeding care. For illustrative purposes, the article is purposely presented using an unconventional reflective style, whereby co-researchers describe and appraise their experiences. Specifically, they recount: their initial impressions of, and reservations about POSH-VRE; how the study unfolded and why; how decisions were made about what was recorded, the video-recordings that were interpreted by the feeding care team during reflexive sessions, and who participated in these reflexive sessions; the associated challenges – including for instance, the last-minute cancellation of patient appointments, limited workforce capacity, and competing organisational demands, all of which hindered clinician availability and motivation; how the challenges were respectfully managed; what they learnt from their experiences; and what might be done differently in future POSH-VRE studies. These reflections indicate two key points. First, they authenticate how POSH-VRE can open, if not impel opportunities for clinicians to co-create different meanings about what they do, how they do it, and what they experience, to ultimately distil how they enact brilliant healthcare. Second, they position POSH-VRE as a political methodology to understand and raise the profile of niche, if not unknown specialities, like feeding care. The article concludes with a discussion of the associated implications for scholars, practitioners, and policymakers.

Full Text: Full Paper - DOCX