Action-project method: An approach to describing and studying goal-oriented joint actions. 2023

Sneha Shankar, and Richard A Young, and Meredith E Young
Institute of Health Sciences Education, McGill University, Montreal, Quebec, Canada.

Practicing health professionals and educators frequently act together in an interdependent or joint capacity to reach goals. Teaching or learning a new skill or engaging with patients in shared decision-making exemplifies this joint and goal-directed nature of Health Professions Education (HPE) and practice. However, building a robust understanding of the complexity of action, and joint action in particular, in HPE or patient care remains a challenge because of a limited number of methodologies available within HPE research. In this manuscript, we describe the Action-Project Method (A-PM) as a qualitative research approach that can be used to describe and understand goal-directed joint actions. A-PM is grounded in contextual action theory and is a methodology focussed on action as an object of study, as it is occurring. A-PM uses three distinct perspectives to understand goal-directed joint actions: observable behaviour, internal processes (i.e. reported thoughts and feelings) and the social meaning reflected in goals. Data collection in A-PM involves observations, interviews, recording of actions and a self-confrontation procedure-where participants watch video-recorded segments of action and reflect on their internal processes, describing what they were thinking or feeling as they were completing the action. Together, the rich data generated and the layered approach to analysis provide a means to better understand the joint actions embedded in complex systems and collaborative work. Furthermore, the participants are treated as equal partners within A-PM, ensuring data equity even when the research context includes hierarchical relationships. Given increasing recognition to the importance of teamwork, relationships, interdependence, complex environments and centring patient or learner voices, A-PM is a valuable research approach for HPE. A-PM deepens our research arsenal with an approach that focusses on interdependent dyads or teams and provides a deeper understanding for how individuals engage together in goal-oriented actions.

UI MeSH Term Description Entries
D007858 Learning Relatively permanent change in behavior that is the result of past experience or practice. The concept includes the acquisition of knowledge. Phenomenography
D004644 Emotions Those affective states which can be experienced and have arousing and motivational properties. Feelings,Regret,Emotion,Feeling,Regrets
D006040 Goals The end-result or objective, which may be specified or required in advance. Goal
D006282 Health Personnel Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976) Health Care Professionals,Health Care Providers,Healthcare Providers,Healthcare Workers,Health Care Professional,Health Care Provider,Healthcare Provider,Healthcare Worker,Personnel, Health,Professional, Health Care,Provider, Health Care,Provider, Healthcare
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D036301 Qualitative Research Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997) Research, Qualitative

Related Publications

Sneha Shankar, and Richard A Young, and Meredith E Young
December 1985, Ceskoslovenske zdravotnictvi,
Sneha Shankar, and Richard A Young, and Meredith E Young
April 1987, Archives of psychiatric nursing,
Sneha Shankar, and Richard A Young, and Meredith E Young
January 1977, IPPF/WHR news service. International Planned Parenthood Federation. Western Hemisphere Region,
Sneha Shankar, and Richard A Young, and Meredith E Young
February 2012, Biological psychology,
Sneha Shankar, and Richard A Young, and Meredith E Young
June 1967, American Association of Industrial Nurses journal,
Sneha Shankar, and Richard A Young, and Meredith E Young
September 1978, JAMA,
Sneha Shankar, and Richard A Young, and Meredith E Young
December 1998, Experimental brain research,
Sneha Shankar, and Richard A Young, and Meredith E Young
May 2023, The European journal of neuroscience,
Sneha Shankar, and Richard A Young, and Meredith E Young
January 1982, Drug metabolism reviews,
Sneha Shankar, and Richard A Young, and Meredith E Young
August 1957, Archives internationales de pharmacodynamie et de therapie,
Copied contents to your clipboard!