This paper explores the challenges and learning achieved in utilising co-operative inquiry groups as an action research method through the presentation and critical reflection of two different research projects located in health and social care settings. One study was based in a domestic violence agency and the other was based in an age-related healthcare multidisciplinary team in an acute hospital. The paper compares and contrasts the use of a co-operative inquiry approach in these different contexts and explores how the action-based approach affected the way in which practitioners shaped, developed and implemented improved responses and work practices. The paper offers a vivid insight into the complexities of establishing, maintaining and negotiating research relationships where there are inherent power differentials and reveals the strong parallels that can be drawn between research and professional relationships. Learning points fell into three broad areas: participation and engagement within the inquiry group process, power and decision-making and the influence of organisational structures on practice and policy changes. A significant strength of this paper is the reflexive and inquiring conversations which took place between the researchers which facilitated a critical reflection of shared experiences, dilemmas and action learning from utilising a co-operative inquiry group approach.

中文翻译：

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通过在医疗机构中使用合作的咨询小组来创造组织和实践的变化

本文通过介绍和批判性地介绍位于健康和社会护理领域的两个不同研究项目，探讨了将合作性探究小组作为一种行动研究方法所面临的挑战和学习。一项研究基于一家家庭暴力机构，另一项研究则基于一家急性医院中与年龄相关的医疗多学科团队。本文比较并对比了在这些不同情况下使用合作询问方法的情况，并探讨了基于行动的方法如何影响从业者塑造，制定和实施改进的应对措施和工作实践的方式。本文提供了关于建立复杂性的生动见解，在存在固有权力差异的情况下维持和谈判研究关系，并揭示了研究与专业关系之间可以得出的强烈相似之处。学习点分为三个主要领域：调查组过程中的参与和参与，权力和决策以及组织结构对实践和政策变化的影响。本文的一个重要优势是研究人员之间进行的反思性和探究性对话，通过使用合作性探究小组方法促进了对共享经验，困境和行动学习的批判性思考。权力和决策以及组织结构对实践和政策变化的影响。本文的一个重要优势是研究人员之间进行的反思性和探究性对话，通过使用合作性探究小组方法促进了对共享经验，困境和行动学习的批判性思考。权力和决策以及组织结构对实践和政策变化的影响。本文的一个重要优势是研究人员之间进行的反思性和探究性对话，通过使用合作性探究小组方法促进了对共享经验，困境和行动学习的批判性思考。