A3-2: Mindful Inquiry: From an Observer to a Gentle Change Agent in the Prevailing Culture of Do and Tell

  • September 2014,
  • 90.2;
  • DOI: https://doi.org/10.3121/cmr.2014.1250.a3-2

Abstract

Background/Aims In a culture of do and tell, researchers can use massive amount of EHR data, find statistically significant results, and publish them, often without the need to interact with the people who generated those data through their daily work or their use of health care services. Such observational inquiry can be informative one hand, as identifying areas for improvement requires the identification of gaps in quality of care or other shortcomings in the system. Mindful inquiry, i.e., asking questions in the moment, the here-and-now, on the other hand, has the potential to become a change agent that can facilitate the creation of new knowledge and the dissemination and implementation of best practices.

Methods Appreciative inquiry.

Results Task oriented culture of research values doing more than relating, telling more than asking, thereby leaving room for improvement in our capacity and desire to form and keep relationships with our research subjects or the organization where we do research. The practice of fly-by-night researcher who swoops down, collects data, publishes papers that expose dark sides of the subjects’ lived world has caused permanent harm to communities. Embedded researchers need to be mindful about the questions they raise, the methods they employ, and how they disseminate the results.

Conclusions Embedded research is a series of complex, interdependent tasks which requires building positive, trusting relationships with research team and delivery system partners to facilitate good communication. We must be better at asking and do less at telling. Transform our mindset from the researcher knows a lot to the practitioners know a lot. We must be open to adaptive learning, be curious and courageous enough to ask questions to which we do not already know the answer. Good communication is key to building a trusting relationship which requires mindful inquiry, done with humility to build positive relationships with the delivery organization and guided by the wish to be of service to the greater good.

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