Cooperative Research Centres

Learning from Action

This project uses an action research/action learning approach to develop a better understanding of management practices in Aboriginal and Torres Strait Islander Community Controlled Health Services, and to give the managers of these services the opportunity to share and build their knowledge and skills. The project starts from the belief that the managers know what their strengths, challenges and problems are, and have insights to share which are invaluable to informing the development of better practice and policy in Indigenous health.

The project team consists of project Leaders Dr Cindy Shannon and Associate Professor Judith Dwyer (Head, Health Policy and Management Department, La Trobe University), and Aboriginal Research Officer Ms Shirley Godwin. All the team bring unique and valuable perspectives, Judith through her extensive experience with Aboriginal and mainstream medical services and Cindy and Shirley, both Aboriginal women, through their highly respected work in the Aboriginal health research arena. A formal partnership agreement has been developed between the project team and the Queensland Aboriginal and Islander Health Council (QAIHC) to work collaboratively towards shared outcomes. The participants in the study are co-researchers involved in identifying what skills and knowledge they want to share and also those they want to further develop.

The project involves a set of workshops that consist of two parts—one for formal learning through structured seminars and case study analysis; one for shared problem-solving through a technique called 'learning sets'. The learning sets involve small groups of people (six to eight people) who each bring a real problem they are currently trying to solve, and share it within the group (confidentially) to work out strategies to address the problem. Members of the learning sets usually find they get new insights into the problems they encounter, together with a variety of strategies to deal with them.

Importantly they also explore, challenge and develop their own ways of thinking and strengthen themselves as managers.

It works because it lets the managers define the problems and work together to solve them, and then see if, how and why solutions work or don’t work. This way the big issues are covered, with the participants developing new skills and knowledge through the real life situations of their work, rather than solely through theory or text books.

The project team has arranged for the formal learning program to be accredited as a unit of postgraduate study at La Trobe University, equivalent to a quarter of a graduate certificate in health service management. QAIHC staff are in discussions with Queensland universities with the aim of ensuring that those participants who complete the required academic work are able to use the credit they get from this program to continue with postgraduate study towards a formal qualification.

In addition to providing an opportunity for the managers to further develop their management skills, the plan is that the CRC for Aboriginal Health will use the results of the workshops to inform future research and make sure its research is helpful to Aboriginal and Torres Strait Islander health organisations. It is envisaged that the project will help health services to keep their management strong and make sure their systems and policies work well. It is also hoped that governments and the mainstream health system will learn something about how to do better on their side of working with Indigenous organisations.

From CRCAH Annual Report 2004/200

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