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Moving Forward Together in Aboriginal Women's Health: - Theses ...

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<strong>Mov<strong>in</strong>g</strong> <strong>Forward</strong> <strong>Together</strong>Janet Kellyone’s experiences. Str<strong>in</strong>ger (2007) advocates concepts drawn from people’sday to day lives and personal epiphanies 19 . As participants clarify the mean<strong>in</strong>gof events, they come to understand the conceptual structures and pragmaticwork<strong>in</strong>g theories of themselves and others. The complex chaos of situationsbecomes apparent. Str<strong>in</strong>ger (2007) describes four different approaches to<strong>in</strong>terpretation <strong>in</strong>clud<strong>in</strong>g; us<strong>in</strong>g <strong>in</strong>terpretive questions of why, what, how, who,where and when; organisational review; concept mapp<strong>in</strong>g and problemanalysis. We used all four at different times. In their book Action Research <strong>in</strong><strong>Health</strong>, Str<strong>in</strong>ger and Genat (2004) highlight that <strong>in</strong> action research, theemphasis is on <strong>in</strong>vestigation driven by participant perspectives rather thanthose conta<strong>in</strong>ed <strong>in</strong> the literature. Data analysis becomes an <strong>in</strong>teractive processbetween stakeholders through shared accounts and jo<strong>in</strong>t accounts.Resolv<strong>in</strong>g problems - Action phaseThe third phase <strong>in</strong>volves resolv<strong>in</strong>g the problems though plann<strong>in</strong>g,implement<strong>in</strong>g and evaluat<strong>in</strong>g action. Str<strong>in</strong>ger (2007) advocates that plann<strong>in</strong>gfor action should <strong>in</strong>volve all stakeholder groups to prevent future problems,disengagement and/or sabotage. All participants review the issues andformulate priorities. Goal sett<strong>in</strong>g us<strong>in</strong>g why, what, how, who, where and whenquestions become a collaborative process that identifies priorities and howeveryone’s needs can be met. Implement<strong>in</strong>g the plan <strong>in</strong>volves collaborativecommunity based processes supported by the research facilitator who mayassist with communication, reflection and analysis, l<strong>in</strong>k<strong>in</strong>g people andresources together, conflict resolution and nurtur<strong>in</strong>g people as they try newroles. Regular review is important to monitor progress (Str<strong>in</strong>ger 2007).More complex situations require additional strategies. A unify<strong>in</strong>g vision isdeveloped by strategic plann<strong>in</strong>g, and then enacted through agreed operationalstatements and creat<strong>in</strong>g action plans that def<strong>in</strong>e objectives, tasks, steps, thepeople to be <strong>in</strong>volved, places, timel<strong>in</strong>es and resources. Plans are reviewed <strong>in</strong>view of opportunities and threats, f<strong>in</strong>ancial considerations, resources availableand organisational and community arrangements. Democratic and collaborative<strong>in</strong>volvement, decision mak<strong>in</strong>g and evaluation can be challeng<strong>in</strong>g to ma<strong>in</strong>ta<strong>in</strong>19 Epiphanies are personal turn<strong>in</strong>g po<strong>in</strong>ts, moments of clarity, ‘ah ha’ or ‘light bulb’ moments, amoment <strong>in</strong> time when someth<strong>in</strong>g suddenly becomes clear.126

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