Suchergebnisse

This paper highlights the possibilities for transformation that exist when a diverse group of participants interested in working together to change the culture of dementia care in long-term care and community care settings use appreciative participatory action research to guide their culture change efforts. These transformations happened throughout the culture change process using appreciative participatory action research. For instance, using appreciative participatory action research to guide the culture change process provided participants with the opportunity to build stronger professional and personal relationships in their respective care communities. Culture change transformations also stemmed from the appreciative participatory action research process, as participants recognized the importance of finding ways to include persons with dementia/residents in the process and they developed an appreciation for the valuable contributions persons with dementia/residents can make to culture change work. These culture chance possibilities demonstrate the value in using appreciative participatory action research to guide culture change in long-term care and community care contexts. These possibilities also illustrate the importance of paying closer attention to the culture change process itself, rather than solely the outcomes of the process, given that the possibilities for transformation that can take place throughout the process can help to build momentum, propelling culture change efforts forward in healthcare contexts.

In this article, we provide an example of a performance-research project to advance understandings of the ways artistic and scientific processes work in conversation. Drawing on the research-informed play Cracked: New Light on Dementia, we consider the interrelationship among cultural narratives (including the perpetuation of oppressive narratives of marginalized people), aesthetic and artistic exploration (sensory and emotional exploration together with dramaturgy and theatricality), and social critique for the purposes of broader social change. By explicating three interrelated "acts" of our process, including preparation, execution and exhibition (THOMPSON, 2015), we share the ways artistic practices were flexibly used to generate new cultural knowledge about the ways we think, feel, and sense about dementia to mobilize social good. With our work we criticize institutional and research structures that deny arts processes the status of "research," as well as challenge traditional modes of knowledge and knowledge production.