Sökning: WFRF:(Niessen P)
> (2015-2019) >
A realist process e...
A realist process evaluation within the Facilitating Implementation of Research Evidence (FIRE) cluster randomised controlled international trial: An exemplar
-
- Rycroft-Malone, J. (författare)
- Bangor Univ, Wales
-
- Seers, K. (författare)
- Univ Warwick, England
-
- Eldh, Ann Catrine (författare)
- Linköpings universitet,Karolinska Institutet,Avdelningen för omvårdnad,Medicinska fakulteten
-
visa fler...
-
- Cox, K. (författare)
- Fontys Univ Appl Sci, Netherlands
-
- Crichton, N. (författare)
- London South Bank Univ, England
-
- Harvey, G. (författare)
- Univ Adelaide, Australia
-
- Hawkes, C. (författare)
- Univ Warwick, England
-
- Kitson, A. (författare)
- Flinders Univ S Australia, Australia
-
- McCormack, B. (författare)
- Queen Margaret Univ Edinburgh, Scotland
-
- McMullan, C. (författare)
- Univ Birmingham, England
-
- Mockford, C. (författare)
- Univ Warwick, England
-
- Niessen, T. (författare)
- Fontys Univ Appl Sci, Netherlands
-
- Slater, P. (författare)
- Ulster Univ, North Ireland
-
- Titchen, A. (författare)
- Ulster Univ, North Ireland
-
- van der Zijpp, T. (författare)
- Fontys Univ Appl Sci, Netherlands
-
- Wallin, Lars (författare)
- Linköpings universitet,Karolinska Institutet,Högskolan Dalarna,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Omvårdnad,Karolinska institutet; Göteborgs universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Karolinska Inst, Div Nursing, Dept Neurobiol Care Sci and Soc, Stockholm, Sweden; Dalarna Univ, Sweden; Univ Gothenburg, Sweden
-
visa färre...
-
(creator_code:org_t)
- 2018-11-16
- 2018
- Engelska.
-
Ingår i: Implementation Science. - : Springer Science and Business Media LLC. - 1748-5908. ; 13:1
- Relaterad länk:
-
https://implementati...
-
visa fler...
-
https://doi.org/10.1...
-
https://du.diva-port... (primary) (Raw object)
-
https://liu.diva-por... (primary) (Raw object)
-
https://gup.ub.gu.se...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
http://kipublication...
-
https://urn.kb.se/re...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: Facilitation is a promising implementation intervention, which requires theory-informed evaluation. This paper presents an exemplar of a multi-country realist process evaluation that was embedded in the first international randomised controlled trial evaluating two types of facilitation for implementing urinary continence care recommendations. We aimed to uncover what worked (and did not work), for whom, how, why and in what circumstances during the process of implementing the facilitation interventions in practice. Methods: This realist process evaluation included theory formulation, theory testing and refining. Data were collected in 24 care home sites across four European countries. Data were collected over four time points using multiple qualitative methods: observation (372h), interviews with staff (n=357), residents (n=152), next of kin (n=109) and other stakeholders (n=128), supplemented by facilitator activity logs. A combined inductive and deductive data analysis process focused on realist theory refinement and testing. Results: The content and approach of the two facilitation programmes prompted variable opportunities to align and realign support with the needs and expectations of facilitators and homes. This influenced their level of confidence in fulfilling the facilitator role and ability to deliver the intervention as planned. The success of intervention implementation was largely dependent on whether sites prioritised their involvement in both the study and the facilitation programme. In contexts where the study was prioritised (including release of resources) and where managers and staff support was sustained, this prompted collective engagement (as an attitude and action). Internal facilitators' (IF) personal characteristics and abilities, including personal and formal authority, in combination with a supportive environment prompted by managers triggered the potential for learning over time. Learning over time resulted in a sense of confidence and personal growth, and enactment of the facilitation role, which resulted in practice changes. Conclusion: The scale and multi-country nature of this study provided a novel context to conduct one of the few trial embedded realist-informed process evaluations. In addition to providing an explanatory account of implementation processes, a conceptual platform for future facilitation research is presented. Finally, a realist-informed process evaluation framework is outlined, which could inform future research of this nature. © 2018 The Author(s).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Other Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- NATURVETENSKAP -- Data- och informationsvetenskap -- Systemvetenskap, informationssystem och informatik (hsv//swe)
- NATURAL SCIENCES -- Computer and Information Sciences -- Information Systems (hsv//eng)
Nyckelord
- Context
- Facilitation
- Implementation
- Older people
- PARIHS
- Realist process evaluation
- Urinary incontinence
- Context
- Hälsa och välfärd
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Rycroft-Malone, ...
-
Seers, K.
-
Eldh, Ann Catrin ...
-
Cox, K.
-
Crichton, N.
-
Harvey, G.
-
visa fler...
-
Hawkes, C.
-
Kitson, A.
-
McCormack, B.
-
McMullan, C.
-
Mockford, C.
-
Niessen, T.
-
Slater, P.
-
Titchen, A.
-
van der Zijpp, T ...
-
Wallin, Lars
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Annan hälsoveten ...
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
- NATURVETENSKAP
-
NATURVETENSKAP
-
och Data och informa ...
-
och Systemvetenskap ...
- Artiklar i publikationen
-
Implementation S ...
- Av lärosätet
-
Göteborgs universitet
-
Högskolan Dalarna
-
Karolinska Institutet
-
Linköpings universitet