Ontology type: schema:ScholarlyArticle Open Access: True
2018-11-16
AUTHORSJo Rycroft-Malone, Kate Seers, Ann Catrine Eldh, Karen Cox, Nicola Crichton, Gill Harvey, Claire Hawkes, Alison Kitson, Brendan McCormack, Christel McMullan, Carole Mockford, Theo Niessen, Paul Slater, Angie Titchen, Teatske van der Zijpp, Lars Wallin
ABSTRACTBackgroundFacilitation 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.MethodsThis 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 (372 h), 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.ResultsThe 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.ConclusionThe 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.Trial registrationCurrent controlled trials ISRCTN11598502. More... »
PAGES138
http://scigraph.springernature.com/pub.10.1186/s13012-018-0811-0
DOIhttp://dx.doi.org/10.1186/s13012-018-0811-0
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PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/30442165
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"sdDatePublished": "2022-05-10T10:19",
"sdLicense": "https://scigraph.springernature.com/explorer/license/",
"sdPublisher": {
"name": "Springer Nature - SN SciGraph project",
"type": "Organization"
},
"sdSource": "s3://com-springernature-scigraph/baseset/20220509/entities/gbq_results/article/article_761.jsonl",
"type": "ScholarlyArticle",
"url": "https://doi.org/10.1186/s13012-018-0811-0"
}
]Download the RDF metadata as: json-ld nt turtle xml License info
JSON-LD is a popular format for linked data which is fully compatible with JSON.
curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s13012-018-0811-0'
N-Triples is a line-based linked data format ideal for batch operations.
curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s13012-018-0811-0'
Turtle is a human-readable linked data format.
curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s13012-018-0811-0'
RDF/XML is a standard XML format for linked data.
curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s13012-018-0811-0'
This table displays all metadata directly associated to this object as RDF triples.
436 TRIPLES
22 PREDICATES
166 URIs
145 LITERALS
25 BLANK NODES