Developing unplanned care teams in Scotland: evaluating outcomes

Hurley, John; Kelly, Melinda; Mears, Audrey; Morrison, Constance R. C.; Wiseman, Fiona

doi:10.1111/j.1365-2850.2009.01532.x

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…In order to maximize the information gathered and to ensure that details about all three aspects are captured, information is usually gathered using qualitative approaches, such as interviews or focus groups. Semi-structured interviews (Kennedy, Rogers, & Gately, 2005), a reflexive critical discourse (Hurley, Kelly, Mears, Morrison, & Wiseman, 2010), or a co-created dialogue (as recommended by Pawson & Tilley, 1997) have been used. Fisher and Downes (2008) used a Delphi consultation process with a wide group of stakeholders to generate and validate a set of initial scenarios representing mid-range theories.…”

Section: Introductionmentioning

confidence: 99%

A New Realistic Evaluation Analysis Method

Jackson

Kolla

2012

American Journal of Evaluation

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In attempting to use a realistic evaluation approach to explore the role of Community Parents in early parenting programs in Toronto, a novel technique was developed to analyze the links between contexts (C), mechanisms (M) and outcomes (O) directly from experienced practitioner interviews. Rather than coding the interviews into themes in terms of context, intervention elements (mechanisms) and outcomes separately and which could be assembled into CMO configurations by the analyst, they were coded as linked dyads and triads directly from the practitioner narratives. Out of all of the linked codes entered, there were a maximum of three with the same combination, presenting challenges for typical qualitative data analysis. This article examines a novel technique that was developed in an attempt to expand this method beyond the circumstances described in the realistic evaluation literature to date. The bulk of the article focuses on the linked coding and analysis procedures, the challenges faced, and the original solutions that were developed to analyze the CMO relations and generate the mid-range theories necessary to move to the next stage of a realist evaluation approach. The features that distinguish this linked coding method from other methods (e.g. Qualitative Comparative Analysis), the major benefits and drawbacks, the utility of the approach within evaluation practice, and its application to realist synthesis and research are discussed. Downloaded from and published evidence, the literature typically describes a qualitative interview process with the plausible hypotheses derived logically from the data. Pawson and Tilley describe an interactive interview or dialogue as a method to understand context, mechanism, and outcome relations where the interviewer and the interviewee co-develop these hypotheses (Pawson & Tilley, 1997). If many practitioners are involved, is there another way that these relations can be uncovered using interviews with a group of practitioners?Several methodological problems are posed in trying to do this. One is the need to ask the right questions to collect information about the contexts, and the program activities and characteristics that could become mechanisms. A second is how to recognize the CMO connections that are made implicitly or explicitly in the data. A third major problem is how to analyze connected strings of data in a way that is different from grouping codes under common themes. This article will examine a novel technique that was developed in an attempt to expand this method beyond the circumstances described in the realistic evaluation literature to date. We begin by examining the realist evaluation literature related to coding, and then describe the case and data collection methods. The bulk of the article focuses on the analysis methods, the challenges we faced, and the solutions that were developed. We end by describing the strengths and limitations of the linked coding approach and suggest implications for evaluation practice and future research.

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Section: Introductionmentioning

confidence: 99%

A New Realistic Evaluation Analysis Method

Jackson

Kolla

2012

American Journal of Evaluation

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“…Determining the scope, effectiveness and impact of policies and programs to promote health including the appropriate use of assessment and research methods to support improvement in programs, sustainability and dissemination (15) . Research on the roles of the expanded practice of community mental health nurses indicated that they were less confident about prescribing, even though, more than half (54%) reported that they definitely or Evaluates the coordinated response in development of unplanned care services for mental health (8) Identifies confidence and preparation of community mental health nurses when performing expanded roles (9) Identifies cultural factors that contributed to substance abuse in adolescents (10) Explores how mental health workers and respond to women who reveals sexual abuse in the scenario of crisis service (11) Professionals identify cultural barriers of women in attendance (11) Managing and negotiating health care delivery systems nurse practitioner-patient relationship teaching/coaching Function Analyzes the extent of mental health services provided to families (12) On the significance of the relationship with the patient, highlights the genuine partnership and confidence (13) Unidentified probably felt confident to prescribe medication. More than 90% said they probably or definitely felt confident in making recommendations for involuntary treatment, 84% and 79% showed similar levels of confidence in ordering of diagnostic tests and in referring patients to specialist physicians, respectively (9) .…”

Section: Discussionmentioning

confidence: 99%

“…First, professionals' competencies were recognized and abilities needed to be strengthened in order to provide effective responses to the needs of the service user of mental health. In a second moment, an educational training was applied for mental health nurses to prepare them to take on key roles and responsibilities in the service, which was reflected in a highly positive learning experience for most participants, with indications of relevant learning to be achieved for clinical practice (8) . The project contributed to the development of competence in the field of monitoring and ensuring the quality of health care practice, when sought to interpret their own professional forces, the role and scope of peers ability, using assessment information to improve care and practice and monitor the quality of their own practice and participate in continuous quality improvements (6) .…”

Section: Discussionmentioning

confidence: 99%

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Nurse competencies for health promotion in the mental health context

Aguiar

Lima²,

Braga

et al. 2012

Acta paul. enferm.

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Objective: To identify the competencies of nurses to health promotion in psychiatric and mental health context. Methods: Integrative review of literature performed through search using the keywords: "mental health" and "professional competence", in the databases SciELO, LILACS, CINAHL, PubMed, Scopus and Cochrane, in the period of 2003 to 2011. 215 studies were identified, of these, six followed the inclusion criteria. Results: Based on the National Panel for Psychiatric Mental Health NP Competencies, the competencies were identified on the evaluated studies: Monitoring and ensuring the quality of health care practice, management of patient health/illness status, cultural competence, managing and negotiating health care delivery systems, the nurse practitioner-patient relationship. Conclusion: The studies analysis evidenced the need for education and training so that nurses may develop the competencies of health promotion in diverse psychiatric care and mental health contexts, in order to broaden knowledge and skills.

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Developing unplanned care teams in Scotland: evaluating outcomes

Cited by 2 publications

References 10 publications

A New Realistic Evaluation Analysis Method

A New Realistic Evaluation Analysis Method

Nurse competencies for health promotion in the mental health context

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