scholarly journals What is the impact of large-scale implementation of stroke Early Supported Discharge? A mixed methods realist evaluation study protocol

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Rebecca Fisher ◽  
Niki Chouliara ◽  
Adrian Byrne ◽  
Sarah Lewis ◽  
Peter Langhorne ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Study Protocol ◽  
Large Scale ◽  
Evaluation Study ◽  
Realist Evaluation ◽  
Early Supported Discharge ◽  
The Impact

scholarly journals Evaluating Large-Scale Integrated Care Projects: The Development of a Protocol for a Mixed Methods Realist Evaluation Study in Belgium

2020 ◽  
Vol 20 (3) ◽  
Author(s):  
Geert Goderis ◽  
Elien Colman ◽  
Lucia Alvarez Irusta ◽  
Ann Van Hecke ◽  
Benoit Pétré ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Integrated Care ◽  
Large Scale ◽  
Evaluation Study ◽  
Realist Evaluation

scholarly journals 089EXPLORING THE IMPACT A TRAINING PROGRAMME HAS ON HEALTHCARE STAFF ATTITUDES AND UNDERSTANDINGS OF DEMENTIA: A MIXED METHODS EVALUATION STUDY

2016 ◽  
Vol 45 (suppl 2) ◽  
pp. ii13.10-ii56
Author(s):  
Orla Quirke ◽  
William Evans ◽  
Mary Brosnan
Keyword(s):  
Mixed Methods ◽  
Training Programme ◽  
Evaluation Study ◽  
Staff Attitudes ◽  
Healthcare Staff ◽  
Mixed Methods Evaluation ◽  
The Impact

scholarly journals Mixed methods evaluation of a hospital group model using an embedded research approach: study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e027086
Author(s):  
Cecilia Vindrola-Padros ◽  
Estela Capelas Barbosa ◽  
Angus I G Ramsay ◽  
Simon Turner ◽  
Stephen Morris ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Study Protocol ◽  
Cost Savings ◽  
Ethics Committee ◽  
Research Approach ◽  
Group Model ◽  
Potential Cost ◽  
Mixed Methods Evaluation ◽  
The Impact ◽  
Hospital Group

IntroductionHospital group models represent an organisational form that aims to bring together multiple provider organisations with a central headquarters and unified leadership responsible for locally managed operating units, standardised systems and a value-set shared across the group. These models seek to improve outcomes by reducing unwarranted variations in care provision and reducing costs through economies of scale. There is limited evidence on the impact and processes of implementing these models, so this study aims to evaluate one case study of a hospital group model.Methods and analysisWe will conduct a formative, mixed-methods evaluation using an embedded research approach to analyse the implementation of the model and its impact on outcomes and costs. We will carry out a multisited ethnography to analyse the programme theory for model design and implementation, the barriers and facilitators in the implementation; and wider contextual issues that influence implementation using semi-structured interviews (n=80), non-participant observations (n=80 hours), ‘shadowing’ (n=20 hours) and documentary analysis. We will also carry out an economic evaluation composed of a cost-consequence analysis and a return on investment analysis to evaluate the costs of creating and running the model and balance these against the potential cost-savings.Ethics and disseminationThe study protocol was reviewed by the local R&D Office and University College London Ethics Committee and classified as a service evaluation, not requiring approval by a research ethics committee. We will follow guidelines for informed consent, confidentiality and information governance, and address issues of critical distance prevalent in embedded research. Findings will be shared at regular time points to inform the implementation of the model. The evaluation will also generate: an evaluation framework to evaluate future changes; recommendations for meaningful baseline data and measuring improvement; identification of implementation costs and potential cost-savings; and lessons for the National Health Service on implementing these models.

scholarly journals Understanding integrated care pathways in palliative care using realist evaluation: a mixed methods study protocol: Table 1

BMJ Open ◽  
2012 ◽  
Vol 2 (4) ◽  
pp. e001533 ◽  
Author(s):  
Sonia Michelle Dalkin ◽  
Diana Jones ◽  
Monique Lhussier ◽  
Bill Cunningham
Keyword(s):  
Palliative Care ◽  
Mixed Methods ◽  
Integrated Care ◽  
Study Protocol ◽  
Realist Evaluation ◽  
Mixed Methods Study ◽  
Care Pathways ◽  
Integrated Care Pathways

scholarly journals A mixed-methods evaluation of transformational change in NHS North East

2014 ◽  
Vol 2 (47) ◽  
pp. 1-186 ◽  
Author(s):  
David J Hunter ◽  
Jonathan Erskine ◽  
Chris Hicks ◽  
Tom McGovern ◽  
Adrian Small ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Leadership Style ◽  
Large Scale ◽  
Research Programme ◽  
Transformational Change ◽  
North East ◽  
The North ◽  
Semistructured Interviews ◽  
The Impact

BackgroundThe North East Transformation System (NETS) was conceived as an experiment in adopting large-scale transformational change across a NHS region in England. Although the NHS in the North East performs well, the health of the population ranks among the poorest in the country. The NETS was viewed as a means of addressing this conundrum. It comprised three components: Vision, Compact and Method.ObjectivesThe evaluation study comprised six elements: a literature review; an evaluation of the evolution and impact of the NETS; an identification of the factors facilitating, and/or acting as barriers to, successful change; an assessment of the role of the NETS project team; establishing how far the changes introduced through the NETS became embedded and sustained; and an evaluation of the impact of the NETS on end users.DesignThe research comprised a longitudinal mixed-methods study conducted over 3.5 years. Research methods included 68 semistructured interviews, observation, two focus groups, documentary analysis and interrupted time series (ITS) analysis. The ITS component comprised analysis of five rapid process improvement workshops in two of the sites.SettingThe research setting was the NHS North East region until its abolition in April 2013 following the UK government’s NHS changes. Fourteen sites were selected for the study, comprising primary care trusts as commissioners, and provider trusts including mental health, community, acute care and ambulance services.ParticipantsThe study respondents were members of staff in the 14 sites drawn from different levels of their organisations.InterventionsThe NETS comprised a complex set of interventions aimed at improving the efficiency and effectiveness of care pathways for staff and patients.Main outcome measuresThe ‘receptive contexts for change’ framework was used to evaluate the transformational change process and its outcomes.Data sourcesQualitative parts of the study drew on semistructured interviews, focus groups, observation and documents. Quantitative parts of the study used routinely collected NHS data.ResultsTransformational change in a complex system takes time and demands consistency, constancy of purpose and organisational stability. The NETS was seriously disrupted by the NHS changes announced in July 2010. Progress was sustained at four of the study sites, but slowed or ceased at the other sites. Leadership style was found to be critical to the success of transformational change.ConclusionsThe NETS was a bold and ambitious initiative which succeeded in bringing about real and lasting change in some parts of the North East. However, it was unable to fully realise its vision and purpose partly because of the widespread reorganisation of the NHS by the new coalition government.Future workThere is a need to develop new methods to understand how change occurs, or fails, in complex settings like the NHS. There is a need for more in-depth studies in those sites that were able to implement and sustain change. This would inform future policy and practice. The results of the quantitative analyses were less conclusive than those obtained by qualitative methods. Further development of mixed-methods approaches would provide additional support for evidence-based decision-making.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals How does capacity building of health managers work? A realist evaluation study protocol

BMJ Open ◽  
2012 ◽  
Vol 2 (2) ◽  
pp. e000882 ◽  
Author(s):  
N S Prashanth ◽  
Bruno Marchal ◽  
Tom Hoeree ◽  
Narayanan Devadasan ◽  
Jean Macq ◽  
...  
Keyword(s):  
Capacity Building ◽  
Study Protocol ◽  
Evaluation Study ◽  
Realist Evaluation ◽  
Health Managers

scholarly journals Corruption and the impact of law enforcement: insights from a mixed-methods study in Malawi

2020 ◽  
Vol 58 (3) ◽  
pp. 315-336
Author(s):  
Gerhard Anders ◽  
Fidelis E. Kanyongolo ◽  
Brigitte Seim
Keyword(s):  
Mixed Methods ◽  
Law Enforcement ◽  
Large Scale ◽  
Mixed Methods Study ◽  
Government Officials ◽  
Law Enforcement Agencies ◽  
Challenging Environment ◽  
Research Findings ◽  
The Impact ◽  
Scholarly Attention

ABSTRACTThe article argues that the impact of law enforcement efforts against corruption deserves more scholarly attention. Drawing on a mixed-methods study from Malawi in southern Africa, where a large-scale law enforcement operation has been investigating and prosecuting those involved in a 2013 corruption scandal known as ‘Cashgate’, the article explores the potential for corruption deterrence from the perspective of government officials in the Malawi civil service. Malawi provides a challenging environment for deterrence due to limited state capacity, weak law enforcement agencies and widespread corruption. Nonetheless, the research findings show that Malawian government officials perceive prosecutions and convictions to deter corruption, both with regards to the law enforcement response to Cashgate specifically and law enforcement efforts in general. The findings from Malawi suggest that law enforcement and criminal justice have the potential to make an important contribution to anti-corruption strategies in Africa and the Global South at large.

scholarly journals The evaluation of effect Gammarana intervention to reducing stunting during the Covid-19 pandemic: Protocol evaluation of stunting intervention in Enrekang District

2021 ◽  
Author(s):  
Sirajuddin Sirajuddin ◽  
Saifuddin Sirajuddin ◽  
Razak Thaha ◽  
Amran Razak ◽  
Ansariadi Ansariadi ◽  
...  
Keyword(s):  
Large Scale ◽  
Evaluation Model ◽  
Evaluation Study ◽  
Provincial Government ◽  
Site Location ◽  
South Sulawesi ◽  
Primary Output ◽  
Design And Methods ◽  
The Impact ◽  
The Village

Background: Evaluation of large-scale stunting interventions in Indonesia has never been carried out, because it found limited sensitive and specific interventions that were carried out massively at the village level. The provincial government of South Sulawesi Indonesia in 2020 has implemented a stunting intervention model called Gammarana. The purpose of this evaluation is to analyze the impact of Gammarana on changes in stunting at the project site. Location project as many as 30 villages with a population estimated 60,000. Design and Methods: Evaluation in this study using a retrospective method and internal and external audit to document potential, then validated after the field visit Gammarana first phase in 2020. Basic Logic Model evaluation model with 22 indicators (input, process, secondary output and primary output). Proving the effect of Gammarana on changes in stunting by comparing the phenomena in the comparison village.Results: The comparison villages were set as equal and comparable in 13 indicators that could disturb the study conclusions. The result of the initial condition is that the conditions of the two villages of Gammarana and Villages Comparison are seen as the same in various characteristics, so that whatever the results of this evaluation study are believed to be the impact of Gammarana Project.Conclusions: this protocol eligible to evaluation of Gammarana Project Intervention in Enrekang District, South Sulawesi Indonesia.

scholarly journals The impact of road traffic injury in North India: a mixed-methods study protocol: Table 1

BMJ Open ◽  
2015 ◽  
Vol 5 (8) ◽  
pp. e008884 ◽  
Author(s):  
Jagnoor Jagnoor ◽  
Shankar Prinja ◽  
P V M Lakshmi ◽  
Sameer Aggarwal ◽  
Belinda Gabbe ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Study Protocol ◽  
Road Traffic ◽  
Road Traffic Injury ◽  
Mixed Methods Study ◽  
North India ◽  
Traffic Injury ◽  
The Impact

scholarly journals Evaluating the impact of patient and carer involvement in suicide and self‐harm research: A mixed‐methods, longitudinal study protocol

2019 ◽  
Author(s):  
Donna L. Littlewood ◽  
Leah Quinlivan ◽  
Sarah Steeg ◽  
Carole Bennett ◽  
Harriet Bickley ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Longitudinal Study ◽  
Study Protocol ◽  
Self Harm ◽  
The Impact
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