Conducting focus groups in realist evaluation

Manzano, Ana

doi:10.1177/13563890221124637

Cited by 27 publications

(29 citation statements)

References 74 publications

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“…We propose 3 implications for future research. First, qualitative studies using the focus group method with content developers and health care providers who have diverse characteristics would be informative for our understanding of this topic 46 . Within the focus group, participants can mutually guide each other through interaction and build collective knowledge on how we can best use social media for health care providers’ knowledge use.…”

Section: Discussionmentioning

confidence: 99%

Consolidating a program theory on how social media supports healthcare providers’ knowledge use in clinical practice: a realist-informed qualitative study

Zhao,

Harvey,

Vandyk

et al. 2023

Interdisciplinary Nursing Research

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Objective: This study aimed to consolidate a program theory, developed from a previous realist review, to further understand how and under what circumstances social media supports healthcare providers’ knowledge use. Methods: A realist-informed qualitative study was conducted. We carried out in-depth interviews with 11 participants, including content developers and healthcare providers from China, Australia, and Canada. The data analysis was informed by categorizing and connecting strategies. Results: Ten context-mechanism-outcome configurations (CMOs) were developed to consolidate the program theory. Among these, four CMOs confirmed the original CMOs from the realist review, four refined the original ones, and two were new propositions. These 10 CMOs were situated within four interconnected levels of outcomes: social media product, access, engagement, and knowledge use. They considered 1) content developers’ capabilities and capacities, 2) healthcare providers’ increased attention, 3) fulfillment of information needs, 4) access to social influence and support, 5) perception of message value and implementability, 6) behaviour capabilities, self-efficacy, intention, and awareness; and 7) ability to exercise professional autonomy as the key mechanisms. We developed the consolidated program theory based on the 10 CMOs. Conclusions: Social media can promote knowledge use by healthcare providers. Future empirical studies drawing on the program theory need to be conducted to further optimize the theoretical understanding.

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Section: Discussionmentioning

confidence: 99%

Consolidating a program theory on how social media supports healthcare providers’ knowledge use in clinical practice: a realist-informed qualitative study

Zhao,

Harvey,

Vandyk

et al. 2023

Interdisciplinary Nursing Research

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“…One-to-one interviews were conducted with service leads, managers and commissioners at each ESD site [ 26 ]. We also conducted two group interview sessions at each site with a cross-section of the multidisciplinary team (MDT), including physicians, therapists, nurses, rehabilitation assistants, and administrators [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

How do stroke early supported discharge services achieve intensive and responsive service provision? Findings from a realist evaluation study (WISE)

Chouliara

Cameron

Byrne

et al. 2023

BMC Health Serv Res

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Background Stroke Early Supported Discharge (ESD) involves provision of responsive and intensive rehabilitation to stroke survivors at home and it is recommended as part of the stroke care pathway. Core components have been identified to guide the delivery of evidence-based ESD, however, service provision in England is of variable quality. The study sought to understand how and in what conditions the adoption of these components drives the delivery of responsive and intensive ESD services in real world settings. Methods This qualitative study was part of a wider multimethod realist evaluation project (WISE) conducted to inform large-scale ESD implementation. Overarching programme theories and related context–mechanism–outcome configurations were used as a framework to guide data collection and analysis. Six case study sites were purposively selected; interviews and focus groups with ESD staff members were conducted and analysed iteratively. Results We interviewed 117 ESD staff members including clinicians and service managers. Staff highlighted the role of certain core components including eligibility criteria, capacity, team composition and multidisciplinary team (MDT) coordination in achieving responsive and intensive ESD. Regardless of the geographical setting, adhering to evidence-based selection criteria, promoting an interdisciplinary skillset and supporting the role of rehabilitation assistants, allowed teams to manage capacity issues and maximise therapy time. Gaps in the stroke care pathway, however, meant that teams had to problem solve beyond their remit to cater for the complex needs of patients with severe disabilities. Adjusting MDT structures and processes was seen as key in addressing challenges posed by travel times and rural geography. Conclusions Despite variations in the wider service model of operation and geographical location, the adoption of core components of ESD helped teams manage the pressures and deliver services that met evidence-based standards. Findings point to a well-recognised gap in service provision in England for stroke survivors who do not meet the ESD criteria and emphasise the need for a more integrated and comprehensive stroke service provision. Transferable lessons could be drawn to inform improvement interventions aimed at promoting evidence-based service delivery in different settings. Trial registration ISRCTN: 15,568,163, registration date: 26 October 2018.

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“…Additionally, participants often find it easier to articulate their perspectives on complex topics, as they can ask follow-up questions and seek clarifications during the session. 8 In comparison to conducting multiple individual interviews, focus groups offer a more time and cost-effective approach.…”

Section: Background On Focus Groups As a Methodology For Qualitative ...mentioning

confidence: 99%

A methodological progress note: Introducing qualitative focus group research and the brainwriting premortem

Gilmartin,

Battaglia

2023

Journal of Hospital Medicine

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Conducting focus groups in realist evaluation

Cited by 27 publications

References 74 publications

Consolidating a program theory on how social media supports healthcare providers’ knowledge use in clinical practice: a realist-informed qualitative study

Consolidating a program theory on how social media supports healthcare providers’ knowledge use in clinical practice: a realist-informed qualitative study

How do stroke early supported discharge services achieve intensive and responsive service provision? Findings from a realist evaluation study (WISE)

A methodological progress note: Introducing qualitative focus group research and the brainwriting premortem

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