Methods for Tracking and Trailing Change

Stensaker, Inger G.

doi:10.1108/s0897-3016(2013)0000021008

Cited by 7 publications

(6 citation statements)

References 19 publications

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“…In this study, we used a trailing research design as an approach to study changes in real time without the research team acting as an agent of change. The objective was to generate insight about the change initiated by the implementation of the Stockholm3 test, by following academic procedures to analyze the process and to produce new knowledge while balancing with care to the practical context [ 30 ]. The Design implied a constant attention to our role as a research team, which was discussed throughout the entire process [ 31 ] (Fig.…”

Section: Methodsmentioning

confidence: 99%

Men’s perception of information and psychological distress in the diagnostic phase of prostate cancer: a comparative mixed methods study

et al. 2022

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Background Previous studies indicate that men experience frustration and uncertainty when confronted with an elevated prostate specific antigen (PSA) test and during further diagnostics for prostate cancer. The novel Stockholm3 test is an algorithm-based test that combines plasma protein biomarkers, genetic markers and clinical variables in predicting the risk of PCa. The test was introduced in a western part of Norway as a new tool for detecting prostate cancer. This study aimed to explore and compare men’s perception of information and possible experience of distress between a PSA group and a Stockholm3 group during the diagnostic phase of prostate cancer. Methods This study is a part of the trailing research evaluating the impact of the change from PSA to Stockholm3. It is a multicenter study using a comparative mixed method design. Data were collected in a PSA group (n = 130) and a Stockholm3 group (n = 120) between 2017 and 2019. Quantitative data were collected using questionnaires and qualitative data were collected using semi-structured interviews (n = 20). The quantitative and qualitative data were analysed and compared separately and then merged in a side-by-side discussion. The study adheres to the GRAMMS guidelines for reporting mixed-methods research. Results Compared with the PSA group, men in the Stockholm3 group reported that the information from the general practitioners was better. Similarly, men in the Stockholm3 group were more likely to indicate that they had received sufficient information regarding how examinations would be conducted. No differences were found between the groups regarding waiting time and distress. Three themes emerged from the qualitative analysis of the two groups: “Information affects the experience of comprehension”, “Stepping into the world of the healthcare system”, and “Periodically feelings of distress”. Conclusion The Stockholm3 test may facilitate the provision of information to patients. However, some patients in both groups experienced distress and would benefit from more information and additional support from healthcare professionals. Routines that ensure sufficient information from the interdisciplinary healthcare team should be of priority during the diagnostic phase of prostate cancer in order to provide patients with predictability and to avoid unnecessary distress.

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Section: Methodsmentioning

confidence: 99%

Men’s perception of information and psychological distress in the diagnostic phase of prostate cancer: a comparative mixed methods study

et al. 2022

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“…The study is based on a trailing research design (Stensaker, 2013). This means that we followed (trailed) the development processes in the municipalities that aimed to improve and strengthen refugee integration.…”

Section: Methodsmentioning

confidence: 99%

“…Our analysis is based in process data (Langley, 1999;Stensaker, 2013). This means that the data are collected in order to understand ongoing organizational processes that consist of activities, events, and sequences of events.…”

Section: Interpretation and Analysismentioning

confidence: 99%

Enabling and Constraining Conditions for Co-production with Vulnerable Users: A Case Study of Refugee Services

Røhnebæk

Bjerck

2021

International Journal of Public Administration

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This article explores co-production as processes occurring at three levels: at the level of service interactions, at the organizational level, and at the system level. We propose next that two forms of co-production may take place at these three levels: co-production through direct participation and co-production through representation. We use these conceptualizations to outline a framework for analyzing conditions for co-production with vulnerable users, and we explore the applicability of the framework in the context of public services for refugees. Insights from the case are finally used as a basis for evoking more general discussions on co-production with vulnerable users. KEYWORDSCo-production; co-creation; public services; vulnerable users; refugee immigrants management, delivery and/or evaluation of public services" (Osborne et al., 2016, p. 640).Research on co-production in public services has developed and matured over the years, and the literature has shifted from being largely agenda setting to become more oriented toward fact finding (Verschuere et al., 2018). Thus, a growing body of research literature addresses questions of why, how, and with what effects public services are co-produced. This includes also critical studies that shed light on the challenges of coproduction due to power structures and unequal opportunities to participate among users and citizens (Dietrich et al., 2017;Donetto et al., 2015;Morrison & Dearden, 2013). The latter has been highlighted as a pertinent issue that deserves more research attention, especially in the context of services dealing with vulnerable users and marginalized citizens.Consequently, understanding the conditions for coproduction with vulnerable users becomes paramount, and this is the focus of our paper. By conditions, we mean factors that influence co-production or co-production efforts. These conditions can be enabling or constraining, and we argue that insights into these conditions need to be understood in relation to different forms of co-production. Thus, the aim of this paper is to outline a framework for analyzing enabling and constraining conditions for the coproduction of services with vulnerable users.Scholars in public administration and management have recently highlighted the needs for further developing discources on co-production through metadialogues on the outcomes of co-production (See for instance, Osborne et al., 2021). This is addressed through conceptual debates on value and value creation in public service contexts based on service management teories. These meta-dialogues are important for advancing research on the outcomes and impact of coproduction, which is still not well understood (Voorberg et al., 2015). However, these dialogues cannot evolve in isolation from debates and research on the (pre)conditions for co-production. Understanding coproduction as value creation, require understanding of which voices that are heard; which influence they might have and specifically how marginalized or often silenced voices can be better incl...

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“…In the current study, trailing research was considered suitable because the researcher had no explicit stake in the outcome of the change or responsibility in any way for securing successful results. Participatory action research (PAR), in comparison, assumes the researcher is also influencing and involved in the change process 23. The objective is learning and evaluation created through participants' and researchers' reflections (table 1).…”

Section: Methods and Analysismentioning

confidence: 99%

“…Participatory action research (PAR), in comparison, assumes the researcher is also influencing and involved in the change process. 23 The objective is learning and evaluation created through participants' and researchers' reflections (table 1).…”

Section: Methods and Analysis Study Designmentioning

confidence: 99%

Impact of clinical leadership in teams’ course on quality, efficiency, responsiveness and trust in the emergency department: study protocol of a trailing research study

Husebø

Olsen

2016

BMJ Open

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IntroductionClinical leadership has long been recognised as critical for optimising patient safety, quality of care and interprofessional teamwork in busy and stressful healthcare settings. There is a need to compensate for the absence of the conventional mentor-to-apprentice transfer of clinical leadership knowledge and skills. While young doctors and nurses are increasingly proficient in medical, surgical and technical skills, their training in, and knowledge of clinical leadership skills, is not adequate to meet the demands for these non-technical skills in the emergency department. Thus, the purpose of the paper is to present and discuss the study protocol of clinical leadership in a course for teams that aims to improve quality, efficiency, responsiveness of healthcare services and collegial trust in the emergency department.Methods and analysisThe study employs a trailing research design using multiple quantitative and qualitative methods in the summative (pretest and post-test) and formative evaluation. Quantitative data have been collected from a patient questionnaire, the emergency departments’ database and by the observation of team performance. Qualitative data have been collected by shadowing healthcare professionals and through focus group interviews. To ensure trustworthiness in the data analysis, we will apply member checks and analyst triangulation, in addition to providing contextual and sample description to allow for evaluation of transferability of our results to other contexts and groups.Ethics and disseminationThe study is approved by the ethics committee of the western part of Norway and the hospital. The study is based on voluntary participation and informed written consent. Informants can withdraw at any point in time. The results will be disseminated at research conferences, peer review journals and through public presentations to people outside the scientific community.

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Methods for Tracking and Trailing Change

Cited by 7 publications

References 19 publications

Men’s perception of information and psychological distress in the diagnostic phase of prostate cancer: a comparative mixed methods study

Men’s perception of information and psychological distress in the diagnostic phase of prostate cancer: a comparative mixed methods study

Enabling and Constraining Conditions for Co-production with Vulnerable Users: A Case Study of Refugee Services

Impact of clinical leadership in teams’ course on quality, efficiency, responsiveness and trust in the emergency department: study protocol of a trailing research study

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